The speaker has no conflicts of interest to disclose.
|
|
- Jack Williams
- 5 years ago
- Views:
Transcription
1 Eliminating Restraints on a High Acuity Inpatient Behavioral Health Unit Melinda Elliott MSN, RN, NE BC The speaker has no conflicts of interest to disclose. OBJECTIVES Identify the techniques Grady s Behavioral Health Department used to decrease and eventually eliminate the use of mechanical restraints on an inpatient behavioral health unit. Explain the relationship of a therapeutic restraintfree environment and patient improvement. Develop a plan to involve front line staff in the development of a restraint free environment. Elliott 1
2 HISTORY Restraints have been used to prevent harm to staff, other patients and self harming behavior January 2000, The Joint Commission revised its standards around use of restraints and actively sought to reduce their use for the protection and safety of individuals involved in restraint situations. National average in 2014 was 0.39 hours per thousand patient hours THERE HAS TO BE A BETTER WAY Traumatizing Demoralizing Staff injuries Patient Injuries Ruins a Trusting Relationship Set Back in Therapy 50 to 150 Deaths per Year Increased Healthcare Costs RESTRAINTS ARE NOT THERAPEUTIC A TREND WAS NOTICED 2011: 274:15 hours of mechanical restraints 2012: 163:45 hours of mechanical restraints 2013: 63:15 hours of mechanical restraints 2014: 37:30 hours of mechanical restraints 2015: 17:15 hours of mechanical restraints Decision made January 2015 to work toward eliminating restraints on the Inpatient unit LAST MECHANICAL RESTRAINT WAS APRIL 13, 2015 Elliott 2
3 WHAT DID WE DO? 1. Changed the culture 2. Formed a workgroup of frontline staff 3. Changed the Policy 4. Increased therapeutic group opportunities to engage individual 5. Removed restraints from room and placed in storage room 6. Developed and implemented PACE CULTURE CHANGE Restraints as a last resort Staff buy in Training, training, training Patient focused care WORKGROUP February 2015 first workgroup meeting Members: Psychiatrists, Nurses, Mental Health Technicians, Licensed Clinicians, Performance Improvement Team Implemented Changes: Orientation brochure for the patients Reviewed each debriefing form Talked to staff about what could have been done differently to prevent a restraint Used a red sticker on the observation forms to alert all staff to a patient who is possibly agitated, angry, or has a history of restraints Elliott 3
4 CHANGE IN THE POLICY Restraint orders from 4 hours to 2 hours Code Alvin Versus Code Green At 1 hour the Clinical Manager/Charge Nurse must assess the patient GROUP SCHEDULE MORE THAN 30 DIFFERENT GROUPS OFFERED EVERYDAY/ 12 HOURS A DAY DECREASE IN ESCALATION/ DECREASE IN RESTRAINTS MUSIC/MOVEMENT MEDICATION EDUCATION GROUNDING SKILLS MOVIE MANIA LIFE SKILLS SYMPTOM MANAGEMENT COMMUNITY CHECK IN INTRO TO DBT SEEKING SAFETY WOMEN S GROUP SKILL BUILDING SUBSTANCE ABUSE BIPOLAR/SCHIZOPHRENIA DISCHARGE READINESS ARTS AND CRAFTS PATIENT SATISFACTION COPING SKILLS FOR LIFE MINDFULNESS SPIRITUALITY HEALTHY LIFESTYLE KAROKE INTRO TO GRADY AFTERCARE ANGER MANAGEMENT HEALTHY RELATIONSHIPS PATIENT S RIGHTS SUICIDE PREVENTION COPING SKILLS PACE P Pause A Assess C Communicate E Engage Elliott 4
5 WHAT IS PACE? HOW IS IT DIFFERENT? PACE is a training we developed to help teach staff to focus on recovery and de escalation skills rather than restraints. Modules taught in PACE: Culture Change Recovery and Resiliency Effective Communication Managing Aggression and De escalation Techniques Physical Intervention Techniques Preventing Seclusion and Restraint STAFF FEEDBACK During the PACE training staff are given time to provide feedback on: Environment physical surroundings, policies and rules, resources, unit culture, attitudes, cultural norms Relationships direct care staff relationships to peers, administration and consumers Leadership How does leadership foster growth, learning and improvement GRADY BH INPATIENT RESULTS Elliott 5
6 EARLY DETECTION Any change in normal behavior Pacing Clenched fists Talking rapidly Cursing Rapid breathing PREVENTING ESCALATION 1. Can I avoid criticizing and finding fault with the angry person? 2. Can I avoid being judgmental? 3. Can I keep myself removed from the conflict? 4. Can I try to see the situation from the angry person s point of view or understand the need s/he is trying to satisfy? 5. Can I remember that my job is to keep the peace and protect the client and staff? 6. What are my patient s preferences for de escalation (i.e. music, talking 1:1, walking, coloring) and is this documented on the chart? LEARNING AND GROWING Debriefing, Debriefing, Debriefing Review videos with staff involved in a restraint episode Have staff identify what could have been done differently Allow a safe environment where staff can talk freely and learn from the incident Elliott 6
