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1. THE LORI DUPONT STORYLESSONS LEARNED
Presented by Linda Haslam-Stroud, RN
ONA President
April 22, 2009
Newfoundland & Labrador
Health-Care Safety Conference
St. John’s, Newfoundland
2. 2 LORI DUPONT
3. 3 THE TRAGEDY 2005
January 6 • Agreement between Daniel and Hotel Dieu
February 7 • Daniel’s suicide attempt
March 10 • Daniel is discharged from hospital
April 8 • Lori’s complaint to Hotel-Dieu management
April 11 • Lori applies for a peace bond
4. 4 Tragedy – cont’d June 1 • Daniel returns to work
June 24-25 • Three ONA members report Daniel for inappropriate sexual behaviour
August 25 • ONA member expresses concern for safety of herself and Lori
October 31 • ONA member reports that Daniel is staring at Lori with hatred and rage
5. 5 Tragedy – cont’d
November 1 • Daniel’s full privileges restored
November 5 • Lori scheduled with Daniel on call
• Lori calls in sick
November 12 • Daniel stabs Lori to death
November 15 • Daniel dies of overdose
6. 6 ONA’S RESPONSE Filing of grievance
Investigation by the Joint Health and Safety Committee
Pushing the Ministry of Labour for a fatalities investigation
Asking for an Inquest
Supporting the Members
Working with the Family
7. 7 THE INQUEST
September 24 – December 11, 2007
10,000 pages of disclosure
51 witnesses
176 exhibits
The experts
8. “I am doctor. I am God.” Windsor Star Headline
October 31, 2007
9. 9 RECOMMENDATIONS The Public Hospitals Act - doctor’s privileges
Hospital Accountability for Physician Behaviour
Treatment of Physicians with Mental Health or Disruptive Behaviours
10. 10
Workplace Violence Policies
Diversity Officer
11. 11
Physicians’ Health Program
Involve chief nursing executive
12. 12
Occupational Health and Safety
Hotel-Dieu Hospital
13. 13 THE ARBITRATION Public v. private
The interim award
Postponement for the Inquest
Mediation process
14. 14 THE MEDIATED SETTLEMENT
Jury recommendations enforceable
Hotel-Dieu Violence Program
Safe Workplace Advocate
External Fact Finders
15. 15 Expedited Arbitration Process
Mandatory physician training on workplace violence
$5,000 annual bursary
Mediator to make recommendation for possible damages to certain ONA members impacted by events
16. 16 LESSONS LEARNED
UNDERSTANDING THE MEANING OF VIOLENCE
LEARNING HOW TO RECOGNIZE VIOLENCE
KNOWING THE STEPS TO TAKE
TIME IS OF THE ESSENCE
17. 17 DEFINITION OF VIOLENCE Physical Assault
Verbal/Emotional/Psychological Abuse
Stalking
Harassment/Bullying/Mobbing
Domestic Abuse
From Clients, Patients, Co-workers, Family and/or General Public
18. 18 RECOGNIZING RISKS History of violence and/or abusive behavior
Failure to comply with authorities
Obsessive behaviour
Escalation of violence
Depression
Suicide attempts/threats
19. 19
Threats to victim
Stalking of victim
Attempt to control victim’s activities
Attempts to isolate/confine victim
Actual or pending separation
Step-children
20. 20 STEPS THAT CAN BE TAKEN Violence Policies
Joint Health and Safety Committee
Ministry of Labour
College of Physicians and Surgeons
Grievance/Arbitration
The Police
The Media
Support the Victim
21. 21 THANK YOU LETTER FROMBARB AND JOHN DUPONT
On behalf of our daughter, Lori Dupont, & her daughter, Taylor, congratulations on a job well done, a battle well fought, another hurdle overcome, on this long, seemingly endless road. A hard-won victory, & a very important one for employees of H.D.G.H. & one which I am sure will benefit other ONA members as well.
I have always felt that nurses are the very heart & soul of every hospital. The scholarship will be a great assistance to others seeking a career in nursing, & will be a lasting tribute to our daughter.
22. 22
My hope is that it will also serve as a reminder that every employee has the right to a safe workplace environment, free from harassment & violence & that Lori Dupont, RN, be remembered, not because of her violent death, but for the person she was – a gentle, quiet, soft-spoken young woman, who loved nursing & treated her patients, as well as her family, friends, & co-workers with dignity, respect & compassion.
Thank you.
Eternally Grateful,
Barb & John Dupont