2.50
Hdl Handle:
http://hdl.handle.net/10755/182102
Category:
Abstract
Type:
Presentation
Title:
The 5 - Rs of Psychiatric Care in the Acute Care Hospital
Author(s):
Winokur, Elizabeth
Author Details:
Elizabeth Winokur, RN, MSN, CEN, St. Joseph Hospital, Orange, California, USA, email: beth.winokur@stjoe.org
Abstract:
Podium presentation: Patients with psychiatric illnesses who are hospitalized in acute care facilities on non-behavioral health units present unique management challenges for nursing. One Southern California community hospital developed a comprehensive program, the 5-Rs, for the care of psychiatric patients. Recognition - every patient is screened for suicide risk. Those meeting the first level of the screening process are further evaluated using the SAD PERSONS scale, an evidence-based suicide risk screen. Department-specific interventions are instituted based on the total score. Relocation - increasing numbers of psychiatric patients awaiting placement in mental health beds resulted in boarding of psychiatric patients in the Emergency Department (ED). We temporarily house psychiatric patients in a dedicated area of the Behavioral Health Unit freeing ED beds and allowing early institution of psychiatric care. Resources - Increasing co-morbidities has resulted in more psychiatric patients on medical units. Instituting a rapid response team composed of psychiatric nurses providing psychiatric assessment/consultation has led to earlier interventions and a reduced incidence of violence. Readiness - A specific skill set is needed to manage any potentially violent individual. A comprehensive educational program is offered for staff caring for this population. Reward - Surveys of staff indicate increased comfort with caring for patients with psychiatric illness. Implementing the 5-Rs of psychiatric care has led to improvements in caring for psychiatric patients in the acute care setting, including staff satisfaction.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2010
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Phoenix, Arizona, USA
Description:
The 14th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 13-15 October, 2010 at the Phoenix Convention Center in Phoenix, Arizona, 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.titleThe 5 - Rs of Psychiatric Care in the Acute Care Hospitalen_GB
dc.contributor.authorWinokur, Elizabethen_US
dc.author.detailsElizabeth Winokur, RN, MSN, CEN, St. Joseph Hospital, Orange, California, USA, email: beth.winokur@stjoe.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182102-
dc.description.abstractPodium presentation: Patients with psychiatric illnesses who are hospitalized in acute care facilities on non-behavioral health units present unique management challenges for nursing. One Southern California community hospital developed a comprehensive program, the 5-Rs, for the care of psychiatric patients. Recognition - every patient is screened for suicide risk. Those meeting the first level of the screening process are further evaluated using the SAD PERSONS scale, an evidence-based suicide risk screen. Department-specific interventions are instituted based on the total score. Relocation - increasing numbers of psychiatric patients awaiting placement in mental health beds resulted in boarding of psychiatric patients in the Emergency Department (ED). We temporarily house psychiatric patients in a dedicated area of the Behavioral Health Unit freeing ED beds and allowing early institution of psychiatric care. Resources - Increasing co-morbidities has resulted in more psychiatric patients on medical units. Instituting a rapid response team composed of psychiatric nurses providing psychiatric assessment/consultation has led to earlier interventions and a reduced incidence of violence. Readiness - A specific skill set is needed to manage any potentially violent individual. A comprehensive educational program is offered for staff caring for this population. Reward - Surveys of staff indicate increased comfort with caring for patients with psychiatric illness. Implementing the 5-Rs of psychiatric care has led to improvements in caring for psychiatric patients in the acute care setting, including staff satisfaction.en_GB
dc.date.available2011-10-28T15:09:12Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:09:12Z-
dc.conference.date2010en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationPhoenix, Arizona, USAen_US
dc.descriptionThe 14th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 13-15 October, 2010 at the Phoenix Convention Center in Phoenix, Arizona, USA.en_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.-
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