2.50
Hdl Handle:
http://hdl.handle.net/10755/162444
Type:
Presentation
Title:
Psychiatric Safe Havens within the Walls of an Emergency Department
Abstract:
Psychiatric Safe Havens within the Walls of an Emergency Department
Conference Sponsor:Emergency Nurses Association
Conference Year:2011
Author:Shallcross, Diane, RN, BSN
P.I. Institution Name:Advocate Illinois Masonic Medical Center
Title:Staff Nurse
Contact Address:836 W. Wellington, Chicago, IL, 60657, USA
Contact Telephone:773-296-5583
Co-Authors:Amy Erbach, RN, BSN; Sharon Ward, RN, MS
[ENA Leadership Conference] Evidence-based Practice Presentation: Psychiatric Safe Havens within the Walls of an Emergency Department

Purpose: An emergency department (ED) is a safe place for most patients. ED's contain the equipment to save lives; however, this equipment can be dangerous to a certain patient population. Psychiatric patients that are acutely ill can be a threat to themselves and others. This poster describes the structural and staffing decisions that were made at one urban level one trauma center to ensure the safety of both this patient population and the staff who care for them.
Setting: The setting is an urban level one trauma center with an ED that sees 42,000 patient annually.

Design: A literature review was completed as part of the pre-design process during a recent ED renovation.

Setting: A large urban level one trauma center emergency department which sees 12% of its ED volume present with a primary behavioral health complaint.

Participants/Subjects: Process improvements were enacted by all ED nursing staff.

Methods: A literature review of best practices for in patient behavioral health units was completed during the pre construction phase of the ED renovation. In addition, interdisciplinary staff input was encouraged during the design phase.CMS guidelines for the monitoring of restrained and secluded patients were reviewed, staffing plans were implemented based on these regulatory requirements.

Results/Outcomes: Upon the implementation and use of this psychiatric area within the ED, several positive outcomes were noted. A reduction in the need for hard restraints within this patient population, a decrease in psychiatric patient elopements and a decrease in the amount of staff injuries were all documented within 6 months of the use of this area.

Implications: ED Leaders should evaluate current treatment space used for the behavioral health patient population for safety hazards and make plans to minimize them. If construction is an option, adoption of a low stimulus area that allows for constant observation should be considered.
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.titlePsychiatric Safe Havens within the Walls of an Emergency Departmenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/162444-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Psychiatric Safe Havens within the Walls of an Emergency Department</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">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Shallcross, Diane, RN, BSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Advocate Illinois Masonic Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Staff Nurse</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">836 W. Wellington, Chicago, IL, 60657, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">773-296-5583</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">diane.shallcross@advocatehealth.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Amy Erbach, RN, BSN; Sharon Ward, RN, MS</td></tr><tr><td colspan="2" class="item-abstract">[ENA Leadership Conference] Evidence-based Practice Presentation: Psychiatric Safe Havens within the Walls of an Emergency Department<br/><br/>Purpose: An emergency department (ED) is a safe place for most patients. ED's contain the equipment to save lives; however, this equipment can be dangerous to a certain patient population. Psychiatric patients that are acutely ill can be a threat to themselves and others. This poster describes the structural and staffing decisions that were made at one urban level one trauma center to ensure the safety of both this patient population and the staff who care for them.<br/>Setting: The setting is an urban level one trauma center with an ED that sees 42,000 patient annually.<br/><br/>Design: A literature review was completed as part of the pre-design process during a recent ED renovation. <br/><br/>Setting: A large urban level one trauma center emergency department which sees 12% of its ED volume present with a primary behavioral health complaint.<br/><br/>Participants/Subjects: Process improvements were enacted by all ED nursing staff.<br/><br/> Methods: A literature review of best practices for in patient behavioral health units was completed during the pre construction phase of the ED renovation. In addition, interdisciplinary staff input was encouraged during the design phase.CMS guidelines for the monitoring of restrained and secluded patients were reviewed, staffing plans were implemented based on these regulatory requirements.<br/><br/>Results/Outcomes: Upon the implementation and use of this psychiatric area within the ED, several positive outcomes were noted. A reduction in the need for hard restraints within this patient population, a decrease in psychiatric patient elopements and a decrease in the amount of staff injuries were all documented within 6 months of the use of this area.<br/><br/>Implications: ED Leaders should evaluate current treatment space used for the behavioral health patient population for safety hazards and make plans to minimize them. If construction is an option, adoption of a low stimulus area that allows for constant observation should be considered.<br/></td></tr></table>en_GB
dc.date.available2011-10-27T10:28:19Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:28:19Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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