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SFGTV April 28, 2014

To stress that this event should not be viewed as an outlier with the Patient Population that we see in the er, situations frequently escalate and violence often results. Much of this violence which is often physical is often aimed and and falls on nurses. We often see violence in the er at ourselves and other patients so this event was not an outlier. There have been violent assaults on other patients by patients and on ourselves. This fe phenomenon has only worsened in my five year tenure in the emergency room as staffing has declined. Is not solely a security issue, but relates to staffing as well. Managing emotionally unstable or clinically agitated patients can be better with adequate staff. Working within state mandated ratios nurses have time to recognize signs that patients are having difficulty coping. They can intervene sooner to deescalate a situation that may have escalated in adequate staff including ancillary sta ....

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SFGTV April 19, 2014

The cultural change im working to implement is to truly embrace all these elements to help us move forward in supporting our mission. This slide shows the actual element at a high level, what these would be. So starting from the bottom of the triangle, in order to meet our goals we need to have the stable infrastructure, effective capabilities within it, relative technologies, invasion and excellence that leads to long term viability and the accomplishment of our mission and guiding principles. One thing to note in terms of stable infrastructure you may have heard this from other city it folks discuss this as a foundational infrastructure. Without this none of the other aspect of the it vision could happen. In terms of the effective capabilities. , this really means not only having enough people, but more accurately, having the ability to perform the required task needed to meet the requirements of our organization. In terms of relevant technologies, it is to implement technologies tha ....

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