Workplace Violence Strikes Close to Home

Blog Pic - Police Line.jpgThe tragic events that unfolded yesterday at Accent Signage Systems in Minneapolis are an unfortunate reminder that workplace violence can happen anywhere and at any time.  Our hearts and prayers are with the victims of this horrible event, and our thoughts turn to trying to help others avoid a similar calamity.

The Bureau of Labor Statistics has estimated that almost 2 million workers experience workplace violence every year.  While the degree of violence varies, hundreds of American workers are murdered each year at work in acts that we all say “couldn’t happen here”, until they do.

Obviously, there is no sure-fire plan that will guarantee complete freedom from workplace violence.  Violence is often irrational and unpredictable, and occasionally totally random.  Still, there are steps that employers can and should take to give themselves the best possible chance of preventing such tragedies.  These steps include:

  • Enact, publicize and enforce a zero-tolerance policy for threats and violence in your workplace.  Make sure that you clearly define the behaviors that are covered.

  • Ban weapons from the work environment.

  • Conduct thorough criminal background checks before hiring.

  • Educate supervisors and managers on the warning signs of troubled employees and potential violence.

  • Establish clear and comfortable procedures for employees to report threats or violent acts.

  • Resolve workplace disputes expeditiously and fairly so that resentments don’t escalate.

  • Evaluate security procedures on a regular basis.

  • Prepare a plan for responding to potential and actual violence.  Identify available resources, assign authority for contacting police, etc.

  • Consider maintaining an employee assistance plan (EAP) to provide effective referrals for employee experiencing the types of problems that often precede acts of violence.

  • Handle disciplinary and termination issues with dignity and professionalism, but also with caution and preparedness.  

The best way to prevent workplace violence is to anticipate and defuse it.  After all, isn’t it better to ask your self “what can I do?” rather than “What could I have done?”   

OSHA Planning More Nursing Home Inspections Soon

Blog Pic - Nurses.jpgThe Federal Occupational Safety & Health Administration (OSHA) recently announced that due to the continued high injury rates among healthcare workers, they would be initiating a national emphasis program – the emphasis being inspections targeting nursing homes and other residential care facilities.  OSHA is not saying when the targeted inspections will start other than to indicate that it will be “within the coming months.”

Interestingly, OSHA already had a site-specific targeting program and approximately 500 nursing homes were inspected in 2011 because of their above-average number of reported work injuries. So, it is unclear how this new “National Emphasis Program” changes what has already been in place.  What is clear is that OSHA believes that nursing home work injuries occur too frequently and at too high of a severity to avoid targeted inspection.

According to statistics published by the Department of Labor’s Bureau of Labor Statistics (BLS) in the Nonfatal Occupational Injuries and Illnesses Requiring Days Away From Work, 2010, report in November 2011, 489 out of every 10,000 employees working as nursing aides, orderlies and attendants sustained injuries that resulted in lost time from work in 2010.  The average rate for all workers in all industries was 118, with bus drivers and law enforcement officers being the only professions with higher rates of loss-time injuries.  The BLS report shows that healthcare workers’ most common injuries were muscle sprains, strains and tears (56%) and the most common causes of injuries were lifting/overexertion (49%) and falls (18%).

In some ways, Minnesota nursing homes may be better prepared to weather the targeted inspections.  Minnesota's state agency (MNOSH) already goes beyond Federal OSHA regulations by having implemented Safe Patient Handling (SPH) requirements for healthcare facilities, including nursing homes.  The SPH Statute, Minn. Stat. § 182.6553 was enacted in 2008 and required healthcare facilities to have a SPH program operational by July 1, 2011.  Consequently, Minnesota healthcare facilities must already have written policies and procedures on safe patient handling, an active committee that identifies, evaluates, addresses and resolves SPH issues, proper equipment, training, assessment tools and methods for properly recording and reporting on SPH issues.

For many nursing homes, this “National Emphasis Program” will not translate into a greater chance of citation for violations.  However, it may make it more likely that the new year will bring a visit from a MNOSH inspector.