Intensive Staff Training Research Articles

Association Between Seclusion and Restraint and Patient-Related Violence

This study assessed the effect of an intervention designed to reduce the use of seclusion and restraint on reported episodes of patient-related violence on an acute inpatient psychiatric service. Results showed a significant decrease in the total number of episodes of seclusion and restraint between the 12 months before and after the intervention. However, the number of episodes of assault on patients and staff increased significantly. Efforts to decrease seclusion and restraint may be accompanied by an increased risk of harm to psychiatric patients and staff, and intensive safety monitoring and staff training should accompany all such efforts.

Issues for the consulting behavior analyst: The portable life.

Introduction Recently, while on a consulting trip with my friend Joe Cautilli to New Orleans I was encouraged to write down some observations I had made about being a distance consulting behavior analyst. The following is my attempt to do so and in doing so elucidate on the lifestyle of the distance consulting behavior analyst. One of the biggest issues people in our field usually have with the distance consulting behavior analyst is the rate they charge to consult. I remember working in direct care years ago and from time to time a consultant would come to assist us in setting up some technical programs or to offer intensive staff training. Word would quickly spread about the rates the agency was paying this consultant to offer their pearls of wisdom. Some distance consultants charged as little as four hundred a day while others received three and four thousand a day. All this plus expenses and of course you know they flew in stayed at a nice hotel and flew out to some other exotic place to conduct another consult. Of course they never had to stay and carry out the programs or conduct the one to one work they just dictate and fly. Oh, from the direct care workers perspective making a bump or two above minimum wage these distance consultants were raking it in and doing nothing for it. When I first decided to take Joe up on the challenge of writing this article I tried to decide first what I would write about to kick things off. I suppose that with this article I might try to explain why rates tend to be so high and simultaneously give readers a good look at the glamorous world of distance consulting as a full time job. Full Time Distance Consulting When I speak of full time distance consulting I am not talking about those folks that spend three for four weeks a year consulting with a school district, private provider, some industry or insurance company. I am also not speaking of those who are independent contractors who live in one place and may suffer the hour drive occasionally to work with a young child or adult. So what is the full time distance consultant, how do you know if you are a full time distance consultant? I offer the following as a list of criterion: 1. You are chronically on the road, flying from one place to the next, being away from home for as much as a month at a time or you routinely spend eighteen hours of travel time for six to eight hours of work. 2. You have a variety of suitcases that you have designated for the length of a given trip. 3. You carry a suitcase that contains a printer, file folders, postage, envelopes, and other office supplies, separate from your clothes. 4. You get excited when you find office items (printers, staplers, computers) or personal hygiene items that are very tiny. 5. If air miles were dollars you would be wealthier then Bill Gates. 6. You know where dry cleaners are located in nine or more cities across the United States or in two or more foreign countries. 7. You have purchased toiletries and clothing on two or more occasions because although you made the connection at the airport, clearly that was not the case for your luggage. 8. You routinely turn down work located in or near popular vacation spots. 9. You have a natural immunity to Montezuma. 10. You are initially confused when asked the question; where do you live and find you generally respond that you have been told where you live is nice. If eight or more of these apply to you then you could consider yourself a full time distance consultant. Why So High? Having defined the distance consultant, let's try and tackle that issue of cost and in doing so I believe that we can shed some light on that fable about the glamorous lifestyle. The consultant who leaves for a business trip almost knows leaving that if thy are not on a flight at 6:30 AM they should not expect to do anything but travel that day. …

Reducing bacterial contamination of enteral feeds

OBJECTIVEIt has previously been shown that microbial contamination of enteral feeds given to children in hospital and at home is common. This study therefore examined the effects of improvements in...

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Consumers have increasing expectations of quality. Service organisations have responded by standardisation of their procedures and intensive staff training in ‘robot-like’ behaviour. Anne Tomes questions whether this approach leads to real quality of service.

Staff training: a key factor in reducing intravascular catheter sepsis.

A children's hospital nutritional care team prospectively monitored the frequency of sepsis in central venous catheters used for administering parenteral nutrition. During an initial study period of 12 months, 26/58 (45%) of catheters were removed because of proved sepsis. The possible causes of this alarmingly high rate were examined, with catheter care techniques on the wards coming under particular scrutiny. As a result protocols were modified and an intensive staff training programme implemented throughout the hospital, led by the nutritional care sister. Subsequently, the catheter sepsis rate was significantly reduced with only 9/107 (8%) of consecutive catheters becoming infected. These findings emphasise the key role that education of staff plays in controlling central venous catheter sepsis and the importance and cost effectiveness of special nursing staff in implementing such measures.

A fire code for the New Zealand meat freezing industry with particular reference to cold stores

This paper describes building standards relating to the fire code and their application to cold stores. Emphasis is placed on a policy for a large industrial complex with single management capable of ensuring permanent fire safety measures, emergency procedures and intensive staff training. The management can thus co-ordinate all aspects of fire prevention and decide which buildings should incorporate fire safety measures and the extent to which these should be implemented. Emphasis is especially laid on staff safety, specifying minimum egress distances and easy fire fighting access. The use of sprinklers, located selectively, is advised in some parts of the building. The fire code represents a consensus view of design engineers, fire fighters, local government, insurance companies and meat company owners and operators.

Establishing and Maintaining a Therapeutic Environment in a Residential Rehabilitation Center for the Blind

The functions of a residential rehabilitation center for the blind are outlined in this article, including its role as a therapeutic treatment center. The establishment and maintenance of a therapeutic environment is crucial to the efforts of the center; the heart of the dynamics of the therapeutic approach is the interaction between each staff member and student. Thus, careful staff recruitment, plus continuous, intensive staff training is crucial in developing a staff that is unified and consistent in approach, able to manage the rehabilitation process consciously, adapting it to the needs of each student.