2.50
Hdl Handle:
http://hdl.handle.net/10755/306550
Category:
Abstract
Type:
Poster
Title:
"Keeping it Safe"
Author(s):
Cleveland, Kara; Soucy, Josephine
Lead Author STTI Affiliation:
Non-member
Author Details:
Kara Cleveland, RN, CEN, kclevela@bristolhospital.org; Josephine Soucy, MSN, RN, CCRN, NE-BC
Abstract:

Evidence-based Practice Abstract

Purpose: In response to two near miss events in our emergency department, a decision was made to revise our suicide risk assessment tool. Beginning with triage and continuing to the admission process our practice was reviewed for the root cause of our near misses and revised to be in accordance to state and federal regulatory standards.

Design: We are a small community hospital with a very high psychiatric population. It was felt that there was a need to heighten staff awareness of patients at risk for suicide. Staff had an “it’s never going to happen” mentality for suicide risk and they needed to become aware that it almost did happen.

Setting: A non- teaching community hospital.

Participants/Subjects: Emergency room staff including; physicians, physician assistants, registered nurses, patient care associates and crisis workers.

Methods: The assessment tool for suicide risk was reviewed in our electronic medical record and revised to be in accordance with The Joint Commission standards. All charts of patients presenting with a psychiatric complaint were reviewed in real time for the completion of risk assessment and the policy was followed. All staff were required to attend two mandatory education programs; first was a presentation by the Chair of our Psychiatric Department on what to assess and how to assess patients for suicide and second an in-service was given by the department educator on the department standards for the care of a psychiatric patient including; assessing for suicide, collection of belongings, restraint use, and why it is so important to have consistency with this process in the department.

Results/Outcomes: Patients assessed for suicide risk is near 100% and the number of patients assessed to be suicidal has doubled in two months. The number of hours for constant observation in the department has also tripled.

Implications: By increasing staff awareness of the value and importance of the assessment for suicide risk in our patient population we have been able to provide a high quality standard of care and improve outcomes for our psychiatric patient population.

Keywords:
Suicide risk
Repository Posting Date:
9-Dec-2013
Date of Publication:
9-Dec-2013
Conference Date:
2013
Conference Name:
2013 ENA Leadership Conference
Conference Host:
Emergency Nurses Association
Conference Location:
Ft. Lauderdale, Florida, USA
Description:
2013 ENA Leadership Conference Theme: Shape the Future. Held at the Greater Fort Lauderdale Broward County Convention Center
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.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePosteren_GB
dc.title"Keeping it Safe"en_GB
dc.contributor.authorCleveland, Karaen_GB
dc.contributor.authorSoucy, Josephineen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsKara Cleveland, RN, CEN, kclevela@bristolhospital.org; Josephine Soucy, MSN, RN, CCRN, NE-BCen_GB
dc.identifier.urihttp://hdl.handle.net/10755/306550-
dc.description.abstract<p>Evidence-based Practice Abstract</p><p>Purpose: In response to two near miss events in our emergency department, a decision was made to revise our suicide risk assessment tool. Beginning with triage and continuing to the admission process our practice was reviewed for the root cause of our near misses and revised to be in accordance to state and federal regulatory standards.</p><p>Design: We are a small community hospital with a very high psychiatric population. It was felt that there was a need to heighten staff awareness of patients at risk for suicide. Staff had an “it’s never going to happen” mentality for suicide risk and they needed to become aware that it almost did happen.</p><p>Setting: A non- teaching community hospital.</p><p>Participants/Subjects: Emergency room staff including; physicians, physician assistants, registered nurses, patient care associates and crisis workers.</p><p>Methods: The assessment tool for suicide risk was reviewed in our electronic medical record and revised to be in accordance with The Joint Commission standards. All charts of patients presenting with a psychiatric complaint were reviewed in real time for the completion of risk assessment and the policy was followed. All staff were required to attend two mandatory education programs; first was a presentation by the Chair of our Psychiatric Department on what to assess and how to assess patients for suicide and second an in-service was given by the department educator on the department standards for the care of a psychiatric patient including; assessing for suicide, collection of belongings, restraint use, and why it is so important to have consistency with this process in the department.</p><p>Results/Outcomes: Patients assessed for suicide risk is near 100% and the number of patients assessed to be suicidal has doubled in two months. The number of hours for constant observation in the department has also tripled.</p><p>Implications: By increasing staff awareness of the value and importance of the assessment for suicide risk in our patient population we have been able to provide a high quality standard of care and improve outcomes for our psychiatric patient population.</p>en_GB
dc.subjectSuicide risken_GB
dc.date.available2013-12-09T16:59:37Z-
dc.date.issued2013-12-09-
dc.date.accessioned2013-12-09T16:59:37Z-
dc.conference.date2013en_GB
dc.conference.name2013 ENA Leadership Conferenceen_GB
dc.conference.hostEmergency Nurses Associationen_GB
dc.conference.locationFt. Lauderdale, Florida, USAen_GB
dc.description2013 ENA Leadership Conference Theme: Shape the Future. Held at the Greater Fort Lauderdale Broward County Convention Centeren_GB
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.en_GB
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