7 STAFF INVOLVEMENT STAFF INVOLVEMENT NEW IDEAS CHANGE IN THE CULTURE GROUNDWORK Track monthly restraint numbers and share with staff Consistent debriefings for staff and patients Focus on de escalation Listen to ideas from frontline staff Celebrate ALL Wins 10 COMMANDMENTS OF DE ESCALATION 1. You shall be respectful (personal space, tone, attitude) 2. You shall not be provocative 3. You shall pay attention to early warning signs 4. You shall be concise and gain understanding 5. You shall identify wants and feelings 6. You shall listen 7. You shall agree or agree to disagree 8. You shall be fair but firm and offer choices 9. You shall provide a safe, therapeutic place to heal. 10. You shall debrief the patient and staff Elliott 7
8 REFERENCES APNA. (April 2014). APNA position on the use of seclusion and restraint. Retrieved July 13, 2016 from Ferguson, D. (March 2016). Patient restraints overuse: expose reveals harmful practice at North Carolina hospital. Retrieved July 13, 2016 from restraint oversuse expose reveals harmfulpractice at north carolina hospital. Gifford, M.L., Anderson, J.E. (2010). Barriers and motivating factors in reporting incidents of assualt in mental health care. Journal of the American Psychiatric Nurses Association. 16(5). Pp Grizzle, T. (February, 2015). PACE Training. Training presented at Grady Memorial Hospital, Atlanta Georgia. Knox, D.K., Holloman, G.H. (February 2012). 13(1). Use and avoidance of seclusion and restraint: Consensus statement of the American Association for Emergency Psychiatry project BETA seclusion and restraint workshop. Retrieved from Lawlar, J. (June 13, 2014). Restraint, seclusion rates of Maine psych patients run high. Retrieved July 13, 2016 from and seclusion of psychpatients run high in maine hospitals. Mental Health America. (December 5, 2015). Position statement 24: Seclusion and restraints. Retrieved July 13, 2016 from restraints. Elliott 8
Dial Code Grey Pip3 Male Side This Is The Head Nurse
Dial 77 88 Code Grey Pip3 Male Side This Is The Head Nurse By Janet Ferguson, PMHCNS-BC, Associate Director Behavioral Health Nursing, and Donna Leno-Gordon, RNMS, MPA, Director Behavioral Health Nursing
More informationPATIENT AGGRESSION & VIOLENCE BEST PRACTICES NCQC PSO Safe Table July 2015
PATIENT AGGRESSION & VIOLENCE BEST PRACTICES NCQC PSO Safe Table July 2015 Minimize the impact of patient aggression and violence by focusing on various phases of the care process. RECOGNITION Understand
More informationManaging Resident Expectations in Senior Care
Managing Resident Expectations in Senior Care Objectives Discuss the top reasons that residents are dissatisfied, complain, and exhibit behavior issues Define key strategies for managing resident expectations
More informationAurora Behavioral Health System
Aurora Behavioral Health System Outpatient Services Help is only a phone call away. Aurora East 6350 S. Maple Ave. Tempe, AZ 85283 (The hospital is located on the NW corner of Guadalupe and Maple, between
More informationPURPOSE: In accordance with SB362, Seven Hills Hospital has a documented staffing plan in place which adequately meets the needs of our patients.
0-6 Title: Staffing Plan 9/8/203 0/29/3, 5/9/4 POC-07 PURPOSE: In accordance with SB362, Seven Hills Hospital has a documented staffing plan in place which adequately meets the needs of our patients. PERFORMED
More informationAurora Behavioral Health System
Aurora Behavioral Health System Decades Program Overview Where healing starts and the road to recovery begins Aurora East 6350 S. Maple Ave. Tempe, AZ 85283 (The hospital is located on the NW corner of
More informationFamily & Children s Services. Center
Family & Children s Services CrisisCare Center When severe psychiatric crisis makes daily life seem impossible, Family & Children s Services new CrisisCare Center can help. Services are available around
More informationAcute Psychiatry Solutions
Acute Psychiatry Solutions Expert care when patients need it most We believe psychiatric emergencies are medical emergencies. We also believe the best psychiatric care is delivered when patients are treated
More informationBridging the Gap Between Crisis and Care: How to Effectively Integrate Psychiatric Emergency Care Within a Community Hospital Emergency Department.
