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APNA 30th Annual Conference Session 4021: October 22, 2016 Sun 1

Novelties & Innovations in Assessing and Maintaining Competency in Behavioral Health Staff Nurses

Nellie Sun, MSN, RN, CEN Clinical Nurse Educator Kathleen E. Zavotsky PhD, RN, CCRN, CEN, ACNS‐BC Assistant Vice President The Center for Professional Development, Innovation and Research

Disclosures

• There is no commercial support

for this activity.

• The planners and speakers have

declared that they have nothing to disclose. Objectives

At the end of this presentation:

• The learner will be able to identify

learning needs of the behavioral health staff

• The learner will be able to create a

competency orientation for the behavioral health staff

APNA 30th Annual Conference Session 4021: October 22, 2016 Sun 2

• RWJUH – Academic

Medical Center

• Urban location: New

Brunswick, NJ

• Meeting the need of

the underserved diverse community

• Somerset‐Community

based hospital

• Suburban location:

Somerville , NJ

• Insured payer based

population

APNA 30th Annual Conference Session 4021: October 22, 2016 Sun 3

Statistics

• 12.0 million emergency

department (ED) visits involved a diagnosis related to a mental health and/or substance abuse condition

• Accounts for 12.5 percent of

all ED visits in the U.S., or

• ne out of every eight ED

visits.

• Mood disorder was the

most common complaint for an ED visit (42.7 percent), followed by anxiety disorders (26.1 percent), and alcohol‐related conditions (22.9 percent).

• The remaining common

conditions included drug‐ related conditions, schizophrenia and other psychoses, and intentional self‐harm

Why the change?

• Psychiatric services:

Acute Psychiatric Services and EDU

• TJC mock survey
• Nursing Staff request
• Transition of leadership
• Identified as a

vulnerability

• Root cause analysis
• Care that needed to be

based on best practice

• Standards of care
• Allocation of resources
• Behavioral Health Staff

and ED staff

Safety Initiatives

APNA 30th Annual Conference Session 4021: October 22, 2016 Sun 4

RN Competency Based Orientation

• Utilization of standards
• f practice from APNA
• Adult Learning

Principles

• Staff engagement
• Behavioral Health Units
• Piloted

Psychiatric Competency Day

• New for the

staff/hospital

• Multidisciplinary

services

– CNE/CNS – Dietary – Pharmacy – Social Workers/Therapists – Wound Care Specialist

Suicide Risk Assessment

APNA 30th Annual Conference Session 4021: October 22, 2016 Sun 5

Safety Huddle

APNA 30th Annual Conference Session 4021: October 22, 2016 Sun 6

Ancillary Personnel: CBO

APNA 30th Annual Conference Session 4021: October 22, 2016 Sun 7

References

• American Psychiatric Nurses Association:

www.apna.org

• Joint Commission (2015):

www.jointcommission.org

• Screening for Mental Health, SAFE‐T Tool:

www.mentalhealthscreening.org

• Emergency Nurses Association.org
• CDC.org
• Journal of Emergency Nursing (2016). Volume

42(1).

Contact Information

Nellie Sun

• Nellie.sun@rwjuh.edu
• 908‐595‐2638

Kathleen Zavotsky

• Kathy.zavotsky@rwjuh.edu
• 908‐685‐2849