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Responding to Workplace Violence in Healthcare

for Small Businesses

Student Course
An activity-based course

This course is only to be taught by instructors who have completed the online training. All instruction must adhere to the strict implementation as provided through the train-the-trainer course and this student course. Customizing the course is permitted solely where specifically indicated within the course materials.

NOTICE: This course includes videos, pictures, and discussions of violence. This course contains sometimes shocking and violent imagery and actions. This course requires physical activity as part of the instruction. Participants may experience physical injury, stress, psychological or emotional trauma, anxiety, or other effects (“Risks”) due to the nature and content of this course. The course has the potential to be traumatic regardless of a participant’s personal history. By continuing in this course, you are voluntarily participating with knowledge of these Risks.

Student Training Course

Employee training enhances safety and security at work as well as in daily life outside of work. The student course includes classroom learning with activities such as using workplace safety features, de-escalation practice scenarios, and hands-on defense techniques. Classroom learning includes discussion of situational awareness, de-escalation techniques, how to maintain critical thinking skills in stressful situations and overcome fear-related inaction, and how to respond if de-escalation doesn’t work.

Students gain insights into the survivor’s mindset and are offered methods for developing a framework of response to violent actions. Students work to prepare mentally and emotionally for unexpected acts of aggression or violence, including active shooters. Students are taught that they have permission to break the rules of ordinary behavior, take control, and protect themselves and others in violent situations.

User Tips for Teaching the Student Course:

  • Videos for the student course are located below on this page.
  • Videos do not open automatically from the PowerPoint.
  • Scroll down to locate and select the proper video during class.

Videos (Use PowerPoint to guide access)

Student Course PowerPoint guides the instructor during class and indicates when to access the videos below. The videos are not a stand-alone course and must be used in conjunction with the presentation. 

Video 1

01- SIMULATION Hospital Lobby Active Shooter

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Video 2

02- Situational Awareness

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Video 3

03- Situational Awareness at Work

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Video 4

04- De-escalation and Body Language

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Video 6

06- De-escalation and Situational Awareness

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Video 7

07- Escalation What NOT to do

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Video 8

08- Barricading and Leaving Basics

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Video 9

09- SIMULATION: Patient Room Active Shooter

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Video 10

20- Tools to Engage: Strikes- Hammer Fist

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Video 11

21- Tools to Engage: Wrist Grab- Snake and the Vine

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Video 12

22- Tools to Engage: Hair Pull- Be a Ballerina

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Video 13

23- Tools to Engage: Front Choke- Major League Pitcher

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Video 14

24- Tools to Engage: Rear Choke- Squash the Bug

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Video 15

25- SIMULATION: Swarm Maneuver Demo

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Video 16

26- Distraction: What Causes a Reaction

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Video 17

27- Tools to Engage: Weapon- Swarm Maneuver

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For questions regarding course content or implementation, please reach out using the contact information below.

Contact Information
Robin Brown, BSN, RN, NDHP-BC, CHEP
System Director, EOC Safety & Emergency Preparedness
Email: BrownR@summahealth.org

Disclaimer: This material was produced under grant number SH-37204-SH1 awarded to Summa Health from the Occupational Safety and Health Administration, U.S. Department of Labor. It does not necessarily reflect the views or policies of the U.S. Department of Labor, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. Government.

Use restrictions:

  • Curriculum must be used only as intended and described.
  • No modifications without the prior written consent of Summa Health.
  • No commercial use of the curriculum.
  • All users must agree to the End User License Agreement.

END USER LICENSE AGREEMENT

This End User License Agreement (“Agreement”) is a binding agreement between you (“End User” or “you”) and Summa Health, an Ohio Corporation for Non-Profit (“Company”). This Agreement governs your use of the Train-the-Trainer Course or Student Course located at this landing page including also any links and subpages accessed from this landing page (including all related documentation and videos, collectively the “Course”). For clarification, the Course also includes any Updates. The Course is licensed, not sold, to you.

