Matthew Peel Latest News challenging behaviour, custody nurse, custody paramedic, mental health, Patient safety, police, Police custody, SANE, SARC, Sexual assault nurse examiner, sexual assault referral centre
ABSTRACT: Patients exhibiting challenging behaviour, which includes any non-verbal, verbal or physical behaviour, is a significant issue in healthcare settings. Preventing such behaviour and the harm it can cause is important for healthcare organisations and individuals, and involves following a public health model comprised of three tiers: primary, secondary and tertiary prevention. Primary prevention aims to reduce the risk of challenging behaviour occurring in the first instance; secondary prevention involves reducing the risk associated with imminent challenging behaviour and its potential escalation; and tertiary prevention focuses on minimising the physical and emotional harm caused by challenging behaviours, during and after an event. De-escalation should be the first-line response to challenging behaviour, and healthcare staff should use a range of techniques – maintaining safety, self-regulation, effective communication, and assessment and actions – to reduce the incidence of challenging behaviour. In some situations, physical interventions may be required to protect the safety of the individual, healthcare staff and other individuals involved, and healthcare staff should be aware of local policies and procedures for this. Following a serious incident, where there was potential or actual harm to patients and healthcare staff, healthcare organisations should use post-incident reviews to learn from the situation, while healthcare staff should be offered the opportunity for debriefing. Positive responses to challenging behaviour at an organisational and individual level can lead to improved work environments for healthcare staff and optimal care and outcomes.
The Faculty of Forensic & Legal Medicine have updated their recommendations for;
- Recommendations – TASER®: Clinical Effects and Management of Those Subjected to TASER® Discharge
The Royal College of Emergency Medicine has today published ‘A brief guide to Section 136 for Emergency Department’. This coincides with the introduction of changes to the Mental Health Act today.
- Summary of recommendations
- Changes to the MHA Dec 2017
- General Principles
- Police responsibility to stay in ED
- S.136 Pre-hospital flowchart
- S.136 Emergency department flowchart
- S.136 Red flag criteria
NHS Lothian has today published their clinical audit titled ’12 minutes to save a life; Delivery of Take Home Naloxone in Police Custody Suites – a Clinical Audit’. In Scotland, police custody healthcare has for several years been commissioned by the NHS. This clinical audit presents the findings collated between January 2016 and July 2017, where police custody nurses based in the Forth Valley region provided 92 detainees with take-home naloxone.
Naloxone is an opioid antagonist which can temporarily reverse the effects of an opioid overdose. Naloxone can be supplied in a ‘Take Home Naloxone’ Kit and people at risk of opiate overdose, can be trained to administer Naloxone where an opiate overdose has taken place. A similar programme of training and provision in Scottish prisons has contributed to between a 20% and 36% reduction in the number of drug-related deaths following release from prison.
The clinical audit demonstrates that ‘Take Home Naloxone’ is an intervention that can be facilitated by healthcare professionals in police custody healthcare settings in as little as 12 minutes on average.