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New England Regional Healthcare Risk Management Conference
Transcript of Mental Health Care for - StarChapter › images › downloads › ... · Mental Health Care for ED...
New England Regional Healthcare Risk Management Conference
Mental Health Care for ED holds-
Risk Reduction by Design
Thomas M. Rounds, BSN, RN, CEN
Emergency Department Director
Rutland Regional Medical Center, Rutland Vermont
Materials were created for presentation at the 2019 New England Regional Conference.
Reproduction or reuse without written permission from the primary speaker is prohibited.
Introduction
Disclosure to the audience: I do not have;
A. Financial relationship with companies who manufacture products used in the treatment of the subjects under discussion.
B. Financial relationships between the planner, content specialist or presenter and commercial supporter(s) of the activity and/or
C. Intent to discuss off-label uses of a commercial products, or an investigational use of a product not yet approved for this purpose.
Objectives
1. How to create collaboration with Mental health
survivors, advocates, Department of Mental Health, key
hospital staff and community partners
2. Understand the key design safety features included in
ED renovations/expansion to reduce risk for staff and
promote safe care for hold patients awaiting placement
3. Learn new strategies for management of ED hold
patients to promote communication, education and
address environmental risk factors
After the StormA State of Emergency
New England Regional Healthcare Risk Management Conference
Mental Health in Crisis
Tropical Storm Irene destroyed the Vermont State Psychiatric Hospital
Mental Health System was rebuilt with fewer treatment beds –
dispersed across the State in institutions with focus on community –
based services
That transition coincided with a rise in demand for mental health
treatment nationwide
Emergency departments where stressed with Mental health holds
New England Regional Healthcare Risk Management Conference
Pre-construction hallways filled with
Psychiatric patients,1:1 sitters
New England Regional Healthcare Risk Management Conference
Post construction- quite, safe
ligature free rooms, BR & shower
East Wing – 5 private rooms Psych safe treatment room
New England Regional Healthcare Risk Management Conference
Planning, Design and
Collaboration
New England Regional Healthcare Risk Management Conference
Relationships/Team
The Team of Collaboration
ED Providers and staff
Psych Providers and staff
Psych survivors and Advocates
Disability Rights VT team
Department of Mental Health
Crisis workers
Social work
Case Management
Architects
Contractors
Volunteers
Administration
Project Manager
Great people talk about
ideas
Average people talk about
things
Small people talk about
other people- be great!
New England Regional Healthcare Risk Management Conference
Harvest Ideas and be inclusive
Asked what right looks like for patients and staff
Regulatory requirements to reduce risk and exceed
expectations
Design space for maximum flexibility for all ED patients
Ensure safety for both patients and staff
Consider impact on flow and LOS
Cost considerations to meet CON requirements
Who will staff the new wing and what training is needed
Run a computer simulation with architect for efficiency
Review the ideas and include best practice
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Design flexibility with safety
Included; Chalk communication board, Accent wall,
industrial sheetrock, windows, water and electric controls
outside rooms, locked wing,
Design Safety
Bathroom and Shower – ligature free
ED Daily rounding
New England Regional Healthcare Risk Management Conference
Privacy and Safety-Sensory cart, secure visitor storage & Break-a-way doors
Special Recognition
Emergency Department Leadership
Triad
Todd Gregory, MD FACEP, FAAEM
Medical Director
Sheena Daniell, MSN, RN, CEN
Clinical Nurse Manager
Questions??
Contact information:Thomas M. Rounds, BSN, RN, CEN
Emergency Department Director
Rutland Regional Medical Center
Rutland, VT 05701
[email protected] Office: 802—747-3779
New England Regional Healthcare Risk Management Conference
