2.50
Hdl Handle:
http://hdl.handle.net/10755/155274
Type:
Presentation
Title:
Restraint And Seclusion Reduction In A Child Psychiatric Unit
Abstract:
Restraint And Seclusion Reduction In A Child Psychiatric Unit
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Petralia, Evelyn A., MS, RN
P.I. Institution Name:Stony Brook University Medical Center
Title:Nurse Manager
[Research Presentation] When children on the Child Psychiatric unit became angry, agitated and out of control, the method of containment had been Seclusion or Restraint. The volume of Seclusion and Restraint soared to over 400 episodes in 1999. An Interdisciplinary Treatment Team explored alternatives to this method of control. In December of 1999, the use of PRN Benadryl was implemented to provide symptomatic relief to the child and allow him/her to regain control. In 2000, the Behavior Management Program added the use of a ôquiet room,ö in addition to medication. The result was a 50% reduction in the use of Seclusion and Restraint. During this time, staff continued to receive training and education supporting repeated de-escalation techniques as alternatives to the use of seclusion and restraint. The outcome of these measures sustained the 50% reduction in 2001. Seclusion and Restraint results for 2002 saw an additional 50% reduction from the previous year. In 2003, through a collaborative effort of Medicine and Nursing, an ôagitation scaleö was developed. This tool brought consistency to the evaluation process when a child was to receive medication. The outcome was Seclusion and Restraint plummeted another 50%, fewer than 50 incidents. The number of occurrences in 2004 was a 94% decline from 1999. 2005 episodes saw another 50% reduction and 2006 evidenced a further decline. This unremitting plunge in the use of Seclusion and Restraint also reveals improved patient safety and staff safety. There have been no incidents of patient or staff injury during restraint for the past three years. This model has afforded a procedure and culture change that is best practice for the patient and team.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleRestraint And Seclusion Reduction In A Child Psychiatric Uniten_GB
dc.identifier.urihttp://hdl.handle.net/10755/155274-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Restraint And Seclusion Reduction In A Child Psychiatric Unit</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Petralia, Evelyn A., MS, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Stony Brook University Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nurse Manager</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">evelyn.petralia@stonybrook.edu</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] When children on the Child Psychiatric unit became angry, agitated and out of control, the method of containment had been Seclusion or Restraint. The volume of Seclusion and Restraint soared to over 400 episodes in 1999. An Interdisciplinary Treatment Team explored alternatives to this method of control. In December of 1999, the use of PRN Benadryl was implemented to provide symptomatic relief to the child and allow him/her to regain control. In 2000, the Behavior Management Program added the use of a &ocirc;quiet room,&ouml; in addition to medication. The result was a 50% reduction in the use of Seclusion and Restraint. During this time, staff continued to receive training and education supporting repeated de-escalation techniques as alternatives to the use of seclusion and restraint. The outcome of these measures sustained the 50% reduction in 2001. Seclusion and Restraint results for 2002 saw an additional 50% reduction from the previous year. In 2003, through a collaborative effort of Medicine and Nursing, an &ocirc;agitation scale&ouml; was developed. This tool brought consistency to the evaluation process when a child was to receive medication. The outcome was Seclusion and Restraint plummeted another 50%, fewer than 50 incidents. The number of occurrences in 2004 was a 94% decline from 1999. 2005 episodes saw another 50% reduction and 2006 evidenced a further decline. This unremitting plunge in the use of Seclusion and Restraint also reveals improved patient safety and staff safety. There have been no incidents of patient or staff injury during restraint for the past three years. This model has afforded a procedure and culture change that is best practice for the patient and team.</td></tr></table>en_GB
dc.date.available2011-10-26T13:41:41Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T13:41:41Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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