Violent, Aggressive & Responsive Behaviours. Security Toolkit September 25, 2018

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1 Violent, Aggressive & Responsive Behaviours Security Toolkit September 25,

2 Presenter Frances Ziesmann PT, CRSP BSc, BScPT, MHM, DOHS, KTPC PSHSA H&S Consultant Health & Community Services Workplace Violence Project Security Lead 2

3 Workplace Violence Prevention 3

4 Agenda Brief overview of the WPV and the Violence, Aggression and Responsive Behaviour (VARB) Project Highlight the importance of security and the role of security in workplace violence prevention in Community and Healthcare organizations Provide an overview of the PSHSA Security Toolkit tools 4

5 Did you Know? 1:5 violent incidents in Canada occur at work (Criminal Victimization in the Workplace Report, 2007) 4.8% of lost time injury claims in Ontario are violence-related (WSIB, 2016) Health Care is one of the largest sectors impacted by WPV with 1/3 of all these claims originating in the healthcare sector. 5

6 VARB Project Solution Focused Approach Five Toolkits developed 1. Workplace Violence Risk Assessment 2. Individual Client Risk Assessment 3. Flagging 4. Security 5. Personal Safety Response System 6

7 PSHSA VARB Tools 7

8 VARB Tools: Security Toolkit 8

9 Background Assaults, bullying, vandalism, theft and property damage can occur in community and healthcare sectors Health and safety legislation requires due diligence Security plays key role in preventing workplace violence Limited security program resources and tools Security Toolkit Page 1 9

10 What is Security? Preventing and/or protecting: Individuals from harm or injury Property from damage or theft Security is maintained through proactive: Measures Processes/Procedures Monitoring Patrolling Emergency responses Security Toolkit Page 1 10

11 Security may include: Policy & Procedures Security activities Use of equipment Trained personnel may or may not be security guards Security Toolkit Page 1 11

12 What is the Purpose of the Security Toolkit? Assist organizations establish effective security program Increase awareness and understanding of: o Security functions, roles and responsibilities o Security program elements o Training requirements Tools to identify security program gaps; develop customized action plan Security Toolkit Page 1 12

13 Security Program Functions, Roles and Responsibilities Functions, Roles and Responsibilities are outlined in the International Association for Healthcare Security & Safety (IAHSS) Handbook on Healthcare Security Basic Industry Guidelines The toolkit can assist in determining how and whether to apply the guidelines to their own workplaces. The toolkit helps organizations understand the need to staff security functions appropriately. Security Toolkit Page 2 13

14 Security Program Functions Program Development Program Management Program Measurement/Improvement Access Control Training Physical Security Investigations Areas of Higher Risk Documentation Emergency Management Security Toolkit Page 2-4

15 Eight Security Tools 1. Security Program Self-assessment Security Checklist with & Action Plan 2. Sample Corporate Security Policy Template 3. Sample list of Security-Related Policies & Procedures 4. Sample Security Fast Fact Awareness Tool 5. Sample Security Training Topics for Workers and Managers 6. Sample Security Guard Training Duration and Provider Considerations 7. Sample Security Guard Training Program Components 8. Sample Security Guard Training Checklist for HC Security Toolkit Page

16 Who Should Use the Security Checklist and Tools? Multidisciplinary committee or task force: Management Employees JHSC and/or HSR Union members Existing committee e.g. prevention steering committee Chair to coordinate and liaise Establish terms of reference. workplace violence Security Toolkit Page 9 16

17 Using the Tools Each tool has a step by step how to use this tool section 17

18 Security Program Self-Assessment Checklist and Action Plan Tool (Appendix A) 1.0 Senior management commitment 2.0 Security oversight, functions 3.0 Security roles and responsibilities 4.0 Security role in client management 5.0 Security role in emergency management 6.0 Risk assessment to assess security program needs 7.0 Documented security program 8.0 Security training and awareness program 9.0 Security-related equipment and maintenance 10.0 Workplace environment design and/or redesign 11.0 Security-related incident reporting and investigation 12.0 Security program evaluation 18

19 How to use the Self- Assessment Security Checklist Review Workplace Violence Risk Assessment Tool (WPVRA) prior to completing the checklist. Read and review each of the 12 elements and statements. Gather any organizational information or documents required to evaluate the element e.g. policies. Security Toolkit Page

20 How to use the Self- Assessment Security Checklist Indicate N/A for not applicable, Yes, No or Partial. For each Yes, also check the key elements box. Each No or Partial requires further action. Yes No Yes No 20

21 How to use the Self- Assessment Security Checklist Comment on what is and isn t in place, using relevant information and documents e.g., training records. Resources are located in the final column. When the checklist is complete proceed to the Action Plan, Person Responsible and Target dates columns 21

22 How to use the Security Check list and Action Plan Identify program gaps identified in the Self-assessment Security Checklist. Yes No No No No Blah, Blah, Blah, Blah, Blah, Blah, Blah, Blah, Blah, Blah, Blah, Blah, Blah, Blah, Blah, Blah, Blah, Blah List activities and actions required to address the gaps - See Action Plan column. 22

23 How to use the Security Program Gap Analysis and Action Plan Assign responsibilities and completion dates. The outcome of the plan can form the basis of reporting and any recommendations to senior management. 23

24 PSHSA Electronic VARB Tools Workplace Violence Risk Assessment & Security Risk Analysis Electronic Link and also User Guide 24

25 Security Program Review The security program should be reviewed and if required revised: Annually Changes noted in the WPVRA related to security Change in circumstances that could affect workplace health and safety Note JHSC is entitled to be consulted 25

26 Security Program Self-Assessment Checklist with Action Plan Tool Element Statements 1 12 Appendix A Security Toolkit Page

