2.50
Hdl Handle:
http://hdl.handle.net/10755/162473
Type:
Presentation
Title:
Emergency Behavioral Health Area: The First Five Years
Abstract:
Emergency Behavioral Health Area: The First Five Years
Conference Sponsor:Emergency Nurses Association
Conference Year:2008
Author:Haines, Diana R., RN, MSN, CEN
P.I. Institution Name:Lehigh Valley Hospital and Health Network - Muhlenberg
Title:Patient Care Specialist û Emergency Department
Contact Address:2545 Schoenersville Road, Bethlehem, PA, 18017, USA
Contact Telephone:484-884-2465
Co-Authors:Georgine Fontaine, RN, BSN, CEN and Charlotte Buckenmyer, RN, MS, CEN
[Clinical Poster] Clinical topic: The Emergency Department (ED) in a community, academic Magnet hospital experienced an increased volume of behavioral health patients requiring acute intervention. As a result in March 2002, an Emergency Behavioral Health Area (EBH) was opened within the ED. The purpose was to create a separate area that provided consistent clinical practices to patients with behavioral health issues requiring emergency services.

Implementation: Utilizing a shared governance approach, an interdisciplinary team was formed to create an effective and safe EBH. Initial goals were to: design a flow chart to expedite processing of patients; develop triage criteria to facilitate immediate admission to the EBH; design an area safe for patient and staff by developing alarm processes to provide quick response to escalating patients; create a staffing plan; and develop an orientation program to prepare staff to deliver safe and consistent care to behavioral health patients.

Outcomes: In the past five years, an environment conducive to safe and quality care for behavioral health patients has been implemented. Reduced elopement and the reduction in the escalation of symptoms from agitated patients are evidence of success. Critical elopements in which patients experienced a negative outcome as a result of not receiving behavioral health care decreased to zero. Behavioral Health average volumes per month increased from 140 patients in 2002 to 273 patients in 2007. The unit is staffed by an LPN, a non-licensed health professional, and overseen by a registered nurse. Medical coverage is provided by the Emergency Medicine Physician and Psychiatric Evaluation Services provide 24 hour coverage to evaluate patients for placement. Behavioral Health Throughput Processes were developed to decrease ED length of stay and initial evaluation results demonstrate a decrease. The interdisciplinary team evolved to become an EBH Practice Council, including staff from each network ED site, which provides standardized processes for behavioral health patients in each ED.

Recommendations: Creation and implementation of an EBH provides an environment for consistent and safe practices within the ED. Education of ED staff and further reduction in the length of stay for behavioral health patients will ensure the continued success of the EBH. This poster will detail the steps taken by one ED to develop and implement an EBH to provide a safe environment and consistent care for behavioral health patients.
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.titleEmergency Behavioral Health Area: The First Five Yearsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162473-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Emergency Behavioral Health Area: The First Five Years</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">2008</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Haines, Diana R., RN, MSN, CEN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Lehigh Valley Hospital and Health Network - Muhlenberg</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Patient Care Specialist &ucirc; Emergency Department</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">2545 Schoenersville Road, Bethlehem, PA, 18017, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">484-884-2465</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Diana.Haines@lvh.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Georgine Fontaine, RN, BSN, CEN and Charlotte Buckenmyer, RN, MS, CEN</td></tr><tr><td colspan="2" class="item-abstract">[Clinical Poster] Clinical topic: The Emergency Department (ED) in a community, academic Magnet hospital experienced an increased volume of behavioral health patients requiring acute intervention. As a result in March 2002, an Emergency Behavioral Health Area (EBH) was opened within the ED. The purpose was to create a separate area that provided consistent clinical practices to patients with behavioral health issues requiring emergency services.<br/><br/>Implementation: Utilizing a shared governance approach, an interdisciplinary team was formed to create an effective and safe EBH. Initial goals were to: design a flow chart to expedite processing of patients; develop triage criteria to facilitate immediate admission to the EBH; design an area safe for patient and staff by developing alarm processes to provide quick response to escalating patients; create a staffing plan; and develop an orientation program to prepare staff to deliver safe and consistent care to behavioral health patients.<br/><br/>Outcomes: In the past five years, an environment conducive to safe and quality care for behavioral health patients has been implemented. Reduced elopement and the reduction in the escalation of symptoms from agitated patients are evidence of success. Critical elopements in which patients experienced a negative outcome as a result of not receiving behavioral health care decreased to zero. Behavioral Health average volumes per month increased from 140 patients in 2002 to 273 patients in 2007. The unit is staffed by an LPN, a non-licensed health professional, and overseen by a registered nurse. Medical coverage is provided by the Emergency Medicine Physician and Psychiatric Evaluation Services provide 24 hour coverage to evaluate patients for placement. Behavioral Health Throughput Processes were developed to decrease ED length of stay and initial evaluation results demonstrate a decrease. The interdisciplinary team evolved to become an EBH Practice Council, including staff from each network ED site, which provides standardized processes for behavioral health patients in each ED. <br/><br/>Recommendations: Creation and implementation of an EBH provides an environment for consistent and safe practices within the ED. Education of ED staff and further reduction in the length of stay for behavioral health patients will ensure the continued success of the EBH. This poster will detail the steps taken by one ED to develop and implement an EBH to provide a safe environment and consistent care for behavioral health patients. <br/></td></tr></table>en_GB
dc.date.available2011-10-27T10:28:48Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:28:48Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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