Image of Psychiatric Emergencies: Effectively Handle the Most Agitated, Assault
Live Webcast

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


Faculty:
Brian Fonnesbeck
Duration:
Full Day
Product Code:
LWC077945
Brochure Code:
PLW72176
Media Type:
Live Webcast - Also available: Digital Seminar


Description

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 live webcast 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.

Credits


*

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing and passing the on-line post-test evaluation). 

Continuing Education Information: Listed below are the continuing education credit(s) currently available for this live interactive webcast. Please note, your state licensing board dictates whether web based activities are an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact cepesi@pesi.com or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

CE Information is based on 100% attendance.

Information obtained in this course should be used within your scope of practice.


Case Managers

This program has been pre-approved by The Commission for Case Manager Certification to provide continuing education credit to CCM® board certified case managers. The course is approved for 6.25 CE contact hour(s).


Pharmacology Nurse Practitioners

This program offers 120 instructional minutes of pharmacology content which is designed to qualify for 2.0 contact hours toward your pharmacology requirement. 


Nurses, Nurse Practitioners, and Clinical Nurse Specialists

PESI, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Nurses in full attendance will earn 6.3 contact hours.


California Nurses

PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider Number 17118 for 6.0 contact hours. Full attendance is required. No partial contact hours will be issued for partial attendance. 


Florida Nurses

CE Broker

PESI, Inc. is an approved provider with the Florida Board of Nursing, Provider # FBN2858. This course qualifies for 6.0 contact hours. 


Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Full attendance at this activity qualifies for 6.3 contact hours. Full attendance in the activity is required; no partial contact hours will be issued for partial attendance. These contact hours are used for your license renewal. Please email cepesi@pesi.com with your license number, include the webcast title, speaker name and date. PESI must have this number on file in order for your hours to be valid for the webcast.


Psychologists

The following state psychologist boards recognize activities sponsored by PESI, Inc. as an approved ACCME provider: Alaska, Arkansas, California, Colorado, Georgia, Illinois, Indiana, Kentucky, Maine, Maryland, Missouri, Nebraska, New Hampshire, New Jersey, New Mexico, Oklahoma, Pennsylvania, South Carolina and Wisconsin. This activity consists of 6.0 clock hours of continuing education instruction. Certificates of attendance will be issued for you to submit to your state licensing board to recognize for continuing education credit. Full attendance is required; no partial credits will be offered for partial attendance.

 

PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education.

 

PESI, Inc. designates this live activity for a maximum of 6.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity. 

 

You are required to successfully complete and submit a post-test prior to receiving a certificate of completion.


California Psychologists

PESI, Inc. is approved by the CPA OPD to sponsor continuing education for psychologists. Provider #PES010. PESI maintains responsibility for this program and its contents. PESI is offering this activity for 6.25 hours of continuing education credit. Full attendance is required; no partial credits will be offered for partial attendance.


Canadian Psychologists

PESI, Inc. is approved by the Canadian Psychological Association to offer continuing education for psychologists. PESI, Inc. maintains responsibility for the program. This program is approved for 6.0 continuing education hours. Full credit statement at: www.pesi.com/cpa-statement


Florida Psychologists

PESI, Inc. is an approved provider with the Florida Board of Psychology. Provider Number #50-399. This course qualifies for 6.3 continuing education credits.


Illinois Psychologists PESI, Inc is an approved provider with the State of Illinois, Department of Professional Regulation. License #: 268.000102. Full attendance at this course qualifies for 6.25 contact hours.
Kentucky Psychologists

PESI, Inc. is approved by the Kentucky Board of Examiners of Psychology to offer continuing education for psychologists. PESI maintains responsibility for this program and its content. This activity will qualify for 6.25 contact hours.


New York Psychologists

This live activity consists of 380 minutes of continuing education instruction and is related to the practice of psychology. 


Ohio Psychologists

PESI, Inc. is approved by the Ohio Psychological Association, Provider #263896894, to sponsor continuing education for psychologists. PESI, Inc. maintains responsibility for this program and its content. PESI is offering this activity for 6.25 hours of continuing education credit. 


Pennsylvania Psychologists

PESI, Inc. is approved by the Pennsylvania State Board of Psychology to offer continuing education for psychologists. PESI maintains responsibility for the program(s). This program qualifies for 6.25 continuing education hours.


Other Professions

This activity qualifies for 380 continuing education minutes as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements. 



Faculty

Brian Fonnesbeck Related seminars and products: 1

RNC, MN


Brian Fonnesbeck, RNC, MN, has accumulated vast experiences as a psychiatric clinical nurse specialist/nurse, administrator, and educator. Through his nursing career, he has worked in inpatient psych settings, behavioral treatment for children and adolescents, rehabilitation of Traumatic Brain Injury and stroke patients, and has been requested to provide training in crisis prevention and management of assaultive behavior.

He holds American Nurses Credentialing Center certification in mental health nursing and his Master of Nursing is as a psychiatric clinical nurse specialist. He enjoys sharing his expertise and has presented extensively to experienced healthcare audiences on a variety of mental health topics.

Speaker Disclosure:

Financial: Brian Fonnesbeck is an associate professor at Lewis-Clark State College. He receives a speaking honorarium from PESI, Inc.

Non-financial: Brian Fonnesbeck is a member of the Idaho Nurses’ Association.


Additional Info

Program Information

CD/DVD

Click here to purchase the DVD or CD recording from our product store. CE hours and approvals on products may differ from live CE approvals.


Additional Resources

To order the book, Opioid Use Disorder, please visit our product store.

To order the book, Psychopharmacology, 3rd Edition, please visit our product store.


Access Period for Live Webcast

For live CE credit, you must watch the live webcast in its entirety at its scheduled time and complete the CE quiz and evaluation within one week. You will have access for 90 days after the program for review.


Webcast Schedule

Please note: There will be a lunch and two 15-minute breaks; one in the morning and one in the afternoon. Lunch and break times will be announced by the speaker and at their discretion. A more detailed schedule is available upon request.


Objectives

  1. Distinguish between the symptoms from each major mental health disorder.
  2. Select effective interventions for each symptom, including medication and physical interventions.
  3. Analyze solutions to work effectively during a variety of psychiatric emergencies.
  4. Choose a protocol/procedure to manage agitated and assaultive patients.
  5. Design education/training for your unit to more effectively intervene during psychiatric emergencies.
  6. Plan for safety, and the most therapeutic outcome, for your patient during a psychiatric emergency.
  7. Assess the effects of trending issues in our communities, including: the opioid epidemic, increased suicide rates, utilization of ED and med-surg beds for psych patients, and the latest applicable legal risks.

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

Target Audience

  • Nurses
  • Nurse Practitioners
  • Case Managers
  • Psychologists
  • Security Officers
  • Risk Management
  • Legal Nurse Consultants

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