(BEHAVIORAL EMERGENCY)
Behavioral Emergency Defined
A behavioral emergency is defined as a situation or event where an individual is engaging in verbal threats, physical aggression (to self, others, or property), or other behaviors with the potential to cause harm to themselves or others, and de-escalation strategies have failed.
Procedure
For any behavioral escalation where verbal de-escalation has failed and the patient's behavior has reached a point where they could be a harm to themselves or others, BRT should be activated.
Behavior Response Team emergencies will be announced on the Public Address system. Listen for any instruction and timely updates announced.
Avoid the area until “All Clear” announced
Procedure:
Monday - Friday, 8:30AM-4:00PM
Contact: midb_brt@umn.edu
Upcoming Visit Notice Form:
Link: https://redcap.ahc.umn.edu/redcap/surveys/?s=ENPPK9KRT4AFWX97
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Once the BRT lead has determined the situation has been de-escalated, the following will occur:
a. BRT lead will lead an immediate debrief with BRT and other involved or affected personnel.
b. Provider and/or BRT lead will do an immediate debrief with caregivers (and patient if appropriate).
c. BRT lead provider (in partnership with patient’s provider and other BRT members as applicable) will document progress note in patient chart
d. Compass report will be submitted if restraint is used or if injury to a person has occurred or could have occurred; this will include members of the team that responded.
If restraint was used or 911 called, a follow-up phone call will be made to patient/family within three (3) business days to check on patient and gather feedback. This call will be made by designated social worker, RNCC, provider, or clinic leader and documented in the patient’s EMR.
The MIDB Safety Advisory Committee will review documentation of behavioral emergency events and provide feedback and recommendations.
a. Ad hoc meeting will occur within 3 business days if restraint was used or if injury to a person occurred.