BY CLICKING THE “AGREE” BUTTON, YOU (A) ACKNOWLEDGE THAT YOU HAVE READ AND UNDERSTAND THIS AGREEMENT; (B) REPRESENT THAT YOU ARE 18 YEARS OF AGE OR OLDER/OF LEGAL AGE TO ENTER INTO A BINDING AGREEMENT; AND (C) ACCEPT THIS AGREEMENT AND AGREE THAT YOU ARE LEGALLY BOUND BY ITS TERMS. IF YOU DO NOT AGREE TO THESE TERMS, DO NOT DOWNLOAD, ACCESS, INSTALL OR USE THE COURSE, AND DELETE IT FROM YOUR DEVICE.

  1. License Grant. Subject to the terms of this Agreement, Company grants you a limited, non-exclusive, and nontransferable license to:
    1. download, install, and use the Course for your personal, non-commercial use on a single mobile device (phone or computer) owned or otherwise controlled by you (“Device”) strictly in accordance with the Course’s documentation;
    2. access, stream, download, and use on such Device the Content and Services (as defined in Section 5) made available in or otherwise accessible through the Course, strictly in accordance with this Agreement and the Terms of Use applicable to such Content and Services as set forth in Section 5;
    3. use the Course as designed and intended by Company as explained in the materials and on this website; and
    4. participate in the instruction, training and/or physical activities which are part of the Course at your own risk; and
    5. consult with a licensed physician to assess your physical, mental and emotional readiness prior to your use, access and/or participation in the Course.

    COMPANY ASSUMES NO LIABILITY FOR PHYSICAL INJURIES, MENTAL TRAUMA OR EMOTIONAL STRESS THAT MAY RESULT FROM YOUR USE, ACCESS AND/OR PARTICIPATION IN THE INSTRUCTION, TRAINING AND/OR PHYSICAL ACTIVITIES WHICH ARE PART OF THE COURSE. PERMISSION TO USE AND ACCESS THE COURSE REQUIRES YOUR AGREEMENT TO THIS PROVISION. BY USING OR ACCESSING THE COURSE, YOU AGREE TO THIS PROVISION.

  2. License Restrictions. You shall not:
    1. copy the Course, except as expressly permitted by this license;
    2. modify, translate, adapt, or otherwise create derivative works or improvements, whether or not patentable, of the Course;
    3. reverse engineer, disassemble, decompile, decode, or otherwise attempt to derive or gain access to the source code of the Course or any part thereof;
    4. remove, delete, alter, or obscure any trademarks or any copyright, trademark, patent, or other intellectual property or proprietary rights notices from the Course, including any copy thereof;
    5. rent, lease, lend, sell, sublicense, assign, distribute, publish, transfer, or otherwise make available the Course, or any features or functionality of the Course, to any third party for any reason, including by making the Course available on a network where it is capable of being accessed by more than one device at any time; or
    6. remove, disable, circumvent, or otherwise create or implement any workaround to any copy protection, rights management, or security features in or protecting the Course.
  3. Reservation of Rights. You acknowledge and agree that the Course is provided under license, and not sold, to you. You do not acquire any ownership interest in the Course under this Agreement, or any other rights thereto other than to use the Course in accordance with the license granted, and subject to all terms, conditions, and restrictions, under this Agreement. Company reserves and shall retain its entire right, title, and interest in and to the Course, including all copyrights, trademarks, and other intellectual property rights therein or relating thereto, except as expressly granted to you in this Agreement. IF YOU DISCOVERED THIS COURSE THROUGH A THIRD-PARTY OR ARE A STUDENT, THE TERMS OF THIS AGREEMENT STILL APPLY WITHOUT EXCEPTION AND REGARDLESS OF INFORMATION PROVIDED BY THE THIRD-PARTY OR TRAINER/INSTRUCTOR.
  4. Collection and Use of Your Information. You acknowledge that when you download, install, or use the Course, Company may use automatic means (including, for example, cookies and web beacons) to collect information about your Device and about your use of the Course. You also may be required to provide certain information about yourself as a condition to downloading, installing, or using the Course or certain of its features or functionality, and the Course may provide you with opportunities to share information about yourself with others. All information we collect through or in connection with this Course is subject to our privacy policy (see Section 5), as amended or updated from time to time. By downloading, installing, using, and providing information to or through this Course, you consent to all actions taken by us with respect to your information in compliance with the Privacy Policy.
    THE COMPANY IS COMMITTED TO FACILITATE THE EXERCISE OF YOUR RIGHTS GRANTED BY THE LAWS OF YOUR JURISDICTION, WHICH MAY INCLUDE THE RIGHT TO REQUEST THE CORRECTION, MODIFICATION OR DELETION OF YOUR PERSONAL INFORMATION AND THE RIGHT TO OPT OUT OF THE SALE OF YOUR PERSONAL INFORMATION (AS APPLICABLE). THE COMPANY WILL DO ITS BEST TO HONOR YOUR REQUESTS SUBJECT TO ANY LEGAL AND CONTRACTUAL OBLIGATIONS. IF YOU WOULD LIKE TO MAKE A REQUEST, CANCEL YOUR ACCOUNT OR REQUEST WE DELETE OR NO LONGER USE YOUR ACCOUNT INFORMATION TO PROVIDE YOU SERVICES, PLEASE CONTACT THE COMPANY AT www.summahealth.org/contact-us/contact-us/general-information or by emailing innovation@summahealth.org.

