ed assessment tool sample

8/13/2019 Ed Assessment Tool Sample

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Emergency Department Assessment Tool

Initial Assessment: MM/DD/YYYY

Metric Includes Yes No Comments

Is there 24/7 presence of hospital securityin the emergency department? x

Are there policies and procedures in place

for hospital security response in commonarea (waiting room)? x

Are there policies and procedures in placefor hospital security response in securedarea (emergency department treatmentrooms)?

x

Are there policies and procedures in placeto outline hospital security interventionsduring escalating situations?

x

Is there a standard policy for staff safety

escorts?x

Is there a hospital-wide response to anincident of workplace violence in the x

Is there a training program in place forhospital security officers relevant topotentially violent situations specific to theemergency department?

x

Is there a policy in place for initiation ofsupervision (e.g. non-clinical sitter) forpatients at high risk for violent behavior?

x

Does the hospital have a violence rapidresponse team? x

Is public (visitor) access to treatment areasrestricted? x

Is there a protective barrier between thecheck in area and the staff? x

Is there an alarm system in place for staff touse to alert others of an escalating orviolent situation?

x

Does a hospital security officer monitor theflow of traffic into the emergencyde artment from outside?

x

Do treatment rooms have doors that can beclosed? x

The hospital securityguidelines in place supportan initiative of safety in theemergency department.(Obtain copies of allpolicies and proceduresrelated to interface ofhospital security with theemergency department)

The physical design of theemergency departmentoffers protection fromoccurrences of violence


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Do treatment rooms have doors that can belocked?

x

All the rooms have doors that close,but only one room locks. The roomthat locks is identified as thepsychiatric room, but is left unlockedthe majority of the time. Security hasthe only key to the room.

Do patient rooms have any objects readilyavailable that have a high potential forbeing used as weapons? (e.g. catheters,injection syringes, glass blood tubes, etc.)

x

The psychiatric room has a door thatcloses over all of the equipment (ie.Oxygen, suction, sharps container,gloves, etc.)

Is there a protective barrier between thenurses' station and the public/visitor areaor throughway?

x

The nurses' station is enclosed inglass. The glass is not bullet proof andserves mainly as a sound barrier.

Can nurse/patient interaction be viewed orheard from common nursing areas? x

Are there rooms that are secluded fromregular foot traffic, out of view, or out ofrange of hearing from the centrally-staffedand populated areas (nurses' station, triage,waiting room, etc.)?

x

Where are nurses stations located? The nurses's station is located in thecenter of the emergency departmentwith the patient rooms on theoutside periphery.

Are staff members typically present at thenurses' station?

x

Where are the medication access pointslocated?

There is one medication room with akeyed entry located just off thenurses' station.

Are there locked medication rooms withlimited access?

x

Key entry only and then with a Pyxissystem that uses biofeed back in themedication room. The medicationroom is not identified by a sign.

Is there a medication area located withinthe nurses station and is it identifiable to

atients/visitors ?x

Are the parking lot and ambulance areamonitored for safety? How?

x

There are cameras located inside theambulance bay. Security can monitorthe bay, but the officer was not surethe system was functioning.

Is the ambulance entrance a restrictedaccess point of entry? x

Is the ambulance entrance located neartreatment areas? x


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Are transport teams and other staff able toreadily communicate with the emergencydepartment staff from the ambulanceentry?

x

Are the parking lot and ambulance entrancewell-lit?

x

Does hospital security patrol thesurrounding exterior of the emergencyde artment?

xThe security rounds occur at the topof every hour.

Is there surveillance equipment being usedinside the emergency department and/oron the grounds surrounding the emergencydepartment?

x

If there is surveillance equipment beingused, note where the cameras are located,who monitors the surveillance video andhow frequently this occurs.

There are cameras in the four traumabays and the psychiatric room. Themonitors are located in the corner ofthe rooms covered with a protective

plate. There are monitors in theemergency department and in thesecurity office. Five nurses wereasked to operate the surveillanceequipment and 5 nurses were notfamiliar with the equipment. Securityknew were the monitors were andthat there were video tapes, but didnot know if the equipment waso erational.

Is there a support system in place throughoccupational health, human resources or

employee assistance program?x

Is there a visible, hospital-wide initiative toprevent violence in the workplace? x

Are there institutional policies andprocedures in place for prevention,responding and reporting violentoccurrences?

x

Is there an occurrence report specific to

reporting workplace violence? x

Is there a policy that describes the processfor responding and reporting after anincident has occurred? Is reporting anincident mandatory?

x

Each employee has full access to ahelp line. A general communicationsheet is also available, as well as, theuse of an incident report.

There is administrativesupport for reportingviolence in the emergencydepartment

There is a reportingmechanism in place thatfollows the chain ofcommand and includesproper follow-up.


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Can emergency departmentleaders/supervisors tell you what theirresponsibilities are following a report of aviolent incident?

x

When the director of the departmentwas asked to verbalize hisresponsibilities on a reportedincident, he easily stated the informalthe process.

Is data compiled and summarized from

accumulated reports of violentoccurrences? x

If data is collected, do hospitaladministration, human resources and/orrisk management participate in the reviewof violent occurrence report summaries?

Not applicable

Can emergency department staff describethe process of review and disposition of anoccurrence report that they complete?

x

Does the staff member receive verbal

and/or written feedback on the dispositionof an occurrence report they havecompleted?

x

Follow-up with the staff member is

completed with all incidentsreported.

If a Staff Assessment Survey was completed,to what extent are nurses able to identifywhat constitutes a violent act (physical andverbal abuse)?

Not applicable

Is violence prevention, response andreporting training included in emergencydepartment staff orientation?

x

If violence prevention training is provided,is the training mandatory? If so, howfrequently must the employee participate inthis trainin ?

x

Not applicable

If violence prevention training is provided,does the training include instruction on de-escalation techniques?

Not applicable

If violence prevention training is provided,does the training include physicalprevention and response measures?

Not applicable

If violence prevention training is provided,does the training include reporting

rocedures?

Not applicable

Is there a comprehensive program in placethat includes prevention, responding andreporting?

x

A written agreement is in placebetween the hospital and local lawenforcement to respond if called bythe hospital.

The emergency

department nursing staffreceives annual educationon violence

The local law enforcementhave a role in emergencydepartment safety


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Is there a lock down policy in place? If yes,is local law enforcement aware of/includedin lock-down policies and procedures?

x

If there is a lock down policy in place, arethere periodic safety lock down drills? x

Not applicable

Is the area the hospital serves rural orurban?

Rural

Is the hospital located in a high crime area?x


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