Nursing Psychiatric Emergency Response in a Medical Setting.

Nursing Psychiatric Emergency Response in a Medical Setting.

Nursing Essay: Psychiatric emergencies in medical settings may be particularly challenging since the staff does not encounter them frequently and may not have experience dealing with behavioral crisis intervention. The purpose of this exercise is to help staff improve understanding and coping with nonmedical emergencies that occur in medical settings using the PDCA cycle. Situation: Mr. X is a 41-year-old male admitted to a medical unit with a diagnosis of possible stroke. The patient is ambulatory, 5’10’’, and 350 lbs. Mr. X presented to the emergency department the day before after apparently losing consciousness at home. The initial CAT scan of his head was negative. It is suspected that Mr. X may be an IV drug user since his urine toxicology screening came back positive for opiates. The medical staff thinks that Mr. X had a seizure prior to admission, but he has shown no abnormal signs or symptoms within the last 24 hours. Mr. X was moved to an acute care unit where he sits in bed wearing only a pair of ill-fitting boxer shorts and no shirt. He is able to communicate without any signs of aphasia. The medical staff is still not sure what is wrong with Mr. X. As the nurse administrator of the day, you hear a Rapid Response called overhead for this patient. As you enter the room, you see Mr. X screaming and on all fours in his bed.