2.50
Hdl Handle:
http://hdl.handle.net/10755/164077
Category:
Abstract
Type:
Presentation
Title:
Safe Harbor: Suicide Precautions Outside of the Behavioral Health Setting
Author(s):
Ellis, Donna
Author Details:
Donna Ellis, MS, APN, ACNS-BC, WCC, Advocate Christ Medical Center, Oak Lawn, Illinois, USA, email: nacnsorg@nacns.org
Abstract:
PURPOSE/OBJECTIVES: The project purpose was to review the current process for care of patients on suicide precautions on units other than behavioral health. The objective was to implement interventions to reduce the risk of self-harm behaviors being carried out. SIGNIFICANCE: Increasingly adults with psychiatric disorders are placed on medical-surgical inpatient units for management of medical issues while simultaneously being monitored for suicide risk. The focus of staff on a medical-surgical unit is assessing and monitoring medical patients which is much more complex when patients are also being observed for self-harm behaviors. In addition, the environment on medical-surgical units does not have the same safety structures in place as behavioral health units, therefore compensatory interventions must be put in place that protect patients while allowing ongoing medical treatment. BACKGROUND/RATIONALE: Our medical center was experiencing an increase in the number of patients with suicide risk being placed on medical units. Consequently, there was also an increase in the number of patients who carried out self-harm actions. DESCRIPTION: A team was gathered which consisted of a Clinical Nurse Specialist from a medical-surgical unit, nurse managers from an inpatient Psychiatry and Medical-Surgical units, and the Nurse manager from the Nursing resource office. Additional members included the Psychiatry Nurse liaison, one staff RN and two Patient Care Assistants. This team performed a comprehensive review of the medical center's current process for providing suicide precautions from varying points of patient entry to the medical center. A literature review was performed but yielded few recommendations. OUTCOME: Interventions were developed to improve patient safety by addressing risk associated with the hospital environment, patient behaviors and the knowledge and skill of the RNs and assistive personnel. Interventions included education of RNs and assistive personnel, modifying processes for patient placement, developing guidelines for managing the hospital physical environment and developing tools for nurse to visitor communication and caregiver handoffs. Interpretation/Conclusion: Initial evaluation of the project was designed to measure compliance with project process changes. Ongoing compliance and evaluation of learning will be measured using a tracer team methodology. Evaluation of reduction in self-harm behaviors carried out will also be completed. IMPLICATIONS FOR PRACTICE: This CNS led project will positively impact patient safety by changing organizational culture.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2010
Conference Name:
CNS as Interal Consultant: Influencing Local to Global Systems
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Portland, Oregon, USA
Description:
Conference theme: CNS as Internal Consultant: Influencing Local to Global Systems, held March 3 - 6, Portland, Oregon, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleSafe Harbor: Suicide Precautions Outside of the Behavioral Health Settingen_GB
dc.contributor.authorEllis, Donnaen_US
dc.author.detailsDonna Ellis, MS, APN, ACNS-BC, WCC, Advocate Christ Medical Center, Oak Lawn, Illinois, USA, email: nacnsorg@nacns.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/164077-
dc.description.abstractPURPOSE/OBJECTIVES: The project purpose was to review the current process for care of patients on suicide precautions on units other than behavioral health. The objective was to implement interventions to reduce the risk of self-harm behaviors being carried out. SIGNIFICANCE: Increasingly adults with psychiatric disorders are placed on medical-surgical inpatient units for management of medical issues while simultaneously being monitored for suicide risk. The focus of staff on a medical-surgical unit is assessing and monitoring medical patients which is much more complex when patients are also being observed for self-harm behaviors. In addition, the environment on medical-surgical units does not have the same safety structures in place as behavioral health units, therefore compensatory interventions must be put in place that protect patients while allowing ongoing medical treatment. BACKGROUND/RATIONALE: Our medical center was experiencing an increase in the number of patients with suicide risk being placed on medical units. Consequently, there was also an increase in the number of patients who carried out self-harm actions. DESCRIPTION: A team was gathered which consisted of a Clinical Nurse Specialist from a medical-surgical unit, nurse managers from an inpatient Psychiatry and Medical-Surgical units, and the Nurse manager from the Nursing resource office. Additional members included the Psychiatry Nurse liaison, one staff RN and two Patient Care Assistants. This team performed a comprehensive review of the medical center's current process for providing suicide precautions from varying points of patient entry to the medical center. A literature review was performed but yielded few recommendations. OUTCOME: Interventions were developed to improve patient safety by addressing risk associated with the hospital environment, patient behaviors and the knowledge and skill of the RNs and assistive personnel. Interventions included education of RNs and assistive personnel, modifying processes for patient placement, developing guidelines for managing the hospital physical environment and developing tools for nurse to visitor communication and caregiver handoffs. Interpretation/Conclusion: Initial evaluation of the project was designed to measure compliance with project process changes. Ongoing compliance and evaluation of learning will be measured using a tracer team methodology. Evaluation of reduction in self-harm behaviors carried out will also be completed. IMPLICATIONS FOR PRACTICE: This CNS led project will positively impact patient safety by changing organizational culture.en_GB
dc.date.available2011-10-27T11:41:36Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:41:36Z-
dc.conference.date2010en_US
dc.conference.nameCNS as Interal Consultant: Influencing Local to Global Systemsen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationPortland, Oregon, USAen_US
dc.descriptionConference theme: CNS as Internal Consultant: Influencing Local to Global Systems, held March 3 - 6, Portland, Oregon, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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