Improving the Assessment and Triage of Patients with Mental Illness ...

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Date of Submission: 11 th May 2011 Word Count: 13,192 Name: Mr. John Lawson
Abstract Since the amalgamation of mental institutions with acute hospitals there has been an increase in presentations of patients with mental illness to the Emergency Department. The first point of contact for the patient attending the Emergency Department is typically triage. It is the point where emergency care begins with the nurse assessing the patient and assigning a triage category that best suits the patient’s clinical need. Traditionally triage had its origins in assessing patients presenting with a physical injury or illness and did not consider those with a psychological illness. Present-day triage has improved but not to the extent that is required for best practice. Furthermore staff in the Emergency Department may have received no formal training in the speciality that is Mental Health. Specialised training is necessary to provide a consistent and high standard of nursing care and assessment. The purpose of this study was the implementation of a change management project. This was initiated in a large Emergency Department in Dublin. The project involved the introduction of a mental illness triage tool, a computerised pop-up screen in triage and nursing assessment documentation specifically designed to manage the care of the patient attending the emergency department with a mental illness. i
Page 1 and 2: Royal College of Surgeons in Irelan
Page 3: Improving the Assessment and Triage
Page 7 and 8: Table of Contents Abstract Acknowle
Page 9 and 10: Chapter 1 Introduction 1.1 Introduc
Page 11 and 12: However there are a large number of
Page 13 and 14: Chapter 2 The Literature Review 2.1
Page 15 and 16: with mental health issues, who pres
Page 17 and 18: Australia. The data was collected b
Page 19 and 20: Following implementation of the Nat
Page 21 and 22: Consequently the subsequent chapter
Page 23 and 24: must analyse their surroundings and
Page 25 and 26: After consideration of the aforemen
Page 27 and 28: questioning the patient about their
Page 29 and 30: The benefits of successful implemen
Page 31 and 32: Establishing trust was significant
Page 33 and 34: Group One: Nursing documentation- C
Page 35 and 36: Developing the implementation plan.
Page 37 and 38: Communication As discussed in relat
Page 39 and 40: Nevertheless as a change agent and
Page 41 and 42: crucial. The change agent or change
Page 43 and 44: The observational audit carried out
Page 45 and 46: Limitations arise as the project wa
Page 47 and 48: 5.5 Conclusion Improving the triage
Page 49 and 50: Cartwright, T., Baldwin, D. (2007)
Page 51 and 52: Happell, B., Summers, M., Pinikahan
Page 53 and 54: McAuliffe, E., Van Vaerenbergh, C.
Page 55 and 56:
National Institute for Clinical Exc
Page 57 and 58:
Wand, T. (2004) Mental Health Liais
Page 59 and 60:
Appendices Appendix A Mental Illnes
Page 61 and 62:
Appendix A Mental Illness Nursing A
Page 63 and 64:
Appendix C Recommendations in World
Page 65 and 66:
Appendix E Manchester Triage Algori
Page 67 and 68:
Appendix G Health Service Executive
Page 69 and 70:
Appendix I Change Management Projec
Page 71 and 72:
Appendix K Mental Illness Triage To
Page 73 and 74:
Appendix M Force Field Analysis Dri
Page 75 and 76:
Appendix O Questionnaire results re
Page 77:
Appendix Q 16 Triage Category alloc
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