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Psychiatric Emergencies from Brian Fonnesbeck

Psychiatric Emergencies Effectively Handle the Most Agitated, Assaultive and Unpredictable Scenarios You’ll Face in Your Own Non-Psych Setting from Brian Fonnesbeck

Archive : Psychiatric Emergencies from Brian Fonnesbeck

Outline:

Psychopharmacology Updates: Know Your Patient’s Medications

Choose antipsychotics, antidepressants, antianxiety (Benzodiazepines), sedatives, mood regulators
Anticipate and treat side effects
Contraindications
Design medication protocols for different disorders
Solve legal implications related to psychopharmacology

Keep Your Patients and Your License Safe: Tips to Decrease Risk

Medication – voluntary vs. involuntary
Physician orders and unit protocols
Seclusion and/or restraints
Commitment
Licensed and unlicensed staff: Utilization, training, comfort
Specific training for seclusion/restraint and suicide prevention
Screening and searching of patients and visitors
Decreasing liability through charting, staffing & supervision

Trending Issues: Your Changing Responsibilities

Opioid Epidemic
Intoxication vs. withdrawal
Drug seeking
Narcotic and benzodiazepine antagonists
Increase of Suicides
Approved assessment tools
Interventions including safety plans
Prevention utilizing 1:1 supervision
A BH/Psychiatric Bed is Not Available
Commitment process
Standards against jailing psychiatric patients
Scarcity of psychiatric beds

New Skills to Address Your Patient’s Acute Psychiatric Symptoms

Scenario 1 – The patient is suspicious, resistant to treatment, fluctuates between anger and fearfulness
Determine whether delusions or hallucinations are influencing thoughts and response to staff
Distinguish between intoxication, mental illness or organic impairment
Try out effective use of simple directions, presenting reality and giving choices
Choose intervention and/or medication based on presenting symptoms
Decide when/if restraints or seclusion become necessary
Scenario 2 – The patient is hyperactive, impulsive, hypersexual or assaultive, becomes angry about staff intervention, refuses meds, is not eating or sleeping
Distinguish behaviors due to mania, delirium, intoxication, or organic impairment
Modify environment and decrease stimulation to increase safety and decrease behavior
Scenario 3 – Patient is anxious to a panic level, fight or flight behaviors, manifesting high blood pressure, pulse, sweating, and increased respirations
Distinguish behaviors due to anxiety disorder, delirium, dementia, or intoxication/withdrawal
Modify environment, decrease stimulation, 1:1 supervision, toxicology/drug and other lab screens
Keep verbal to minimum but explain procedures, give choices and observe/supervise
Choose appropriate medication
Decide if/when restraints and or seclusion necessary
Scenario 4 – Patient fluctuates between calm, manipulative, passive behavior and demanding, angry, physically threatening (drug seeking)
Assess for personality disorder such as antisocial personality, borderline personality or narcissistic
Set and keep limits
Assign same staff and keep consistency between staff and shifts
Avoid medication but increase personnel or security

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Description:

This digital seminar is currently on pre-order meaning that the video will not be ready until 2-3 weeks after the program has taken place.

Crises are never scheduled, convenient or easy. But they do happen, and you will face them. Imagine if you could come to work knowing that you and your co-workers would be able to confidently manage the most unpredictable and dangerous patient behaviors. In one career-changing day, you can learn the latest, safest, and best practices for the psychiatric emergencies that can take place in your non-psychiatric work setting.

Brian Fonnesbeck, an expert Psychiatric Clinical Nurse Specialist/Nurse, understands well the types of challenges that healthcare professionals encounter in the emergency department, the med/surg floor, long-term care… in practically all settings/departments, there are opportunities for patient and family interactions to suddenly go frighteningly wrong.

You’ve heard the horrific stories… and perhaps have a few of your own!

Healthcare professionals attacked, bit, scratched, kicked, hit – while simply trying to deliver patient care
A nurse was taken down and arrested for refusing to allow an officer to do a blood toxicology on an unconscious patient.
Inpatient behavioral health beds are just not readily available, which means you may find yourself responsible to provide time-consuming and challenging psych care in a setting or on a floor that isn’t well equipped to meet such needs
Situations dramatically worsened by ETOH, drug addiction, TBIs, delirium, dementia… and the out-of-control family members/visitors

Brian will provide you with actual solutions to all these challenges! Crisis prevention skills, medication updates, how to protect your own safety, effective verbal interventions and the emerging new trends to get ready for.

Full of practical tools and tips, this recording will teach you how to make crisis situations more manageable, overcome your worries and improve your readiness to handle psychiatric emergencies related to violence, alcohol/substance abuse, suicide risk, dementia, agitation… and more!

You already know that these high-risk situations open up the possibility of legal risk… the growing risks are taking place due to short staffing, inadequate training, outdated policies, and sometimes just honest mistakes made during extremely stressful and challenging moments.

Confidently walk away with new insights to be able to protect your own safety, your license, your liability risk… and ultimately explore strategies that will allow you to more effectively provide the very best care to patients experiencing a psychiatric emergency.

Salepage : Psychiatric Emergencies from Brian Fonnesbeck