Code Pink-Summon Scenarios

They will ensure that all equipment, including hazardous materials including cleaning materials and flammable substances are labelled and stored correctly and locked away securely.

Kelly et al. (2015) continued with the statement that staff who are insulted tend to be younger, less experienced or educated, provide more direct care and spend more time with patients, receive lower pay, and possess low levels of qualifications (Kelly et al., 2015). The most common injuries on psychiatric units are kicking, hitting, shoving, and beating (Occupational Safety and Health Administration, 2015). The most common health complaints reported by staff that were involved in a physical assault are headaches, muscle soreness, and headaches; other complaints that are more serious include dizziness, shortness of breath, and numbness and tingling of the extremities (Kelly et al., 2015). These aggressive behaviors of patients are preceded by many things. Patients may be upset about being admitted to the unit or feel as if their control has been taken away. Literature suggested that poor medication compliance, positive symptoms (such as command hallucinations), and substance misuse makes act of violence (Graham, 2012). Graham (2012) stated that it should not be assumed that there is a direct relationship between a specific disease (or symptoms) and acts of violence. The reason for patient violence is varying and sometimes unknown. It was reported

Obviously, a newly practice manager needs to be fully equipped to undermine risk of serious injury when facing an agitated patient. Thus, we need to consider the clinical settings and many patients issues when we agree to discuss with an angry patient in a more private and controlled setting. In addition, for a “drug seeker” patient, we need to be properly trained to overcome the danger of such a violent patient if pulling a knife out of its back pack. As we attempt to cope effectively with an angry patient, we must consider the safeguards, the necessary training, or the facility modifications to significantly reduce the risk of costly injury and damages into the workplace.

The purpose of this quasi-experimental pilot project is to determine if providing training for mental health nurses on assessing assault risk in geriatric psychiatric patients will help improve the nurse’s knowledge and assessment of assault risk for this population during their inpatient stay. According to the World Health Organization, “between 8% and 38% of health workers suffer physical violence at some point in their careers”. Violence against health care workers has been extensively studied and research indicates that some areas are more prone to violence towards the staff than other areas of the hospital. The areas that are known for high incidence of assault are emergency rooms and inpatient psychiatric units. It also has the highest

been harmed or abused. This would include recognising and dealing with early signs of violent or aggressive

Violence in health care is an intriguing subject. Understanding and coping with threatening and violent behavior in mental health settings can be challenging and is a necessary part of being a health care provider (Berring, Pedersen, & Buus, 2016). If the situation is not handled well, patient and staff injuries can occur. A well thought out de-escalation plan and having a process in place is valuable. Having a range of psychosocial interventions that are focused on redirecting patients can help calm them down. The important aspects of de-escalating are being familiar with the patient, understanding the situation, knowing yourself, and having the knowledge of how to communicate in such a situation. Unfortunately, there are not many studies that have explored how staff and patients experience de-escalation methods and further research is needed in this very relevant area of health care.

I asked Mrs. Arrick, what happened. Mrs. Arrick advised me that Mrs. Leann Mercer came into her office and stated that she was about to pass out. Mrs. Mercer started jerking and not responsive. Mrs. Arrick immediately called code blue.

The risk of assault in inpatient units towards the staff have been widely described in the literature and certain areas of the hospital are known as high areas of assault towards staffing personal. Such areas that are known for high incidence is the emergency room nada inpatient psychiatric units; It is also known that certain patient population is more likely to exhibit assaultive behavior. Such patients include those with psychotic disorders as in schizophrenia and those with substance abuse related issues. Some patients as well during the manic phase of bipolar disorder episode may become assaultive. Hospitals have implemented the use of educational training as in the use of non-violent crises intervention to train staff on how to de-escalate a potentially assaultive patient when they escalate. Devices have also been put in place, for example, the use of call bottoms that are installed where readily available for the staff to use during a time when staff may determine that a patient

determine whether they belonged in the violent group or the non-violent group. To complete the LHA participants had to send in their official criminal records, had to go through staff interviews, and had to be scaled on a chart. Participants were considered violent if they had higher than 20 on the LHA, physically assaulted someone within the past year, and if they had a higher score than 3 on the Physical Aggression Against People (PA- people) subscale. Participants were considered non-violent if they had no cases of physical assault within the last year, no cases of severe physical aggression, and a score lower than 15 on the LHA and a score lower than 2 on the PA-people. Another questionnaire used was the Buss-Perry Aggression Questionnaire

Throughout The Help, various technical codes such a camera angles, movement and shot sizes to expose the racial intolerance towards the black community. Zooming and tracking to

Aggressive behaviours can create difficulties for the patient themselves and present challenges to those caring for them (Unwin, 2012). Managing Daniel’s aggressive behaviours will include nursing him in a low stimulus environment and adequately managed by experienced clinician. Nursing the patient in a sensory room or quiet room may assist in dealing with aggression. A study (Sutton, Wilson, Van Kessel & Vanderpyl, 2013) found that sensory intervention reduced arousal and induced a calm state in an individual. Daniel may require to be placed on increased visual observation due to his threats of self-harming and also the risk harming others. Clinician can also recognise risk by performing risk assessments. It is important to engage the patient

What I feel the concept of the meaning of violence is it is when another person is verbally, physically, mentally, or even sexually abused. I think I could be very helpful in this area. I have been in a marriage that I was abused for years. So I feel I could pick up on some cues that maybe the average nurse could not pick up on. In a case of abuse the abuser characteristics tend to be very demanding and always having control over the victim.

After viewing the film titled " A Dangerous Method" I observed the client exhibited signs of bipolar depression, generalized anxiety disorder and borderline disorder. During her family intake the client expressed guilt which is a sign of depression, as well as loss of appetite. Also, she displayed manic behavior during her arrival to the facility, showing irritability as well as during her stay at the facility displaying excessive worry, demonstrating the anxiety disorder. Furthermore, borderline disorder displayed during treatment, rapid changes in her mood, erratic, impulsive sexually behavior. As a result of her repressed childhood problems from the relationship she had with her father is the cause of her mental health issue. However, to

There are many factors that may lead to cause violence act at the emergency department against nurses. Hajaj, (2014) & Crilly, et al, (2004) were both cited that Emergency nurses face higher violence incident than other nurses work in other departments that related to that emergency nurses are the first and the most health team care provider present in many stressful and critical situations that was one of many factors affects the nurses added to intoxicated or addicted and psychiatric patients, long waiting times, inadequate & inexperienced staff in dealing with violent behaviors, overcrowding, lack of communication between nurses and families, isolated treatment areas, lack or nonfunctioning and trained, armed security guards, lack of violence

The questionnaire is intended for the general public to ascertain the level of aggression and what subscales of aggression the person exhibits. This can be used in a clinical setting and/ or as a predictor of the subject’s interactions with the public.