Purple Power! Improving Care of the Psychiatric Patient in the Emergency Department

2.50
Hdl Handle:
http://hdl.handle.net/10755/162446
Type:
Presentation
Title:
Purple Power! Improving Care of the Psychiatric Patient in the Emergency Department
Abstract:
Purple Power! Improving Care of the Psychiatric Patient in the Emergency Department
Conference Sponsor:Emergency Nurses Association
Conference Year:2011
Author:Taylor, Jessica Leigh, RN, BSN, CEN
P.I. Institution Name:South Austin Medical Center
Title:Staff Nurse and Unit Education Assistant
Contact Address:901 West Ben White Blvd., Austin, TX, 78704, USA
Contact Telephone:512-785-7760
[ENA Leadership Conference] Evidence-based Practice Presentation: Purple Power! Improving Care of Psychiatric Patients in the Emergency Department

Purpose: Psychiatric patients are one of the most challenging patient populations served in the ED. Funding for mental health care is limited, which results in patients that require inpatient psychiatric services waiting for days in the ED. During extended ED stays, psychiatric patients may "fall through the cracks" treatment system which often leads to patient care or workplace safety issues. The purpose of this project was to develop and implement a program to address: 1) Identification of; 2) Improve provider shift hand-offs; and 3) Address basic safety measures for the care of psychiatric patients in the ED.

Design: Quality improvement project that was a collaborative effort of the ED's nursing, medical, management, education, and social worker staff. "Code Purple" is the facility's overhead page for an aggressive or violent situation. The color purple was continued throughout the project to help staff associate the color with high risk for danger.

Setting: An urban, non-leveled 43 bed ED in the Southwestern United States with over 65,000 visits annually.

Participants: Implementation would begin as psychiatric patients were identified by assessment.

Methods: The extended care of psychiatric patients in the ED was identified by both staff and management as a contributing factor to numerous workplace safety and patient care concerns. A quality improvement project was initiated that included several components. Psychiatric patients were identified by purple-checkered armbands, unique gowns, and purple signs on the treatment room doors. A provider to provider hand-off sheet tailored for care of the psychiatric patient was developed for each change of shift. Each hand-off sheet addresses many of the common gaps in treatment that occur with the extended care of psychiatric patients in the ED. Education, training, and emphasis on basic safety concerns when caring for psychiatric patients was addressed with ED staff.

Outcomes: There has been an increase in efficient identification of psychiatric patients, enhanced provider to provider hand-offs with less patient care issues noted, and improved patient and department safety. Based on feedback from ED staff and management, the care of psychiatric patients has improved dramatically after this simple quality improvement process. The project is on-going and evolving to improve patient safety and meet the needs of the department.

Implications: With the current state of mental health care, ED's nationwide are going to continue to see a surge in the extended boarding of psychiatric patients. Caring for psychiatric patients requires creativity in balancing meeting the needs of both the patient and of a busy ED. In many cases, as demonstrated by this project, some of the best solutions are simple to implement, inexpensive, and come directly from staff "in the trenches."
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.titlePurple Power! Improving Care of the Psychiatric Patient in the Emergency Departmenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/162446-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Purple Power! Improving Care of the Psychiatric Patient in the 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">Taylor, Jessica Leigh, RN, BSN, CEN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">South Austin Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Staff Nurse and Unit Education Assistant</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">901 West Ben White Blvd., Austin, TX, 78704, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">512-785-7760</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jessica_leigh_taylor@yahoo.com</td></tr><tr><td colspan="2" class="item-abstract">[ENA Leadership Conference] Evidence-based Practice Presentation: Purple Power! Improving Care of Psychiatric Patients in the Emergency Department<br/><br/>Purpose: Psychiatric patients are one of the most challenging patient populations served in the ED. Funding for mental health care is limited, which results in patients that require inpatient psychiatric services waiting for days in the ED. During extended ED stays, psychiatric patients may &quot;fall through the cracks&quot; treatment system which often leads to patient care or workplace safety issues. The purpose of this project was to develop and implement a program to address: 1) Identification of; 2) Improve provider shift hand-offs; and 3) Address basic safety measures for the care of psychiatric patients in the ED.<br/><br/>Design: Quality improvement project that was a collaborative effort of the ED's nursing, medical, management, education, and social worker staff. &quot;Code Purple&quot; is the facility's overhead page for an aggressive or violent situation. The color purple was continued throughout the project to help staff associate the color with high risk for danger.<br/><br/>Setting: An urban, non-leveled 43 bed ED in the Southwestern United States with over 65,000 visits annually. <br/><br/>Participants: Implementation would begin as psychiatric patients were identified by assessment. <br/><br/>Methods: The extended care of psychiatric patients in the ED was identified by both staff and management as a contributing factor to numerous workplace safety and patient care concerns. A quality improvement project was initiated that included several components. Psychiatric patients were identified by purple-checkered armbands, unique gowns, and purple signs on the treatment room doors. A provider to provider hand-off sheet tailored for care of the psychiatric patient was developed for each change of shift. Each hand-off sheet addresses many of the common gaps in treatment that occur with the extended care of psychiatric patients in the ED. Education, training, and emphasis on basic safety concerns when caring for psychiatric patients was addressed with ED staff. <br/><br/>Outcomes: There has been an increase in efficient identification of psychiatric patients, enhanced provider to provider hand-offs with less patient care issues noted, and improved patient and department safety. Based on feedback from ED staff and management, the care of psychiatric patients has improved dramatically after this simple quality improvement process. The project is on-going and evolving to improve patient safety and meet the needs of the department.<br/><br/>Implications: With the current state of mental health care, ED's nationwide are going to continue to see a surge in the extended boarding of psychiatric patients. Caring for psychiatric patients requires creativity in balancing meeting the needs of both the patient and of a busy ED. In many cases, as demonstrated by this project, some of the best solutions are simple to implement, inexpensive, and come directly from staff &quot;in the trenches.&quot;<br/></td></tr></table>en_GB
dc.date.available2011-10-27T10:28:21Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:28:21Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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