referred to an acute inpatient psychiatric setting where they are to regain safe and effective functioning so they can return to their homes and communities. Over the past decade, inpatient admissions for pediatric patients have significantly increased by 68% due to the exhibition of self-injurious behaviors and increased suicidal ideation (YoungMinds, 2015). The focus of this paper is to introduce the quality improvement proposal of implementing a safety plan for staff to adhere to in order to promote
Safety is an important factor and is a high priority in healthcare. Kelly, Fenwick, Brekke, and Novaco (2015) shared that workplace violence impairs the staff perceptions of safety. However, both patients and staff are affected by workplace violence in many ways, from physical to emotional aspects. There are many reasons why violence occurs, that will be explained later in this paper. The purpose of this paper is to explain the reason and importance of the chosen phenomenon of interest. Moreover
CNL Role in Psychiatric Department Never has it been more critical to provide high quality care in the hospital while being cost effective. The American Association of Colleges of Nursing (American Association of Colleges of Nursing [AACN], 2005) has created the Clinical Nurse Leader (CNL) role to introduce lateral integration of care for specified groups by creatively and intentionally using a variety of health care resources (AACN, 2005). The CNL’s purpose is to aid in various departments of the
Introduction The assaultive behavior displayed by psychiatric individuals in patient care settings has become a serious healthcare concern. Current research shows that the most common adverse event among hospitalized psychiatric patients is physical assault or fighting. “Thousands of assaults occur in American hospitals each year, including psychiatric units and emergency rooms, resulting in the labeling of such workplaces by some as occupationally hazardous” (Rueve & Welton, 2008). This has led
General Hospital Inpatient Psychiatric Care Environments Nancy P. Hanrahan, Ph.D., R.N. Aparna Kumar, M.A., M.P.H. Linda H. Aiken, Ph.D., R.N. Objective: Although general hospitals receive nearly 60% of all inpatient psychiatric admissions, little is known about the care environment and related adverse events. The purpose of this study was to determine the occurrence of adverse events and examine the extent to which organizing factors of inpatient psychiatric care environments were associated
appropriate direct care staffing on the inpatient psychiatric unit. The current staffing model being used by the VA is staffing methodology. The Staffing methodology model was created to account for acuity of patients, their illnesses, and the task that are required to be performed by nurses (U.S. Government Accountability Office, 2008). Staffing methodology has created an environment where there are either an abundance of staff which is resulting in wasting resources or too little staff which is creating
Falls in the Psychiatric Unit In nursing, “patient safety and quality of care are two of the main cornerstones of nursing practice” (Hunt, 2012). It is the nurse’s responsibility to make every effort to provide a safe environment and care for patients without making errors. In an effort to keep patients’ safety intact, “The Joint Commission and the Agency for Healthcare Research and Quality developed standards for healthcare organizations to employ in an effort to reduce the number of errors” (Hunt
frequently reported behavioral health issues in inpatient psychiatric settings involves patient assaults (Perez, 2014). Increased occurrence of assaults can have a damaging impact on the life of psychiatric patients (Luckhoff et al., 2013). It presents a threat to the physical and psychological well-being of both psychiatric nursing staff and all patients present (Luckhoff et al., 2013). There are numerous studies showing assaults occurring amongst staff and patients hospitalized in inpatient units; however
technique that I have seen utilize in my healthcare setting is the use of locked doors on the psychiatric unit. All the doors are kept locked and you have to access them with a key to unlocked them. All visitors have to go through a lobby and check in and then have access to the unit by a healthcare staff member. Having a locked unit ensures the patient are kept safe. According to the article, Psychiatric care behind locked doors, locked doors are used to regulate patients and any other people to have
definition is the use of data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems ("Pre-Licensure KSAs | QSEN," n.d.). Having applied the knowledge and skills used for quality improvement in this scenario could not have avoided the occurrence of the seizure, but with proper initial assessments of this patient, the nursing staff would have been on high alert. With seizure precautions instated