Through Cornell Universitys therapeutic crisis intervention system, more than 50 nurses, social workers, physicians and therapists at Blythedale Children’s Hospital in Valhalla, N.Y., have received training to help patients who have experienced any type of trauma as well as for those patients who have difficulty with self-regulation during stressful situations. As a result of TCI training, we can approach escalating situations with knowledge, confidence and a calming manner that will result in positive change and growth for our patients, said Judi Peacock, RN, MPH, WCC, CNO.
Participants learn how to prevent or de-escalate potential crises; manage a crisis situation safely and therapeutically; and help children improve their coping skills.
In the fall, Linda Bove, RN, MA, CPN, the clinical nurse educator, as well as the chief of psychiatry and psychology, a clinical neuropsychologist, a clinical psychologist and a social worker from Blythedale attended a week-long Train the Trainer session at Cornell.
The five trainers offer monthly three-day training sessions at the hospital, which include a written and practical certification exam at the end of the program. The goal is to have all nurses, physicians, therapists, social workers and ancillary staff trained by the end of the year.
We talk about managing the environment and awareness of ones values, attitudes and perceptions and practice skills like active listening and nonverbal communication, Bove said. TCI training also includes practice in a post-crisis meeting, called the life space interview.
New Approach, Better CareBlythedale Children’s Hospital staff, from left, Alexis Bolster, RN, staff nurse, adolescent unit; Stacy DeJonge, RN, staff nurse, school-aged/inpatient unit; and Judi Peacock, RN, CNO, have been trained in the TCI system.
The training sessions include role playing, video scenarios, small group discussions, PowerPoint presentations and readings. In the course, participants learn key words and phrasing when helping children develop coping skills as well as specific actions to de-escalate a difficult situation.
Because of the behavioral issues that may result from a patient with traumatic brain injury, we now have effective ways to intervene, said Stacy DeJonge, RN, BSN, MPH, staff nurse, school-aged/inpatient unit. For example, in the training, we learn how to speak with someone who may be having an unexpected outburst and help that person steady him or herself.Blythedale Children’s Hospital staff, from left, includes Linda Hurwitz, RN, chief clinical outcomes officer; Kimberly Everett, RN, nursing director of the infant ventilator and adolescent units; Colleen Booth, RN, director of education; and Judi Peacock, RN, CNO.
After the training, staff also looked at ways to improve the environment. For example, we eliminated loud noises and other distractions and replaced them with a quiet environment, said Colleen Booth, RN, MS, CPN, director of education. We have had only one code involving an escalating patient since we began this program, which demonstrates how beneficial the TCI system has been for our patients and our staff.