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Risk Assessment and Safety Planning
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and Safety Planning Follow us on twitter @spsp_mh #spspmh5 - - PowerPoint PPT Presentation
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Risk Assessment and Safety Planning Follow us on twitter @spsp_mh #spspmh5 Agenda 11.15 - 11.20 Introduction Arturo Langa 11.20 - 11.35 Two hours risk assessment experience Paddy Philpott and Audrey Proctor 11.35 - 11.50 Observations
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Two hours risk assessment experience
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- Situation
- Improve Risk Assessment Recording
- Look at Driver Diagram
- Focus on Secondary Drivers
- To complete risk assessment document within 2 hours of admission.
Risk Assessment – Dr Gray’s Hospital, Ward 4
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- Background
Ward 4 is a 20 bedded acute admission stand alone unit based within the grounds of the general hospital named Dr Gray’s Hospital
- Pilot Site
- Driver Diagram – Risk Assessment and Safety Planning Driver
Diagram
- To complete risk assessment document within 2 hours of
admission.
Risk Assessment – Dr Gray’s Hospital, Ward 4
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- Assessment
- PDSA 1 was completed. (Attachment)
- Recording tool
- Initially a baseline was taken and current trends were
recorded
Risk Assessment - Dr Gray’s Hospital, Ward 4
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- Assessments
- Information Gathering
- Information shared
- Culture
- Awareness
- Accountability/Support
Risk Assessment – Dr Gray’s Hospital, Ward 4
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- Recommendations
- Small Steps / Achievable aim 95% completed
- Engage with staff and get understanding (Process)
- Share Information – Data
- Documentation Review
- Don't make assumption
- Dummy Folder
- Conclusion (Staffing/Training/Skill Mix/Situations)
Risk Assessment – Dr Gray’s Hospital, Ward 4
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- What Now?
- Culture Established
- Audits continue but reduced
- Continue Education/Awareness/Develop
- Continue Awareness
- Continuous learning
Risk Assessment – Dr Gray’s Hospital, Ward 4
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Thank you Any Questions?
Audrey Proctor Sandra Macgillivray Paddy Philpott Senior Charge Nurse Deputy Charge Nurse
Patient Safety Coordinator – Ward 4 Ward 4 Mental Health
Dr Grays Dr Grays Fyvie Ward Elgin Elgin Royal Cornhill Hospital Aberdeen Tel no: 01343 567632 Tel No: 01224- 557939 Email: audrey.proctor@nhs.net sandra.macgillivray@nhs.net p.philpott@nhs.net
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Risk Assessment – Dr Gray’s Hospital, Ward 4
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Review of Good Practice Statement Engaging People, Observation of People with Acute Mental Health Problems
Jamie Malcolm & Anna Wimberley
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- Legislation and policy changes that reflect
changing philosophies of care – principle based
- Greater emphasis on risk management in care
planning, and observation as a tool in overall care and risk management
- Greater emphasis on involvement of
families/carers
- Environmental awareness – new purpose built
facilities CHANGES AND DEVELOPMENTS
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- Divergence, in some services, from the original
guidance and the use of ‘intermittent’ observation
- Developments in observation practice - upskilling
- Lessons learnt from reviews of the suicides of
inpatients since 2008 that have been reported to SRLS and NCISH, and Mental Welfare Commission review of observation
- Use in other clinical settings
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- First draft – principles
- Improvement framework to:
– improve policies – improve practice WHERE HAVE WE GOT TO?
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- Review Group
- Nurse Advisory Group
- Reference Group
- Consultation: 15 June – 31 July 2015
- National Mental Health Nursing
Conference 1 April 2015
REVISION PROCESS
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- Other events/consultation opportunities?
- Publication November 2015
- Implementation and improvement support?
REVISION PROCESS
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- 1. What are the challenges to therapeutic
- bservation practice in your clinical area?
- 2. What improvement and implementation
support might your team need to improve practice?
DISCUSSION QUESTIONS
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The SRLS Project Team
- hcis.SuicideReviewTeam@nhs.net
- Pamela Campbell, Project Officer
- Jamie Malcolm, Mental Healthcare Advisor
- Vicky Rigley, Suicide Reporting Officer
- Claire Scrim, Project Officer
- Anna Wimberley, Programme Manager
Website http://www.knowledge.scot.nhs.uk/suicidereviews.aspx
CONTACTS
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Questions and Answers Arturo Langa Paddy Philpott Audrey Proctor Anna Wimberley Jamie Malcolm
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Risk Assessment and Safety Planning Essentials
- Training and refresher training
- Risk assessment timing and review – 2 hours on admission, 72
hour review
- Live risk assessment – linked to goal setting
- Discharge
- Inclusion of sexual, physical, social and psychological risk
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Workstream essentials – questions/issues
- Are they correct?
- If not, what should they be?
- What are we already doing?
- What change packages, bundles, interventions should be developed and
tested to deliver them?
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