2.50
Hdl Handle:
http://hdl.handle.net/10755/162768
Type:
Presentation
Title:
Care of the Pediatric Psychiatric Patient in the Emergency Room
Abstract:
Care of the Pediatric Psychiatric Patient in the Emergency Room
Conference Sponsor:Emergency Nurses Association
Conference Year:2000
Author:Whitener, Shirley A., RN, ADN, BS
P.I. Institution Name:Children's Medical Center
Contact Address:1935 Motor Street, Dallas, TX, 75235, USA
Contact Telephone:(214) 456-5100
Co-Authors:Penny Williams, Tina Sage, Tonya Bowen, and Shari Scott
Clinical Topic: The purpose for this project was to identify the standard of care for the pediatric patient who presents to the emergency department with aggressive or inappropriate behavior and to develop a policy and procedure in regards to pediatric psychiatric management interventions.

Implementation: Implementation began with forming a multidisciplinary task force to: (1) identify types of restraints that are safe for pediatric patients; and (2) survey other children's hospitals for information on current policy and procedures. A 15 question survey was sent to 28 children's hospitals. Nine hospitals responded.

The survey results revealed that there is little standardization in the care of the pediatric psychiatric patient in the emergency department. Policy and procedures were general or non-existent. Very few restraint devices were found to be safe for the pediatric population. Staff were unfamiliar and uncomfortable with caring for aggressive or out of control children and adolescents.

Outcomes: The need for collaboration of multidisciplinary professionals to establish a standard of care was recognized. Goals were set to include: (1) a poster presentation on restraint policy; (2) "Prevention and Management of Aggressive Behavior (PMAB)" Instructor training; and (3) in-service education on communication and crisis management.

Recommendations: Since access and resources for pediatric psychiatric patients is limited, emergency department staff are often faced with managing these patients within the confines of the department for extended periods. Therefore, recommendations of the task force included: (1) developing a practice protocol for managing the pediatric psychiatric patient in the emergency department; (2) requesting psychiatric consults early in the plan of care for the child; (3) identifying a restraint device that is safe for children and training staff on appropriate application techniques; and (4) adding information in the emergency department orientation material on pediatric psychiatric care and implementing PMAB training among staff. [Clinical Poster Presentation]
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.titleCare of the Pediatric Psychiatric Patient in the Emergency Roomen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162768-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Care of the Pediatric Psychiatric Patient in the Emergency Room</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">2000</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Whitener, Shirley A., RN, ADN, BS</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Children's Medical Center</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">1935 Motor Street, Dallas, TX, 75235, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(214) 456-5100</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">shwhit@childmed.dallas.tx.us</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Penny Williams, Tina Sage, Tonya Bowen, and Shari Scott</td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: The purpose for this project was to identify the standard of care for the pediatric patient who presents to the emergency department with aggressive or inappropriate behavior and to develop a policy and procedure in regards to pediatric psychiatric management interventions.<br/><br/>Implementation: Implementation began with forming a multidisciplinary task force to: (1) identify types of restraints that are safe for pediatric patients; and (2) survey other children's hospitals for information on current policy and procedures. A 15 question survey was sent to 28 children's hospitals. Nine hospitals responded.<br/><br/>The survey results revealed that there is little standardization in the care of the pediatric psychiatric patient in the emergency department. Policy and procedures were general or non-existent. Very few restraint devices were found to be safe for the pediatric population. Staff were unfamiliar and uncomfortable with caring for aggressive or out of control children and adolescents.<br/><br/>Outcomes: The need for collaboration of multidisciplinary professionals to establish a standard of care was recognized. Goals were set to include: (1) a poster presentation on restraint policy; (2) &quot;Prevention and Management of Aggressive Behavior (PMAB)&quot; Instructor training; and (3) in-service education on communication and crisis management.<br/><br/>Recommendations: Since access and resources for pediatric psychiatric patients is limited, emergency department staff are often faced with managing these patients within the confines of the department for extended periods. Therefore, recommendations of the task force included: (1) developing a practice protocol for managing the pediatric psychiatric patient in the emergency department; (2) requesting psychiatric consults early in the plan of care for the child; (3) identifying a restraint device that is safe for children and training staff on appropriate application techniques; and (4) adding information in the emergency department orientation material on pediatric psychiatric care and implementing PMAB training among staff. [Clinical Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:33:49Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:33:49Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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