Quote from augigi
Guidelines for Preventing Workplace Violence for Health Care & Social Service Workers
- "An organisation's formal policies and management attitudes greatly influence the climate in the workplace. The degree to which an individual's safety and dignity are considered important will greatly influence security within the work environment."
Have you notified your manager that you do not feel that the course provided adequate tools to deal with the issue and that you have ongoing concerns about workplace safety? I would suggest this should be your initial move - perhaps they can then investigate other courses or various measures shown in the literature to effectively decrease workplace violence. There are also multiple online CE courses related to violence prevention, workplace safety etc. If you understand the theory but have problems with the practical/physical application, you may need a change in security policies at the hospital.
Augigi, you're giving good advice, and I appreciate your input, but you're preaching to the choir. Of course we've gone to management. And written numerous incident reports that go to that endless black hole known as risk management.
CPI just does not work on psychotic, intoxicated (alcohol or drugs), pi**ed off patients. It is unreasonable to think that if a patient has been brought in tazered or pepper sprayed by police - and in metal handcuffs - that I will be able to control his behavior by de-escalation verbally or with CPI.
In the past, we have even had a patient that was so violent that after he was physically subdued, we had to paralyze and intubate him for his and our safety because the leather restraints would not hold him.
At least at my hospital, the bottom line is $$$. They are not going to look for another class and pay staff to become instructors. It's always, "Do the best that you can". And we do, but not by using CPI.