1. McNamara & Associates, Inc. 2010 Violence Prevention in Healthcare

2. McNamara & Associates, Inc. 2010 Violence Prevention in Healthcare Type I- Offender has no relationship with Institution or Individual Type I- Offender has no relationship with Institution or Individual Type II- Offender is a Patient/Visitor Type II- Offender is a Patient/Visitor Type III- Offender is Current or Former Employee Type III- Offender is Current or Former Employee Type IV- Offender is Domestic Partner of an Employee Type IV- Offender is Domestic Partner of an Employee

3. McNamara & Associates, Inc. 2010 Violence Prevention in Healthcare Joint Commission Joint Commission OSHA Response OSHA Response State Regs. State Regs.

4. McNamara & Associates, Inc. 2010 Violence Prevention in Healthcare Prevention is Key Prevention is Key - Violence is not out of blue - Perpetrators exhibit Behavior - You must be Aware

5. McNamara & Associates, Inc. 2010 Violence Prevention in Healthcare Creating a Violence Prevention Committee Creating a Violence Prevention Committee Annual Security Risk Assessments Annual Security Risk Assessments Developing a Written Violence Prevention Plan Developing a Written Violence Prevention Plan Updating/Developing Policies & Procedures Updating/Developing Policies & Procedures Accurate Incident Reporting Accurate Incident Reporting Relationship with Local Law Enforcement Relationship with Local Law Enforcement Employee Awareness & Training Employee Awareness & Training

6. McNamara & Associates, Inc. 2010 Violence Prevention in Healthcare Risk Assessments Risk Assessments -Will identify workplace risks including: -Will identify workplace risks including: -Surrounding Areas of Facility -Surrounding Areas of Facility -Visitor Access Controls -Visitor Access Controls -Parking Areas/Vehicle Access -Parking Areas/Vehicle Access -Video Surveillance Systems -Video Surveillance Systems -Lighting -Lighting -Maternity Safety Controls -Maternity Safety Controls

7. McNamara & Associates, Inc. 2010 Violence Prevention in Healthcare Identifying Your High Risk Areas Identifying Your High Risk Areas -ED -ED -Psych -Psych -Medical/Surgical -Medical/Surgical -Labor/Delivery -Labor/Delivery

8. McNamara & Associates, Inc. 2010 Violence Prevention in Healthcare Gangs Gangs -Who are they? -Who are they? -How do we stay safe? -How do we stay safe? -How are they impacting our communities -How are they impacting our communities & facilities? & facilities?

9. McNamara & Associates, Inc. 2010 Violence Prevention in Healthcare Police Due-Diligence Police Due-Diligence -Don’t assume the Police are always Diligent -Don’t assume the Police are always Diligent

10. McNamara & Associates, Inc. 2010 Violence Prevention in Healthcare Employee Education: Employee Education: -Gang Awareness -Gang Awareness -De-Escalation Techniques -De-Escalation Techniques -Self Defense -Self Defense -Active Shooter -Active Shooter -Security Officer Role -Security Officer Role

11. McNamara & Associates, Inc. 2010 Violence Prevention in Healthcare NO “one size fits all” Strategy NO “one size fits all” Strategy (Every Facility has Different Needs) Advanced Planning & Preparation Advanced Planning & Preparation

12. McNamara & Associates, Inc. 2010 Violence Prevention in Healthcare Safe & Secure Work Environment Safe & Secure Work Environment -Every Employee is responsible -Every Employee is responsible Survival Mindset Survival Mindset - Awareness - Preparation - Adequate Training

13. Violence Prevention in Healthcare McNamara & Associates, Inc. McNamara & Associates, Inc. John McNamara & Chris Hill John McNamara & Chris Hill www.mcnamaraassociates.com www.mcnamaraassociates.com www.mcnamaraassociates.com Email: jevolution@hotmail.com Email: jevolution@hotmail.comjevolution@hotmail.com Phone: 732-536-1222 Phone: 732-536-1222 McNamara & Associates, Inc. 2010