It is important that front line workers stand up and make their voices heard.Violence in long-term can be managed, with certain measures in place. In some cases, more extreme measures must be taken. Long-term care violence has been addressed by a coroner's jury, with input from the Ontario Nurses' Association.
Some of the factors include:
- staff turnover, staffing, professional issues, training and violence in the workplace.
- Early identification by physicians.
- Flagged files by LTC facilities.
- Standardized monitoring forms for all LTC facilities (i.e., wanderers record, meds administration screening tools for placement, placement criteria for residents, behavioural/aggressive checklist.)
- Specialized placements for those who meet these criteria.
- Only regulated staff care for these residents.
- Geriatric assessments by professionals.
- Providing appropriate beds in alternative facilities.
- MOHLTC review delays in psychogeriatric assessment.
- MOHLTC funding for specialized facilities, staff trained in PIECES to care for residents.
- Specialized units with private rooms near a nursing station
- Revised funding for these special needs residents.
- Staffing levels in LTC be increased to 0.59 Registered Nurses, per resident, per day, and 3.06 per resident nursing care per resident per day.
November 20, 2013
The Ontario Nurses’ Association (ONA) says that violence in Ontario’s long-term care facilities can be significantly reduced by implementing the recommendations from past coroners’ inquests into the same issue.Haslam-Stroud calls on the Ministry of Health and Long-Term Care to act now on mandating a minimum staffing standard of four hours of care per resident per day for long-term care facilities now.
ONA is the union representing 60,000 registered nurses and allied health professionals, as well as more than 14,000 nursing student affiliates providing care in hospitals, long-term care facilities, public health, the community, clinics and industry.
Document Download: Inquest - Jury Recommendations - Casa Verde - April 2005