Bridging the Gap Between Crisis and Care: How to Effectively Integrate Psychiatric Emergency Care Within a Community Hospital Emergency Department. Jeannine Loucks, MSN, RN BC PMHN Laura Derr, BSN, RN
More informationBehavioral Rapid Response Team
May 2017 Behavioral Rapid Response Team Inpatient Behavioral Health Unit (IBHU) Presenters Michael Gallagher, BSN, NE-BC Director of Behavioral Health Services Michelle Gardner, BSN, RN-BC, NE-BC Clinical
More informationNOTE: The first appearance of terms in bold in the body of this document (except titles) are defined terms please refer to the Definitions section.
TITLE RESTRAINT AS A LAST RESORT - ACUTE CARE INPATIENT - PEDIATRIC SCOPE Provincial: Acute Care Inpatient Pediatric APPROVAL AUTHORITY Clinical Operations Executive Committee SPONSOR Senior Operating
More informationWhat s the BIG DEAL? Behavioral Health Integration Throughout the Continuum
What s the BIG DEAL? Behavioral Health Integration Throughout the Continuum NCAHQ April 5, 2017 Monica Cooke MA, RNC, CPHQ, CPHRM, FASHRM Quality Plus Solutions LLC Objectives Describe the prevalence of
More informationNorth American Occupational Safety & Health Week May 6-12, 2012 Power Point Presentation and Speaker Notes
North American Occupational Safety & Health Week May 6-12, 2012 Power Point Presentation and Speaker Notes Slide 1 Origin of North American Occupational Safety and Health Week NAOSH Week began in 1997
More informationResidential Treatment Facility TRR Tool 2016
Provider Name: Address: Provider Type: Name of Reviewer: Date of Review: Residential Treatment Facility TRR Tool 2016 Member ID Auth Dates 1 Initial Assessment Areas of Review Reference Record 1 Record
More informationPsychiatric Intensive Care for Acutely Suicidal Adolescent Patients A Shift from Observation to Engagement
Psychiatric Intensive Care for Acutely Suicidal Adolescent Patients A Shift from Observation to Engagement Joanne Bartlett MS RN NPP Mary Lou Heinrich RN-BC, BA, MPS Kay Bogren BSN University of Rochester
More information- The psychiatric nurse visits such patients one to three times per week.
Community mental health community psychiatry Definition: Community psychiatry can be defined as the provision of psychiatric services to the patient within their community environment with an aim to achieve
More informationThe speaker has no conflict of interest to disclose.
APNA 3th Annual Conference Session 233: October 2. 216 The Effects of two Nursing Protocols on the Use of Continuous Special Observation Presented at: APNA 3 th annual Conference Presented on: October
More informationAcute Crisis Units. Shelly Rhodes, Provider Relations Manager
Acute Crisis Units Shelly Rhodes, Provider Relations Manager Shelly.Rhodes@beaconhealthoptions.com Training Agenda Agenda: Transition and Certification Coverage of Services Service Code Definition Documentation
More informationPositive And Proactive Care. Reducing Restrictive Practice The PICU setting
Positive And Proactive Care. Reducing Restrictive Practice The PICU setting Presented by Laura Woods Charge Nurse Pavilion PICU, Julie Allan Art therapist & Natalie Cadman Ward Manager Amber PICU Sussex
More information1/18/2012. SBIRT Protocol: for School Nurses and Other School Staff to Identify Students at Risk for Substance Use Related Problems.
