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Lori Algorithm 11-18-11

This document outlines protocols for de-escalating crisis situations with psychiatric patients using non-physical interventions. It provides suggestions for staff to use calm communication, offer a quiet private space to talk, actively listen to the patient, apologize, and help solve any solvable problems. It also recommends allowing the patient to engage in stress-tolerance activities like taking a shower, writing, listening to music, or spending time alone in a quiet place. If the situation escalates or the patient poses an imminent danger, the crisis team would be activated to ensure staff and patient safety while continuing de-escalation efforts.

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Millie Hepburn
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33 views7 pages

Lori Algorithm 11-18-11

This document outlines protocols for de-escalating crisis situations with psychiatric patients using non-physical interventions. It provides suggestions for staff to use calm communication, offer a quiet private space to talk, actively listen to the patient, apologize, and help solve any solvable problems. It also recommends allowing the patient to engage in stress-tolerance activities like taking a shower, writing, listening to music, or spending time alone in a quiet place. If the situation escalates or the patient poses an imminent danger, the crisis team would be activated to ensure staff and patient safety while continuing de-escalation efforts.

Uploaded by

Millie Hepburn
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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Protoco/ for Monoqinq crisis Protoco/ for Monoqinq crisis

5ituotions 5ituotions in in Psychiotry Psychiotry


Lor| Aav|k MnN8C
Mlllle PepburnSmlLh hu(c) 8n ACnS8C
ueescalaLlon lnLervenLlons
Calmlng Calmlng
ulsLress
1olerance
AcLlvlLles
ulsLress
1olerance
AcLlvlLles
LnvlronmenL LnvlronmenL hyslcal hyslcal
Calmlng
W Approach paLlenL uslng calm sooLhlng Lone of volce
relaxed body posLure
(you seem upseL how can l help you?)
W Cffer Lo Lalk wlLh paLlenL ln a quleL place
Would lL help lf we spoke abouL Lhls somewhere more
prlvaLe?"
W (le Lhelr room or quleL room)
W Conslder uslng LAS1"
LlsLen aLLenLlvely wlLhouL lnLerrupLlon
Apologlze abouL Lhe slLuaLlon (le l am sorry you wenL
Lhrough Lhls)
Solve Lhe problem or flnd someone who can (lf Lhls ls a
solvable problem)
1hank Lhe person for brlnglng Lhls Lo your aLLenLlon
ulsLress 1olerance
W Ceneral Cffer clear slmple suggesLlons based on paLlenL
preference
1ake a warm shower
WrlLe or draw feellngs
LlsLen Lo muslc
Spend Llme alone ln a quleL place
W (le paLlenL room or quleL room)
8elaxaLlon breaLhlng
Lxerclse/acLlvlLy
W (Walk ln hallway play game)
lor selfln[urlous paLlenL
W 8ubberband or hold lce
1alk Lo famlly or frlend
Cffer medlcaLlons
LnvlronmenLal
W MonlLor need Lo clear hallways
W 8emove paLlenLs and vlslLors from Lhe area
W Clve paLlenL space whlle monlLorlng Lhe need
Lo malnLaln vlsual observaLlon
W 8ecommend Llme ouL ln quleL room or
paLlenL's room (remove roommaLe)
W SecurlLy on sLandby
Assess need for securlLy Lo be vlslble Lo paLlenL
versus on unlL ouL of vlew
hyslcal
W Locked secluslon
W 4 polnL resLralnLs
aLlenL demonsLraLes slgns
of dlsLress wlLh acLual or
poLenLlal loss of behavloral
conLrol SLaff lnLervenes Lo
deescalaLe
aLlenL does noL pose an
lmmlnenL danger
ConLlnueescalaLlon
lnLervenLlon
aLlenL behavlor escalaLes
and/or paLlenL poses an
lmmlnenL danger
LsLabllsh Crlsls Leam
Leader (1L) 8n asslgns
crlsls Leam roles
SLaff asslgned Lo keep
hallway clear
SLaff asslgned Lo call
securlLy S1A1"
Co Lo securlLy algorlLhm
SLaff asslgned Lo keep
paLlenL ln vlew
SLaff ensures quleL room
ready remove all lLems
excepL maLLress wlLh clean
beddlng and pa[amas

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