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Group 3 Uap Project

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Brookwood Baptist

Medical Center
~Mental Health Unit~
Group 3
Kennedy Hamilton, Molly Willis, Lizzy Huey, Virginia Hutto, Claire Arkin, Presley
Shaw
Bo Derryberry
(Brookwood Psychiatric Unit Nursing Manager)

● Educational level
○ Associate’s degree→BSN
● Work experience
○ Construction/built houses
○ Psychiatric nurse for 12 years
Unit Mission & Vision
● Psychiatric Unit
● Staffing ratio of 1:6
● 140 beds
● “Short term stabilization of mentally ill”
● “1-2 week patient turnaround”
● “Supportive & structured culture”
Unit Staffing

● Recruitment, retention, & attrition rates


○ Improving retention rates
○ Representatives to nursing schools
● Scheduling/absenteeism
○ Self-scheduling transition to set schedule
○ 3 absences in a calendar year
HCAHPS Measures
● HCAHPS measure unit is focusing on
○ Overall rating of hospital: Restraint Rate
○ Less restraint use = better rating
○ 33 restraints in last 3 months
● Strategies to improve patient’s perception
○ Only using restraints when absolutely necessary
Hospital 2022: NPSG
● NPSG standard unit is working on
○ Identify Patient Safety Risks: Aggressive patients
● Interdisciplinary collaboration that occurs
○ Collaboration between nurses and therapists
● Role of nurses related to issue
○ Paying attention to details
Staff Evaluation & Problem Solving

● Coaching & Feedback


○ Professionalism & include staff
● Staff evaluation process
○ Observations & self evaluations
● Equally maintain discipline, encouragement, and support
● Celebrate excellence and encourage staff!
Conflict Resolution

● Specific conflict
○ Harassment claims between two nurses
● Conflict resolution
○ 1-on-1 and team meetings
○ Communication/discussing expectations
○ Apologizing
Ethical Issues/Resolutions

● Recent Legal/Ethical Issue


○ Client claimed assault by nurse
● Steps utilized to resolve the issue
○ Utilized cameras for evidence
○ Differentiate between assaulting vs. restraining
Unit Delegation
● Example of delegation among unit staff
○ 4-point restraint, 1-on-1 observation
● Strategies used for successful delegation
○ Finding best fit for the patient
○ De-escalate situation
Advice
● Redeeming qualities in a graduate nurse
○ Eagerness/Openness/Drive to learn
○ No “Know-it-alls”

● Advice for student nurses in clinical


○ Don’t let nurses intimidate you
○ “It’s a mental game”

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