INSTITUTE for SAFE ENVIRONMENTS INTERACTIVE PANEL DISCUSSION - - PDF document

APNA 29th Annual Conference Session 2041: October 29, 2015 Allen 1

INSTITUTE for SAFE ENVIRONMENTS

INTERACTIVE PANEL DISCUSSION

Diane E. Allen, MN, PMH RN-BC, NEA-BC Kathleen R. Delaney PhD, PMH-NP, RN (Co-Chairs)

The Presenters Have No Conflicts to Disclose

STEERING COMMITTEE

Michael Polacek Mona Shatell Marlene Nadler-Moodie Richard Ray David Sharp Eric Arauz Barbara Bonney April Schwartz Catherine Batscha Justin Souther Pamela Greene Mary Williams Kimberly Owens Erick Lee Aja Sullivan Esther R. Pinkston

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OBJECTIVES

Describe goals of ISE and this year’s efforts to inform APNA members about safety related issues. Engage APNA members in discussions about risks associated with providing patient care for individuals with mental illness. Identify current safety-related concerns of APNA members.

INSTITUTE for SAFE ENVIRONMENTS

Vision

The Institute for Safe Environments provides an integrated structure designed to thoughtfully address issues that impact the safety of persons served as well as service providers.

INSTITUTE for SAFE ENVIRONMENTS

Goals

1.

Identify issues related to safe environments

2.

Explore current evidence related to issues

3.

Recommend strategies to promote safe, evidence-based, best practices

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KEY ELEMENTS

• f a SAFE ENVIRONMENT

Culture and Idealogy Engagement Emergency Management Patient assessment and monitoring Staff resources, education and training Space and equipment Error Prevention Rules Physical Risks

FOCUS of ISE WORK 2014-2015

Engagement Emergency Management

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MEMBER BRIDGE “HOT SAFETY TOPICS” 2014-2015

WHAT’S ALLOWED vs. NOT ALLOWED Belongings - Contraband Activities - Restrictions Behaviors - Controls

ROLE of PSYCHIATRIC NURSES in HOSPITAL EMERGENCY DEPARTMENTS

MEMBER SURVEY WORKGROUP Michele Heyland Gale Sullivan Christine Tebaldi Colleen Robinson Babette Wieland Camille Kennedy Michael Polacek Jeannine Loucks April Schwartz Kelly Southard

MARLENE NADLER-MOODIE

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Background

ISE Member Interest What is role of PMH nurse in the ED? Who is best at providing care in the ED?

 What skills are best suited  Training and Competency

Survey Design

25 items Conducted March 23 to April 23,

2015

Email link to 10,000 APNA members Requested forwarding to others

Results

520 respondents/ 468 completed 60% identified as a Psychiatric Nurse 31% identified as an ED Nurse 40% employed as RN > than 20 years 39% held BSN

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Age Demographics

Vast majority- older:

51-60 = 31% 31-40 = 20% 41-50 = 18%

20-30 year olds only 12%: Workforce is aging out, need young recruits

Settings

58% Urban 26% Suburban Majority = ED in general hospital with a

designated psychiatric treatment area

Definition of Role

42% “Psychiatric Emergency Department

Nurse”

28% “Emergency Department Nurse” 42% “Crisis Management” is psychiatric

nurse’s primary role

33% Liaison expert

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Education, Training, Competency

85% required to demonstrate

competency in caring for patients with medical diagnoses

52% required to demonstrate

competency regarding psychiatric issues

 (48% no requirement for psychiatric issues)

Conclusions and Recommendations

High degree of interest among PMH

nurses about the care of patients in ED

Agreement on Job Title: Psychiatric

Emergency Department Nurse

Primary role is “crisis management” Currently well educated, active work

force that will age

Conclusions and Recommendations

 Recruitment focus on younger 20-30 year

• lds

 Education offerings in both emergency

medical care and psychiatric care should be available

 Opportunities:

 Exploration of a subspecialty  Focused education  Competency Demonstrations  Specialized Certification

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MEMBER BRIDGE HOT SAFETY TOPICS

HOW TO MONITOR FOR SAFETY?

 Safety Rounds  1:1 Sitters  Constant Observation

CONTINUOUS SPECIAL OBSERVATION RICHARD RAY CONTINUOUS SPECIAL OBSERVATIONS INHERENT PROBLEMS

• Control and coercion
• Restriction in privacy
• Symptom exacerbation
• Unit safety
• Counter-therapeutic aspects
• Staff productivity

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MEMBER BRIDGE HOT SAFETY TOPICS

HOW TO STAY SAFE WHILE PRACTICING RELATIONSHIP- BASED NURSING?

ENGAGEMENT & SAFETY MICHAEL POLACEK

ENGAGEMENT TOOLBOX

www.lumaxart.com/

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OUR HOPES for the FUTURE and WHY WE NEED YOUR HELP!

INSTITUTE for SAFE ENVIRONMENTS

INSTITUTE for SAFE ENVIRONMENTS

YOUR HOPES for the FUTURE?

How can we better serve your needs? How can ISE best respond to hot topics?

COMMENTS and QUESTIONS?