You have been tasked to transport a 22 year old patient with newly 

You have been tasked to transport a 22 year old patient with newly diagnosed schizophrenia from a regional hospital to a secure psychiatric unit 500km away. The patient has been violent and has required sedation overnight.

You have been tasked to transport a 22 year old patient with newly

You have been tasked to transport a 22 year old patient with newly diagnosed schizophrenia from a regional hospital to a secure psychiatric unit 500km away. The patient has been violent and has required sedation overnight.

Describe how you would prepare for and carry out this mission including your rational for aircraft selection, crew configuration, clinical considerations and pre, during and post flight management.

Discuss the issues around physical and chemical restraint during transport, your decision regarding the best approach to take and how you will carry out the restraint.

Identify potential risks for both the crew and patient during the transport of a psychiatric patient and how to minimise these.

Attach as an appendix to your assignment a brief guideline outlining best practice for the transfer of a psychiatric patient by your aeromedical service (either pre-hospital or inter-hospital).

More details;

How do you deal with an aggressive psychiatric patient?

Dealing with an aggressive patient takes care, judgement and self-control.
  1. Remain calm, listen to what they are saying, ask open-ended questions.
  2. Reassure them and acknowledge their grievances.
  3. Provide them with an opportunity to explain what has angered them. …
  4. Maintain eye contact, but not prolonged.

What to do if someone is having a schizophrenic episode?

If they are acting out hallucinations, stay calm, call 911, and tell the dispatcher they have schizophrenia. While you wait for paramedics, don’t argue, shout, criticize, threaten, block the doorway, touch them, or stand over them. Also avoid direct eye contact, which could make them feel threatened.

What are alternatives for restraint?

Alternatives to Restraint
  • Beds that lower to the floor or a mattress in place next to the bed.
  • Encourage family members or organise volunteers to visit at ‘high risk’ times.
  • Consistency in staff and routines.
  • Limit the number of staff attending to the person.
  • Lastly, reduce noise levels.

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