Trauma Informed
| Universal precautions |
| What is treating every patient as if they have a history of trauma? |
RACER
What is rescue activate contain extinguish and relocate/role call?
| Labels on meals, diet consult, encouraging patient to attend nutrition group. |
What are some ways we ensure patients get correct meals?
Advocates for patients, identifies and investigates possible violations of rights or complaints from patients , reviews all restraints, reports on findings to hospital committees.
What are the functions of the Human Rights Officer?
Place it in an envelop to ensure privacy, send it to Nurse Manager, SMHC or Margo Ether-Reyes
with a patient complaint form
|
What is the patient Personal Safety Plan?
| What we ask for before taking vital signs, giving medications, obtaining a specimen or providing treatment to a patient. |
| What is at least two patient identifiers? |
Having a certified peer specialist, increase resources for sensory items and interventions, increased annual education days to focus on CPI, pet therapy, rigorous debriefing.
| What are some outcomes and benefits of the adoption of the 6 Core Strategies©? |
Senior mental health counselors, Margo
Who are the human rights liaisons and human rights Officer?
| Use red top wipes, wash or santize your hands |
| after taking a set of vitals |
Meet with patient as soon as possible post event to hear their thoughts and suggestions, institute strategies to prevent another occurrence, provide support, review and update Personal Safety plan
What is patient debriefing?
Leadership meetings, QI Committee, Safety Committee, unit meetings, administrative debriefing
What are formal ways we reduce risk and make suggestions to improve safety?
| Change of residence or lack of placement, more then 3 hospitalizations in a year,poor ability to manage ADLs, Organic or neurological deficits, lack of awareness of safety issues, Sensory processing problem |
| Significant weight loss, increased albumin, newly diagnosed insulin dependent diabetic, significantly elevated liver function tests |
| What are come criteria for OT consult? |
Medicare rights, CPCS info and phone number, the name of the HRO and committee, legal information re: legal status, disability law center information and interpreter services
What some of the required postings on each unit?
| Be aware of coping skills/calming strategies, talk with the patient, encourage use of coping skills, explore the cause of this feeling, ask patient how you can be of help. |
if a patient becomes agitated/begins to escalate?
Practicing the 6 core strategies, using redirection/distraction, defusing power struggles, suggest the use of sensory items, early intervention, modeling compassion, awareness of the patient's personal safety plan
How to prevent possible restraint/seclusion
Suicide risk assessment, violence risk assessment, level of observation and performing safety checks with clipboard in hand, communication between patients and staff members, recognition of risk factors, communication with family and providers, using the PSP and monitoring for early warning signs of agitation and upset
| How do we keep our patients safe? |
Significant weight loss, increased albumin, newly diagnosed insulin dependent diabetic, significantly elevated liver function tests
What are some criteria for gaining a diet consult?
The six fundamental human rights
What is: 1) to send and receive mail 2) access to a telephone 3) receiving general visitors 4) humane psychological and physical environment 5) access to clergy, attorney, physician and social worker 6) fresh air
Meet 1:1, in a group, at the med window, supply handouts, using the patients identified preference
to provide teaching at Bournewood Hospital
| Personal safety plans, approaching patients at an angle as opposed to directly in front of or behind them, being aware of patient history, patient report, staff education/training, introduce yourself to the patient, ensure that your name badge is visible so the patient knows who you are, posting staff assignments, asking the patient how we can best meet their needs. |
How we practice trauma informed care?
| Anti-barricade doors, anti-ligature doors and fixtures, awareness of the physical environment and any suspected tampering with electrical or sprinkler systems |
What is how we maintain a safe environment?
Decrease in threatening statements, ability to demonstrate behavioral control, ability to tolerate less restriction in activity, ability to participate in plan of care and action to avoid assault or self harm, sleeping soundly.
What are some criteria for releasing patient from restraints?
Show respect for other patients and health care staff, make a good faith effort to meet financial obligations, become involved in health care decision making, work collaboratively with health care providers in developing and carrying out agreed upon treatment plan
What are some components in the Consumer Bill of Rights?
Be aware of coping skills/calming strategies, talk with the patient, encourage use of coping skills, explore the cause of this feeling, ask patient how you can be of help.
if a patient becomes agitated/begins to escalate?