(a) The standards board, no later than July 1, 2016, shall adopt standards developed by the division that require a hospital licensed pursuant to subdivision (a), (b), or (f) of Section 1250 of the Health and Safety Code, except as exempted by subdivision (e), to adopt a workplace violence prevention plan as a part of its injury and illness prevention plan to protect health care workers and other facility personnel from aggressive and violent behavior. (b) The standards adopted pursuant to subdivision (a) shall include all of the following: (1) A requirement that the workplace violence prevention plan be in effect at all times in all patient care units, including inpatient and outpatient settings and clinics on the hospitalâs license. (2) A definition of workplace violence that includes, but is not limited to, both of the following: (A) The use of physical force against a hospital employee by a patient or a person accompanying a patient that results in, or has a high likelihood of resulting in, injury, psychological trauma, or stress, regardless of whether the employee sustains an injury. (B) An incident involving the use of a firearm or other dangerous weapon, regardless of whether the employee sustains an injury. (3) A requirement that a workplace violence prevention plan include, but not be limited to, all of the following: (A) Personnel education and training policies that require all health care workers who provide direct care to patients to, at least annually, receive education and training that is designed to provide an opportunity for interactive questions and answers with a person knowledgeable about the workplace violence prevention plan. The education and training shall cover topics that include, but are not limited to, the following topics: (i) How to recognize potential for violence, and when and how to seek assistance to prevent or respond to violence. (ii) How to report violent incidents to law enforcement. (iii) Any resources available to employees for coping with incidents of violence, including, but not limited to, critical incident stress debriefing or employee assistance programs. (B) A system for responding to, and investigating violent incidents and situations involving violence or the risk of violence. (C) A system to, at least annually, assess and improve upon factors that may contribute to, or help prevent workplace violence, including, but not limited to, the following factors: (i) Staffing, including staffing patterns and patient classification systems that contribute to, or are insufficient to address, the risk of violence. (ii) Sufficiency of security systems, including alarms, emergency response, and security personnel availability. (iii) Job design, equipment, and facilities. (iv) Security risks associated with specific units, areas of the facility with uncontrolled access, late-night or early morning shifts, and employee security in areas surrounding the facility such as employee parking areas. (4) A requirement that all workplace violence prevention plans be developed in conjunction with affected employees, including their recognized collective bargaining agents, if any. (5) A requirement that all temporary personnel be oriented to the workplace violence prevention plan. (6) Provisions prohibiting hospitals from disallowing an employee from, or taking punitive or retaliatory action against an employee for, seeking assistance and intervention from local emergency services or law enforcement when a violent incident occurs. (7) A requirement that hospitals document, and retain for a period of five years, a written record of any violent incident against a hospital employee, regardless of whether the employee sustains an injury, and regardless of whether the report is made by the employee who is the subject of the violent incident or any other employee. (8) A requirement that a hospital report violent incidents to the division. If the incident results in injury, involves the use of a firearm or ot
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