Of the medical professionals, nurses suffer the largest number and the highest rate of non- fatal workplace violence. Healthcare patients are the source of more than half of nonfatal workplace assaults, with current and former co-workers accounting for 8%. Mental health and emergency departments are typically the most noted areas for violence; however, all departments in healthcare settings are at risk. (Wilburn, 2010) Workplace violence as any physical assault, threatening behavior or verbal abuse occurring in the workplace. Violence includes overt and covert behaviors ranging in aggressiveness from verbal harassment to murder. (NIOSH 1996, OSHA 1996). Factors contribute to workplace violence towards nurses at medical facilities: Understaffing Inadequate training Lack of support from administration / Apathetic management Unreported acts of violence or inaccurate reporting Absence of clearly defined safety policies and reporting procedures The results of an Emergency Nurses Association survey released in 2009 found that more than 50% of ER nurses had experienced violence by patients on the job and more than 25% had experienced 20 or more violent incidents in the past three years. Research showed long wait times, a shortage of nurses, drug and alcohol use by patients, and treatment of psychiatric patients all contributed to violence in the ER. Communicate any violent tendencies of patients to coworkers and to upper management. Assess the environment to be aware of what objects in the vicinity can be used as weapons. Commit to taking control, and take ownership of your personal safety. Be proactive, not complacent. Do not simply accept that violence is part of the job. Report any and all incidents of violence accurately and promptly according to your employer's policies and procedures. Visit patients in pairs. This can be difficult, as many health care facilities may not have the staffing to accommodate pairings Ensure no employees who report concerns or incidents of workplace violence face reprisals. Conduct daily briefings with the staff to discuss any new patients with violent history or tendencies, so everyone is on the same page and can contribute to creating as safe a workplace as possible. http://healthcareers.about.com/b/2010/10/27 /awareness-training-help-prevent-workplace- violence-against-nurses.htm http://www.ehow.com/how_6599732_preven ting-workplace-violence-nursing-facilities.html http://www.wsna.org/Topics/Workplace- Environment-You/default.aspx