SBIRT Protocol: for School Nurses and Other School Staff to Identify Students at Risk for Substance Use Related Problems. January 2012 INTRODUCTION The Screening, Brief Intervention, and Referral to Treatment
More informationApproved Curriculum and Equivalency Standards. Parent Support and Training/Youth Support and Training
Approved Curriculum and Parent Support and Training/Youth Support and Training Introduction to Wraparound This initial training introduces new parent support and training and youth support and training
More informationDisclosures. Objectives for Armchair Discussion 3/11/2014
Mary Weber, PhD, PMHNP-BC, FAANP Diane Snow, PhD, RN, PMHNP-BC, CARN, FAANP Kathleen R. Delaney, PhD, PMH-NP, FAAN Holly Vause, DNP, PMHNP-BC Disclosures Mary Weber and Holly Vause, University of Colorado:
More informationForces Shaping Integrated Care. Presenters OBJECTIVES. Care Coordination in Integrated Care: Development of a Role for Psychiatric RNs
Care Coordination in Integrated Care: Development of a Role for Psychiatric RNs APNA 29 th Annual Conference Lake Buena Vista, Florida Session #3022 October 30, 2015 Presenters Joyce Shea, DNSc, PMHCNS
More informationINTERQUAL BEHAVIORAL HEALTH CRITERIA RESIDENTIAL & COMMUNITY-BASED TREATMENT ADULT PSYCHIATRY ADULT SUBSTANCE USE REVIEW PROCESSES
INTERQUAL BEHAVIORAL HEALTH CRITERIA RESIDENTIAL & COMMUNITY-BASED TREATMENT ADULT PSYCHIATRY ADULT SUBSTANCE USE ES RP-1 RP-2 ORGANIZATION & AGE PARAMETERS Behavioral Health Level of Care for Adult Residential
More informationIHI Expedition Expedition: Making Mental Health Care Safer in the Hospital Setting Session 6: Being Proactive and Avoiding Crises
February 24, 2015 IHI Expedition Expedition: Making Mental Health Care Safer in the Hospital Setting Session 6: Being Proactive and Avoiding Crises James F. O Dea, PhD, MBA Michael Claeys, MBA, LPC Kelly
More informationBERKELEY COMMUNITY MENTAL HEALTH CENTER (BCMHC) OUTPATIENT PROGRAM PLAN 2017
BERKELEY COMMUNITY MENTAL HEALTH CENTER (BCMHC) OUTPATIENT PROGRAM PLAN 2017 REVIEWED AND UPDATED NOVEMBER 2017 OUR MISSION PHILOSOPHY The staff of the Berkeley Community Mental Health Center, in partnership
More informationDisclosure. Learning Objectives. APNA 28th Annual Conference Session 3011: October 24, Kaplan, Battinelli-Weng 1
The Use of Simulation Training (SimLEARN) in Code 2000 Psychiatric Emergencies at the VA New York Harbor Healthcare System Danielle Battinelli Weng, RN, BSN Linda I. Kaplan, RN, MSN, CARN, PCTC Alla Portnoy,
More informationAPNA 28th Annual Conference Session 3047: October 24, 2014
Behavioral Emergency Response Team: Implementing a Performance Improvement Strategy to Address Workplace Violence Connie Noll MA, BSN RN-BC Karen Doyle MBA, MS, RN, NEA-BC Disclosure The speakers have
More informationDebriefing Activities Six Core Strategies A Tertiary Prevention Tool
Reducing Risk and Preventing Violence, Trauma, and the Use of Seclusion and Restraint Debriefing Activities Six Core Strategies A Tertiary Prevention Tool Module created by Goetz & Huckshorn, 2003. Updated
More informationHow can we provide the same world class care to patients with psychiatric disorders? 11/27/2016. Dec 2016 Orlando, FL
The presenters have nothing to disclose Transforming Emergency Psychiatry Karen Murrell, MD, MBA, FACEP Physician Lead-Emergency Medicine, Kaiser Northern California Assistant Physician in Chief- Hospital
More informationProf Brian Littlechild University of Hertfordshire
Prof Brian Littlechild University of Hertfordshire b.littlechild@herts.ac.uk KEY ISSUES: Level of co-production 360 degrees Patient s involvement in own treatment and policies- for example, Critical Incident
More informationUse of Long Term Segregation: Standard Operating Procedure
Clinical Use of Long Term Segregation: Standard Operating Procedure Document Control Summary Status: New Version: v1.0 Date: October 2015 Author/Title: Gary Firkins De-escalation Management & Intervention
More informationPsychiatric Patient Boarding Problems in the Emergency Department
Psychiatric Patient Boarding Problems in the Emergency Department IMPROVING TIMELINESS, ACCESS, AND QUALITY LOWERING COSTS AND RE-HOSPITALIZATIONS Scott Zeller, MD Chief, Psychiatric Emergency Services
More informationAPNA 26th Annual Conference Session 4016: November 10, 2012
Development of a Skills Fair for Psychiatric Nursing Virginia Fox, RN, MSN, PMHCNS-BC Clinical Nurse Education Specialist Nursing Practice & Professional Development UNC Hospitals, Chapel Hill, NC The
More informationWe are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.
Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. The St Aubyn Centre The St Aubyn Centre, Severalls Hospital,
More informationUnitedHealthcare Guideline
UnitedHealthcare Guideline TITLE: CRS BEHAVIORAL HEALTH HOME CARE TRAINING TO HOME CARE CLIENT (HCTC) PRACTICE GUIDELINES EFFECTIVE DATE: 1/1/2017 PAGE 1 of 14 GUIDELINE STATEMENT This guideline outlines
More informationPsychiatric Mental Health Nursing Core Competencies Individual Assessment
Individual Name: Orientation Start Date: Completion Date: Instructions: -the nurse will rate each knowledge, skill, or attitude (KSA) from 1 (novice) to 5 (expert) in each box. Following orientation or
More informationSolution Title: Population Health: A Paradigm Shift in how we care for Behavioral Health Patients
Solution Title: Population Health: A Paradigm Shift in how we care for Behavioral Health Patients Overview of Project A drive to Population Health and changes in reimbursement have prompted the need to
More informationAPNA 26th Annual Conference Session 3043: November 9, 2012
Creating a Nursing Sensitive Indicator for Behavioral Health Nurses on Patient Self Harm/Suicide Behavior APNA National Conference November, 2012 Debra Saldi, MS, BSN, RN, LMHP, NCC, COC Disclosure Speaker
More informationProvider Evaluation of Performance. Plan. Tennessee
Provider Evaluation of Performance Plan Tennessee 2018 Executive Summary UnitedHealthcare Community Plan is committed to ensuring the services members receive from network providers meet the requirements
More informationHEALTH SERVICES POLICY & PROCEDURE MANUAL
PAGE 1 of 7 References Related ACA Standards 4 th Edition Standards for adult Correctional Institutions 4-4368, 4-4369, 4-4370, 4-4371, 4-4372 PURPOSE To provide guidelines for prioritizing immediacy and
More informationAssertive Community Treatment (ACT)
Assertive Community Treatment (ACT) Assertive Community Treatment (ACT) services are therapeutic interventions that address the functional problems of individuals who have the most complex and/or pervasive
More informationOregon State Hospital System
Oregon State Hospital System Results of the 2006 U.S. Department of Justice review of conditions and practices at the Salem and Portland campuses of the Oregon State Hospital Overview The U.S. Department
More informationHow Can Emergency Departments Improve Care for Patients with Mental Health Issues?
D1/E1 These presenters have nothing to disclose How Can Emergency Departments Improve Care for Patients with Mental Health Issues? Robin Henderson, PsyD Mara Laderman, MSPH Arpan Waghray, MD December 13,
More informationFLORIDA DEPARTMENT OF CORRECTIONS OFFICE OF HEALTH SERVICES. HEALTH SERVICES BULLETIN NO Page 1 of 15
FLORIDA DEPARTMENT OF CORRECTIONS OFFICE OF HEALTH SERVICES HEALTH SERVICES BULLETIN NO. 15.05.05 Page 1 of 15 I. PURPOSE EFFECTIVE DATE: 08/27/13 The purpose of this health services bulletin is to ensure
More informationManagement of Assaultive Behavior Workplace Violence in the Hospital
Management of Assaultive Behavior Workplace Violence in the Hospital What is workplace violence? Definitions Workplace is any place where an employee performs job duties. Violence is any act that causes
More informationOF SECLUSION AND RESTRAINT:
NATIONAL TECHNICAL ASSISTANCE CENTER Creating Violence Free and Coercion Free Mental Health Treatment Environments for the Reduction of Seclusion and Restraint SIX CORE STRATEGIES TO REDUCE THE USE OF
More informationGrady Health System, Atlanta GA. Upstream Crisis Intervention
2014 Changes EMS Leadership Conference Augusta, Ga Grady Health System, Atlanta GA. Upstream Crisis Intervention Michael Colman, MPA, NRP, Director of EMS Operations at Grady Health Systems Arthur H. Yancey,
More informationHCMC Outpatient Mental Health Programs. External Referral Form
HCMC Outpatient Mental Health Programs External Referral Form Thank you for your interest in the Day Treatment, Partial Hospital Program, or Dialectical Behavior Therapy Intensive Outpatient Program. All
More informationInpatient IOC Checklist Clinical Record Review
Date of Review Reason for Review: Inspection of Care Action Plan Follow-up (Focus of Follow-up: ) Beneficiary Record ID: Beneficiary Age: Custody: DCFS DYS Provider Name: Acute RTC PRTF Date of Admission:
More informationIntegrated Behavioral Health Services
Integrated Behavioral Health Services Anitra Walker, LCSW Liz Frye, MD, MPH Integrated Behavioral Health Background SHLI Integrated Care Initiative started in July 2011 2 initial demonstration sites; Focus
More informationREDUCTION OF PSYCHIATRIC PATIENT BOARDING IN THE ED
The University of San Francisco USF Scholarship: a digital repository @ Gleeson Library Geschke Center Master's Projects and Capstones Theses, Dissertations, Capstones and Projects Summer 8-17-2015 REDUCTION
More informationEmergency Use of Manual Restraints Policy
Emergency Use of Manual Restraints Policy It is the policy of this DHS licensed provider, Companion Linc, to promote the rights of persons served by this program and to protect their health and safety
More information907 KAR 15:080. Coverage provisions and requirements regarding outpatient chemical dependency treatment center services.