    With regard to the California Consumer Privacy Act (“CCPA”), the Company is a non-profit entity and accordingly not a “business” subject to the CCPA.

  5. Content and Services. The Course may provide you with access to Company’s website located at www.summahealth.org (the “Website”) and products and services accessible thereon, and certain features, functionality, and content accessible on or through the Course may be hosted on the Website (collectively, “Content and Services”).Your access to and use of such Content and Services are governed by the Website Terms of Use and Privacy Policy located at www.summahealth.org/privacy-policy which is incorporated herein by this reference. Your access to and use of such Content and Services may require you to acknowledge your acceptance of such Terms of Use and Privacy Policy and/or to register with the Website, and your failure to do so may restrict you from accessing or using certain of the Course’s features and functionality. Any violation of such Terms of Use will also be deemed a violation of this Agreement.
  6. Geographic Restrictions. The Content and Services are based in the state of Ohio in the United States and provided for access and use only by persons located in the United States. If you access the Content and Services from outside the United States, you are responsible for compliance with local laws.
  7. Updates. Company may from time to time in its sole discretion develop and provide Course updates, which may include upgrades, bug fixes, patches, other error corrections, and/or new features (collectively, including related documentation, “Updates”). Updates may also modify or delete in their entirety certain features and functionality. You agree that Company has no obligation to provide any Updates or to continue to provide or enable any particular features or functionality. Based on your Device settings, when your Device is connected to the internet either: (a) the Course will automatically download and install all available Updates; or (b) you may receive notice of or be prompted to download and install available Updates. You shall promptly download and install all Updates and acknowledge and agree that the Course or portions thereof may not properly operate should you fail to do so. You further agree that all Updates will be deemed part of the Course and be subject to all terms and conditions of this Agreement.
  8. Term and Termination. The term of Agreement commences when you acknowledge your acceptance and will continue in effect until terminated by you or Company as set forth in this Section 8. You may terminate this Agreement by deleting the Course and all copies thereof from your Device. Company may terminate this Agreement at any time without notice if it ceases to support the Course, which Company may do in its sole discretion, or for any reason in its sole discretion. In addition, this Agreement will terminate immediately and automatically without any notice if you violate any of the terms and conditions of this Agreement. Upon termination: (a) all rights granted to you under this Agreement will also terminate; and (b) you must cease all use of the Course and delete all copies of the Course from your Device and account. Termination will not limit any of Company’s rights or remedies at law or in equity.
  9. Disclaimer of Warranties. THE COURSE IS PROVIDED TO END USER “AS IS” AND WITH ALL FAULTS AND DEFECTS WITHOUT WARRANTY OF ANY KIND. TO THE MAXIMUM EXTENT PERMITTED UNDER APPLICABLE LAW, COMPANY, ON ITS OWN BEHALF AND ON BEHALF OF ITS AFFILIATES AND ITS AND THEIR RESPECTIVE LICENSORS AND SERVICE PROVIDERS, EXPRESSLY DISCLAIMS ALL WARRANTIES, WHETHER EXPRESS, IMPLIED, STATUTORY, OR OTHERWISE, WITH RESPECT TO THE COURSE, INCLUDING ALL IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, TITLE, AND NON-INFRINGEMENT, AND WARRANTIES THAT MAY ARISE OUT OF COURSE OF DEALING, COURSE OF PERFORMANCE, USAGE, OR TRADE PRACTICE. WITHOUT LIMITATION TO THE FOREGOING, COMPANY PROVIDES NO WARRANTY OR UNDERTAKING, AND MAKES NO REPRESENTATION OF ANY KIND THAT THE COURSE WILL MEET YOUR REQUIREMENTS, ACHIEVE ANY INTENDED RESULTS, BE COMPATIBLE, OR WORK WITH ANY OTHER SOFTWARE, COURSES, SYSTEMS, OR SERVICES, OPERATE WITHOUT INTERRUPTION, MEET ANY PERFORMANCE OR RELIABILITY STANDARDS, OR BE ERROR-FREE, OR THAT ANY ERRORS OR DEFECTS CAN OR WILL BE CORRECTED.

