Something has been started as a result of information. (Such as the use of the Provincial Alert Symbol.)

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1 Accreditation Canada Act Activate Activated Agitated Aggressive An organization that has been developing standards for health care delivery across the country since Accreditation Canada is an independent, not-for-profit organization. Its comprehensive accreditation program uses evidence-based standards and a rigorous peer review process to foster ongoing quality improvement of health services. Legislation a formal written and passed law. To trigger or start using something. Something has been started as a result of information. (Such as the use of the Provincial Alert Symbol.) To feel anxious or disturbed. Having a tendency to harm or attack verbally or physically. Aggressor Alert A person that attacks or starts an argument, often without being provoked. A warning or alarm, could be verbal, written, or a symbol such as the Provincail Symbol for alerting healthcare workers of potential violence. Alert binder Altercations Anecdotal Antagonizing Anxious Assessment Attacking Baseline Belittling Boundary A communication tool used by some nursing units to store screening tools. An argument or situation that may have had physical confrontation. Relating a story about an experience or event or situation. Trying to cause a person to become hostile, often intentional. A feeling of being worried, afraid, agitated, or nervous. An intentional review of systems and/or behaviors of an individual to evaluate their health status, usually done by a professional health care person. To use violence to try and harm or intimidate someone. A reference point or baseline that can be used to compare an individual s actions or behaviors. Actions or behaviors to try and make someone feel less than or not important. A clearly stated or unspoken understanding of professional or emotional limits between individuals. Revised: November 17, 2016 Page 1 of 7

2 Care Plan Characteristic Circumstances Code White Code White Teams Cognitive Impairment A written document that discusses actions or interventions to be used for a specific patient. A feature or a quality that helps something or someone stand out. The details in which an event happened or developed. A page used in most health care facilities that indicates a person s behavior is out of control (violent). A small specially trained group that responds to the page (code white). A deficiency or deficit in thought process. May be related to age, illness or intoxication. Communication Compassion Compliance Conflict Confronting Consequences Control measures Critical Incident Criticizing Deactivate Deactivating Debriefing The exchange of information, spoken or written. Being aware of others suffering, may include a desire to help. Following through on doing something that has been requested or that you committed to do. A disagreement or clash between people. To challenge someone, often with a sense of hostility. A result related to someone s actions. The process of establishing processes or policies to avoid or limit adverse consequences. An unintended event that occurs where health services are provided and results in a serious and undesired outcome, such as death, disability, injury, or harm. Expressing disapproval or dissatisfaction with someone or their actions. The process to stop using or removing something. (Such as the use of the Provincial Alert Symbol.) A conversation with individuals after an event to discuss what happened, share feelings, share ideas to improve situation. Revised: November 17, 2016 Page 2 of 7

3 De-escalation Defensive Defusing Demeaning Dementia Dignity Disability Discretion Discriminatory Distressed Disturbance Response Team Documentation Embarrassed Empathy Employee Assistance Programs (EAP) Environment Escalation Evidence Using specific techniques to lessen agitation or other disturbing or threatening behaviours. To avoid criticism, to justify and try and protect. Brief conversations that are limited only to individuals directly involved in an incident and are often done informally, sometimes at the scene. They are designed to assist individuals in coping in the short term and address immediate needs. To embarrass or humiliate someone (on purpose). A slow deterioration of brain functioning that can affect memory, mobility, emotions, and actions. A sense of being worthy of respect, esteem, or honor. A challenge or inability to perform some of or all of the tasks of everyday living. Using good judgment to avoid hurting or embarrassing someone. Treating someone unfairly often related to race, age, ethnicity or gender. A sense of being extremely upset, anxious, or unhappy. A group of individuals working in an environment that have received training to respond to high risk situations. (Such as a code white). Providing written details or information about an event, or behaviors. A feeling of uncomfortable, self-conscious. The ability to understand someone s feelings and or emotions. A counseling service for employees of an organization or company (i.e. Blue Cross) The external factors influencing the life and activities of people. The process of becoming more intense or more serious. Something that gives proof or demonstrates to prove something. Revised: November 17, 2016 Page 3 of 7

