Disclosures There is no commercial support for this activity. The - PDF document

APNA 30th Annual Conference Session 4021: October 22, 2016 Novelties & Innovations in Assessing and Maintaining Competency in Behavioral Health Staff Nurses Nellie Sun, MSN, RN, CEN Clinical Nurse Educator Kathleen E. Zavotsky PhD, RN, CCRN, CEN, ACNS ‐ BC Assistant Vice President The Center for Professional Development, Innovation and Research Disclosures  There is no commercial support for this activity.  The planners and speakers have declared that they have nothing to disclose. Objectives At the end of this presentation:  The learner will be able to identify learning needs of the behavioral health staff  The learner will be able to create a competency orientation for the behavioral health staff Sun 1

APNA 30th Annual Conference Session 4021: October 22, 2016 • RWJUH – Academic Medical Center o Urban location: New Brunswick, NJ o Meeting the need of the underserved diverse community • Somerset ‐ Community based hospital • Suburban location: Somerville , NJ • Insured payer based population Sun 2

APNA 30th Annual Conference Session 4021: October 22, 2016 Statistics • 12.0 million emergency • Mood disorder was the department (ED) visits most common complaint for involved a diagnosis related an ED visit (42.7 percent), to a mental health and/or followed by anxiety substance abuse condition disorders (26.1 percent), and alcohol ‐ related • Accounts for 12.5 percent of conditions (22.9 percent). all ED visits in the U.S., or one out of every eight ED • The remaining common visits. conditions included drug ‐ related conditions, schizophrenia and other psychoses, and intentional self ‐ harm Why the change? • Psychiatric services: • Care that needed to be Acute Psychiatric based on best practice Services and EDU • Standards of care • TJC mock survey • Allocation of resources • Nursing Staff request • Behavioral Health Staff • Transition of leadership and ED staff • Identified as a vulnerability • Root cause analysis Safety Initiatives Sun 3

APNA 30th Annual Conference Session 4021: October 22, 2016 RN Competency Based Orientation • Utilization of standards of practice from APNA • Adult Learning Principles • Staff engagement • Behavioral Health Units • Piloted Psychiatric Competency Day • New for the staff/hospital • Multidisciplinary services – CNE/CNS – Dietary – Pharmacy – Social Workers/Therapists – Wound Care Specialist Suicide Risk Assessment Sun 4

APNA 30th Annual Conference Session 4021: October 22, 2016 Safety Huddle Sun 5

APNA 30th Annual Conference Session 4021: October 22, 2016 Ancillary Personnel: CBO Sun 6

APNA 30th Annual Conference Session 4021: October 22, 2016 References • American Psychiatric Nurses Association: www.apna.org • Joint Commission (2015): www.jointcommission.org • Screening for Mental Health, SAFE ‐ T Tool: www.mentalhealthscreening.org • Emergency Nurses Association.org • CDC.org • Journal of Emergency Nursing (2016). Volume 42(1). Contact Information Nellie Sun Kathleen Zavotsky • Nellie.sun@rwjuh.edu • Kathy.zavotsky@rwjuh.edu • 908 ‐ 595 ‐ 2638 • 908 ‐ 685 ‐ 2849 Sun 7