1. A 10 point plan to end violence and aggression Kathy Chrisfield OHS Unit Coordinator Australian Nursing and Midwifery Federation (Victorian Branch)

2. A 10 point plan to end violence and aggression – some history 2001 ANF (Vic Branch) Zero Tolerance policy 2002 DHS Code Grey / Black research project 2004 Ministerial Taskforce established 2005 WorkSafe Victoria guidance June 2011 Parliamentary Inquiry July 2013 Ministerial Advisory Committee 2013 VAGO Report Occupational Health and Safety Risk in Public Hospitals 2015 VAGO Report Occupational Violence Against Healthcare Workers 2015 Violence in Healthcare Taskforce

3. Documentation, stories, reporting Details of incidents Raising awareness DATA A 10 point plan to end violence and aggression – where to start…

4. The problem…

5. The politicians…

6. The public…

7. Our members and others…

8. The solution…

9. The whole picture… A systems approach Physical environment / workplace design (CPTED) Post-incident support Clinical pre-admission / admission risk assessments Security – access, personnel, CCTV, alarms etc Incident reporting, investigation, review and feedback Education and training Legislation, policies and procedures, including Code Grey and Black Cross disciplinary understanding, communication and consistent approach Empowered staff Clinically-based management plans / care plans Government, health system and public committed to OVA prevention The Three C’s – Communication, Consultation and Collaboration

10. Where to from here…