State of Kentucky House Bill 176: Workplace Safety Policy for Health Care

(a) Interactive Q&A

CPI Alignment
The NCI™ Training Program is designed to be interactive and allows continual opportunity for questions and answers.

(b) Hands-on training

CPI Alignment
You’ll find that CPI training is all about practice, roleplaying real-life scenarios, problem solving, and ongoing education to ensure the best solutions for your staff.

(c) Video training

CPI Alignment
CPI leads the training industry with online learning options. From in person classroom style training to our Blended Delivery model, and Prevention First™ online training you have numerous options to choose from.

(d) Verbal training

CPI Alignment
CPI training programs focus on prevention by recognizing the early warning signs of potential crisis situations and equipping staff with nonverbal and verbal de-escalation skills. The program teaches staff about the signs of aggression, how to handle them, and how to read a situation for indicators of violence.

In CPI training, the Crisis Development ModelSM describes recognizable behavior levels that an escalating person might go through during a crisis. It also describes corresponding staff attitudes and approaches to de-escalate challenging behaviors.

(a) Behavioral predictors of violence

CPI Alignment
CPI training programs offers risk assessment criteria to be used by staff during any perceived threat as a means of assessing a potentially dangerous situation and how to appropriately respond to the situation to ensure the greatest level of safety for everyone involved.

The CPI program teaches staff about the signs of aggression, how to handle them, and how to read a situation for indicators of violence.

CPI teaches staff to constantly engage in risk assessment during any perceived threat. This assessment is focused on evaluating the risks and likelihood of specific behaviors and assessing the appropriate response to a situation to ensure the greatest level of safety for all involved.

(b) The violence escalation scale

CPI Alignment
In CPI training, the Crisis Development ModelSM describes recognizable behavior levels that an escalating person might go through during a crisis. It also describes corresponding staff attitudes and approaches to de-escalate challenging behaviors.

(c) De-escalation techniques to minimize violent behavior

CPI Alignment
CPI utilizes verbal and physical maneuvers to defuse and prevent violent behavior. Prevention is what CPI training is all about. We also teach verbal de-escalation and physical disengagement skills to defuse any incidents that staff can’t successfully prevent.

(d) Strategies to prevent physical harm with hands-on practice or role-play

CPI Alignment
CPI’s train-the-trainer model ensures that the training and the related materials are easily customizable to meet the needs of the staff engaged in the training and provides practice, roleplaying real-life scenarios, and problem-solving activities to ensure that staff remain engaged in learning.

(e) Response team processes

CPI Alignment
CPI provides support to organizations looking to review existing policies and has the expertise to provide support and consultation around the effective implementation of any workplace violence prevention plan CPI’s Policy Development Checklist can be instrumental in helping your organization develop and review your organization’s policies and procedures. Once policies are implemented, staff should be educated regularly on the policies and procedures. These policies and procedures should be updated as needed.

(f) Proper application of restraints including both physical and chemical restraints

CPI Alignment
CPI Training Programs use both verbal and physical interventions. We train that the least restrictive form of intervention should always be considered and utilized first, prior to the use of any physical restraint. Within this training, we also introduce a Decision-Making MatrixSM or risk assessment matrix which helps staff to consider what level of intervention to consider based on the level of risk. The Decision-Making MatrixSM and Physical Skills Review both assist staff decision-making in the use of physical restraints. The physical restraints include lower-, medium-, and higher-level holding skills to safely manage risk behavior. The NCI™ With Advanced Physical Skills Training Program also includes the use of Emergency Floor Holding which is designated as higher-level holding. Beyond physical restraints, CPI does not teach or speak to any other form of restraint (such as mechanical or chemical).

The use of physical (human to human) restraints is taught within our training program for use as a last resort when all lesser forms of intervention have been exhausted. The staff members involved as well as observers are trained to continually assess use of physical restraints and may call to end the use of physical restraints at any time.

(g) The process to document and report incidents

CPI Alignment
CPI training emphasizes the importance of post-incident assessments after a restraint was used.

CPI training programs provide a model for assessing and gathering incident data to aid staff in performing this important evaluation process.

(h) The debrief process for affected employees following violent acts

CPI Alignment
CPI offers a model for debriefing that can be utilized with patients, the staff members that were involved, or with any bystanders or witnesses to the event. This Postvention process creates a learning opportunity for everyone.

Staff can use the debriefing model to analyze each incident to assess their intervention strategies, identifying what worked well and what might be adapted to prevent future occurrences of the escalating behavior. This would also include debriefing with anyone else involved, with a focus on orienting to the basic precipitating factors that led up to the incident and how to remove or mitigate those factors in the future.