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How to Comply With Cal-OSHA’s Proposed Regulations

By Daniel Gugala | Posted on 08.12.2016 | 0 comments
How to Comply With Cal-OSHA’s Proposed Regulations
California OSHA is looking to implement a new regulation titled Workplace Violence Prevention in Health Care under section 3342.

The proposed rules—should they be adopted—would require health facilities, outpatient medical offices and clinics, home health care and home-based hospice services, paramedic and emergency medical services, field operations such as mobile clinics and dispensing operations, drug treatment programs, and ancillary health care operations in California to comply with a variety of standards for violence prevention.

If your organization is one of these types, you will likely be required to augment your Injury and Illness Prevention Program (IIPP), already required by Section 3203, to include elements related to identifying and responding to workplace violence hazards. Such elements include developing a plan that will encourage employee participation, reporting, responding to, and managing workplace violence hazards.

Need help?

This might seem like a daunting challenge, as in addition to implementing the plan, staff must also be trained in applying the plan with techniques for recognizing and responding to workplace violence incidents.

At the Crisis Prevention Institute, we’re here for you. We assist our clients in implementing workplace violence prevention plans, and when it comes to training, we have you covered.

Initial training

Here’s what the proposed new regulation would require for all employees in terms of initial training, and how we can help:
  1. An explanation of the employer’s workplace violence prevention plan. Our policy template can help with this, particularly when it’s developed with training that we customize to you.
  2. How to recognize the potential for violence, factors contributing to the escalation of violence and how to counteract them, and when and how to seek assistance to prevent or respond to violence. This is the core of Nonviolent Crisis Intervention® training, which teaches staff about the signs of potential violence, how to de-escalate, and strategies for prevention and intervention.
  3. Strategies to avoid physical harm. We developed the disengagement techniques in our curriculum to help your staff stay out of harm’s way.
  4. How to report violent incidents to law enforcement. This involves empowering all staff to dial 911.
  5. Any resources available to employees for coping with incidents of violence, including, but not limited to, critical incident stress debriefing or employee assistance programs. Our debriefing tool, the CPI COPING Model℠, is a great way to get started with this. You can also take this a step further with our additional resources on critical incident reporting, including a free resource, DVD refresher programs, and a Topic Module on debriefing.
  6. An opportunity for interactive questions and answers with a person knowledgeable about the employer’s workplace violence prevention plan. This is a simple addition to any CPI training program, even those you conduct via online/blended learning. For example, webcams are one of just a few ways to create an interactive session in your online training. You can also have in-person discussions during the classroom portion of Nonviolent Crisis Intervention® Flex training, our online/blended learning option.

Refresher training

Section 3342 would also require refresher training at least annually for employees performing patient-contact activities to review the topics included in their initial training.

To help you with this, CPI has the largest selection of refresher courses to not only refresh your staff in existing content, but to give them new skills as well. Topics ranging from advancing verbal skills to dealing with weapons in the workplace—and much more—can help you refresh and expand staff confidence and competence.

Making it all work for you

With both initial and ongoing training to accomplish, it can seem like a lot. A lot of time. A lot of resources.

To help you meet the requirements while still watching the bottom line, CPI leads the training industry with online learning options. From the CPI App to Flex (mentioned above) to Video-on-Demand and DVD programs, you have numerous options to choose from. Many are also integrated with topics that are deeply relevant to heath care, such as Trauma-Informed Care.

These options can be made available to employees outside of a traditional classroom setting, to view on their own, attend as a group, or attend online—to save you time, money, and resources while equipping staff with comprehensive skills.

What else can CPI support you in implementing?

The proposed regulations call for employees who are assigned to respond to alarms or other notifications of violent incidents or whose assignments involve confronting or controlling persons exhibiting aggressive or violent behavior to be provided training on the following topics prior to initial assignment and at least annually thereafter:
  • General and personal safety measures. Nonviolent Crisis Intervention® core content equips staff with general and personal safety techniques.
  • Aggression and violence predicting factors. The same content teaches staff about the signs of aggression, how to handle them, and how to read a situation for indicators of violence.
  • The assault cycle. In CPI training, the Crisis Development Model℠ describes recognizable behavior levels that an escalating person might go through during a crisis. It also describes corresponding staff attitudes and approaches to de-escalate challenging behaviors.
  • Characteristics of aggressive and violent patients and victims. CPI’s trauma-informed, person-centered training will help you with what to look for and how to assess.
  • Verbal and physical maneuvers to defuse and prevent violent behavior. Prevention is what CPI training is all about. It’s the focus. It’s our middle name. We also teach verbal de-escalation and physical disengagement skills to defuse any incidents that staff can’t successfully prevent.
  • Strategies to prevent physical harm. CPI training involves personal disengagements skills to keep staff physically safe from strikes, grabs, and other injuries and assaults—without hurting others.
  • Restraining techniques. At the Crisis Prevention Institute, we teach that physical restraint should only be used as a very last resort when all nonphysical options have been exhausted. For last-resort circumstances, we teach safer, nonharmful restraint techniques that are the most adaptable in the industry.
  • Appropriate use of medications as chemical restraints. With customized training, we can help you develop supportive, person-centered approaches to use in the event that chemical restraints need to be used.
  • An opportunity to practice the maneuvers and techniques included in the training with other employees they will work with, including a meeting to debrief the practice session. Problems found shall be corrected. You’ll find that CPI training is all about practice, roleplaying real-life scenarios, problem solving, and ongoing education to ensure the best solutions for your staff.

Get started right away

As you can see, CPI has you covered. Whether the rules are adopted later or you’re ready to get a head start on safety now, give us a call and we’ll help you move to compliance.