27 1.0 There is commitment from Senior Management to develop, implement and maintain a security plan and program A good practice is that the Multidisciplinary Steering Committee be a subcommittee of the JHSC. 27

28 2.0 There is a Security Administrator or designated leader who is qualified and authorized to oversee the security program. 28

29 3.0 Security roles and responsibilities are clearly articulated in the job descriptions 29

30 3.0 Security roles and responsibilities are clearly articulated in the job descriptions 30

31 3.0 Security roles and responsibilities are clearly articulated in the job descriptions 31

32 4.0 Security plays a key role in client / patient / resident management Organizations need to decide what the role of security will be in client/patient/resident management 32

33 5.0 Security plays a key role in emergency management Organizations need to decide what the role of security will be in emergency management 33

34 6.0 The organization has conducted a risk assessment to assess security program risks 34

35 7.0 There is a documented program in place and evidence of program implementation 35

36 7.0 Documented Security Program Continued 36

37 8.0 There is a security training and awareness program Leading Practice: Canadian General Standard Board (CGGS) - Comprehensive Security Officer and Security Supervisor Training Program Curriculum 37

38 9.0 Security equipment is available and maintained 10.0 Work environment design or redesign takes into account security needs Leading Practice: Crime Prevention Through Environmental Design CPTED Ontario 38

39 11.0 The Security Program addresses incident reporting and investigation OHSA s. 51 Employer to notify JHSC, Union and MOL Immediately OHSA s. 52 Employer to notify JHSC and Union of Accident/Illness 4 days 39

40 12.0 The Security Program includes process for evaluation Health Care and Residential Facility Regulation s. 9 JHSC entitle to be consulted 40

41 Sample Security Policy Appendix B Policy Purpose Policy Statement Goals Scope Definitions Roles/Responsibilities Communication Training Evaluation Procedures To be customized for the organization Security Toolkit Page 23 41

42 Sample List of Security Related Polices and Procedures Appendix C Completed by designated security administrator in collaboration with stakeholders After the WPVRA and Security Checklist and Action Plan Review list of policies and determine which policies are needed Comment whether it is in place or not Security Toolkit Page 31 42

43 Workplace Security Fast Fact Awareness Tool Appendix D Purpose to create awareness within the organization Everyone can make a difference in keeping our workplace safe and secure Workplace Security What is it? Employer Responsibilities Supervisor Responsibilities Worker responsibilities Security Awareness Tips in the Workplace and External/Community Environments Security Toolkit Page 39 43

44 Sample Training Security Topics for Workers and Mgt Appendix E Corporate Security Policy Department Security Protocols WP Violence P&P Emergency measures and codes Non-violent crisis intervention Photo ID and access control Reporting hazards and incidents Personal safety response alarms Protection of belongings Parking lot security and safety Medication security Patient Assessment and use of restraints Security Toolkit Page 47 44

45 Security Guards Appendix F, G, H Canadian General Standard Board Training Program Requirements / Hours (54 hours in classroom) Best Practice Security Guard Training Program Component Outline Private Security and Investigative Service Act 2005 Security Guard Training Checklist/Matrix for Healthcare Institutions Security Toolkit Pages 49, 51 & 55 45

46 Security Guard Training and Training Provider Considerations Appendix F Section provides a standard for training and provides questions related to training with a focus on creating awareness into quality instruction and value for services provided e.g. selection and hiring of security provider. 1. What are the qualifications of the training program developer/writer? 2. When was the training program last updated? Is the content current? 3. What are the qualifications of the trainers? 4. Does the company have insurance related to the provision of opinion related to the subject material? 5. Will the company maintain training records for your organization? 6. Can the company testify and defend the subject material if the course content is challenged through legal process? 7. What is the cost structure for both initial training and recertification? CGSB Security Training Program (Can/CGSB ) Security Toolkit Page 49 46

47 Security Guard Training Program Components Appendix G Licensing of security guards in Ontario is overseen by the Ministry of Community Safety and Correctional Services This tool provides an at-a-glance summary of the key areas of security-guard training required under Ontario law Detailed listings of a court defensible program are included Security Toolkit Page 51 47

48 Sample Security Guard Training Checklist Appendix H This is a checklist of security training items The checklist is intended as a guide for determining training frequency The checklist can be modified / adapted to suit different organizational needs e.g. renewal periods Handcuff training - annual Baton training - annual Uniform standards - on hire PPE fitting and training - every 2 years Security Toolkit Page 55 48

49 What can BUP/JHSC do? Become familiar with all the resources and guidance in the PSHSA Security VARB tool. Demonstrate the need for hands on security: o by identifying in writing workplace violence accident/illnesses that could have been prevented if the employer had security and/or had adequately trained security guards or adequate training for those performing the role/function of security. During workplace inspections or during risk assessments: o by speaking to workers and documenting in writing any unit that has or will have high risk patients; o and document any situation that could have or would better protect workers if they had hands on security guards trained to the CGSB standard. 49

50 What can JHSC do? Become familiar with ONA s sample workplace violence recommendation for security at Caucus with worker members of the JHSC JHSC members tailor the sample ONA workplace violence recommendation to your situation and needs referencing the need for the employer to use the PSHSA Security VARB tool in consultation with the JHSC. 50

51 What can JHSC do? A single co-chair can submit recommendations to the employer if it fails to reach consensus with JHSC after attempting to do so in good faith Connect with your Labour Relations officer at ONA if you need more assistance and/or to discuss filing a grievance Connect with your PSHSA consultant If you can t resolve issues internally, contact the Ministry of Labour 51

52 Questions 52

53 Public Services Health & Safety Association on LinkedIn youtube.com/pshsa (toll free: ) 53