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derbi gpr 50 racing parts manual catalog 2004 2005The 13-digit and 10-digit formats both work. Please try again.Please try again.Please try again. This publication updates OSHA’s 1996 and 2004 voluntary guidelines for preventing workplace violence for healthcare and social service workers. OSHA’s violence prevention guidelines are based on industry best practices and feedback from stakeholders, and provide recommendations for developing policies and procedures to eliminate or reduce workplace violence in a range of healthcare and social service settings. These guidelines reflect the variations that exist in different settings and incorporate the latest and most effective ways to reduce the risk of violence in the workplace. Workplace setting determines not only the types of hazards that exist, but also the measures that will be available and appropriate to reduce or eliminate workplace violence hazards.Then you can start reading Kindle books on your smartphone, tablet, or computer - no Kindle device required. Full content visible, double tap to read brief content. Videos Help others learn more about this product by uploading a video. Upload video To calculate the overall star rating and percentage breakdown by star, we don’t use a simple average. Instead, our system considers things like how recent a review is and if the reviewer bought the item on Amazon. It also analyzes reviews to verify trustworthiness. Posting material here does not constitute an endorsement. The ideas and thoughts expressed are those of the authors. This publication updates OSHA’s 1996 and 2004 voluntary guidelines for preventing workplace violence for healthcare and social service workers. OSHA’s violence prevention guidelines are based on industry best practices and feedback from stakeholders, and provide recommendations for developing policies and procedures to eliminate or reduce workplace violence in a range of healthcare and social service settings.http://www.dzwigipoznan.pl/userfiles/evinrude-etec-manual-download.xml
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Workplace setting determines not only the types of hazards that exist, but also the measures that will be available and appropriate to reduce or eliminate workplace violence hazards. Healthcare and social service workers covered by these guidelines include: registered nurses, nurses’ aides, therapists, technicians, home healthcare workers, social workers, emergency medical care personnel, physicians, pharmacists, physicians’ assistants, nurse practitioners, and other support staff who come in contact with clients with known histories of violence.Wage stagnation, low-wage work, and blighted blue-collar communities have become an all-too-common part of modern-day America, and behind these trends is a little-discussed problem: the decades-long decline in worker power. In 2013, healthcare and social service workers were almost four times more likely to be injured as a result of WPV than other types of workers. 1 Of the 100 fatalities reported in healthcare and social service settings in 2013, 27 were the result of WPV and 80 percent of the serious WPV incidents in healthcare settings were caused by patients. 2 Currently, employers in these settings find themselves in OSHA’s cross hairs. This article focuses on the impact of OSHA’s stepped up enforcement efforts with respect to workplace violence committed by those served in these settings. OSHA may cite an employer for violating this clause when no specific regulatory standard exists ( e.g., an OSHA regulation regarding hazardous materials). In other words, the clause may operate as a powerful “catch-all” provision. One such hazard, which is not covered by OSHA standards and is currently very much in the news, is WPV. The National Institute for Occupational Safety and Health (NIOSH) defines workplace violence as “violent acts (including physical assaults and threats of assaults) directed toward persons at work or on duty.http://www.bankubezpieczen.pl/userfiles/evinrude-etec-75-hp-manual.xml” 10 OHSA has identified four types of WPV, including those committed by 1) persons who enter the workplace for a criminal purpose, such as robbery; 2) persons for whom the employer provides a service, such as patients, clients, etc.; 3) current or former employees; and 4) nonemployees who have personal relationships with employees. 11 The obvious physical or emotional injuries to the victims of WPV can lead to less obvious morale and productivity issues, which in turn, can lead to increased employee turnover rates. 12 Also, employers may experience substantial financial costs as the result of WPV, including increased workers’ compensation costs, overtime costs, and the costs associated with recruiting and hiring someone to fill an injured employee’s position. 13 They reflect OSHA’s current focus on the prevention of WPV in industries identified by OSHA as high risk, such as healthcare and social service settings, 15 which include hospitals, nursing homes, mental health centers, group homes, etc. 16 This is particularly true in healthcare and social service settings, which are identified by OSHA as high-risk industries for potential WPV. In fact, WPV in healthcare settings is already on OSHA’s radar screen. Like other social services coordinators, she visited violent and dangerous clients in their homes and transported them in her personal vehicle for mental and physical health evaluations. The employee had only been on the job for approximately three months when a client with severe mental illness and a violent criminal history stabbed her to death outside his home.Among other things, the company has challenged the applicability of the general duty clause to criminal acts by third parties, i.e., clients, and contends that the ALJ’s decision would “fundamentally alter” an employer’s relationship with those it serves. 43 In fact, on December 1, 2015, OSHA launched a new website to assist employers and workers in healthcare settings in the prevention of WPV. 47 In addition to providing tools and strategies, the website offers real life examples of successful WPV prevention programs in healthcare settings.Following the one-time catch-up adjustment, which must be made by August 1, 2016, OSHA may increase its penalties every year thereafter based on the annual percentage increase in the consumer price index. The law caps the overall increase at 150 percent. 