Image of Psychiatric Emergencies: Effectively Handle the Most Agitated, Assault
Digital Seminar

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


Faculty:
Thomas R. Weiss
Copyright :
Sep 27, 2019
Product Code:
POS077945
Media Type:
Digital Seminar - Also available: Live Webcast


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.

Credits


CE Information Coming Soon

Continuing education credit information is coming soon for this non-interactive self-study package.

CEs may be available for select professions, as listed in the target audience. Hours will be dependent on the actual recording time. Please check with your state licensing board or organization for specific requirements. 

There may be an additional fee for CE certificates. Please contact our Customer Service at 1-800-844-8260 for more details. 

**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.



Faculty

Thomas R. Weiss Related seminars and products: 1

MD


Thomas R. Weiss, MD, is a psychiatrist in solo private practice in San Antonio, Texas. He is a graduate of the United States Air Force Academy, earned his medical degree at the University of Texas Health Science Center in San Antonio, completed residency at Wilford Hall USAF Medical Center at Lackland Air Force Base, Texas, and a Fellowship in Consultation Psychiatry at Massachusetts General Hospital. He is certified in Adult, Geriatric, and Addiction Psychiatry and Psychosomatic Medicine by the American Board of Psychiatry & Neurology.

Dr. Weiss has experience as a staff psychiatrist in acute care settings, chemical dependency units and geropsychiatric settings. Additionally, he has been a Principal Investigator at Synexus/Radiant Research since 1999 and has participated in over 300 research studies.


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 for Self-Study (Non-Interactive)

Access never expires for this product.


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

Reviews

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