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Roles and Responsibilities - SHED - Behavioural Assessment Unit (BAU) Nurse

Overview

The BAU Nurse provides patient-centred care to all patients within BAU cubicles. This role will work in collaboration with the ANUM/NIC EMH, Medical team, Mental Health Nurse Navigators and AOD Clinicians.

Primary Roles

  • The primary responsibility of the BAU nurse will be providing bedside care to BAU patients
  • Administering medication as requested by medical team
  • Performing simple procedures such as wound dressing/venepuncture
  • Documenting care, assessments and observations as per the Mental Health Act 2014
  • Escalation of deteriorating patients
  • Liaise with security staff to ensure the safety of staff and patients within the BAU
  • Provide compassionate and effective communication to patients and carers
  • De-escalation of behaviours of concern in conjunction with multi-disciplinary team

Primary Workspace

  • ED Department
  • Behaviour Assessment Unit
  • Behaviour Assessment Rooms

Quality and Safety

  • Ensures the Safety of patients and the environment by conducting regular safety checks
  • Ensure all patients departing ED to the ward have modified criteria in place (if applicable)
  • Infections precautions are considered and documented for all admissions
  • Any behavioural high risk patients are identified prior to departure

Communication

  • Resus/Mental Health ANUM/NIC
  • ED Nurse In Charge
  • Floor Coordinator
  • BAU Consultant
  • ED Nurse Unit Manager
  • Access Manager
  • EMH
  • WH Bed Coordinator
  • ED Operations Manager
  • Inpatient psychiatric wards (AMARU, SAAPU etc)
  • Mental Health Clinical Nurse Educator
  • Mental Health Clinical Nurse Navigator

Escalation Plan

  • Resus/Mental health ANUM/NIC
  • BAU consultant
  • EMH

Methods of Documentation and Reporting

  • Adult ED Flow Chart
  • Mental health Act paperwork – incl. mechanical restraint observation chart
  • EDIS
  • EMR

Measures Of Success

  • All patients meet compliance under the Mental Health Act 2014 for the use of mechanical restraints
  • Successful de-escalation of patient within the BAU using least restrictive means and alternative de-escalation strategies (e.g. use of pastime packs)
  • Assist with Ambulance Off Stretcher Time of 80% of patients offloaded within 40 minutes of triage/arrival
  • Assist with access and flow in ensuring 65% of patients are discharged from the Emergency Department within 4 hours of arrival
  • Zero tolerance for 24 hour total length of stay breach
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