2.50
Hdl Handle:
http://hdl.handle.net/10755/162869
Type:
Presentation
Title:
Implementation of an Emergency Behavioral Health Unit (EBH)
Abstract:
Implementation of an Emergency Behavioral Health Unit (EBH)
Conference Sponsor:Emergency Nurses Association
Conference Year:2003
Author:Haines, Diana, RN, MSN, CEN
Contact Telephone:484/884-2465
Co-Authors:Christina Lewis, RN, BSN; Sharon Kloiber, RN, BSN; and Sharon Hoffner, RN, BS
Clinical Topic: The Emergency Department (ED) experienced an increased volume of behavioral health patients requiring acute intervention. The intent of this project was to create a separate care area that provided consistent clinical practices for the behavioral health patient requiring emergency services. Implementation: A multidisciplinary committee was formed. Goals for the committee were: 1) To provide an effective and safe unit environment; 2) To promote patient and family satisfaction; 3) To recommend orientation and education programs; 4) To design a new Emergency Behavioral Health unit (EBH); and 5) To evaluate the interventions. A flow chart was designed for the quick processing of patients. Triage criteria for medical clearance were developed for immediate admission to EBH. Alarm systems were chosen to provide a safe and quick response to escalating patients. An orientation competency record was developed. The committee created a new position for the licensed practical nurse (LPN). These emergency behavioral health LPNs were given extensive orientation to the new area. Specific processes were developed to guide each caregiver for safe and consistent care. Outcomes: The EBH was opened in March 2002. The area has proven to be an environment conducive for safe and quality care. Reduced elopement and the reduction in the escalation of symptoms from agitated patients are evident of the success of this area. The EBH has served an average of 140 patients per month. 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. Monthly documentation reviews and restraint usage are used as measures of meeting standard of care for the behavioral health patient. Improved documentation resulted. Initial data points to a decrease in restraint usage. Utilizing a shared governance model for unit design and the safety and operational processes was a positive experience for the involved staff. Staff expressed less frustration and more satisfaction with caring for the behavioral health patient. Patients have verbalized appreciation for the confidentiality of private rooms, availability of a shower, and the option to watch television. Recommendations: The EBH staff meets regularly to revise processes, review restraint usage and critical incidents. Future goals are to provide ongoing education and to validate the accuracy of the Triage Criteria Tool. An EBH can be established by any emergency department for provision of care for their behavioral health patients. [Clinical Poster]
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.titleImplementation of an Emergency Behavioral Health Unit (EBH)en_GB
dc.identifier.urihttp://hdl.handle.net/10755/162869-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Implementation of an Emergency Behavioral Health Unit (EBH)</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">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Haines, Diana, RN, MSN, CEN</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">Christina Lewis, RN, BSN; Sharon Kloiber, RN, BSN; and Sharon Hoffner, RN, BS</td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: The Emergency Department (ED) experienced an increased volume of behavioral health patients requiring acute intervention. The intent of this project was to create a separate care area that provided consistent clinical practices for the behavioral health patient requiring emergency services. Implementation: A multidisciplinary committee was formed. Goals for the committee were: 1) To provide an effective and safe unit environment; 2) To promote patient and family satisfaction; 3) To recommend orientation and education programs; 4) To design a new Emergency Behavioral Health unit (EBH); and 5) To evaluate the interventions. A flow chart was designed for the quick processing of patients. Triage criteria for medical clearance were developed for immediate admission to EBH. Alarm systems were chosen to provide a safe and quick response to escalating patients. An orientation competency record was developed. The committee created a new position for the licensed practical nurse (LPN). These emergency behavioral health LPNs were given extensive orientation to the new area. Specific processes were developed to guide each caregiver for safe and consistent care. Outcomes: The EBH was opened in March 2002. The area has proven to be an environment conducive for safe and quality care. Reduced elopement and the reduction in the escalation of symptoms from agitated patients are evident of the success of this area. The EBH has served an average of 140 patients per month. 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. Monthly documentation reviews and restraint usage are used as measures of meeting standard of care for the behavioral health patient. Improved documentation resulted. Initial data points to a decrease in restraint usage. Utilizing a shared governance model for unit design and the safety and operational processes was a positive experience for the involved staff. Staff expressed less frustration and more satisfaction with caring for the behavioral health patient. Patients have verbalized appreciation for the confidentiality of private rooms, availability of a shower, and the option to watch television. Recommendations: The EBH staff meets regularly to revise processes, review restraint usage and critical incidents. Future goals are to provide ongoing education and to validate the accuracy of the Triage Criteria Tool. An EBH can be established by any emergency department for provision of care for their behavioral health patients. [Clinical Poster]</td></tr></table>en_GB
dc.date.available2011-10-27T10:35:32Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:35:32Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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