00:01
Environmental Safety
in Psychiatric Nursing.
00:05
Let's think for a minute about what
environmental safety actually means
and why it's so important
in psychiatric nursing.
00:16
We have to recall that
people with mental illnesses,
originally when we first started
taking care of them were confined.
00:26
And the reason why they were confined
was because there were issues of safety,
not just for the patient,
for the public as well.
00:35
Public and patient safety
were of utmost concern.
00:41
It's important also to remember
that the public because of fear
and perhaps mistrust
of mental illness,
they felt that they needed to
have some level of protection
from that person who
had mental illness.
00:59
But also the patient needed
to have some protection
because even today,
we know that a person with mental illness
is far more likely to be
the victim of a violent act
than to be the
perpetrator of one.
01:15
So we also want to think about that
patient as being protected from themselves.
01:22
Because they could have
some self-directed violence,
self-mutilation,
or perhaps death by suicide.
01:32
There are particular and
specific nursing concepts
that are in use when we're thinking
about providing a safe environment,
for the patient who
has mental illness.
01:45
We want to make sure that we're
assuring their patients safety.
01:50
We also want to make sure that we
are taking care of quality assurance
so that what they are receiving
in care is of the best quality,
and also that we are
continually assessing
to improve the quality of
the care that we are giving.
02:10
So what exactly do we mean when
we talk about a safe environment?
Well, let's think of this.
02:19
Let's think of the S as
meaning safe surroundings.
02:23
Let's look at those surroundings
and make sure environmentally
those surroundings are not
going to provide any danger
to the patient or those who are
in the surrounding with them.
02:35
We also want to think
about the A for assessment.
02:40
Making sure that we're assessing
for any signs of patient behaviors
or emotional responses that might
escalate into a crisis situation.
02:53
The F stands for focus,
focusing all of our attention
on de escalating tensions
and making sure that that
patient feels reassured,
as well as focusing
on our own responses
to that period of time
and that environment.
03:14
E, evaluate.
03:16
Evaluate how is it going?
Are we meeting the
patient's needs?
Is the patient being
able to engage?
We also want to make sure that we
take a whole environment approach.
03:29
That we are looking at every environment
that we are providing care and
to make sure that we
are reducing any risk,
risk of crisis, risk of
violence, risk of harm.
03:44
So first of all,
we want to provide safe patients.
03:48
We want to give them the safe environment
to keep them safe in our care.
03:54
We also want to make sure that
the staff members are also safe.
04:01
What about the visitors?
We want to make sure that the
visitors are safe as well.
04:06
And that the space itself, that
environment, that physical space is safe.
04:13
But there's still another environment
that we all will be providing care in.
04:19
And that is the emotional space.
04:21
We all have immediate
emotional environments.
04:25
And therefore when we're
thinking of a safe environment,
we're thinking of that
holistic approach.
04:32
The patient's, the staff
members, the visitors,
the physical environment,
and the emotional environment.