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Occurrence Summary Reports for:
COLORADO MENTAL HEALTH INSTITUTE AT PUEBLO-PSYCH
Sunday, November 19, 2017 12:48 PM

Facility: COLORADO MENTAL HEALTH INSTITUTE AT PUEBLO-PSYCH
Date of Occurrence: 3/22/2017
Report Timely: Yes
Type of Occurrence: Abuse/Physical

DESCRIPTION OF OCCURRENCE:
On 3/22/17 male patient (A), who was in his 20s, allegedly assaulted male patient (B), who was in his 20s.

FACILITY/AGENCY ACTION:
The facility conducted an internal investigation and notified the physician and police. It was reported patient (B) was sitting in the day hall when patient (A) approached and started swinging at patient (B) until contact was made. Staff yelled "stop" and pushed the duress alarm for additional staff support. Staff were able to intervene and placed patient (A) in a manual hold to escort him out of the area. Patient (A) was placed in locked door seclusion until he calmed down. Nursing attempted to assess patient (B) who refused. Staff noted patient (B) had a minor split to his lip. Patient (B) reported several other patients on the unit have made comments about patient (A) being rude to women and his peers and there was a history of physical aggression. Staff reported patient (B) had been agitated since admission and had been making delusional statements. Management was not able to determine why patient (A) targeted patient (B), but he had been experiencing delusions. A peer restriction and assault II precautions were implemented on patient (A) and patient (B) moved to a different unit. A medication review was also completed for patient (A) by the medical provider. Staff would continue monitoring the patients closely to re-direct and intervene if necessary.

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 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: 5/11/2017

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


Released to Public: 5/23/2017

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