907 KAR 15:080. Coverage provisions and requirements regarding outpatient chemical dependency treatment center services. RELATES TO: KRS 205.520, 42 U.S.C. 1396a(a)(10)(B), 1396a(a)(23) STATUTORY AUTHORITY:
More informationMonday, August 15, :00 p.m. Eastern
Monday, August 15, 2016 2:00 p.m. Eastern Dial In: 888.863.0985 Conference ID: 34874161 Slide 1 Speakers Deb Kilday, MSN, RN Senior Performance Partner Performance Services Quality & Safety Premier, Inc.
More informationThis course should take approximately 15 minutes to complete. If you have any questions, please contact the appropriate number listed on the screen.
Slide 1 Welcome to the Violence in the Workplace course. Unfortunately, hospital staff members are sometimes exposed to unsafe situations. In fact, Healthcare workers are four times more likely to be assaulted
More informationALABAMA MEDICAID AGENCY ADMINISTRATIVE CODE CHAPTER 560-X-41 PSYCHIATRIC TREATMENT FACILITIES TABLE OF CONTENTS
ALABAMA MEDICAID AGENCY ADMINISTRATIVE CODE CHAPTER 560-X-41 PSYCHIATRIC TREATMENT FACILITIES TABLE OF CONTENTS 560-X-41-.01 560-X-41-.02 560-X-41-.03 560-X-41-.04 560-X-41-.05 560-X-41-.06 560-X-41-.07
More informationDepartment of Behavioral Health
PROGRAM INFORMATION: Program Title: Program Description: Mental Health Service Act (MHSA) Perinatal Team The Department of Behavioral Health (DBH) Perinatal Wellness Center provides outpatient mental health
More informationAdolescent Experiences With Ambient Therapy
Adolescent Experiences With Ambient Therapy 24 th Annual Conference of the American Psychiatric Nurses Association Kim Hutchinson, EdD, PMHCNS-BC, CARN, LCAS, RN Karen Benson, RN Suzanne Melcher Thompson,
More informationMino Ayaa Ta Win Healing Centre. Behavioural Health Services Fort Frances Tribal Area Health Services
Mino Ayaa Ta Win Healing Centre Behavioural Health Services Fort Frances Tribal Area Health Services Mino Ayaa Ta Win Healing Centre Medically-supervised Withdrawal Management (2), 4-7 days Residential
More informationOptima EAP Clinical Assessment Form
Optima EAP Clinical Assessment Form Complete the Clinical Assessment during first EAP session with an Optima Client. The completed Assessment is to be filed in the client s record. Client Name Session
More informationAPNA elearning Center October 2017
APNA elearning Center October 2017 New APNA elearning Center Platform! Active for the APNA Transitions in Practice Certificate Program starting 1st, then after migration of 150+ sessions from our previous
More informationManaging Psychiatric Patient Throughput in the Emergency Department
Managing Psychiatric Patient Throughput in the Emergency Department Heartland Healthcare Executive Group (HHEG) October 22, 2015 Agenda Introductions U.S. Mental Health Access Crisis Risks to Patients,
More informationAHP Patient Centered Care Models and Unity Center Psychiatric Emergency Service
AHP Patient Centered Care Models and Unity Center Psychiatric Emergency Service CHRIS FARENTINOS, MD, MPH VICE PRESIDENT, UNITY CENTER FOR BEHAVIORAL HEALTH 1 Emanuel Medical Center adult behavioral health
More informationCommunity-Based Psychiatric Nursing Care
Community-Based Psychiatric Nursing Care 1 The goal of the mental health delivery system is to help people who have experienced a psychiatric illness live successful and productive lives in the community
More informationBehavioral Health Concurrent Review
Today s date: Contact information Level of care: psych Anthem Blue Cross and Blue Shield Healthcare Solutions Please fax to 1-877-434-7578 on the last authorized day. detox chemical dependency Psychiatric
More informationBeth Israel Deaconess Medical Center Manual of Clinical Practice
Title: Patient Search Policy Policy: PR-08 Beth Israel Deaconess Medical Center Manual of Clinical Practice Policy Statement/Purpose: Our goal at BIDMC is to preserve the health, safety and welfare of
More informationEffective Health Communication
Exhibit SE6d Culture and Communication in Health Care: Target Audience: Staff who interact with patients, families, significant others or caregivers People may not remember exactly what you did or what
More informationBHS BEHAVIORAL HEALTH PROFESSIONAL; COUNSELOR
TITLE: DEPARTMENT: BHS BEHAVIORAL HEALTH PROFESSIONAL; COUNSELOR Behavioral Health Services JOB DESCRIPTION: Provide implementation of a consistent and quality program in accordance with the agency s mission
More informationMaria F. Giganti RN,MSN,FNP,CEN
What ED Nurses Can Do To Identify and Manage Situations that May Lead to Violence Maria F. Giganti RN,MSN,FNP,CEN Objectives Describe aggressive behavior and what are the current attitudes on aggressive
More informationA Model for Psychiatric Emergency Services
A Model for Psychiatric Emergency Services Improving Access and Quality Reducing Boarding, Re-Hospitalizations and Costs Scott Zeller, MD Chief, Psychiatric Emergency Services Alameda Health System, Oakland,
More informationDISCIPLINE COMMITTEE OF THE COLLEGE OF NURSES OF ONTARIO. PANEL: Tammy Hedge, RPN Chairperson Ashley Friest, RPN Member Susannah McGeachy, RN Member
DISCIPLINE COMMITTEE OF THE COLLEGE OF NURSES OF ONTARIO PANEL: Tammy Hedge, RPN Chairperson Ashley Friest, RPN Member Susannah McGeachy, RN Member Abdul Patel Public Member Devinder Walia Public Member
More informationAgenda. Office of Clinician Support. Staff Responses to An Adverse Event. A Safe Place To Talk. Traumatic Stress Symptoms
Office of Clinician Support: Caring for Children s Hospital Clinicians David R. DeMaso, MD Psychiatrist-in-Chief & Chairman of Psychiatry Children s Hospital Boston Professor of Psychiatry & Pediatrics
More informationGuide to Advance Statement
Guide to Advance Statement Contents 1. Advance Statement. 2. What is treatment 3. Benefits of an Advance Statement.. 4. Making an Advance Statement.. 5. Content of an Advance Statement.. 6. Tips and Ideas.
