Today's Veterinary Business

OCT 2018

Today’s Veterinary Business provides information and resources designed to help veterinarians and office management improve the financial performance of their practices, allowing them to increase the level of patient care and client service.

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Business PROTECT & DEFEND By Ed Branam, DVM, CIC The Occupational Safety and Health Administration requires em- ployers to provide a workplace free from recognized hazards. The risks to veterinary practice employees traditionally have focused on bites and scratches, slips and falls, strains and sprains, and lifting and repeti- tive ergonomic injuries. But what have hospitals done to protect against a potentially violent intruder? Think about an irate client frightening office staff and visi- tors over a billing issue or medical outcome. Or a disgruntled employ- ee or spouse barging in through a back-office door in search of retribu- tion for some perceived wrong. Fortunately, the vast majority of irate clients and disgruntled employ- ees act in non-violent ways, such as verbally, via social media or through the legal system. Though unfortu- nate, these situations are what we learn to deal with as employers and medical professionals serving the public. Personal and business rela- tionships that move from people's Unprovoked violence against groups of innocent people is frightening. Sometimes random, sometimes retaliatory, the acts are perpetrated against businesses, churches, schools, theaters and even military installations. Fear factors All hospital employees should be taught how to react in the face of a physical threat. The principles behind ALICE are a good starting point. Protection designed with you in mind. The Safehold Veterinary Insurance program is VSHFLÀFDOO\GHVLJQHGWRDGGUHVVWKHXQLTXHFRYHUDJH QHHGVRIYHWHULQDULDQVDQGWKHVHUYLFHVWKH\SURYLGH :HSURYLGHDFFHVVWRKLJKTXDOLW\LQVXUDQFHSURGXFWV DWYHU\FRPSHWLWLYHSULFHVKHOSLQJSURWHFWOLFHQVHG YHWHULQDULDQVLQHYHU\VWDWH Our proprietary program is led by an experienced YHWHULQDULDQDQGLQFOXGHVNH\FRYHUDJHVIRUWRGD\·V YHWHULQDU\VHUYLFHSUDFWLWLRQHUV Available coverages include: :RUNHUV·&RPSHQVDWLRQ %XVLQHVV2ZQHUV· 3URIHVVLRQDO/LDELOLW\ 3DFNDJH3ROLF\ %XLOGHUV·5LVN &\EHU/LDELOLW\ • Umbrella %XVLQHVV$XWR (PSOR\PHQW3UDFWLFHV 'LUHFWRUVDQG2IÀFHUV Liability Liability Contact us today to see how Safehold can help protect you and your practice: edward.branam Products and services are offered through Safehold Special Risk, Inc., dba Safehold Special Risk & Insurance Services, Inc. in California. Coverage is provided by unaffiliated insurance companies. © 2018 Safehold Special Risk, Inc. All rights reserved. private lives into a public setting can be more difficult to manage. Preparation and Training Does your practice have a plan for how to handle these situations? Does your team know what to do if a person suddenly becomes physi- cally aggressive or worse? Federal, state and local agencies have spent considerable resources researching events involving violent intruders. Preparation starts with a basic understanding of what has been learned from prior incidents. Statistics indicate that 47 percent of intruder attacks are committed by a single person. Fur- thermore, studies show that if not properly trained, people confront- ed with the threat of violence often deny the possibility of danger rather than respond in a timely and appropriate manner. Organizations and educational resources are available to assist you and your employees with pre- paring for a violent intruder. Your liability insurance agent should be able to provide specific guidance. The Safehold Veterinary Insur- ance Program works with a prop- erty and liability carrier to provide our clients with discounted access to the ALICE Training Institute, a company that provides organiza- tions of all sizes with online and onsite education. Though ALICE is designed specifically around active-shooter situations, many of the principles and techniques that are taught can be utilized to deal with physically aggressive or violence-prone individuals. An Overview of ALICE What follows is an outline of the ALICE Training Institute's online pro- gram and is intended for awareness purposes only. All hospital team members should receive training from a professional organization like ALICE before they implement any of the information discussed here. The acronym ALICE stands for alert, lock down, inform, count- er and evacuate. These are not sequential steps to be followed in all situations. Each team member must decide how to respond based on the circumstances of a specific hostile event. Let's go over the terms one by one. Alert refers to the first noti- fication of danger. It is when you become aware of a threat. Three important actions should be taken by each member of your staff: • Recognize and accept the alert. Remember that many people might deny that a threat actually exists. • Choose the best course of action. It could be lockdown, inform, counter or evacuate. • Act quickly. Seconds count. Lock down means to safely lock down in your current location if a violent or potentially violent intruder is in the building and you are not in immediate danger, but if you are not sure whether you can evacuate safely. Passive lockdown ac- tions include hiding, turning out the lights and locking the door, if possi- ble. Unfortunately, passive lockdown activities do not always work. The ALICE Training Institute recommends enhanced strategies to optimize your chances of remaining 1 2

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