PRE-PLANNING ACTIVITY – NP3 This activity is designed to enhance your clinical knowledge and experience. Students are required to complete this pre planning clinical assignment focused on safe patient care and turn in to the clinical faculty at pre-conference. This assignment counts as two (2) hours of pre planning clinical hours as reported to the Oklahoma Board of Nursing (OBN). Failure to complete this assignment will result in a clinical absence and the student will not able to attend clinical. Please use your course textbooks and document links as your primary source. Credible, scientific and professional websites and texts are also acceptable. Please list the references you utilized in the space provided at the end of the activity. Suicidal Risk Assessment 1. Identify a minimum of 7 risk factors that can be associated with suicide. Utilize and list two sources from which you found your information. Previous suicide attempt Mental illness, such as depression Social isolation Criminal problems Financial problems Impulsive or aggressive tendencies Job problems or loss 2. Write 2-3 paragraphs addressing the prevalence and comorbidities associated with suicide? Young people have to make decisions about important concrete directions in life, for example school, living situation, peer group etc. They must also address new challenges with regard to building their own identity, developing self-esteem, acquiring increasing independence and responsibility, building new intimate relationships, In the meantime they are subject to ongoing, changing psychological and physical processes themselves. And besides that they are often confronted with high expectations, sometimes too high, from significant relatives and peers. Such situations inevitably provoke a certain degree of helplessness, insecurity, stress and a sense of losing control (14). associations have also been found between suicide and anxiety disorders, but it is difficult to assess the influence of mood and substance abuse disorders that are also often present in these cases. In general, the comorbidity of mental disorders substantially increases suicide risk. Especially important here is the high prevalence of comorbidity between affective and substance abuse disorders. 3.What National Patient Safety Goal (NPSG) addresses suicide? R3 NPSG Suicide PreventionThese requirements are at National Patient Safety Goal (NPSG) 15.01. 01 and are designed to improve the quality and safety of care for those who are being treated for behavioral health conditions and those who are identified as high risk for suicide. 4 What guidelines have changed with the revision of this NPSG for 2019? How has this affected policy in the inpatient settings? The Joint Commission (TJC) this week announced revisions to its suicide prevention National Patient Safety Goal (NPSG) to improve quality and safety of care for patients treated for behavioral health conditions and who are identified as high-risk for suicide. NPSG.15.01.01 on suicide prevention for hospitals and behavioral health care organizations has been revised to be more specific and instructional, to align with current research and expert panel recommendations. Specific revisions include the following: Behavioral health care organizations, psychiatric hospitals, and psychiatric units in general hospitals should conduct environmental risk assessments to be ligature resistant. Non-psychiatric units in general hospitals are not expected to be ligature resistant; however, the units should minimize risks in the environment for patients identified at risk for suicide. Individuals being treated or evaluated for behavioral health conditions as their primary reason for care need to be screened for suicide risk using a validated tool. (The Goal does not require universal screening.) Organizations must develop a plan to mitigate suicide based on an individual’s overall level of risk. Organizations must follow written policies and procedures for counseling and follow-up care for individuals identified as at risk for suicide. NPSG.03.05.01 on anticoagulant therapy for the ambulatory health care (applicable to medical centers only), critical access hospital, hospital, and nursing care center accreditation programs. This NPSG applies to organizations that initiate, manage, and adjust dosage for anticoagulation medications; it does not apply to organizations limited to the mechanical treatment of bleeding. The new and revised elements of performance (EPs) address concepts related to using approved protocols and evidenced-based guidelines, ongoing patient monitoring, patient and family education, and evaluating organizational safety practices and then taking actions to improve those practices. 5. Access the linked PSS-3 Screening tool and list the three screening questions to ask each patient? I Over the past 2 weeks, have you felt down, depressed, or hopeless?,”. 2. Over the past 2 weeks, have you had thoughts of killing yourself? 3. “In your lifetime, have you ever attempted to kill yourself? 2 6. What is the goal of the PSS-3 screening tool?Brief Tool to Detect Suicide Risk in Acute Care Settings. 7. After initiating the PSS-3 screening during a patients initial nursing assessment, a patient is found to screen positive for suicidal risk. What actions by the nursing staff should they initiate to be in compliance with NPSG 15.01.01?m Providers in acute care settings can administer this secondary screening tool to help decide whether an individual who has screened positive on the primary Patient Safety Screener (PSS-3) requires additional care processes, such as safety precautions and a psychiatric evaluation. 8. The delivery of the questions can determine the patient’s willingness to answer the staff questions and ultimately affect the safety of care. What are important factors in the nurse’s method of delivery that might affect this? Deliver sensitive and compassionate screening to every patientDemonstrate interest in patient’s answersLevels of disclosure, honesty, and self-reporting are higher if a patient perceives the provider as being engagedListen actively, without passing judgment, rushing the person, interrupting, or giving advice. The following links will assist you with this assignment: https://www.jointcommission.org/joint_commission_announces_new_national_patient_safety_g oal_to_prevent_suicide_and_improve_at-risk_patient_care/ https://www.jointcommission.org/assets/1/18/Suicide_Prevention_Resources_to_support_NPSG 150101_Nov201821.PDF http://www.sprc.org/sites/default/files/Patient%20Safety%20Screener%20%28PSS3%29%20and%20Tip%20Sheet.pdf References: https://www.cdc.gov/suicide/resources/index.html 3
