EP30EO-15 CPI Instructor Recommendations to Senior Nursing Leadership

TO:Kate McCord, CNO; Ann Kjosa, VP of Nursing; Rose Ann Moore, Director of Patient Care Services at Penrose Hospital; Kathy Guy, Director of Professional Resources; Kelli Saucerman, Director Clinical Effectiveness, Patient Safety and Risk Management

FROM:CPI © Nonviolent Crisis Intervention PSFHS Certified Instructors

(Brian Sarpy, Bob Trefethen, Kim Hassell, Todd Farina, Dana Williams, Justin Richardson, Stanley Darnell, Deb Nussdorfer, Beckie Ausmus, Greg Wingleth)

DATE:October 3, 2011

SUBJECT:CPI ©Nonviolent Crisis Intervention

Thank you for supporting patient and associate safety with hosting the Nonviolent Crisis Intervention training last week. The certified instructors, named above, found the training experience positive and meaningful, and are eager to champion the implementation of this process. We would like to outline several issues relative to implementation next steps.

  • This Crisis Intervention model is consistent with our organization values.
  • The intervention aligns with our organizational goals related to improving patient safety and satisfaction, customer service and AIDET, “moving upstream” by taking actions to reduce crisis escalation and promoting risk management. In addition the focus on associate and patient safety is integrated throughout the program.
  • The intervention is consistent with our PSFHS Nursing Professional Practice Model including philosophy of relationship-based care and use of evidence based practices.
  1. We recommend the instructor group meet with a group of leaders to plan the implementation process including marketing and establishing both commitment and accountability at all levels.
  1. Establish priorities for training.
  2. Level 1 training which includes the physical interventions; 8 hours
  3. ED staff including physicians
  4. Security
  5. Behavioral Health Staff
  6. Nursing supervisors
  7. Penrose 5th floor associates
  8. Risk Management nurses
  9. Representatives from C suite and from the Directors
  10. Level II training which EXCLUDES physical interventions: 6 hours
  11. Charge Nurses
  12. Consider all nurses, representatives from facilities and radiology
  13. Integrate nursing, security and administrators/directors in classes
  1. Scheduling to be determined based on instructor availability
  2. Classes offered all days and shifts
  3. Establish minimum number to hold class
  4. Support team teaching at least initially
  5. Hold classes at both main campuses
  6. Registration through LEARN and supported by Education
  7. No children allowed in class; if people bring children they will be asked to leave class and reschedule
  8. Identify adequate space (Gala room, Cancer Conference rooms – at least 2, SFMC 4-5 or 1-2-3 or Julie Penrose Center.
  9. Class size maximum is 40 per CPI
  1. Develop renewal process based on regulatory and policy. Design competency assessment and process. CPI requires a 3hr class to renew but does not define time parameters such as annual.
  1. Review and revise policies to integrate CPI Nonviolent Crisis Intervention language.
  1. Develop a Patient Intervention Committee
  2. Review patient interventions and Code Greens (CPI has recommendations)
  3. Coordinate drills, rehearsals and classes
  4. Determine outcomes and evaluate program considering:
  5. Security time on watches
  6. Patient Satisfaction especially on 5 and ED
  7. Injuries
  8. Code Green numbers and locations and appropriateness
  9. Patrol time which impacts total hospital safety

We understand this training supports and integrates with other projects or requirements in our organization. We would like to support and coordinate our training to achieve the best practices and outcomes at PSFHS.

Thank you for considering our recommendations.