|Facility: COLORADO MENTAL HEALTH INSTITUTE AT PUEBLO-PSYCH
Date of Occurrence: 2/27/2017
Report Timely: Yes
Type of Occurrence: Abuse/Physical
DESCRIPTION OF OCCURRENCE:
On 2/27/17 two male patients engaged in a physical altercation. Patient (A) was in his 50s and patient (B) was in his 20s.
The facility conducted an internal investigation and notified the police and physician. It was reported both patients were in the day hall and patient (B) was singing loudly. Patient (A) asked patient (B) what he was looking at. Patient (B) approached patient (A) and started singing louder. Patient (A) responded by throwing a cup of water at patient (B) and then patient (A) punched patient (B). The two patients engaged in a physical altercation and they were throwing punches at one another. Staff made a duress call to seek additional security support. As the patients continued to hit one another, patient (A) hit his head on a corner wall. Staff were able to intervene and separate the patients. Patient (B) was escorted to the seclusion room for an assessment. Patient (A) was transferred to the hospital for further medical assessments secondary to the observable injuries to his head and face. Patient (B) also sustained some scratches and bruises. Staff provided first aid. Both patients had a diagnosis of mental health with a history of aggressive behaviors. Neither patient reported being fearful of one another. Staff reported patient (B) had been antagonizing patient (A) as well as other patients the week prior to the assault. Staff moved patient (B) to another unit and he would continue to be supervised under assault II precautions. As there were no other injuries found for patient (A), he returned to the facility and staff implemented assault I monitoring.
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 summary findings were based on facility information provided to the department at the time of review.
The Department will review this occurrence prior to the next survey.
Sent to Facility: 5/2/2017
FACILITY COMMENT: Following receipt of the above summary, no additional comments were submitted by the facility.
Released to Public: 5/15/2017