4 Expectations Exploitation Expressions Exposed Gestures Hallucinating Hazard Healthcare Worker Hostility Imminent Impending Impulsive Implement Incidents A confidence or strong belief in the way something will happen. The use of something or someone in order to benefit from. A look that gives a message or a feeling. Uncovered, visible. A movement or action that communicates a feeling or intention. To imagine seeing, feeling or hearing sensations, or voices that are not actually there. *Feels very real to person experiencing and person may be very frightened or violent. Something that is potentially very dangerous. A person who works in any capacity in a healthcare setting across any sector (e.g. hospitals, clinics, personal care homes, and in the community). This includes executives / management, direct care providers, and all support services. An attitude of hatred or strong opposition. About to happen in any second. Imminent or threatening to happen in any second or very soon. Acting on sudden urge or thought. To begin something, put into action. An event that may result in injury or crisis. Intervene Intervention Intimate Intoxication Intrusive thoughts Investigation To purposely get involved with. A specific action to avoid an undesirable consequence. Private and or personal. Under the effects of drugs alcohol or other substance. Ideas coming into someone s mind causing a disturbance of peace or privacy. Detailed inquiry into something. Revised: November 17, 2016 Page 4 of 7

5 Kardex Key informant Legislation A binder or other system to store patients healthcare information for quick reference. A person deemed reliable and has information to share with staff regarding a person. A law, or referring to the ACT. Luxury Hard to get, often due to expense or circumstances. Maintaining To continue something that has already been started. Mitigate Morale Necessity Nervous Operational Procedure Paranoid Paraphrase Patient Person of Interest Personal Health Information Act (PHIA) To make something or a situation less harsh. The general confidence felt by a person or a group of people (such as group of workers). Something that must be. A feeling of dread or fright. An established process to use and follow to assist organizations in the implementation of the Provincial Violence Program. Suspicious (for no real reason) of thoughts or other people s behaviors. To repeat something to someone in fewer and easier new words to make it understood or to show you understand. Any person (patient, resident, client) receiving care in any setting (E.g. hospitals, clinics, personal care homes, their homes). Someone NOT seeking medical attention and who may pose a risk to the site, family, visitors, staff and patients. Any information about an individual that relates to their health history, care, including any personal information such as financial position, home conditions, domestic difficulties or any other private matters relating to the Individual which have been disclosed to the health care worker. Also includes any information exchanged verbally about the Individual. Predictable Turning out the way that was expected. Revised: November 17, 2016 Page 5 of 7

6 Protection Techniques Provincial Symbol A special skill to prevent somebody or something from being hurt or damaged. The icon adapted throughout Manitoba to help Health Care Workers recognize the potential of an individual s behavior being violent. Provocative Psychological Trauma Post Trauma Stress Disturbance Re-screening Responsive Behaviors Restraints Required Organizational Practices (ROP) Safe Visit Plan Screening Scrutiny Severity Supervisors Suspicious To annoy someone on purpose. Emotional or spiritual disturbance, distress or injury. Often referred to as PTSD, a condition that has prolonged emotional and or spiritual effects after experiencing an event or series of stressful events. Reviewing the behaviours of an individual using the same criteria that was initially used, to determine alert status needs. The term adopted and used to describe an individual s actions (behaviors) following being startled or not understanding what is being asked of them. Often used for people with cognitive challenges due to brain injury or Alzheimer s. Something that is fastened to limit somebody's freedom of movement. Evidence-informed practices addressing high-priority areas that are central to quality and safety. A written document to discuss actions or techniques to follow when going to an individual s home to decrease potential violence or responsive behaviours. It is a shared communication tool between or for health care providers. To watch closely, examine or ask questions to establish the risk of violence. Under careful study or surveillance (may be looking for fault.) The extent of something being bad. Somebody whose job is to oversee and guide the work or activities of a group of other people. Not able to believe, thinking something is wrong. Revised: November 17, 2016 Page 6 of 7

7 Therapeutic Communication Therapeutic Relationship Triggers Ultimatum Validate Vandalism Verbal Threats Vicarious Trauma Violence Visitors Vulnerable Withdrawal Worker Written Threats Involves the use of specific strategies that encourage the patient to express feelings and ideas and that convey acceptance and respect. The primary element between a health care professional and a client to assist in attaining or maintaining physical and or emotional health. Something that sets off an action. (Often unpleasant). Involves threat if the demand not met. To confirm truthfulness, or to help someone realize their ideas are worthwhile or understood. Destroying property or another person s belongings deliberately. Spoken words, may be mumbling, or yelling used to intimidate another person. Experience suffering through somebody else s story or witnessing of events. The use of emotional or physical force to harm someone or something. Violence is further defined as acts of aggression and or responsive behaviours whether intentional or unintentional arising out of medical conditions for which the individual seeks care for. Includes family members and members of the public. These are people who are not receiving care. Easy to be harmed or taken advantage of. A period following drug/ alcohol use causing a person to feel uncomfortable and maybe painful symptoms. A term used referring to any person who is working in a healthcare setting in any sector, acute, home care, community and long term care. Could be written notes, posting on social media intended to intimidate. Revised: November 17, 2016 Page 7 of 7

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