PSYCHIATRIC

Case Scenario

A 47 year-old male with a diagnosis of schizophrenia was hospitalized with a psychotic episode. He was placed on a new medical regimen. His behavior became increasingly erratic and violent. He was placed in a private room on the psychiatric floor and placed in leather restraints for his safety. He was checked by floor staff every 30 minutes.

Eight hours after being placed in restraints, during a routine check, the patient was found unconscious with vomit in his mouth. Attempts to turn the patient to remove the aspirate were encumbered by the leather restraints. None of the staff responding to the emergency had the keys to unlock the restraints. A crash cart with suction apparatus was brought into the room, but there were no plugs in the room as safety precaution for psychiatric patients that might other wise injure themselves, nor an extension cord on the cart with which to plug in the apparatus.

The patient experienced a respiratory arrest. The staff began CPR and told a nurse's aid to call a "Code Blue". The nurse's aid thought Code Blue was a tornado warning and began closing doors and draperies in the patient rooms.

The patient did not survive the eventual resuscitation efforts.

You apply your learning from this course by creating a loss prevention plan. You develop and submit draft sections of the plan in Weeks 2 and 4. The final plan is due in Week 6 (12/12/14).

Your plan will address your choice of one of the five scenarios provided. Each scenario has multiple risks; read carefully and critically to get beyond the most obvious risk. For each risk, you will suggest how to correct and mitigate that risk. You may use the text, journal articles, or reliable internet sources. A minimum of three outside resources is required. Finally, you will propose a way to monitor the risk control treatment you provided.

Your plan should include the following:

Title Page (Include Scenario Name)

Risk Identification

Risk Analysis

Risk Control Treatment Selection with Implementation Plan

Risk Control Treatment Monitoring

References

Section A. Risk Identification

Identify the areas of risk that you discern from the scenario you chose. Be specific and cite your sources. 1 - 2 pages, APA format

Section B. Risk Analysis

Explain the legal ramifications of the event depicted in the scenario. Depending on your chosen scenario and the specific risks, this analysis may include determining whether a sentinel event report needs to be filed. 3 - 4 pages, APA format

Section C. Risk Control Treatment Selection with Implementation Plan

Specify the departments involved in correcting the issue, policies that may need to be changed, staff training or re-training that needs to occur, any disciplinary actions that may be necessary, insurance carriers to be notified, future insurance needs, etc. Check your textbook index for ideas of areas that need to be researched. 3- 4 pages, APA format

Section D. Risk Control Treatment Monitoring

Describe how this issue will be monitored to prevent it from happening again. 1- 2 pages, APA format.