Why Did You Do That
A situation in which a person exhibits abnormal, unacceptable behavior that cannot be tolerated by the patient, family, friends or community?
What is a Behavioral Emergency!
Performing scene assessment, a primary assessment, SAMPLE, Secondary Assessment and Ongoing Reassessment are known as?
The patient assessment eequence.
If a patient seems embarrassed about being the center of attention, this technique may help to reduce the concerns the patient may have expressed?
What is Redirection.
What is redirection?
A technique used to focus the patient's attention on the immediate situation or crisis.
What crowd control step may help reduce anxiety?
Ask unnecessary emergency personnel to leave until the patient is calm.
A state of emotional upset or turmoil caused by a sudden and disruptive event?
What is a situational crisis.
What does the M in the SAMPLE History represent?
What is Medications. (Remember to also ask about OTC, Prescribed, Recreational, (Like ED Meds or Illegal Drugs) and Herbal Supplements.
The ability to sense someone else's emotions and to imagine what this individual might be thinking and feeling?
What is Empathy.
Using methods of identifying yourself, explaining what you are doing, asking questions calmly, letting the patient tell you what happened, and acknowledging the patients' feelings are examples of what type of principles?
What is communication principles.
The signs of a patient with a history of violence, yelling or threats, loud/obscene/bizarre speech, pacing, inability to sit still, protecting personal space and use of drugs or alcohol?
What are the signs of potential violence.
Physical signs your see such as a flushed red face, rapid breathing, rapid speech, increased activity, loud or screaming voice and general agitation
What is the first phase of a situational crisis.
How should an EMR respond to Denial?
What is allowing the patient to express denial. (Tips: Avoid arguing and try to understand the emotional trauma, the body remembers trauma, think about those that suffer (PTSD.) It does not have to be from fighting in a war. It can be a war within one's self, from neglect and abuse as a child or adult.
What is the first step in assessing a behavioral emergency patient?
What is scene safety. (Always have a path to escape.)
Rephrasing a person's own words and repeating them back are known as this communication technique?
What is reinstatement.
How should you position yourself with a potentially violent patient?
Never force the patient into a corner and never allow yourself to be cut off from a route of retreat.
This type of shock is often a result of a sudden illness or accident, or sudden death of a loved one and is characterized by signs and symptoms including cool clammy skin, rapid weak pulse, vomiting and nausea, and general inactivity and weakness?
What is Psychogenic or Emotional Shock.
How should an EMR respond to anger in a crisis situation?
What is staying professional? (Do not take what the person may say personally and remain calm to prevent escalation.
How often should stable and unstable patient be reassessed?
What is every 15 minutes if stable and every 5 minutes if unstable.
A progressive irreversible decline in mental functioning marked by memory impairment and decrease in reasoning, judgment, comprehension, and ability to communicate verbally, making patient assessment difficult?
What is Dementia.
How many people should talk with a potentially violent patient?
What is only one.
High Anxiety or Emotional Shock, Denial, Anger and Remorse or Grief are what Phases?
What are the Phases of a Situational Crtisis.
To show the person in crisis you understand what they are saying, you can use this technique?
What is restatement. (You rephrase a person's own words and thoughts and repeat them back to them. Example: Patient, "I just don't think I can go on anymore. Nobody cares.
EMR: "You sound like you are very discouraged. Why do you feel you can't go on and that nobody cares?"
What format should history taking follow?
What is SAMPLE.
Mental disturbance characterized by abnormal thought processes and/or the loss of contact with reality.
What is Psychotic Behavior.
What should an EMR do if a patient may be armed?
What is summon law enforcement. (Stay back and withdraw immediately if confronted by an armed person.