1. Read slide

2. How To Prevent Violence
This video was prepared by Worksafe BC and shows how training to deal with escalating individuals can really make a difference. Click on the link to watch the video.

3. MORB Training
All staff are required to take a one-day onsite course called Management Of Resistive Behaviour (MORB) Training. You should sign up for the next available course. This course will help you recognize escalating behavior, give you the tools to help de-escalate situations and to learn strategies to keep yourself safe.
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On completion of the training you will be able to identify the four stages of crisis, precipitating factors ,, know how to set limits, utilize active listening skills and conflict prevention strategies.
You will learn how to use position, proximity and posture to your advantage to protect yourself from harm. If you have any difficulties signing up for a class please contact your supervisor

4. Responding to Threat of Violence or Violence
If there is a threat of violence and/or physical assault:
Call Security (dial 5555)or call a Code White (dial 888) or have someone nearby call immediately. If person has a weapon call Code Silver by dialing 888
Explain the situation and your location to the operator. Security or the Code White Team will then be dispatched. If a Code Silver, police will be called immediately.
Don’t wait until the situation is “out of control” before calling security or a Code White (see Code White on next slide)
Where a situation becomes violent and is not well-controlled, or there is believed to be “willful intent to harm”, the SMGH Security need to be contacted by calling (5555) who in turn will call the police if necessary.
Security can do additional patrolling in potentially threatening situations; just being present can diffuse a situation.
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5. Code White
Is an organized team response to bring immediate assistance to employees confronted with a potentially violent situation.
Call Code White when you witness or are involved with an individual who is:
Threatening, harassing, or being verbally abusive to you or another individual
Attempting to harm themselves or others
Displaying threatening behaviour that is escalating
Refusing to leave hospital property when requested
When in doubt, call Code White “888”! It is better to have unnecessary support, than to have no support if it is needed.
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6. Code Silver
Code Silver is a planned response to ensure the safety of all health care workers, patients and visitors at the hospital when an individual is in possession of (and threatening the use of) a weapon with the intent to kill; and a police response is required.  
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Code Silver will not result in other hospital workers coming to assist, as it is designed to keep people away from harm. Police will be contacted as soon as Code Silver is called.

7. Quiz 2 What number do you dial when you want to call a Code White? 911
888
What number do you call to get security?
1234
5555
4321
Read question 1 pause … the correct answer is 888
Read question 2 pause…. The correct answer is 5555

8. Quiz cont’d… 3. When should you call a Code White?
When you witness threatening or harassing behaviour
When an individual is refusing to leave hospital property
When an individual is attempting to harm themselves or others
All of the above
Read the question pause… the correct answer is D all of the above

9. Quiz cont’d… 4. When should you call a Code Silver?
Someone shouting and yelling at you
When the patient has struck you with their hand
When an individual is waving a knife and intends to kill
a and b
b and c
Read the question, pause and the correct answer is c

10. Other Resources Policies and Procedures:
To review the Workplace Violence and Harassment Prevention Policy, and all related policies, please go to one of the following links found on the intranet:
SMGH Code of Conduct policy
Domestic Violence policy
Violence and Harassment Prevention Policy and Procedure
Contacts:
Workplace Safety Coordinator ext. 2680
Violence Prevention Task Force
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11. If you have additional questions regarding workplace harassment or violence please contact your supervisor/manager.