“尊重与治愈”运动涉及工作场所暴力

主持人安珀·史密斯: 锡拉丘兹上州医科大学, 纽约 invites you to be "The Informed Patient" with the podcast that features experts from Central 纽约's only academic medical center. 我是主持人，安柏·史密斯.

我们已经看到新闻报道说，航空公司的乘客对空乘人员大发雷霆, 在教室里被攻击的老师, 医护人员在照顾病人过程中受到攻击. 暴力事件, 不尊敬的, 破坏性行为也在增加, 推荐最近最火的赌博软件州的领导人正在做出回应.

来解释一下弗兰克·费兰特和杰里·桑托费拉拉怎么样了. 他们都是上州监狱的工作场所暴力协调员.

欢迎来到“见多识广的病人”节目. 费兰特和费兰特先生. = Santoferrara =.

弗兰克·费: 谢谢你们邀请我们.

杰瑞Santoferrara: 是的，谢谢.

主持人安珀·史密斯: 我们来谈谈"尊重与治愈"是什么. Mr. 桑托费拉拉，你能解释一下它是怎么形成的吗?

杰瑞Santoferrara: 确定. "Respect and Heal" is a collaborative effort of leaders from the hospitals and health systems across Central 纽约. 其目的是确保卫生保健工作者得到安全和尊重的待遇, including support from the Onondaga (County) District Attorney Wiliam Fitzpatrick. Part of the platform actually addresses federal and state legislation that provides more penalties for those who knowingly and intentionally assault or intimidate hospital employees.

然后用Dr. Corona himself, regarding the major themes, "All staff will be treated with respect. 我们将对任何威胁采取零容忍政策, and that any violence against frontline staff will be met with the full enforcement of the law."

主持人安珀·史密斯: 的博士. 你提到的科罗娜博士. 罗伯特电晕. 他是上州立大学医院的首席执行官.

所以当我们说零容忍时，那是什么意思? What happens to a patient or their family member if they start getting pushy with staff?

弗兰克·费: 好吧, 你知道, it's most important that our first intervention would always be to attempt to deescalate, 但为了呼应杰里所说的. 科罗娜的声明是，暴力仍然不会被容忍. 我们鼓励员工这样做, 如果他们觉得自己不安全, 或者他们是否处于危险之中, 我们很幸运, 我们有我们的UPD(大学警察局)和公共安全, 然后利用他们的资源. There can be police reports filed, charges pressed -- that applies to both patients and visitors. 工作场所暴力是卫生保健领域的一个重大问题, 这又回到了“尊重和治愈?," and the involvement of the DA and addressing federal and state legislation to levy more penalties.

我们的员工不会因为受伤而来上班. 他们在这里提供高水平的病人质量护理, 被侵犯是不能容忍的.

主持人安珀·史密斯: Do you think the fact that multiple health organizations are banding together for a "Respect and Heal" campaign -- when these are normally competitors -- do you think that that signals this is a really important issue?

杰瑞Santoferrara: 是的,绝对. 你所描述的情况并不局限于纽约州推荐最近最火的赌博软件. 这是一个全国性的危机. The collaboration of other organizations and the support from our district attorney really does represent a monumental step toward raising awareness and implementing essential changes to really enhance the safety of staff and everyone involved within the institution.

主持人安珀·史密斯: Do you have a feel for how many health care workers have been harmed on the job recently, 也不知道伤口有多严重?

杰瑞Santoferrara: 推荐最近最火的赌博软件确实密切监测数据，以确定高风险地区. 到目前为止, we've been able to suss out the emergency department and psych(iatric) units where violence is most prevalent. 值得注意的是，护士在这些事件中首当其冲，严重程度各不相同.

提供全面支援, 虽然, 我们确实提供解决物理问题的资源, 情感, 认知需求. The resources for these include, but are not limited to, our social worker, Lauren Angelone. 她是一名支持社工, specifically for instances of these sort of violent or aggressive approaches to assist with employee management and sort of being a liaison to other services, 还有我们的员工援助计划, 哪个项目的目标是在必要的护理方面弥补差距.

主持人安珀·史密斯: 好吧,先生. 费, 不要只关注那些在工作中受伤的人, 让我们来解释一下为什么这是一个比个人伤害威胁更大的问题. Because I'm thinking about it is got to be really difficult for a doctor or a nurse or a technician to function, 我的意思是, 哪怕只是想清楚, 如果他们担心被攻击.

