Articles: emergency-services.
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Hosp Community Psychiatry · Jun 1992
Case ReportsA mobile crisis program: collaboration between emergency psychiatric services and police.
An emergency psychiatry-mobile crisis program was established in 1987 in Charleston, South Carolina, linking professionals from the mental health center, the university, and the local police department. The program has two goals: to provide emergency psychiatric services to persons in the community and to train psychiatric residents in crisis intervention. ⋯ The authors describe the development of the collaboration with police and important features of the program. Three cases illustrate how such collaboration can be of mutual benefit and can save lives.
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The results of this study indicate that emergency nurses experience work-related stress originating from a variety of sources. Although the study included a group of emergency nurses committed to achieving a high standard of patient care, many of the key stressors they confront hinder their sense of achievement. ⋯ Nurses were also stressed by continual confrontation with patients and families who exhibited crisis or problematic behavior. In addition to strategies dealing directly with these stressors, the creation of a workplace that fosters more support and recognition of nurses and promotes professional growth may also help to reduce the impact of work stress for emergency nurses.
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The learning process benefits adults more when the material is presented in the presence of "positive conditions." Teaching standards developed and QA provides ample opportunity to provide positive conditions. The Marker Model is easily adapted to all practice settings and can often be taught by using unit-specific or patient population-specific examples; however, developing these specific examples can be time-consuming. ⋯ The Head of Household Standards model and the Quality Assurance Plan for Head of Household are applicable to almost all adults and are easily understood (see boxes). They supply further humor in their "audit" formats (Figures 3 and 4).