1. (a) In accordance with Texas Health and Safety Code (HSC) §331.002, an LSRH shall establish a workplace violence prevention committee or authorize an existing LSRH committee to develop a workplace violence prevention plan.

2. (b) An LSRH shall ensure the committee includes at least:

   1. (1) one registered nurse who provides direct care to the LSRH's patients;
   2. (2) one physician licensed to practice medicine in this state who provides direct care to the LSRH's patients; and
   3. (3) one LSRH employee who provides security services for the LSRH if any and if practicable.

3. (c) A health care system that owns or operates more than one facility, as that term is defined by HSC §331.001, which includes an LSRH, may establish a single workplace violence prevention committee for all of the system's facilities if:

   1. (1) the committee develops a violence prevention plan for implementation at each facility in the system; and
   2. (2) data related to violence prevention remains distinctly identifiable for each facility in the system.

4. (d) An LSRH shall adopt, implement, and enforce a written workplace violence prevention policy to protect health care providers and employees from violent behavior and threats of violent behavior occurring at the LSRH. In accordance with HSC §331.003, the policy shall:

   1. (1) require the LSRH to:

      1. (A) provide significant consideration of the violence prevention plan recommended by the LSRH's committee; and
      2. (B) evaluate any existing LSRH violence prevention plan;
   2. (2) encourage health care providers and employees to provide confidential information on workplace violence to the committee;
   3. (3) include a process to protect from retaliation health care providers or employees who provide information to the committee; and
   4. (4) comply with HHSC rules relating to workplace violence.

5. (e) An LSRH shall adopt, implement, and enforce a written workplace violence prevention plan developed by the committee. In accordance with HSC §331.004, the plan shall:

   1. (1) be based on an LSRH setting;

   2. (2) adopt a definition of "workplace violence" that includes:

      1. (A) an act or threat of physical force against a health care provider or employee that results in, or is likely to result in, physical injury or psychological trauma; and
      2. (B) an incident involving the use of a firearm or other dangerous weapon, regardless of whether a health care provider or employee is injured by the weapon;
   3. (3) require the LSRH to at least annually provide workplace violence prevention training or education that may be included in other required training or education provided to the health care providers and employees who provide direct patient care;
   4. (4) prescribe a system for responding to and investigating violent incidents or potentially violent incidents at the LSRH;
   5. (5) address physical security and safety;
   6. (6) require the LSRH to solicit information from the health care providers and employees when developing and implementing a workplace violence prevention plan;
   7. (7) allow health care providers and employees to report workplace violence incidents through the LSRH's existing occurrence reporting systems; and
   8. (8) require the LSRH to adjust patient care assignments, to the extent practicable, to prevent a health care provider or employee from treating or providing services to a patient who has intentionally physically abused or threatened the provider or employee.
6. (f) The written workplace violence prevention plan may satisfy the requirements of subsection (e) of this section by referencing other internal LSRH policies and documents.

7. (g) At least annually after the date an LSRH adopts a written workplace violence prevention plan required by subsection (e) of this section, the committee shall:

   1. (1) review and evaluate the workplace violence prevention plan; and
   2. (2) report the results of the evaluation to the LSRH's governing body.
8. (h) Each LSRH shall make available on request an electronic or printed copy of the LSRH's workplace violence prevention plan to each health care provider or LSRH employee. If the committee determines the plan contains information that would pose a security threat if made public, the committee may redact that information before providing the plan.
9. (i) In accordance with HSC §331.005, after an incident of workplace violence occurs, an LSRH shall offer immediate post-incident services, including any necessary acute medical treatment for each LSRH health care provider or employee who is directly involved in the incident.
10. (j) In accordance with HSC §331.005, an LSRH may not discourage a health care provider or employee from exercising the provider's or employee's right to contact or file a report with law enforcement regarding a workplace violence incident.

11. (k) In accordance with HSC §331.005, an LSRH shall prohibit LSRH personnel from disciplining, including by suspension or termination of employment, discriminating against, or retaliating against another person who:

    1. (1) in good faith reports a workplace violence incident; or
    2. (2) advises a health care provider or employee of the provider's or employee's right to report a workplace violence incident.

Source Note:The provisions of this §511.79 adopted to be effective October 9, 2025, 50 TexReg 6495.