2.50
Hdl Handle:
http://hdl.handle.net/10755/162405
Type:
Presentation
Title:
Specialized Emergency Care Unit Provides Safe Behavioral Health Care
Abstract:
Specialized Emergency Care Unit Provides Safe Behavioral Health Care
Conference Sponsor:Emergency Nurses Association
Conference Year:2010
Author:Schlenker, Laura, RN, BSN, CEN
P.I. Institution Name:St. Joseph Hospital
Title:Emergency Services Manager
Contact Address:2901 Squalicum Parkway, Bellingham, WA, 98225, USA
Contact Telephone:360-303-4735 x2553
Co-Authors:Diana Meyer, RN, MSN, CCRN, CEN, FAEN; Mullane Harrington, RN, BSN, MPH
[ENA Annual Conference - Evidence-based Practice Presentation]

Purpose: To create a safe and respectful environment for the care of Behavioral Health patients in the Emergency Department. Motivated by the desire to increase patient satisfaction with care and communication and decrease the rate of patient/staff injuries, restraint use and elopements; an innovative design of both the physical environment and the culture of care was implemented to improve outcomes for this vulnerable population.

Design: This was a performance improvement project consisting of a multidisciplinary team of Emergency Department and Behavioral Health nurses; Emergency, Behavioral Health, and Hospital leadership; clinical nurse specialist; house manager, hospitalist psychiatrist and representatives from facilities, finance, and social work.

Setting: A 253 bed community hospital, consisting of two campuses, in Bellingham, Washington which is 30 miles from the Canadian border. It is the only hospital serving a county population of 100,000. The Emergency Department has 47 beds with 60,000 annual visits and is a Level III Trauma Center. Inpatient behavioral health services are provided on a different campus.

Participants: The focus population for this performance improvement project are patients who present with a primary Behavioral Health complaint or with significant behavioral health comorbidities (e.g. suicidal attempt or ideation; chemical dependence; violent or disruptive; depression; psychosis)

Methods: The performance improvement plan was developed using a GAP Map tool, consisting of a business analysis, performance analysis, cause analysis and intervention selection and implementation. This process resulted in the design and implementation of the Specialized Emergency Care Unit (SECU), a secure area within our emergency department that is primarily staffed by nurses with behavioral health expertise.

Results/Outcomes: The physical space change has created an environment that protects our behavioral health patients within a safe area and provides for their dignity. With this ôunit within the departmentö the general population is not exposed to undesirable behaviors. The hiring of specially trained nurses who are passionate about providing compassionate care to the behavioral health patient was a critical step in achieving a culture of caring within SECU. Throughout the emergency department, the care of the behavioral health patient has improved through the influence of these expert nurses. Six months after implementation of SECU, patient satisfaction for the behavioral health patient as well as the general patient population has increased, patient and staff injuries, elopements and use of restraints has decreased.

Implications: Building the right environment and hiring experienced staff with specific expertise; yields greater patient and staff satisfaction while decreasing injuries and restraint usage. Resulting in safe and respectful care for the behavioral health patient.
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleSpecialized Emergency Care Unit Provides Safe Behavioral Health Careen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162405-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Specialized Emergency Care Unit Provides Safe Behavioral Health Care</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Schlenker, Laura, RN, BSN, CEN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">St. Joseph Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Emergency Services Manager</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">2901 Squalicum Parkway, Bellingham, WA, 98225, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">360-303-4735 x2553</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">LSchlenker@peacehealth.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Diana Meyer, RN, MSN, CCRN, CEN, FAEN; Mullane Harrington, RN, BSN, MPH</td></tr><tr><td colspan="2" class="item-abstract">[ENA Annual Conference - Evidence-based Practice Presentation] <br/><br/>Purpose: To create a safe and respectful environment for the care of Behavioral Health patients in the Emergency Department. Motivated by the desire to increase patient satisfaction with care and communication and decrease the rate of patient/staff injuries, restraint use and elopements; an innovative design of both the physical environment and the culture of care was implemented to improve outcomes for this vulnerable population. <br/><br/>Design: This was a performance improvement project consisting of a multidisciplinary team of Emergency Department and Behavioral Health nurses; Emergency, Behavioral Health, and Hospital leadership; clinical nurse specialist; house manager, hospitalist psychiatrist and representatives from facilities, finance, and social work. <br/><br/>Setting: A 253 bed community hospital, consisting of two campuses, in Bellingham, Washington which is 30 miles from the Canadian border. It is the only hospital serving a county population of 100,000. The Emergency Department has 47 beds with 60,000 annual visits and is a Level III Trauma Center. Inpatient behavioral health services are provided on a different campus.<br/><br/>Participants: The focus population for this performance improvement project are patients who present with a primary Behavioral Health complaint or with significant behavioral health comorbidities (e.g. suicidal attempt or ideation; chemical dependence; violent or disruptive; depression; psychosis) <br/><br/>Methods: The performance improvement plan was developed using a GAP Map tool, consisting of a business analysis, performance analysis, cause analysis and intervention selection and implementation. This process resulted in the design and implementation of the Specialized Emergency Care Unit (SECU), a secure area within our emergency department that is primarily staffed by nurses with behavioral health expertise. <br/><br/>Results/Outcomes: The physical space change has created an environment that protects our behavioral health patients within a safe area and provides for their dignity. With this &ocirc;unit within the department&ouml; the general population is not exposed to undesirable behaviors. The hiring of specially trained nurses who are passionate about providing compassionate care to the behavioral health patient was a critical step in achieving a culture of caring within SECU. Throughout the emergency department, the care of the behavioral health patient has improved through the influence of these expert nurses. Six months after implementation of SECU, patient satisfaction for the behavioral health patient as well as the general patient population has increased, patient and staff injuries, elopements and use of restraints has decreased. <br/><br/>Implications: Building the right environment and hiring experienced staff with specific expertise; yields greater patient and staff satisfaction while decreasing injuries and restraint usage. Resulting in safe and respectful care for the behavioral health patient.<br/></td></tr></table>en_GB
dc.date.available2011-10-27T10:27:39Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:27:39Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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