January 25, 2021
Overview
Western Health is committed to addressing, and reducing the incidents of occupational, violence, and aggression in our Emergency Departments.
This week we highlight some key changes to our BOC management processes:
What does this look like in practice?
New BOC Notifications
Please use the ED PA to call:
- BOC Alert: on notification by police or AV of transfer of BOC patient
- BOC Call: on arrival of patient with BOC
New BOC team
- Minimum: 1 nurse, 1 doctor (reg/cons), 1 EMH, 2 security +/- police
- Additional staff as required
New Mandatory searches
- For ALL Section-351 patients
- To occur in the BAR/BOC Cubicle for privacy
New BOC Chart additions
- S for ‘sleeping’ – instead of zero
- W for ‘worried’ – if the BOC=0 but there are still concerns … escalate as if BOC =1
Supporting Documents
Search of the Patient and Visitor – (PPG) – (QRG)
Emergency Department Behavioural Assessment Spaces – (PPG) – (QRG)
Prevention and Management of Patients with Behaviours of Concern in the Emergency Department – (PPG) – (QRG)
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