Sponsor Robert Siciliano as he runs the Boston Marathon for Miles for Miracles, Children's Hospital Boston
ROBERT SICILIANO is fiercely committed to informing, educating, and empowering Americans so they can be protected from violence and crime in the physical and virtual worlds.


Check here if you're human


Nurse Security

Workplace Violence Caused by Disgruntled Clients

The Problem: It’s no secret in the health care industry that 97 percent of nurses know a colleague who has been assaulted. Non-fatal assaults in health care and social services are higher than in any other industry. Additionally, the National Traumatic Occupational Fatality database reports an average of 11 registered nurses killed at work every year. Although officials worry about the safety of their patients and staff, liability concerns sometimes put people at risk. Angry, violent individuals need specialized attention. Improperly handling a crisis can mean years of litigation.

The Solution: Be pro-active in reducing the threat of workplace violence. Train staff to use reasonable methods when defusing escalating situations. Involve front-line employees in on-going safety and security strategies. Make them part of the solution by giving them the tools they need to gain control during a crisis. We provide you with the fundamentals of safety and the strategies for security to help you make smarter time, money and life-saving decisions.

You Learn How To:

  • Establish guidelines for preventing workplace violence.
  • Identify and defuse potential outbursts.
  • Incorporate ongoing training to respond to crises.
  • Gain cooperation between frontline staff and management.
  • Have a plan of action to deal with weapons.
  • Create committees, inspections, and reporting procedures.
  • Determine risk factors and solutions.
  • Analyze high- and low-tech security options for the premises.
  • Use non-violent means of restraining someone.
  • Defend yourself in an assault.

11 Tips to Nursing Security by Robert L Siciliano ©

It’s no secret in the healthcare industry that 97% of nurses know a colleague who has been assaulted. Non-fatal assaults in health care and social services are higher than in any other industry. Additionally the National Traumatic Occupational Fatality database study reports an average of 11 registered nurses killed at work every year.

  1. OSHA: established guidelines for preventing workplace violence include, but are not limited to: incorporating ongoing training to respond to crisis, cooperation between front-line employees and management, determining workplace hazards by analyzing potential isolation areas risk factors, and having a plan of action to deal with threats, violence and weapons.
  2. Training: establishing guidelines including adaptable safety and security procedures customized to the limits of the facility. Create zero tolerance policies for violence and threats for patients, staff, and visitors. Create reporting procedures and a filing system to evaluate and quantify progress.
  3. Working Together: it is essential that management demonstrate organizational duties to ensure safety and health of their employees. Equally disperse responsibilities between supervisors, managers and front-line staff, making sure everyone is clear on their duties. Managers should offer support and ‘be there’ when employees are in crisis.
  4. Employees Responsibilities: include learning their assigned duties and complying with security program guidelines. Being involved in ongoing procedures, committees, inspections, reporting and dissemination of information.
  5. Risk Factors: patient’s families and friends bring in handguns, knives and other weapons. The presence of high profile drugs such as Oxy-Contin in pharmacies along with cash drawers makes them likely targets for robbery. Other factors include 24-hour unrestricted access in some hospitals, long waits, disgruntled family or gang members, and patients under the influence of drugs and alcohol. Nurses are sometimes isolated in remote areas and are not trained to respond to physical threats.
  6. Premise Security: options include security guards, metal detectors, pass keys, alarm systems, panic buttons, cell phones, proper lighting and centralized radios. A central office to respond to distress calls is essential. Security cameras and curved mirrors will assist in remote areas.
  7. Law Enforcement: unfortunately law enforcement’s job is usually to respond after a crisis. It is important, however, to create communication with local authorities and make them fully aware of the facility’s layout. Properly trained security guards can usually diffuse violent situation either by non-violent means or with force.
  8. Non-Violence Intervention: have systems in place to treat clients who are aggressive or acting out. Certified Employee Assistance Professionals or social service staff should be on call 24 hours a day to diffuse angry patients.
  9. Buddy System: strength in numbers. To reduce potential threats pairing staff can offset the chances of being overpowered. Elevators, stairwells, parking garages, home visits and isolated areas are all potential threats.
  10. Jewelry and Cash: not only is jewelry a potential target for thieves, it is a strangulation hazard. Carry only essential identification and cash. Beware of improvised weaponry in the form of surgical tools, keys, pens or other items that could be used as a weapon.
  11. Self Defense Training: OSHA suggests assault response training, avoiding assaults training, personal safety and self defense training or a combination of trainings may be used to reduce the risk of assault.

Download PDF version

Similar Posts from the Security Blog

  • Sales Staff Targeted by Cyber Criminals
    Companies that cut corners by giving cybersecurity training only to their technical staff and the “big wigs” are throwing out the welcome mat to hackers. Cyber criminals know that the ripe fruit to pick is a company’s sales staff. Often, the sales personnel are clueless about the No. 1 way that hackers “get in”: the
  • Workplace Violence Red Flags, Prediction and Prevention
    Every school shooting, workplace shooting and even the Navy Yard shooting could have been prevented if we crowdsourced our security. The fact is that when someone’s about to “go postal,” that person tells the world in many obvious ways. Organizations that do nothing and say it can’t happen to them are next in line when
  • Should you take active Shooter Training?
    Gunman Storms Building, Shot Dead by Receptionist
    Wouldn’t it be great to see a headline like this for once? More than ever, employees are being trained to react tactically should a gunman go on a rampage.
    There has to be a better way, for instance, to protect children in a classroom than the teacher diving between them
  • Data security policies need teeth to be effective
    Bottom line: If you have a data security policy in place, you need to make sure that it’s up to date and contains all of the necessary elements to make it effective. Here are 10 essential items that should be incorporated into all security policies:
    1. Manage employee email
    Many data breaches occur due to an
  • How to protect your network from malicious insiders
    You may be putting your company at risk simply by hiring a new employee. Why? Because that person could have a hidden, malicious agenda.
    This is known as an inside threat, and it means that someone within your organization is planning or conducting activities meant to harm the company.
    There is a pattern that most insider threats


Xtreme School

Featured in

Anderson Cooper John Stossel Robert Siciliano Featured in