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Practice Experience: Applying Measurement Tools to a Practice Problem: practice problem is excessive(unnecessary) use of restraints and seclusion in children and adolescents
Conduct a collaboration interview with two or three key leaders in your practice setting to determine the measures for your practice problem and associated challenges impacting measurement for your practice problem (include confidentiality, anonymity, access issues, etc.). Perform an existing evidence review on your practice problem and search for evidence that demonstrates how your practice problem is measured across the country.
Post a description of the measures identified from the interviews, the challenges to obtaining the data that were discussed, and a summary of how this quality indicator is measured in the literature. Discuss any gaps in the data that were identified and additional sources that might be needed to obtain this data. Be sure to support your practice problem with the literature that indicates the relevance of this problem for nursing practice. Provide evidence from practice and data that is available.
- attached is the interview with key leaders and information provided from them. This information should be used in the post/discussion
Practice Experience: Applying Measurement Tools to a Practice Problem: practice problem is excessive(unnecessary) use of restraints and seclusion in children and adolescents Conduct a collaboration i
Interview with Peter Shumaker, Risk Manager and Paula Roberts RN, Chief Operating Officer The steps we take to ensure that restrictive interventions are not use excessively or with excessive force can result in injury (physically or psychologically ) 1. We continually restraint staff on the approve Restraint method which is CPI. We have four different trainers that complete the re-education in tandem with the staff educator to ensure interrater reliability. 2. The Risk Management department completes a review of each restrictive intervention to ensure that the restrictive intervention is meeting not only Hospital policy but regulatory requirements as well. If that restraint does not meeting regulatory or Hospital policy the staff member responsible is subject to corrective action up to termination. 3. On a weekly bases the Behavioral committee meets to discuss “high flyers” and other behavioral issues the patient might behaving and use therapeutic supports to help patient and safety safely avoid the need for a restrictive intervention. These steps began in January 2021 and have shown great effect: 1. Restrictive interventions are down 54% from 2020. 2. Patient injuries have dropped 75% Shannon due to sensitive hospital information I cannot present you with graphs to further prove my points above.
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