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Occurrence Summary Reports for:
COLORADO MENTAL HEALTH INSTITUTE AT PUEBLO-PSYCH
Monday, September 25, 2017 3:34 AM

Facility: COLORADO MENTAL HEALTH INSTITUTE AT PUEBLO-PSYCH
Date of Occurrence: 2/20/2016
Report Timely: Yes
Type of Occurrence: Abuse/Verbal

DESCRIPTION OF OCCURRENCE:
On 02/20/16 witness staff reported staff member (1) had been verbally abusive to a female patient, who was in her 40s.


FACILITY/AGENCY ACTION:
The facility conducted an internal investigation and notified the police. Staff reported the patient had been agitated earlier in the day and was refusing to take her medications. The patient and staff member (1) had been yelling at each other about other items during the day and staff member (1) informed the patient she could take a time out or go into seclusion/restraint. Other staff intervened and the patient was able to calm down and agreed to take her medications. As another nurse was offering the patient her medications, staff member (1) continued to yell at the patient from across the room to take the medications. At this point, staff member (1)'s yelling upset the patient and the patient began yelling back at staff member (1). The patient then moved in a manner which appeared to be a lunge towards a staff member standing next to her and staff placed the patient in a manual hold. The patient was placed in seclusion and restraints. Later, the patient told other staff she felt staff member (1) was "out to get her" and "wants me in restraints." The patient stated she felt anxious to be around staff member (1) and felt staff member (1) was rude. Staff member (1) was placed on administrative leave pending the outcome of the investigation. Other staff reported staff member (1) could be loud and inappropriate at times and that her approach frequently escalated patients' behaviors. Staff member (1) denied the allegations and said she did not yell or raise her voice at the patient. Management provided a corrective action for staff member (1) and put a monitoring plan in place when she returned to work. In addition, staff member (1) had to review the employee code of conduct prior to working with patients.

DEPARTMENT FINDINGS:
The Department reviewed the facility's report and supplemental documentation and found that the facility acted appropriately by reporting the occurrence, notifying the appropriate persons/agencies and conducting an investigation.

The Department will review this occurrence prior to the next survey.


Sent to Facility: 4/14/2016

FACILITY COMMENT: Following receipt of the above summary, no additional comments were submitted by the facility.


Released to Public: 4/25/2016

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