More informationEvidence Based Practice: The benefits and challenges of behavioral health services in primary care settings.
Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Evidence Based Practice: The benefits and challenges of behavioral health services in primary care settings.
More informationAgitation Transformation
VA Portland Health Care System Agitation Transformation Improving Behavioral Documentation on an Inpatient Psychiatric Unit Courtney Covey Lewis, RN-BSN Background Project began as part of the OHSU/VA
More informationTherapeutic Day Treatment: Service Request Authorization Updates. Presented by Clinical November 1, 2016
Therapeutic Day Treatment: Service Request Authorization Updates Presented by Clinical November 1, 2016 The Purpose of This Training To highlight the changes on the new Service Request Authorization (SRA)
More informationThe Reduction of Seclusion & Restraint in the University of Michigan Psychiatric Emergency Services with the Introduction of 24/7 Nurse Staffing
The Reduction of Seclusion & Restraint in the University of Michigan Psychiatric Emergency Services with the Introduction of 24/7 Nurse Staffing Sharon P. Stetz MSN Marvella M. Muzik, MS PMHNP, BC Objectives
More informationBehavioral Health Risk in the Acute Care Setting
Behavioral Health Risk in the Acute Care Setting Arizona Society for Health Care Risk Management May 20, 2011 MONICA COOKE MA, RNC, CPHQ, CPHRM QUALITY PLUS SOLUTIONS LLC OBJECTIVES Identify the degree
More informationIllinois Treatment Authorization Requests
Illinois Treatment Authorization Requests Behavioral Health Services Providers IlliniCare Health has contracted with the following provider types: Hospitals offering acute psychiatric care and detoxification
More informationHospital Administration Manual
PATIENT RIGHTS POLICY Hospital Administration Manual Effective Date: PC-33 HAM 5/1/2017 PURPOSE At the Milton S. Hershey Medical Center (MSHMC), our goal is to provide excellent health care to every patient.
More informationStaying Safe: Reducing Assaults & Staff Injuries
Staying Safe: Reducing Assaults & Staff Injuries Diane E. Allen, MN, RN-BC, NEA-BC Kathleen Cummings, BSN, RN-BC Presenters Have No Conflicts of Interest to Disclose Objectives Describe strategies used
More informationMental Health Psychiatry, SPOE, SPOA, BILT, PROS, Alcohol & Substance Abuse
Mental Health Psychiatry, SPOE, SPOA, BILT, PROS, Alcohol & Substance Abuse County Legislature County Manager Director of Community Services Community Services Board Staff Psychiatrist (1 Contract + 1
More informationPOLICY AND PROCEDURE RESTRAINT/SECLUSION, MEDICAL CENTER PATIENT CARE Effective Date: March 2010
Number: MS 08:03:05 Submitted by: BEHAVIORAL HEALTH CLINICAL PRACTICE TEAM Issuing Department: PATIENT CARE SERVICES Approved By: Reviewed by: Date: Patient Care Practice & 12/09 Outcomes David W. Cress,
More informationSchools must respond to, minimize the impact of, and prevent school and personal crises.
