Page 2048 - Week 06 - Thursday, 9 June 2022

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15. CHS has an organisational priority to ensure team members are safe at work and take the safety concerns of teams very seriously. At team meetings in all mental health inpatient units, the Director of Nursing has outlined the OV strategies in place, what opportunities and supports are available, and how these can be utilised.

These include:

• Reinvigorating the Safewards methodology;

• Dynamic ISBAR (Introduction, Situation, Background, Assessment, Recommendations/ Read back) has been introduced. This tool is used to assess risk and develop a plan before approaching or undertaking any planned intervention with a consumer that could trigger agitation or aggression towards team members;

• Safety Huddles– these occurs in collaboration with the multidisciplinary team after every clinical handover (shift change) to briefly discuss any safety incidents that have occurred over the last 24-hours and potential issues that may pose a risk to team members or consumers throughout out the shift and any team members;

• A senior nurse has been appointed to focus on OV across MHJHADS. The clinician has been assigned to Dhulwa for three months to support training, education, reporting, governance, coaching, mentoring and the development and implementation of new strategies to reduce OV;

• The introduction of scenario-based training to provide clinical teams and security the opportunity to practice OV response techniques. This is expected to support and improve team member confidence to lead and coordinate effective response to OV incidents;

• Senior management have been working on weekends to provide leadership, encouragement, and additional support for team members;

• The Clinical Nurse Educator position has recently been appointed to structure and facilitate team education programs and reinvigorate the use of the Safewards model in Dhulwa.

All nursing team members at Dhulwa have been given the opportunity to work across different mental health inpatient units across CHS. Redeployment can be temporary or long-term and remains available to team members. There are several benefits of Dhulwa nursing staff working across different units, these include:

• a break away from a forensic environment;

• teamwork and engagement with colleagues in different work environments and with different skillsets;

• opportunity to further develop skills and experience in delivering mental health services to a broad range of consumers;

• exposure to demonstrated OV training principles and de-escalation techniques in practice in different units; and

• return to their usual work environment and discuss ideas or key learnings.

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