their behaviors. When patients are admitted to WBI they get an evaluation by an advanced practice practitioner or psychiatrist with a follow up brief assessment by a psychiatrist. During the admission process all patients are assessed for an increased risk of aggression. In treating aggression it is important to keep all people safe; other patients, staff and the patient who is aggressive. WBI has a policy to use hands on only if the patient is at immediate risk of harming themselves or others.
PDSA Cycles
This quality improvement project has been guided by the series plan, do, study, act (PDSA). Two different PDSA series, educational programs along with a coping agreement questionnaire to reduce physical holds were developed. These cycles …show more content…
The coping agreement questionnaire is individual based. This agreement allows each patient to individualize his or her care. The patient is given this questionnaire upon admission. The first step was to make sure each patient was given this upon admission. It was first done with 1 patient and then increased to 5 patients before it was given to all the patients. With each step it was made sure the information got into the patient’s chart. The hardest part of the process was making sure the therapist used the coping agreement questionnaire in their treatment plan, so the staff could continue to use and grow the coping skills and learn patients triggers before the anger got out of control where hands on was needed. The success of the PDSA cycle was if each patient was getting the questionnaire, it getting into their chart and being …show more content…
The first ethical consideration is the scientific value. The importance of this project is due to physical holds causing great danger to patients involved as well as staff. There is a place for physical holds, but only in the most extreme situations. The project needs to have scientific validity. There needs to be clear structure in order to meet the goals of the project. In a normal quality improvement, there still needs to be fair participant selection. However, in this project all adolescent patients admitted to WBI were included in the project. The risk benefit to the patient was considered. The benefits out weighed the risk. The benefits turned out to be a decrease in physical and psychological trauma. The risk was staff waiting too long to put a patient in a hold. By then injuries could have been sustained not just to the patient, but
PDSA Cycles
This quality improvement project has been guided by the series plan, do, study, act (PDSA). Two different PDSA series, educational programs along with a coping agreement questionnaire to reduce physical holds were developed. These cycles …show more content…
The coping agreement questionnaire is individual based. This agreement allows each patient to individualize his or her care. The patient is given this questionnaire upon admission. The first step was to make sure each patient was given this upon admission. It was first done with 1 patient and then increased to 5 patients before it was given to all the patients. With each step it was made sure the information got into the patient’s chart. The hardest part of the process was making sure the therapist used the coping agreement questionnaire in their treatment plan, so the staff could continue to use and grow the coping skills and learn patients triggers before the anger got out of control where hands on was needed. The success of the PDSA cycle was if each patient was getting the questionnaire, it getting into their chart and being …show more content…
The first ethical consideration is the scientific value. The importance of this project is due to physical holds causing great danger to patients involved as well as staff. There is a place for physical holds, but only in the most extreme situations. The project needs to have scientific validity. There needs to be clear structure in order to meet the goals of the project. In a normal quality improvement, there still needs to be fair participant selection. However, in this project all adolescent patients admitted to WBI were included in the project. The risk benefit to the patient was considered. The benefits out weighed the risk. The benefits turned out to be a decrease in physical and psychological trauma. The risk was staff waiting too long to put a patient in a hold. By then injuries could have been sustained not just to the patient, but