STUDY SHEET FOR BEHAVIOR EMERGENCIES

A behavioral emergency exists when a patient's behavior is not typical for the situation, when the patient's behavior is unacceptable, or intolerable to the patient, or those around, or when the patient may harm him or herself or others. Many factors can cause behavior emergencies - substance abuse, stress, psychological problems, illness, as well as traumatic events. Whatever the cause, do not hesitate to request police assistance when you feel it is necessary.

The scene must be secure before you can begin your job. Remember your first priority is your own safety. Be alert for body language, like clenched fists, throwing things, picking up something that could be used as a weapon, sitting on the edge of the chair, abrupt and sudden mood changes.

Most patients, even most behavior emergency patients, don't need to be restrained. Talking in a calm and non threatening manner usually does the job. You may be able to get an upset patient prompt and effective medical care by just agreeing with all their statements, even if they are bizarre.

But if in doubt, have the police control the situation. Once restraints are in place, don't take them off in the back of the ambulance, until you are in the hospital

Document behavior emergency calls carefully, including the statements the patient makes, the position of the patient, and whether restraints were used.