Self-study Survey Crises Assistance and Prevention Schools must respond to, minimize the impact of, and prevent school and personal crises. This requires school-wide and classroom-based approaches for
More informationWHAT IT FEELS LIKE
PCMH and PCSP WHAT IT FEELS LIKE Presentation Outline Goals of the Patient Centered Medical Home and the Patient Centered Specialty Practice Identifying the Joint Principles Recognition Programs Standards
More informationLynn Ives, MSN, RN-BC; Jessie Reich, MSN, RN, ANP-BC, CMSRN. Disclosure. Learning Objectives. The speakers have no conflicts of interest to disclose
Reducing Falls with Injury on an Inpatient Geriatric Psychiatry Unit through Elevation of Nursing Support Staff: An Interprofessional Approach Lynn Ives, MSN, RN-BC Kathryn Farrell, MSN, RN John Brennan,
More informationRNAO Delirium, Dementia, and Depression in Older Adults: Assessment and Care. Recommendation Comparison Chart
RNAO Delirium, Dementia, and Depression in Older Adults: Assessment and Care Recommendation Comparison Chart RECOMMENDATIONS FROM SCREENING FOR DELIRIUM, DEMENTIA AND DEPRESSION IN THE OLDER ADULT (2010)
More informationEXPANDING MENTAL HEALTH SERVICES AND THE BOTTOM LINE
EXPANDING MENTAL HEALTH SERVICES AND THE BOTTOM LINE Theresa Hyer, Rideout Health Eric Zeller, M.D., CEP America Moderated by Sheree Lowe, California Hospital Association TOPICS FOR TODAY Overview of the
More informationINFORMED CONSENT FOR TREATMENT
INFORMED CONSENT FOR TREATMENT I (name of patient), agree and consent to participate in behavioral health care services offered and provided at/by Children s Respite Care Center, a behavioral health care
More informationCARF Survey Report for Northeast Florida State Hospital
SURVEY OUTCOME Three-Year Accreditation CARF Survey Report for Northeast Florida State Hospital Organization Northeast Florida State Hospital 7487 South State Road 121 Macclenny, FL 32063 Organizational
More informationINTERQUAL BEHAVIORAL HEALTH CRITERIA RESIDENTIAL & COMMUNITY-BASED TREATMENT ADOLESCENT & CHILD PSYCHIATRY ADOLESCENT SUBSTANCE USE REVIEW PROCESSES
INTERQUAL BEHAVIORAL HEALTH CRITERIA RESIDENTIAL & COMMUNITY-BASED TREATMENT ADOLESCENT & CHILD PSYCHIATRY ADOLESCENT SUBSTANCE USE REVIEW PROCESSES RP-15 RP-16 ORGANIZATION & AGE PARAMETERS Behavioral
More informationPosition No. Job Title Supervisor s Position Fin. Code. Department Division/Region Community Location
1. IDENTIFICATION Position No. Job Title Supervisor s Position Fin. Code 10-4835 Mental Health Consultant: Manager, Mental Health Psychiatric Nurse Department Division/Region Community Location 10280-01-4-420-
More informationViolence In The Workplace
Violence In The Workplace Preventing and Responding to Violence in The Medical Practice Workplace Presented by Tom Loughrey Economedix, LLC From The National Institute of Occupational Safety and Health
More informationExemplary Professional Practice: Accountability, Competence and Autonomy
Exemplary Professional Practice: Accountability, Competence and Autonomy EP15 Nurses at all levels engage in periodic formal performance reviews that include a self-appraisal and peer feedback process
More informationCollaborative Documentation Will Lower Risk!
Collaborative Documentation Will Lower Risk! Bill Schmelter PhD Senior Clinical Consultant MTM Services #NatCon14 Ubiquitous Documentation Risk Areas Documentation Linkage Medical Necessity Core elements
More informationKeeping Kids Safe TeamSTEPPS Essentials
Keeping Kids Safe TeamSTEPPS Essentials TeamSTEPPS Leadership Team Michelle (Mickey) Ryerson, DNP, RN, NEA BC Glen Medellin, MD Michelle Arandes, MD Stacey Denver, DNP, FNP BC Rachael Bridwell, MSN, RN
More informationVHA Mental Health Program Office Update VA Psychologist Leader Conference
VHA Mental Health Program Office Update VA Psychologist Leader Conference Wendy Tenhula, PhD Acting Deputy Chief Consultant for Specialty Mental Heath David Carroll, PhD Executive Director, Office of Mental
More informationEssential Duties and Responsibilities:
LCSW Supervisor, Family Shelter Queens or Brooklyn CAMBA s Shelters for single men and women as well as families are among the most successful in NYC, placing thousands of homeless clients in permanent
More informationOvercoming Barriers to Error Reporting: Individual, Organizational and Regulatory Issues
Overcoming Barriers to Error Reporting: Individual, Organizational and Regulatory Issues Jason M. Etchegaray, PhD Krisanne Graves, RN, BSN, CPHQ Debora Simmons, RN, MSN, CCRN, CCNS Institute for Healthcare
More information