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For Clinical Practice Safety The Official Publication of the Ohio Nurses Association Ohio the of Publication Official The OHIOVolume 94, Issue 1 NURSESReview VERBAL DE-ESCALATION FOR CLINICAL PRACTICE SAFETY www.ohnurses.org 1 | Ohio Nurses Review | Volume 94, Issue 1 | www.ohnurses.org COUNCIL ON ECONOMIC & PRACTICE GENERAL WELFARE OHIO NURSES Review COMMISSIONERS Iris Marcentile, Chair The Ohio Nurses Review (ISSN 0030-0993) is the official publication of the Ohio Nurses Coshocton Jessie Frymyer, Chair Association, 3760 Ridge Mill Drive, Hilliard, OH 43026, (614) 969-3800. Indexed in OSU International Nursing Index and Cumulative Index to Nursing and Allied Health Annie Bowen Literature. Published quarterly. Circulation approximately 10,000. Periodicals Postage Etna Mary Bales Paid at Columbus, OH. Benitha Garrett Lima North Olmsted Iris Marcentile Published by ONA Staff and Arthur L. Davis Publishing Agency Inc., 517 Washington, Coshocton Cedar Falls, IA 50613. Layout and Design: Chris Hall Kristen Sanders Canal Winchester Jeannette Porter ANNUAL SUBSCRIPTION – Members of ONA, $15, included in dues as a member Deborah Schwytzer UCMC benefit; Corporate first class postage subscription, $40; Agencies, $40; members of Cincinnati Robert Weitzel the Ohio Nursing Students’ Association, $15 with a copy of NSNA membership card. Michelle Slater UCMC Replacement copies, $5 prepaid with order. Medina Laurie Hornberger Northside POSTMASTER – Send address changes to Ohio Nurses Review, 3760 Ridge Mill Drive, Jonathan Stump Hilliard, OH 43026 Canton Rick Lucas Robin Sundberg OSU MISSION STATEMENT – The mission of the Ohio Nurses Review is: To advance Ashville CONTINUING professional nursing practice in Ohio in service of quality health care. Jean Swaney EDUCATION APPROVER COUNCIL Articles appearing in the Ohio Nurses Review are presented for the information of our East Canton members. They are not intended as legal advice and should not be used in lieu of such HEALTH POLICY advice. For specific legal advice, readers should contact their legal counsel. COUNCIL MEMBERS Barb Brunt, Chair MA, MN, RN-BC, NE-BC Copyright © 2018 by Ohio Nurses Association. Tahnee Andrew, MSN, RN Jill Beavers-Kirby Grove City Lucinda Cave, MSN, RN, BC ONA BOARD OF DIRECTORS DIRECTORS, UNSTRUCTURED Kelly Duffey Paula Anderson, Westerville Bellville Stephanie Clubbs, OFFICERS MSN, RN-BC, CNS Brian Burger, President Benitha Garrett, North Olmsted Jason Fisher Cincinnati Gina Severino, Canfield Dayton Susan Copeland, MS, RN, BC Barb Welch, Lancaster Margaret (Peggy) Halter Shelly Malberti, First Vice-President DIRECTORS, STRUCTURED Akron Melanie Morris, MBA, Euclid BSN, RN-BC, CCRN-K Mary Bales, Lima Shelly Malberti Jacinta Tucker, Second Vice-President Jessica Frymyer, Orient Euclid Diane Moyer, MS, BSN, RN Westerville Iris Marcentile, Coshocton Teresa Monnin Terry Pope, MS, RN Joyce Powell, Secretary Jeannette Porter, Cincinnati Celina Laura Rafeld, MSN, RN Cuyahoga Falls Robert Weitzel, Cincinnati Gina Severino Gail Rhodes, Janet Timmons, Treasurer NEW NURSE Canfield MS, BSN, RN, OCN Columbus Holly Renninger, Uniontown Carol Smith Deb Shields, Youngstown PhD, RN, CCRN, QTTT ONA STAFF James Humphreys, Organizer Yvonne Smith Pam Dickerson, Kelly Trautner, Interim CEO Sangita Koparde, Organizer Canton PhD, RN-BC (MS, BSN), Tiffany Bukoffsky, Director of Health Angie Lemery, Business Office Administrator Jacinta Tucker FAA, Liaison for ANCC) Policy and Nursing Practice Midvale Dominic Mendiola, Labor Representative OHIO NURSES REVIEW Linda Warino COMMITTEE Carolyn Carmack, Labor Representative Anne Mueller, Labor Representative Canfield Bob Cousins, DEO of Labor Relations Anne Ransone, Deputy Executive Officer Robert Weitzel Barb Brunt Harrison Sharon Bennett, Assistant to CEO - Operations Jamie Burchett Barb Welch Dodie Dowden, Membership Controller Robin Smith, Membership Controller Jessica Dzubak Rushville Jessica Dzubak, Nurse Planner Sandy Dale Swearingen, Continuing David Foley Education Specialist Teresa Wood Kelli Schweitzer, Director of CE Pickerington Deanna Miller Lisa Walker, Health Policy and Nursing Dennis Dugan, Labor Representative Michelle Slater Practice Specialist Molly Homan, Director of Bobbi Spring Communications and Marketing Rachel Wolfe, Assistant to DEO, Labor Technology Relations Michelle Donovan, Communication and Alex Gehrisch, Receptionist and Development Coordinator Membership Processing 2 | Ohio Nurses Review | Volume 93, Issue 3 | www.ohnurses.org PRESIDENT’S MESSAGE Why Workplace Violence By Brian Burger, MSN, APRN, AGACNP-BC, RNFA, CCRN De-escalation techniques seem to be the answer for most The “customer is always right” does not work in healthcare. hospitals when it comes to violence towards nurses and other Is it acceptable take a