After an incident in which staff intervention was required to control a patient's aggressive behavior, a critical incident debriefing will take place. Which topics should be covered during the debriefing group? Select all that apply
a. What, if anything, could have been done to prevent the patient's aggression?
b. Which staff members could most improve their response and by what means?
c. What feelings do staff have about the patient, and do they affect staff's effectiveness?
d. Why was a dangerous patient admitted, and how can this be prevented in the future?
e. Was anyone traumatized emotionally, and if so, how best can this be addressed?
f. What changes could be made in future such situations to achieve a better outcome?
A, C, E, F
The purpose of debriefing after a critical incident is to assure that the event and its effects on all involved are understood, that interventions are critiqued and improved in the future (both for preventing incidents and responding to them), and that arrangements for support and education are made when needed. It is important that such sessions not result in assigning blame in a public setting; if an individual performed poorly or inappropriately, the matter should be addressed in one-to-one clinical supervision instead of during the debriefing. Expecting that potentially dangerous persons not be admitted is unrealistic; persons who may become dangerous also require care, and staff and the admitting institution are responsible for being adequately prepared and capable of providing the needed care safely.
You might also like to view...
The nurse in a multicultural health clinic recognizes that many cultures use non-Western means in combination with Western health care prescriptions to treat illness
The nurse needs to recognize that the individuals most likely to combine curanderismo with Western health care prescriptions are: 1. Asian-Americans 2. . Mexican-Americans 3. African-Americans. 4. Native Americans.
The clinician suspects the patient has a peptic ulcer. Which of the following items on the history would lead the clinician to this conclusion?
a. Use of NSAIDs c. Alcohol (ETOH) consumption b. Cigarette smoker d. All of the above
A nurse is working the night shift on a respiratory floor. She is walking toward a patient's room when she sees a nursing assistant performing patient care with the curtain and door open. The nurse knows that the nursing assistant is violating which legal
a. Right to privacy b. False imprisonment c. Failure to rescue d. Informed consent
Which of the following terms describes urine remaining in the bladder after voiding?
A. oliguria B. dysuria C. residual urine D. symphysis pubis