52 First, under the terms of the act, OSHA would be saddled with a greater rulemaking burden if it were to increase penalties by less than the full amount required.The current mandate is clear — now is the time for employers in high-risk industries — to consult the updated guidelines and make sure they have effective WPV prevention programs in place or face a potentially costly encounter with OSHA the next time an employee is injured in a WPV incident. The OSHRC is a two-tiered independent federal agency that provides ALJs to decide contested citations and penalties and provides discretionary review of ALJ decisions by a panel of commissioners. The last time OSHA’s civil penalties were raised was in 1990. Privacy Policy Terms of Use. We’ve made big changes to make the eCFR easier to use. Be sure to leave feedback using the 'Feedback' button on the bottom right of each page!The Public Inspection page may alsoWhile every effort has been made to ensure thatUntil the ACFR grants it official status, the XMLAll submissions must bear a postmark or provide other evidence of the submission date. Counts are subject to sampling, reprocessing and revision (up or down) throughout the day. This information is not part of the official Federal Register document. Use the PDF linked in the document sidebar for the official electronic format. These can be usefulOnly official editions of theUse the PDF linked in the document sidebar for the official electronic format. Evidence indicates that the rate of workplace violence in the industry is substantially higher than private industry as a whole. OSHA is considering whether a standard is needed to protect healthcare and social assistance employees from workplace violence and is interested in obtaining information about the extent and nature of workplace violence in the industry and the nature and effectiveness of interventions and controls used to prevent such violence. This RFI provides an overview of the problem of workplace violence in the healthcare and social assistance sector and the measures that have been taken to address it. It also seeks information on issues that might be considered in developing a standard, including scope and the types of controls that might be required. All submissions must bear a postmark or provide other evidence of the submission date. Follow the instructions online for making electronic submissions. Send these documents to the OSHA Docket Office at (202) 693-1648. OSHA does not require hard copies of these documents. Instead of transmitting facsimile copies of attachments that supplement these documents (for example, studies, journal articles), commenters must submit these attachments to the OSHA Docket Office, Technical Data Center, Room N-3653, OSHA, U.S. Department of Labor, 200 Constitution Avenue NW., Washington, DC 20210. These attachments must identify clearly the sender's name, the date, subject, and docket number OSHA-2016-0014 so that the Docket Office can attach them to the appropriate document. The hours of operation for the OSHA Docket Office are 10 a.m. to 3:00 p.m., e.t. OSHA will place comments and other material, including any personal information, in the public docket without revision, and these materials will be available online at. Therefore, OSHA cautions commenters about submitting statements they do not want made available to the public and submitting comments that contain personal information (either about themselves or others) such as Social Security numbers, birth dates, and medical data. Disclosure of such information is intended to promote transparency and scientific integrity of data and technical information submitted to the record. This request is consistent with Executive Order 13563, issued on January 18, 2011, which instructs agencies to ensure the objectivity of any scientific and technological information used to support their regulatory actions. OSHA emphasizes that all material submitted to the record will be considered by the Agency if it engages in rulemaking. The index lists all documents in the docket. However, some information ( e.g., copyrighted material) is not available publicly to read or download through the Web site. All submissions, including copyrighted material, are available for inspection at the OSHA Docket Office. Contact the OSHA Docket Office for assistance in locating docket submissions. This Federal Register notice, as well as news releases and other relevant information, also are available at OSHA's Web page at. OSHA-2016-0014 (Prevention of Workplace Violence in Healthcare). The docket is available at:, the Federal eRulemaking Portal. For additional information on submitting items to, or accessing items in, the docket, please refer to the Addresses section of this RFI. However, all materials in the dockets are available for inspection and copying at the OSHA Docket Office, Room N-3653, U.S. Department of Labor, 200 Constitution Avenue NW., Washington, DC. Workplace violence affects a myriad of healthcare and social assistance workplaces, including psychiatric facilities, hospital emergency departments, community mental health clinics, treatment clinics for substance abuse disorders, pharmacies, community-care facilities, residential facilities and long-term care facilities. Professions affected include physicians, registered nurses, pharmacists, nurse practitioners, physicians' assistants, nurses' aides, therapists, technicians, public health nurses, home healthcare workers, social and welfare workers, security personnel, maintenance personnel and emergency medical care personnel. Table 1 compiles data from the Bureau of Labor Statistics' (BLS) Survey of Occupational Injuries and Illnesses (SOII). In 2014, workers in this sector experienced workplace-violence-related injuries at an estimated incidence rate of 8.2 per 10,000 full time workers, over 4 times higher than the rate of 1.7 per 10,000 workers in the private sector overall (BLS Table R8, 2015). Individual portions of the healthcare sector have much higher rates. Psychiatric hospitals have incidence rates over 64 times higher than private industry as a whole, and nursing and residential care facilities have rates 11 times higher than those for private industry as a whole. The overall rate for violence-related injuries in just the social assistance subsector was 9.8 per 10,000, and individual industries, such as vocational rehabilitation with rates of 20.8 per 10,000 full-time workers are higher. In 2014, 79 percent of serious violent incidents reported by employers in healthcare and social assistance settings were caused by interactions with patients (BLS, 2015, Table R3, p. 40). Start Printed Page 88149 In addition, healthcare and social assistance employees may be reluctant to report incidents of workplace violence (see Section V.A.3.b below). In one survey, 21 