swing at your mechanic when a car is members of the healthcare team. When I was employed at a malfunctioning? Is it OK to berate an electrician when the hospital, I went through multiple training sessions to learn these electric goes out? What about spitting in a waiter’s face when techniques. However, these training sessions only do so much to food comes out wrong? The correct answer to those questions is combat the violence toward nurses without other key measures. NO!, so then why should it be acceptable in nursing and “part of the job description?” It seems that when a violent event happens, one of two things may occur: the nurse shrugs it off because they are so far behind We did not go to nursing school to get punched, kicked, bit, due to understaffing and the burden of increased documentation, spat on, pushed into walls, choked, peed on, blood being or they report it. Sometimes the feedback is, this sort of thing purposefully sprayed on us, called every curse word there is and happens, it happens all the time and it will happen again. maybe some made up ones, threatened with death or have our Therefore, in order to properly address workplace violence, family threatened, or get a knife or other weapon pulled on us. we must address both staffing and the “it’s just part of the job” culture. The solution to nurse violence is out there, and it involves addressing safe staffing and the culture of our profession. We First and most important is adequate safe staffing. Whether need to advocate for both of these changes, and we must unite working in an emergency department taking care of ED patients as one profession to solve these issues. Staffing is a complex (along with the compounded problem of inpatient holds being issue but must be fixed with the implementation of several tools housed in the ED), or perhaps the med-surg units with up to including but not limited to ratios, acuity, ending mandation, eight patients at a time (sometimes without an independent independent charge nurses, guaranteed lunch breaks, increasing charge nurse or a patient care assistant), or ICU nurses that have ancillary staff (unit clerk, patient care assistants, housekeeping, to double up with three or even four patients, safe staffing must lab techs, transportation, lift team). We also need to stop be included in conversations about a safe work environment. accepting abuse because we are conditioned to think that it is “just part of the job.” We have over 200,000 nurses in Ohio. We Secondly, nurses need proper training and institutions need must unite and use our voice. We must protect each other and policies that protect nurses. It is not acceptable for nurses look out for each other. We must protect each other against the to receive verbal or physical abuse from patients. Although violence that is out there. We need to unite to #EndNurseAbuse reimbursements are linked to patient satisfaction, it is not and advocate for #safestaffing. acceptable to act badly towards the nurse in order for the patient to get his/her way. CONTENTS From the Editor ............................................... 4 An Unexpected Health Care Ruling Leads ONA Convention 2019 .................................. 5 to Turmoil .....................................................15 ONA Events 2019 ............................................ 5 Occupational Licensure Reform: 2019 and Beyond ..........................................................16 Nurses Day at the Statehouse 2019 Co-Sponsors ...................................6-9 Nurses Night with the Clippers ...............17 Forensic Nursing Overview of a Men in Nursing ........................................18-19 Growing Profession ............................10 -11 2019 - A New Year and a New General Verbal De-escalation for Clinical Assembly ......................................................22 Practice Safety ...................................... 12-13 Save the Date ONA Convention 2019 ...23 Courts Block Rule that Would Restrict Combating Lateral Violence ............. 24-34 Women’s Access to Reproductive #REDforEd .......................................................35 Health Care Services ................................14 www.ohnurses.org | Ohio Nurses Review | Volume 94, Issue 1 | 3 EDITOR’S NOTES From the Editor By Kelly D. Trautner It was an honor to represent ONA at the 2019 Women of Power However, the report shows we have a 3:1 rate of racial disparity event in Columbus with Candace Miller, a bedside nurse at The when it comes to infant mortality. How can this be? What is the Ohio State University Wexner Medical Center, and ONA DEO role of nurses in finding solutions? Anne Ransone. We eagerly embraced the opportunity to talk about ONA and nursing with female legislators and other female The proliferation
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