Introduction: Healthcare workers experience high rates of workplace violence by patients. The highest risk of violence is seen in EDs, where patients first arrive to seek medical care. Because the ED is considered a high risk-for-violence setting, ED nurses are more likely to face violence than nurses working in other units. Aim: The aim of this quality improvement project was to revise the current workplace violence prevention protocol by implementing a new validated evidence-based risk-for-violence screening tool and evaluate its efficacy. Method: Using the plan-do-study-act framework, a validated risk-for-violence screening tool with a scoring system and assault prevention strategies were used and evaluated. Steps to implementing the project included the following: (1) adult and pediatric patients screened at the walk-in Triage for risk criteria for violence, (2) a scoring system based on low, moderate, and high risk for violence, (3) medical record tracking system flagged with a golden hand symbol to alert staff to moderate to high risk for violence, and (4) implementation of assault prevention strategies. Results: There was a total of 3857 screening tools completed using the QOVPRAO with 97% (n= 3759) of patients scoring at a low, 1% (n=65) moderate, and <1% (n=33) at high risk for violence. Fifty-nine percent of Triage nurses reported that the QOVPRAO adequately identified patients at risk for violence, 43% reported that the tool was easy to complete and quickly assessed risk, and 54% preferred to have the QOVPRAO tool replace the previous tool. Physical assaults on staff were recorded and tracked for a period of six weeks from the end of December 2023 to early February 2024, through a retrospective review of the hospital’s online incident report system. Patient-to-staff physical assaults during the project were zero. Conclusion: Screening for the risk of violence upon arrival and implementing strategies to prevent assaults present an opportunity to ensure and improve the safety of ED nurses. By implementing such preventive measures and providing support for staff, hospitals can create a safer working environment for ED nurses and improve overall patient care.