The hospital has a workplace violence prevention program.

(1)

The hospital has a workplace violence prevention program led by a designated individual and developed by a multidisciplinary team that includes the following: - Policies and procedures to prevent and respond to workplace violence - A process to report incidents in order to analyze incidents and trends - A process for follow-up and support to victims and witnesses affected by workplace violence, including trauma and psychological counseling, if necessary - Reporting of workplace violence incidents to the governing body

(2)

As part of its workplace violence prevention program, the hospital provides training, education, and resources (at time of hire, annually, and whenever changes occur regarding the workplace violence prevention program) to leaders, staff, and licensed practitioners. The hospital determines what aspects of training are appropriate for individuals based on their roles and responsibilities. The training, education, and resources address prevention, recognition, response, and reporting of workplace violence as follows: - What constitutes workplace violence - Education on the roles and responsibilities of leaders, clinical staff, security personnel, and external law enforcement - Training in de-escalation, nonphysical intervention skills, physical intervention techniques, and response to emergency incidents - Reporting process for workplace violence incidents

(3)

The hospital conducts an annual worksite analysis related to its workplace violence prevention program. The hospital takes actions to mitigate or resolve the workplace violence safety and security risks based on findings from the analysis. Note: A worksite analysis includes a proactive analysis of the worksite, an investigation of the hospital’s workplace violence incidents, and an analysis of how the program’s policies and procedures, training, education, and environmental design reflect best practices and conform to applicable laws and regulations.