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    Violence Assessment Tool

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    mahmoud
    This document contains an assault and violence assessment tool used to evaluate patients. It assesses key risk factors such as history of violence, substance abuse, paranoia, and impulsivity. For each factor, the patient is given a score of 0, 1, or 2 points depending on the level of risk. A total score of 9 or more indicates high risk precautions, 3 to 8 points indicates moderate risk precautions, and 0 to 2 points indicates no precautions are needed. The tool is used to help determine the appropriate level of precautions for each patient.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Violence Assessment Tool

    Uploaded by

    mahmoud
    227 views1 page
    This document contains an assault and violence assessment tool used to evaluate patients. It assesses key risk factors such as history of violence, substance abuse, paranoia, and impulsivity. For each factor, the patient is given a score of 0, 1, or 2 points depending on the level of risk. A total score of 9 or more indicates high risk precautions, 3 to 8 points indicates moderate risk precautions, and 0 to 2 points indicates no precautions are needed. The tool is used to help determine the appropriate level of precautions for each patient.

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    Violence_assessment_tool

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    This document contains an assault and violence assessment tool used to evaluate patients. It assesses key risk factors such as history of violence, substance abuse, paranoia, and impulsivity. For each factor, the patient is given a score of 0, 1, or 2 points depending on the level of risk. A total score of 9 or more indicates high risk precautions, 3 to 8 points indicates moderate risk precautions, and 0 to 2 points indicates no precautions are needed. The tool is used to help determine the appropriate level of precautions for each patient.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    227 views1 page

    Violence Assessment Tool

    Uploaded by

    mahmoud
    This document contains an assault and violence assessment tool used to evaluate patients. It assesses key risk factors such as history of violence, substance abuse, paranoia, and impulsivity. For each factor, the patient is given a score of 0, 1, or 2 points depending on the level of risk. A total score of 9 or more indicates high risk precautions, 3 to 8 points indicates moderate risk precautions, and 0 to 2 points indicates no precautions are needed. The tool is used to help determine the appropriate level of precautions for each patient.

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    © All Rights Reserved
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    PATIENT IDENTIFICATION

    ASSAULT AND VIOLENCE ASSESSMENT TOOL


    DIRECTIONS: (a) Assess each key factor; (b) Circle one [of three] descriptors for each factor best describing patient; and (c) Add circled items to sum total score.

    Key Factors High Risk - 2 POINTS Moderate Risk - 1 POINT No Precautions - 0 POINTS
    Any single episode of violence with Destruction of property without injury Violence only when using drugs or
    HISTORY injury to others while hospitalized -OR- to others while hospitalized -OR- A alcohol -OR- Destruction of property
    OF Multiple assaults with injury while single assault outside the hospital outside the hospital -OR- No history of
    VIOLENCE outside hospital resulting in injury -OR- Multiple assaults violence.

    2 outside the hospital not resulting in injury. 1 0


    HISTORY OF Physically threatening Verbally threatening Nonthreatening
    RECENT at time of at time of at time of
    AGGRESSION referral/admission 2 referral/admission 1 referral/admission 0
    HISTORY OF Victim or perpetrator Witness Witness or victim of verbal aggression
    AGGRESSION IN of physical of physical -OR-
    FAMILY OR ORIGIN or sexual abuse 2 or sexual abuse 1 No history of aggression in family 0
    Rehabilitated abuser -OR- No history
    SUBSTANCE Recent alcohol/substance abuse Recent substance/alcohol abuse of alcohol/substance abuse -OR- Past
    ABUSE activity detoxing -OR- Currently under with absence of withdrawal history (>3 months ago)
    STATUS the influence of alcohol or drugs symptoms alcohol/substance abuse with no

    2 1 rehabilitation 0
    Paranoia or hostility generalized Paranoia or hostility generalized No apparent paranoia
    PARANOIA /
    to people in the immediate toward inaccessible people No apparent hostility
    HOSTILITY
    environment 2 Verbally impulsive
    1 0
    IMPULSITIVITY Physically impulsive -OR- No apparent impulsivity

    Psychomotor agitation with


    2 History of physical impulsivity
    Psychomotor agitation with
    1 0
    AGITATION constant pressured intermittent bursts of No apparent psychomotor
    physical activity 2 hyperactivity 1 agitation 0
    SENSORIUM Disoriented with impaired memory Oriented with impaired memory Oriented with intact memory

    2 1 0
    TOTAL SCORE 9 or more = High-risk precautions 3 to 8 = Moderate-risk precautions 0 to 2 = No precautions

    Total Score: ___________ Assessed by (RN): ____________________________________ Date: ___________ Time: ___________
    ASSAULT and VIOLENCE ASSESSMENT TOOL (Courtesy of Psychiatric Nursing, Institute of Psychiatry, Medical University of South Carolina).

    8850064 Rev. 09/04 Assault & Violence Assessment Tool_PSYCHIATRY PAGE 1 of 1

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