Behavioral management of intoxicated and disruptive patients in the emergency department
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Behavioral management of intoxicated and disruptive patients in the emergency department

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Published by Addiction Research Foundation in Toronto, Ont .
Written in English


  • Behavior therapy,
  • Emergency nursing,
  • Alcoholism -- Treatment

Book details:

About the Edition

Demonstrates a program developed in the Foundation"s Clinical Institute to train staff in a behavioral approach to the management of intoxicated patients. The program has greatly reduced the number of violent incidents.

Edition Notes


StatementAddiction Research Foundation.
ContributionsAddiction Research Foundation of Ontario.
LC ClassificationsRC"565"B44
The Physical Object
Pagination1 cassette (28 min.)
Number of Pages28
ID Numbers
Open LibraryOL20746694M

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  ED nurses are particularly vulnerable to incidents with disruptive patients. “Patients are coming right off the street,” says Patricia Sullivan, MSN, BSN ’77, RN, nurse manager for the Psychiatric Emergency Department, adding that some patients can be agitated, sociopathic, or have a history of disruptive behavior. Jay Morrison, Michele Hasselblad, Ruth Kleinpell, Reagan Buie, Deborah Ariosto, Erin Hardiman, Stephen W. Osborn, Christopher J. Lindsell, The Disruptive bEhavior manageMEnt ANd prevention in hospitalized patients using a behaviORal intervention team (DEMEANOR) study protocol: a pragmatic, cluster, crossover trial, Trials, /s Cited by: 9.   Disruptive providers and violence have become more prominent in the healthcare setting and as a result, have received substantial written and media attention. However, the challenges and overall impact on safety created by disruptive patients and families have received significantly less coverage. This article addresses the challenges and provides specific strategies for effectively . In a survey of over 3, emergency department nurses, over 50 percent of the respondents reported being spit on, hit, pushed/shoved, and/or scratched. Over Management of Disruptive Patient Behavior at VA Medical Facilities.

effective tool for patient evaluation, facilitating access to care in many populations and in the emergency setting. A recent study16 provides support for the use of telepsychiatry as a strategy to evaluate ED patients with behavioral health complaints, which could potentially expedite dispositions when an on-site psychiatrist is not available.   The United States is in the middle of a well-documented mental health , , Americans died from drug or alcohol-related causes or . If patients or family members become disruptive, establish limits and directives clearly, concisely, and kindly. When setting limits, offer simple, clear choices and consequences. Be sure the consequences are reasonable and enforceable. For example, you might tell a family member who insists on entering an emergency treatment room.   Behavioural disturbances and aggression in the emergency department is an increasing problem confronting emergency clinicians every day. 50% of attacks on health care workers occur in the emergency department. These patients may self refer or be referred to the ED by concerned family members, other health professionals i.e., GPs, community.

  If a hospital has a particular problem with disruptive or abusive patients requesting non-emergency care, it may consider developing a written policy providing a consistent way to handle those patients. Such a policy should be carefully thought out and should require that all patients will be provided emergency screening and treatment. in the emergency department (ED).This study was conducted to assess the physician’s and nurse’s perspective toward disruptive behaviors in the emergency department. Methods: In this cross-sectional study a total of 45 physicians and nurses working in the emergency department of five general hospitals in Bojnurd participated. Data. Riddell J, Tran A, Bengiamin R, Hendey GW, Armenian P. Ketamine as a first-line treatment for severely agitated emergency department patients. Am J Emerg Med. Jul;35(7) Isbister GK, Calver LA, Downes MA, Page CB. Ketamine as Rescue Treatment for Difficult-to-Sedate Severe Acute Behavioral Disturbance in the Emergency Department. Alcohol-related visits consume ED resources, including beds, staffing, medications and technology, such as computed tomography (CT) scanners. Intoxicated patients can be disruptive to other ill and injured patients, as alcohol intoxication can increase behavioral problems in some patients, and sometimes results in violence against staff.