INSTITUTE for SAFE ENVIRONMENTS INTERACTIVE PANEL DISCUSSION - PDF document

APNA 30th Annual Conference Session 3041: October 21, 2016 INSTITUTE for SAFE ENVIRONMENTS INTERACTIVE PANEL DISCUSSION Diane E. Allen, MN, RN-BC, NEA-BC, Chair Michael J. Polacek, MSN, RN-BC, Associate Chair ISE STEERING COMMITTEE Eric Arauz Catherine Batscha Kathleen Delaney Carlie Frederick Jeannine Loucks Marlene Nadler-Moodie Richard Ray David Sharp Christine Tebaldi The Presenters Have No Conflicts to Disclose Allen 1

APNA 30th Annual Conference Session 3041: October 21, 2016 OBJECTIVES Describe goals of ISE and this year’s efforts to inform APNA members about safety related issues. Engage APNA members in discussions about risks associated with providing patient care for individuals with mental illness. Identify current safety-related concerns of APNA members. INSTITUTE for SAFE ENVIRONMENTS Vision The Institute for Safe Environments provides an integrated structure designed to thoughtfully address issues that impact the safety of persons served as well as service providers. INSTITUTE for SAFE ENVIRONMENTS Goals Identify issues related to safe 1. environments Explore current evidence related to 2. issues Recommend strategies to promote 3. safe, evidence-based, best practices Allen 2

APNA 30th Annual Conference Session 3041: October 21, 2016 KEY ELEMENTS of a SAFE ENVIRONMENT Emergency Management Engagement Culture and Ideology Patient assessment and monitoring Staff resources, education and training Space and equipment Error Prevention Rules Physical Risks MEMBER BRIDGE HOT SAFETY TOPICS HOW TO PROVIDE SAFETY? 2850 postings  Safety Rounds  Nurse Rounds  Environmental Modifications for Safety MEMBER BRIDGE HOT SAFETY TOPICS  APRN’s working outside scope of practice  Behavioral response teams  Child & adolescent observation units  Violence prevention position paper and toolkit Allen 3

APNA 30th Annual Conference Session 3041: October 21, 2016 MEMBER BRIDGE HOT SAFETY TOPICS WHAT’S ALLOWED vs. NOT ALLOWED? 341 postings Belongings - Contraband Activities - Restrictions Behaviors - Controls MEMBER BRIDGE HOT SAFETY TOPICS Intake / admission processes • Allowing silverware in patient • rooms Room and contraband searches • Safe products for inpatient units • Overnight visitors on inpatient • psychiatric units MEMBER BRIDGE HOT SAFETY TOPICS HOW TO STAY SAFE WHILE PRACTICING RELATIONSHIP-BASED NURSING? 801 postings Allen 4

APNA 30th Annual Conference Session 3041: October 21, 2016 MEMBER BRIDGE HOT SAFETY TOPICS  Protocols for visual or constant observation, monitoring of patients  Locking bedroom doors  Patient clothing on inpatient units  Effectiveness of therapy vs medication statistics  Adolescent engagement in crisis prevention ISE ACCOMPLISHMENTS 2015 - 2016 Emergency Management Survey: Role of PMH Nurses in Emergency Rooms • Engagement White Paper: Engagement as an Element of Safe • Environments Continuous Special Observations (1:1) Call to Action to Explore Clinical Effectiveness • ISE ACCOMPLISHMENTS 2016 VIOLENCE PREVENTION TASK FORCE • Violence Prevention Position Paper • Violence Prevention Toolbox Allen 5

APNA 30th Annual Conference Session 3041: October 21, 2016 Allen 6

APNA 30th Annual Conference Session 3041: October 21, 2016 WORK in PROGRESS • Engagement Toolkit of Resources • Safety Toolkit of Resources Allen 7

APNA 30th Annual Conference Session 3041: October 21, 2016 NURSES AS CHAMPIONS of SAFETY INSTITUTE for SAFE ENVIRONMENTS OUR HOPES for the FUTURE and WHY WE NEED YOUR HELP! YOUR HOPES for the FUTURE? COMMENTS and QUESTIONS? Allen 8