Kerala has rolled out a protocol to establish a violence-free healthcare system in the state, making it the first state to do so.
The next time you visit a healthcare setting in the state, don’t be surprised if you see doctors, nurses, and healthcare staff practising blocks, kicks, and techniques to temporarily incapacitate attackers. This is all part of “Code Grey Protocol — Kerala”, a framework released on Saturday, 16 March, aimed at establishing a violence-free healthcare system in the state.
The Kerala Health Department claims that the protocol safeguards the rights and well-being of healthcare professionals, patients, and others who visit healthcare facilities for various services. With the launch of this initiative, Kerala has become the first state to introduce a Code Grey Protocol.
Among the many recommendations in the protocol are breakaway training and self-defence training for health workers.
The protocol, which South First examined, states, “It (breakaway training) is a set of techniques and strategies designed to help individuals safely and effectively disengage from physical confrontations by acquiring skills like non-violent communication, de-escalation techniques, and physical interventions. Breakaway training can help improve communication skills, reduce stress and anxiety, and improve decision-making skills.”
“All health staff shall be trained in identifying early signs and causes of aggression/violence, using methods of distraction/relaxation, and responding to the situation appropriately to avoid provocation,” it states.
In the case of self-defence, an excerpt from the protocol highlights that “all health staff and support staff shall receive periodic training in self-defence.”
It further recommends “physical defence techniques like blocks, kicks, and strikes, techniques to temporarily incapacitate attackers, and techniques for escape and breakaways to break free from physical restraints” for healthcare workers.
#Kerala rolls out #CodeGreyProtocol
It is meant to ensure the security of #healthcare workers in the state
An international protocol, Code Grey, is to avoid untoward incidents at the health care institutions and against the health care workers
Health minister @VeenaGeorge03… pic.twitter.com/rVpAfKdRIg
— South First (@TheSouthfirst) March 16, 2024
Another major proposal in the Code Grey Protocol is to set up a 24×7 centralised command centre with adequate security personnel. The centre should ensure video surveillance of the entire healthcare institution, including the campus. A hotline should also have to be established for wards and the casualty/emergency department.
Other recommendations include:
It was in June 2023 that the state Health Minister Veena George announced that the Code Grey Protocol would be implemented across all hospitals in the state.
A protocol in effect at various hospitals abroad, Code Grey is meant to address occupational violence and aggression against healthcare workers.
According to a Government of Australia document, “Code Grey” is an organisation-level response to actual or potential violent, aggressive, abusive or threatening behaviour, exhibited by patients or visitors towards others or themselves, which creates a risk to health and safety.
In the case of Code Grey Protocol-Kerala, a total of 66 experts had contributed towards its draft. This includes bureaucrats, health and police officials, health experts working in the United States and the United Kingdom, medical professionals working in Bengaluru, and others.
Commenting on the initiative, Dr Sulphi Noohu, a member of the Indian Medical Association-Kerala (IMA) tells South First that it was one of the demands that the IMA raised when an assailant stabbed Dr Vandana Das to death.
“A code of this kind is the need of the hour. We are happy that the government has rolled it out. Now, it must be implemented in letter and spirit,” Dr Noohu asserts.
The murder of house surgeon Vandana in May 2023 raised some serious questions about the safety of healthcare workers in the state.
It was following this tragic incident that the government amended the Kerala Healthcare Service Persons and Healthcare Institutions (Prevention of Violence and Damage to Property) Act 2012. The Act, which expanded the scope of protection, also increased the punishments for acts of violence against healthcare service persons.
(Edited by Kamna Revanoor)