percent of registered nurses and nursing students reported being physically assaulted in a 12-month period (ANA, 2014). The U.S. Department of Health and Human Services (HHS) National Electronic Injury Surveillance System-Work Supplement (NEISS-WORK) reported that, of the cases where healthcare workers sought treatment for workplace violence related injuries in 2011 in hospital emergency rooms, patients were perpetrators an estimated 63 percent of the time (US GAO, 2016). Other perpetrators include patients' families and visitors, and co-workers (Stokowski, 2010; BLS Data, 2013). A similar survey of a national sample of 633 workers randomly drawn from the National Association of Social Workers Membership Directory reported that 17.4 percent of the respondents reported being physically threatened, and 2.8 percent being assaulted. Verbal abuse was prevalent and was reported by 42.8 percent respondents (Jayaratne et al., 1996). While workplace violence occurs in other industries, health care services and social assistance services have a common set of risk factors related to the unique relationship between the care provider and the patient or client. The complex culture of healthcare and social assistance, in which the health care provider is typically cast as the patient's advocate, increases resistance to the notion that healthcare workers are at risk for patient-related violence (McPhaul and Lipscomb, 2004). In addition, the number of healthcare and social assistance workers is likely to grow as the sector is a large and growing component of the U.S. economy. In addition, a body of knowledge has emerged in recent years from research about the factors that increase the risk of violence and the interventions that mitigate or reduce the risk in health care and social assistance. As a result, workplace violence is recognized as an occupational hazard for healthcare and social assistance, which, like other hazards, can be avoided or minimized when employers take appropriate precautions to reduce risk factors that have been shown to increase the risk of violence. See Section V.A.2., Worksite analysis and hazard identification, for a discussion of risk factors. These threats could be verbal or written, or could be marked by body language. To make the best decisions about OSHA's next steps in this area, the questions posed are designed to better elucidate these general subjects: Section II provides Start Printed Page 88150 background on the growing awareness of the problem of workplace violence in health care and social assistance, and steps taken to date by OSHA, states, and the private sector. Section III discusses and seeks information on definitional issues. Section IV provides an overview of current data on the problem of workplace violence in the health care and social assistance sectors, and seeks input on a potential scope for a standard. Using OSHA's workplace violence guidelines as a starting point, Section V discusses the elements of a workplace violence prevention program that might be included in a standard, and asks for public input on these elements. Finally, Section VI seeks input on costs and economic impacts, and Section VII contains the references relied on by OSHA in preparing this RFI. In 1996, OSHA published the first version of its “Guidelines for Preventing Workplace Violence for Healthcare and Social Service Workers.” The same year, NIOSH published and broadly disseminated its document describing violence as an occupational hazard in the healthcare workplace, as well as risk factors and prevention strategies for mitigating the hazard (NIOSH, 1996). In 2002, NIOSH published a report entitled “Violence: Occupational Hazards in Hospitals” (NIOSH, 2002).In addition, the updated 2015 version covers a broader spectrum of workers in comparison with previously published guidelines because healthcare is increasingly being provided in other settings such as nursing homes, free-standing surgical and outpatient centers, emergency care clinics, patients' homes, and pre-hospitalization emergency care settings. These elements are discussed further in Section V below. While these guidelines provide much detailed, research-based information on specific controls and strategies for various healthcare and social assistance settings to help employers and employees prevent violence, they are recommendations and therefore non-mandatory. The New York State Office of Mental Health (OMH), working through its labor-management health and safety committee established a policy requiring all 26 in-patient OMH facilities to develop and implement a proactive violence-prevention program. Recognizing the opportunity for a “natural” experiment, the study investigators chose three “intervention” and “comparison” sites, with the intervention sites benefitting from consultation with the study team and with the project's New York State-based violence-prevention coordinator. The intervention had three main components: (1) Implementation of a facility-specific violence prevention program; (2) conducting a risk assessment; and (3) designing and implementing feasible recommendations evolving from the risk assessment. The OSHA elements of management commitment and employee involvement, worksite analysis, hazard control and prevention, and training were operationalized within the project. The authors stated that the guideline's emphasis on management commitment and employee involvement was critical to the successful implementation of the program. Program impact was evaluated through focus groups and surveys. A comparison of pre- and post-intervention survey data indicate an improvement in staff perception of the quality of the facility's violence-prevention program ( i.e., OSHA elements) in both intervention and comparison facilities. Section 5(a)(1) states that employers have a general duty to furnish to each of its employees employment and a place of employment which are free from recognized hazards that are causing or are likely to cause death or serious physical harm to its employees ( 29 U.S.C. 654 (a)(1)). Section 5(a)(1) does not specifically prescribe how employers are to eliminate or reduce their employees' exposure to workplace violence. A standard on workplace violence would help clarify employer obligations and the measures necessary to protect employees from such violence. The Directive provides guidance on how a workplace violence enforcement case should be developed and what steps Area Offices should take to assist employers in addressing this hazard. The Agency is currently in the process of updating and revising its Directive. 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