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Patient Escalation Officer Action Plan

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Patient Escalation Officer Action Plan
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A junior nurse approached Mr. X to give him his IV antibiotic. She explained the indication, but when she was about to give the medication, Mr. X started shouting at her in bad words. She tried to calm the patient by explaining it is an antibiotic and will be given through the peripheral line. He became aggressive and slapped her. She panicked and went blank. She then retrieved from the room. She was traumatized and chose to remain silent. She started to avoid Mr. X. I was the team leader. After 2 hours when asked, she cried and told the incident. I brought her to see the manager. I then called the patient relation officer and explained the situation. Violence is not tolerated in a healthcare setting. The patient relation officer
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Providing an action plan from the managers and supervisors at the shift should be incorporated. This policy has to be educated to all staff, family members, clients, and visitors. The clients should be aware of this at the point of admission. A pamphlet can be prepared to be distributed. Escalation process should be prepared.
Adequate staffing will decrease the need for the nurses to spend longer time in the patient’s room and if there are any suspected patients that may cause harm, another nurse can accompany the primary nurse. Therefore, adequate staffing will ensure delivering the care for the patients in a faster way.
Educational programs for all nurses should be introduced. Hajaj (2014), suggested that education programme should include about violence, conflict management, resolving problems, dealing with critical situations, and communication. This will be very helpful in decreasing the incidence of violence against nurses.
Law agencies have to be included in the management of actual or potential threat, increasing the security in the hospital, and with provision of a special program for the security personnel about dealing with specific situations like violence against nurses (Kling, Yassi, Smailes, Lovato, & Koehoorn, 2010 cited in Hajaj

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