    SOME JURISDICTIONS DO NOT ALLOW THE EXCLUSION OF OR LIMITATIONS ON IMPLIED WARRANTIES OR THE LIMITATIONS ON THE APPLICABLE STATUTORY RIGHTS OF A CONSUMER, SO SOME OR ALL OF THE ABOVE EXCLUSIONS AND LIMITATIONS MAY NOT APPLY TO YOU.

  10. Limitation of Liability. TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW, IN NO EVENT WILL COMPANY OR ITS AFFILIATES, OR ANY OF ITS OR THEIR RESPECTIVE LICENSORS OR SERVICE PROVIDERS, HAVE ANY LIABILITY ARISING FROM OR RELATED TO YOUR USE OF OR INABILITY TO USE THE COURSE OR THE CONTENT AND SERVICES FOR: (a) PERSONAL INJURY, PROPERTY DAMAGE, LOST PROFITS, COST OF SUBSTITUTE GOODS OR SERVICES, LOSS OF DATA, LOSS OF GOODWILL, BUSINESS INTERRUPTION, COMPUTER FAILURE OR MALFUNCTION, OR ANY OTHER CONSEQUENTIAL, INCIDENTAL, INDIRECT, EXEMPLARY, SPECIAL, OR PUNITIVE DAMAGES; or (b) DIRECT DAMAGES IN AMOUNTS THAT IN THE AGGREGATE EXCEED THE AMOUNT ACTUALLY PAID BY YOU FOR THE COURSE. FOR PURPOSES OF THIS SECTION 10, “PERSONAL INJURY” ALSO INCLUDES PHYSICAL, MENTAL OR EMOTIONAL INJURY OR DISTRESS WHICH MAY RESULT DUE TO THE UNIQUE CONTENT AND NATURE OF THE COURSE.