弗兰克·费: 当你考虑到这是一个国家问题时，这是一个正当的权利. 这就是为什么我们强调的一件事真的是为了员工, 此时此刻, 是情境意识吗?. 推荐最近最火的赌博软件 has made it the focus to ensure that the employees are provided a safe environment by addressing issues in real time and supporting staff.

卫生保健提供者, 他们可以非常, 它可以是任务导向的, and it is essential that they take their time to familiarize themselves with their surroundings and positioning. This can sometimes be overlooked or challenging given the level of patient care required. 但是作为医护人员, 你知道, 我们的首要重点是提供护理, 但我们也应该记住采取那些必要的措施, 在适当的时候, 保证自己的安全，尽可能的安全. While we must always keep in mind that the only be behavior we can ever control is our own.

主持人安珀·史密斯: 这是真的. 我想问你能否描述一下你在上州的角色. 我知道你们俩都是职场暴力协调员，但你们是做什么的?

杰瑞Santoferrara: 作为工作场所暴力协调员, 我们负责运行数据来识别暴力活动的趋势, along with developing interventions within interdisciplinary teams to reduce the risk of violence against staff.

所以基本上我们会审查每一起报案的性侵. 我们每周与我们的缓解委员会会面, 由供应商组成, 护理领导人, 护士经理, 道德, 官员和其他许多人, 优化病人的护理，确保他们的需求得到满足, 同时也降低了员工的风险.

我们还在整个机构进行查房, 环境风险评价单位, as well as getting essential feedback from the frontline staff regarding their concerns and perspectives.

So we try to make sure that we're a visible presence and as supportive as we can possibly be.

主持人安珀·史密斯: Is there training, or lessons to be taught, that can help a health care provider, stay safe?

弗兰克·费: Currently the hospital does offer, there is CPI, which is Crisis Prevention Intervention. 有CISM，也就是危机事件压力管理. And they're all various levels of identifying risk and how do you manage them on a variety of different levels. We are looking into whether there's other opportunities -- that's that feedback we're getting -- to see if there is additional training to be more specific to units, 他们实际遇到的问题.

主持人安珀·史密斯: Let me ask you -- because we know this is happening nationwide -- what is it that's making people more aggressive these days? 你有什么想法吗?

杰瑞Santoferrara: 所以就思想而言, it's definitely challenging because people have speculated maybe some COVID fatigue and challenges with longer wait times, 短的人员, 这些问题可能不一定是COVID的直接结果, 但是有些事情导致了一些系统的停滞.

所以能够理解这一点——然而, 与此同时，坚定地坚持我们的政策, and not tolerate disrespect and unsafe behaviors -- we can have a sort of holistic approach. And as being able to validate and understand frustrations with some individuals and how care has maybe been impacted. 但是我们真的在暴力问题上挣扎，对吧? 就像我们, 我们不会容忍这种情况, but understanding holistically that there are more things at play and frustrations, 这并不容易.

主持人安珀·史密斯:

人们可能会抱怨要等很长时间, 因为我们人手不足, 或者类似的东西. 你觉得向他们解释这些有帮助吗?

杰瑞Santoferrara: 有些人确实能理解，而且他们非常非常有耐心. 而其他人，就没那么多了. 这是一件很难的事，真的. 因为你知道, 你看，人们有点为, 病人会说, "oh, 你知道, 我不想打扰护士. 我很难过，因为我看到人们有多忙." And so it really just depends on the person and their level of awareness and their tolerance and their patience.

主持人安珀·史密斯: 好吧, 以前不是这样的, 所以这给了我希望，我们会回到以前的样子, 在人们开始恐慌之前. So it's encouraging to know that you are working on "Respect and Heal," and we'll see what that does. 非常感谢二位抽出时间来接受我的采访.

弗兰克·费: 谢谢你，Amber. 非常感谢.

杰瑞Santoferrara: 是的，没问题. 我们很感激.

主持人安珀·史密斯: 我的客人是弗兰克·费兰特和杰里·桑托费拉拉. 他们都是上州监狱的工作场所暴力协调员.

“知情的病人”是一个关于健康的播客, 科学与医学, 由锡拉丘兹上州医科大学为您带来, 纽约, 由吉姆·豪制作. 在upstate找到我们之前的剧集.edu/informed.

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我是主持人安珀·史密斯，感谢大家的收听.