Posts Tagged ‘Culture of Care’

Evidence Based Practice x (Training + Teamwork) = Results

August 17th, 2012

We’ve been implementing an evidence-based practice called Non-Violent Crisis Intervention as our operational model at the AZ State Hospital for the last few months- and we’re already seeing dramatic results.  It’s a best practice for early intervention and de-escalation created by the Crisis Prevention Institute.  It’s based on teamwork and training.  By using a cohesive team that’s fully engaged in all aspects of care, we create an environment that’s therapeutic for patients/residents and safe for everyone while providing our team with a rewarding work environment and a Culture of Care.

Good news…  since implementing our Non-Violent Crisis Intervention training we’ve dropped the % of incidents at the Hospital that end up in restraint or seclusion by over 40%.  Equally encouraging is the fact that staff injury has been reduced by nearly the same amount.  Our team at the hospital is doing a great job of using a recovery-based and trauma-informed approach in applying the de-escalation principles that are the key to these results.  You can read more about Non-Violent Crisis Intervention on the Crisis Prevention Institute website.

Implementing this new strategy hasn’t been a cakewalk.  Everybody has been through intensive training- and making a shift like this can take folks out of their comfort zone.  But I’ve found over the years that sometimes the best way to grow and achieve is to put yourself outside your comfort zone and reach.  Well done!

Our Arizona State Hospital’s “Culture of Care”

March 26th, 2012

We’ve had plans to change how we think about security at the Hospital for the last several months.  Our careful planning and organizing is paying off- as we’ve implemented many of our plans already and are turning the key on other reforms in the coming weeks and months.  It’s definitely been a busy place at the State Hospital these days- and we’re excited about the enormous progress.  Kudos to the entire team at the Hospital.

The reorganization of the security department basically increases mental health and residential program staff while decreasing security staff on the hospital units.  Our mental health and residential program staff are supplementing existing unit folks so security staff can step back from patient/resident observation and intervention responsibilities and focus on access and customer service duties.  These renamed “Campus Support and Safety Specialists” put an emphasis on a safe and supportive environment, something we’re striving to achieve for patients, residents, staff and visitors. 

We’re also shifting to “Non-Violent Crisis Intervention” as our operational model. Non-Violent Crisis Intervention is a nationally recognized best practice for intervention and de-escalation (created by the Crisis Prevention Institute). It’s widely used by health care providers, schools and many other settings that deal with potentially violent situations.  The program is based on teamwork.  By using a cohesive team that’s fully engaged in all aspects of care, we can better create an environment that is therapeutic for patients/residents and safe for everyone while providing employees a rewarding environment in which to work. 

Twenty-five staff have completed Non-Violent Crisis Intervention instructor training. Our new instructors are wearing yellow lanyards that say “NVCI Instructor” so everybody knows they’re our trainers.  The next goal is to train all employees in these valuable techniques in order to replace the current Pro-Act model that’s been in place for years.  The instructors are meeting regularly and will begin developing the “roll-out” strategy for the campus wide training.  A special thanks to our trainers-  they’ve stepped up and made themselves available to make the hospital a better place.

P.S. We found out this month that The Joint Commission has fully accredited the State Hospital for the next 3 years.  Thanks to the entire Hospital team- it’s not easy to get Deemed Status from the Joint Commission.  Well done!