"Who's Leading?"
Two staff arrive at the same time. Who should take initial leadership?
Either/or but it should be said, not assumed
When a patient is in the anxiety phase, the appropriate staff response is
Supportive
True or False: A nurse must be present to monitor a restraint, but all CPI-certified staff are responsible for the basic components of physical monitoring (skin color, adjusting for pain).
TRUE!
What is the biggest risk of having 2 leaders simultaneously?
Somebody gets hurt.
We can categorize communication into these three forms
Verbal, paraverbal, nonverbal
Who is responsible for determining release from restraint?
RN
Why might the most senior staff member NOT be the best leader in the moment?
crisis leadership depends on situational control, clarity, and emotional regulation, not hierarchy or tenure.
What are the 2 ways the Decision-Making Matrix helps us assess risk?
Likliehood and severity
Who is responsible for calling the nurse during a crisis?
The leader - or leader delegates
What verbal cue signals a clean leadership handoff?
Define rational detachment
Recognizing the need to remain professional by managing your own behavior and attitude
What should be communicated to the nurse?
"I need a nurse monitor now."
What happens when leadership is never explicitly transferred but changes informally?
CONFUSION!!
What does risk behavior communicate?
Increased distress where it is difficult for the person to express their emotions with words.
True or False: Nursing may administer medication as part of a restraint which is why it is so important that they are involved.
False!