    THE FOREGOING LIMITATIONS WILL APPLY WHETHER SUCH DAMAGES ARISE OUT OF BREACH OF CONTRACT, TORT (INCLUDING NEGLIGENCE), OR OTHERWISE AND REGARDLESS OF WHETHER SUCH DAMAGES WERE FORESEEABLE OR COMPANY WAS ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. SOME JURISDICTIONS DO NOT ALLOW CERTAIN LIMITATIONS OF LIABILITY, THEREFORE UNDER CERTAIN CIRCUMSTANCES SOME OR ALL OF THE ABOVE LIMITATIONS OF LIABILITY MAY NOT APPLY TO YOU.

  11. Indemnification. You agree to indemnify, defend, and hold harmless Company and its officers, directors, employees, agents, affiliates, successors, and assigns from and against any and all losses, damages, liabilities, deficiencies, claims, actions, judgments, settlements, interest, awards, penalties, fines, costs, or expenses of whatever kind, including reasonable attorneys’ fees, arising from or relating to your use or misuse of the Course or your breach of this Agreement, including but not limited to the content you submit or make available through this Course, and any violation of Section 6. FOR CLARIFICATION, THIS SECTION 11 APPLIES TO TRAINERS, INSTRUCTORS AND STUDENTS OF THE COURSE, IT BEING UNDERSTOOD AND ACKNOWLEDGED THAT TRAINERS, INSTRUCTORS AND STUDENTS ARE END USERS OF THE COURSE.
  12. Export Regulation. The Course may be subject to US export control laws, including the Export Control Reform Act and its associated regulations. You shall not, directly or indirectly, export, re-export, or release the Course to, or make the Course accessible from, any jurisdiction or country to which export, re-export, or release is prohibited by law, rule, or regulation. You shall comply with all applicable federal laws, regulations, and rules, and complete all required undertakings (including obtaining any necessary export license or other governmental approval), prior to exporting, re-exporting, releasing, or otherwise making the Course available outside the US.
  13. US Government Rights. The Course is commercial computer software, as such term is defined in 48 C.F.R. §2.101. Accordingly, if you are an agency of the US Government or any contractor therefor, you receive only those rights with respect to the Course as are granted to all other end users under license, in accordance with (a) 48 C.F.R. §227.7201 through 48 C.F.R. §227.7204, with respect to the Department of Defense and their contractors, or (b) 48 C.F.R. §12.212, with respect to all other US Government licensees and their contractors.
  14. Severability. If any provision of this Agreement is illegal or unenforceable under applicable law, the remainder of the provision will be amended to achieve as closely as possible the effect of the original term and all other provisions of this Agreement will continue in full force and effect.
  15. Governing Law. This Agreement is governed by and construed in accordance with the internal laws of the State of Ohio without giving effect to any choice or conflict of law provision or rule. Any legal suit, action, or proceeding arising out of or related to this Agreement or the Course shall be instituted exclusively in the federal courts of the United States or the courts of the State of Ohio in each case located Summit County, Ohio. You waive any and all objections to the exercise of jurisdiction over you by such courts and to venue in such courts.
  16. Limitation of Time to File Claims. ANY CAUSE OF ACTION OR CLAIM YOU MAY HAVE ARISING OUT OF OR RELATING TO THIS AGREEMENT OR THE COURSE MUST BE COMMENCED WITHIN ONE (1) YEAR AFTER THE CAUSE OF ACTION ACCRUES OTHERWISE SUCH CAUSE OF ACTION OR CLAIM IS PERMANENTLY BARRED.
  17. Entire Agreement. This Agreement and our Privacy Policy constitute the entire agreement between you and Company with respect to the Course and supersede all prior or contemporaneous understandings and agreements, whether written or oral, with respect to the Course.
  18. Waiver. No failure to exercise, and no delay in exercising, on the part of either party, any right or any power hereunder shall operate as a waiver thereof, nor shall any single or partial exercise of any right or power hereunder preclude further exercise of that or any other right hereunder. In the event of a conflict between this Agreement and any applicable purchase or other terms, the terms of this Agreement shall govern.

Download PDF of The End User License Agreement

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