Fain (2013), states that “evidence-based practice relies on evidence from research and refers to clinicians making an effort to integrate research findings into clinical thinking and decision making (p. 5). Fain also goes to state that we, as nurses, can improve the roles of nursing by asking questions such as “What is the best evidence for this practice?” or “What are the highest achievable outcomes for the patient, family, and nurse?” (p. 5). Where I currently work, I triage individuals that come in off the street to determine whether they need psychiatric admission or just outpatient referrals. When they arrive off the street it can be of their own free will or forced by police. There are those occasions where patients, in an acute crisis,
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If it is deemed necessary, and the there is a threat of danger to themselves or anyone else, we as clinicians have a duty to inform the local crisis service boards (CSB) and sometimes the local police. The CSB’s then can come and evaluate and determine if a temporary detaining order (TDO) needs to be obtained. When determining an individual’s capabilities to make informed consent we must take heed not to violate their basic human rights. There are ethical standards that still have to be upheld. When someone is in an acute crisis in the facility there has to be just cause to force medications. The crisis should be that, if the patient is at risk of harming himself or others, the least restraining methods should be attempted initially. Other areas of ethical dilemmas are in the case when young children or older adults come in to the intake department and there is suspected abuse. It is the duty of the clinician to report this to the proper authorities. Mental health can be trying and taxing. It is very important that you, as a clinician, are able to disassociate but still be able to provide empathy and
If it is deemed necessary, and the there is a threat of danger to themselves or anyone else, we as clinicians have a duty to inform the local crisis service boards (CSB) and sometimes the local police. The CSB’s then can come and evaluate and determine if a temporary detaining order (TDO) needs to be obtained. When determining an individual’s capabilities to make informed consent we must take heed not to violate their basic human rights. There are ethical standards that still have to be upheld. When someone is in an acute crisis in the facility there has to be just cause to force medications. The crisis should be that, if the patient is at risk of harming himself or others, the least restraining methods should be attempted initially. Other areas of ethical dilemmas are in the case when young children or older adults come in to the intake department and there is suspected abuse. It is the duty of the clinician to report this to the proper authorities. Mental health can be trying and taxing. It is very important that you, as a clinician, are able to disassociate but still be able to provide empathy and