Northwest Community Hospital ‘Mr. Strong’ Procedure
Purpose
To maintain safety and security for all individuals in the hospital environment, in the least restrictive and safest way during an episode of escalation.
Policy
It is the policy of Northwest Community Healthcare to effectively assess the potential need for de-escalation and/or physical control and implement only strategies approved by Northwest Community Healthcare.
I. Definitions:
A. Silent Mr. Strong is called when the potential need exists for implementation of restraint procedures. The Hospital overhead page is not used for a silent Mr. Strong. To initiate a silent Mr. Strong, Security is notified by paging #4141. Give location and brief description of circumstance.
B. An overhead page Mr. Strong is called when need for assistance with restraint procedures is imminent. To initiate an overhead Mr. Strong, dial 3333, notify operator of Mr. Strong, and give location.
II. Roles and Responsibilities:
A. Person de-escalating the individual:
- This staff member shall remain with the individual with appropriate distance, i.e., do not block doorway to allow easy exit as well as communication with other staff. Other staff should be aware and available should a Mr. Strong be needed.
- It is vitally important that only one staff member verbally interact with the individual.
- If a Mr. Strong is necessary, a second staff member will initiate the procedure, at the discretion of the staff member interacting with the individual.
B. Respondents:
- Specific staff members, trained in Crisis Prevention Intervention techniques, have been designated to respond to the overhead Mr. Strong.
- The following people may respond:
- Security
- Administrative Consultant
- Mental Health staff (if available)
- Engineering
- Maintenance
- Emergency Department staff (if available)
- Other trained personnel
- Upon arrival, designated trained staff from either Security, Mental Health, or Nursing Administration will assume the role of Team Leader.
- Assess the situation, based on reports from hospital staff in the location.
- If the situation requires more assistance than initially arrives, then the overhead page should be repeated, and department heads should designate extra help.
- Determine the need and send for the appropriate restraints.
- Direct and assign staff members to clear area of others in the milieu, as well as potentially harmful objects.
- Remind staff that only one person is to communicate with the individual.
- Assign staff (two if available) to apply restraints to appropriate bed or gurney in the area.
- Direct incoming personnel as indicated.
- Designate one staff member to each limb for the "takedown" procedure.
- Give direction for "takedown."
- Give direction for transport to appropriate restraint site if necessary.
- Follow direction for "Application of Restraint" per hospital policy.
Source: Northwest Community Hospital, Arlington Heights, IL.
Purpose: To maintain safety and security for all individuals in the hospital environment, in the least restrictive and safest way during an episode of escalation.Subscribe Now for Access
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