De-Escalation 1
The first and most important commandment of de-escalation.
What is you shall be non-provocative?
Why de-escalation is so important.
What is decreased coercion, injuries, restraint use, LOS and increasing safety, quality, therapeutic alliance?
These medications, found in a B-52, should be avoided when possible.
What are diphenhydramine, haloperidol and lorazepam?
Why risk stratification is important for behavioral health patients.
What are drives clinical pathways, reduces over processing, improves efficiency and improves safety?
True or false: Research shows that all behavioral health patients need comprehensive testing for medical clearance.
What is no?
If a patient is arguing or yelling at you, don't do this.
What is argue or yell back?
You should have this many communicators while de-escalating.
What is one?
The preferred route for administering psychiatric medications.
What is orally (PO)?
The C-SSRS is a risk stratification screen for this condition.
What is suicide risk?
Why medical clearance is an important part of treating behavioral health patients.
What are exclude medical mimics and ensure medical stability?
Arms and hand should be held like this during de-escalation.
What are uncrossed and open?
This power of this de-escalation skill is underestimated.
What is listening?
Re-starting antipsychotic medications quickly is important for these reasons.
What are treatment of symptoms and prevention of decompensation/agitation?
Assigning patients to one of these 3 risk categories helps drive plans of care.
What are low, moderate and high risk?
What is SMART medical clearance?
Repeat yourself this many times while de-escalating.
What is as many as needed?
When de-escalating a patient in a room, offer this.
What is a line of egress?
2nd generation antipsychotics are preferred over 1st generation for these reasons.
What are less over-sedation and less side effects (EPS symptoms)?
Regularly re-evaluating patient risk levels allows EDs to do this.
What are identify changes in condition, change resource allocations and change dispositions?
True or false: Clinical sobriety rather than blood alcohol levels (BALs) should be used when evaluating patients impaired by alcohol.
What is true?
An important complement to verbal de-escalation is...
What are appropriate use of medications?
De-escalation events should be followed by this.
What is a debrief session?
Abruptly discontinuing SSRIs may cause these symptoms known as "discontinuation syndrome."
What are Flu-like symptoms, Insomnia, Nausea, Imbalance, Sensory disturbances and Hyperarousal (FINISH)?
The BARS scale for rating agitation stands for this.
What is Behavioral Activity Rating Scale?
The 5 medical clearance categories represented by the SMART acronym.
What are Suspect, Medical, Abnormal, Risky and Therapeutic?