2041-16: Restraint Reduction Education in a Critical Care Unit: Inclusion of Mitigation of Nurse Stress/Therapeutic Communication; Use of a Tidal Model Informed Program to Improve Patient Satisfaction and Decrease Chemical Restraints on an Adult Inpatient Psychiatric Unit at a Community Hospital 

This mini concurrent session includes two 20-minute presentations (described below) plus Q&A. 

Restraint Reduction Education in a Critical Care Unit: Inclusion of Mitigation of Nurse Stress/Therapeutic Communication
Restraint reduction occurs by changing safety paradigms. This session explores two restraint reduction initiatives in two different hospitals. The purpose, process, and results from these initiatives are reviewed and discussed. 
Presenters: Constance Noll, MA, MSN, PMHNP-BC, CRNP; Janet McMillan, DSN, RN, PMHNP-BC 

Use of a Tidal Model Informed Program to Improve Patient Satisfaction and Decrease Chemical Restraints on an Adult Inpatient Psychiatric Unit at a Community Hospital
Seeking to improve patient satisfaction and decrease utilization of chemical restraints, our inpatient psychiatric unit designed and implemented a Tidal Model informed practice change that focused on therapeutic nurse-patient relationships and interdisciplinary support of a recovery-oriented environment. Outcome measurements suggest effectiveness of our practice change. 
Presenters: Phyllis Cratty, RN, BSN; Brittany Chabak, LCSW, MPH 

Disclosures: The presenters and planners have no conflict of interest or commercial support to disclose. Off-label uses will not be discussed during this presentation. 

Session Length: 44 minutes 

Target Audience: RN, APRN 

Session Objectives
Upon completion of this presentation, the participant will be able to:

1. Describe three physical and psychological injuries from use of restraints which prolong hospital length of stay.
2. Review the outcomes of a quality restraint reduction initiative which included mitigation of nurse stress.
3. Identify the components of the Tidal Model utilized in this practice change.
4. List the Tidal Model informed methods that clinical nurses used in the development of therapeutic nurse-patient relationships and in the reduction of patient violence. 

Keywords: ICU Restraints, Restraint, Tidal Model, Guided Journals, Restraint Reduction, Safety, Nurse Stress, PSS-10 

Continuing Nursing Education
0.75 contact hours. * In order to receive contact hours, you must: Listen to presentation, complete an evaluation, and earn a passing score on the post-test before the expiration date. You will have 5 tries to correctly answer the questions on the post-test and a score of 80% is required to pass. Once you have passed and completed an evaluation, the certificate will be generated online, available for you to print immediately. You cannot earn credit unless all steps are completed.

The American Psychiatric Nurses Association is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. 

Originally Presented
APNA 30th Annual Conference
Hartford, Connecticut
Thursday, October 20
3:00pm - 3:45pm

Release Date: May 30, 2017
The contact hours for this session expire: November 30, 2019