indigo | Nemours

Nurse

PICU

AGGRESSIVE CHILD EMERGENCY

An Aggressive Child Emergency (ACE) is any situation where an associate feels physically or emotionally threatened or at risk of harm from a patient or the patient exhibits self destructive behaviors. The patient’s behavior poses a danger to self, visitor or a Nemours associate.

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

The Bedside Nurse will:

Responds to the patient’s bedside
Assess the patient
Positions self at an extremity of the patient and aids in safely restraining the patient according to directions from the team leader
Assist in safe application of leather restraints as directed by the Team Leader according to Nursing Procedure 2.31
Provide patient information
Assist team in creating a plan of care for the patient including safe criteria for removal of leather restraints

The Charge Nurse will:

Responds to the patient’s bedside
Ensure team response with adequate resources and assists with providing additional resources if indicated
Assist team in creating a plan of care for the patient including safe criteria for removal of leather restraints

Location of the Emergency Management Plan: This 500 page document is physically located in or with Administration, Safety Officer, Emergency Management Officer, and in the Incident Command Code Delta box. A digital link to this plan is available only through the Nemours intranet.

CICU

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

The Bedside Nurse will:

Responds to the patient’s bedside
Assess the patient
Positions self at an extremity of the patient and aids in safely restraining the patient according to directions from the team leader
Assist in safe application of leather restraints as directed by the Team Leader according to Nursing Procedure 2.31
Provide patient information
Assist team in creating a plan of care for the patient including safe criteria for removal of leather restraints

The Charge Nurse will:

Responds to the patient’s bedside
Ensure team response with adequate resources and assists with providing additional resources if indicated
Assist team in creating a plan of care for the patient including safe criteria for removal of leather restraints

NICU

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

The Bedside Nurse will:

Responds to the patient’s bedside
Assess the patient
Positions self at an extremity of the patient and aids in safely restraining the patient according to directions from the team leader
Assist in safe application of leather restraints as directed by the Team Leader according to Nursing Procedure 2.31
Provide patient information
Assist team in creating a plan of care for the patient including safe criteria for removal of leather restraints

The Charge Nurse will:

Responds to the patient’s bedside
Ensure team response with adequate resources and assists with providing additional resources if indicated
Assist team in creating a plan of care for the patient including safe criteria for removal of leather restraints

Emergency Department

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

The Bedside Nurse will:

Responds to the patient’s bedside
Assess the patient
Positions self at an extremity of the patient and aids in safely restraining the patient according to directions from the team leader
Assist in safe application of leather restraints as directed by the Team Leader according to Nursing Procedure 2.31
Provide patient information
Assist team in creating a plan of care for the patient including safe criteria for removal of leather restraints

The Charge Nurse will:

Responds to the patient’s bedside
Ensure team response with adequate resources and assists with providing additional resources if indicated
Assist team in creating a plan of care for the patient including safe criteria for removal of leather restraints

Surgical Services

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

The Bedside Nurse will:

Responds to the patient’s bedside
Assess the patient
Positions self at an extremity of the patient and aids in safely restraining the patient according to directions from the team leader
Assist in safe application of leather restraints as directed by the Team Leader according to Nursing Procedure 2.31
Provide patient information
Assist team in creating a plan of care for the patient including safe criteria for removal of leather restraints

The Charge Nurse will:

Responds to the patient’s bedside
Ensure team response with adequate resources and assists with providing additional resources if indicated
Assist team in creating a plan of care for the patient including safe criteria for removal of leather restraints

2B

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

The Bedside Nurse will:

Responds to the patient’s bedside
Assess the patient
Positions self at an extremity of the patient and aids in safely restraining the patient according to directions from the team leader
Assist in safe application of leather restraints as directed by the Team Leader according to Nursing Procedure 2.31
Provide patient information
Assist team in creating a plan of care for the patient including safe criteria for removal of leather restraints

The Charge Nurse will:

Responds to the patient’s bedside
Ensure team response with adequate resources and assists with providing additional resources if indicated
Assist team in creating a plan of care for the patient including safe criteria for removal of leather restraints

2 West

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

The Bedside Nurse will:

Responds to the patient’s bedside
Assess the patient
Positions self at an extremity of the patient and aids in safely restraining the patient according to directions from the team leader
Assist in safe application of leather restraints as directed by the Team Leader according to Nursing Procedure 2.31
Provide patient information
Assist team in creating a plan of care for the patient including safe criteria for removal of leather restraints

The Charge Nurse will:

Responds to the patient’s bedside
Ensure team response with adequate resources and assists with providing additional resources if indicated
Assist team in creating a plan of care for the patient including safe criteria for removal of leather restraints

3 East

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

The Bedside Nurse will:

Responds to the patient’s bedside
Assess the patient
Positions self at an extremity of the patient and aids in safely restraining the patient according to directions from the team leader
Assist in safe application of leather restraints as directed by the Team Leader according to Nursing Procedure 2.31
Provide patient information
Assist team in creating a plan of care for the patient including safe criteria for removal of leather restraints

The Charge Nurse will:

Responds to the patient’s bedside
Ensure team response with adequate resources and assists with providing additional resources if indicated
Assist team in creating a plan of care for the patient including safe criteria for removal of leather restraints

3 West

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

The Bedside Nurse will:

Responds to the patient’s bedside
Assess the patient
Positions self at an extremity of the patient and aids in safely restraining the patient according to directions from the team leader
Assist in safe application of leather restraints as directed by the Team Leader according to Nursing Procedure 2.31
Provide patient information
Assist team in creating a plan of care for the patient including safe criteria for removal of leather restraints

The Charge Nurse will:

Responds to the patient’s bedside
Ensure team response with adequate resources and assists with providing additional resources if indicated
Assist team in creating a plan of care for the patient including safe criteria for removal of leather restraints

4 East

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

The Bedside Nurse will:

Responds to the patient’s bedside
Assess the patient
Positions self at an extremity of the patient and aids in safely restraining the patient according to directions from the team leader
Assist in safe application of leather restraints as directed by the Team Leader according to Nursing Procedure 2.31
Provide patient information
Assist team in creating a plan of care for the patient including safe criteria for removal of leather restraints

The Charge Nurse will:

Responds to the patient’s bedside
Ensure team response with adequate resources and assists with providing additional resources if indicated
Assist team in creating a plan of care for the patient including safe criteria for removal of leather restraints

4 West

Outpatient

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

The Bedside Nurse will:

Responds to the patient’s bedside
Assess the patient
Positions self at an extremity of the patient and aids in safely restraining the patient according to directions from the team leader
Assist in safe application of leather restraints as directed by the Team Leader according to Nursing Procedure 2.31
Provide patient information
Assist team in creating a plan of care for the patient including safe criteria for removal of leather restraints

The Charge Nurse will:

Responds to the patient’s bedside
Ensure team response with adequate resources and assists with providing additional resources if indicated
Assist team in creating a plan of care for the patient including safe criteria for removal of leather restraints

Specialty Nurses

AGGRESSIVE CHILD EMERGENCY

Specialty Nursing Includes But Is Not Limited To: Clinical Nurse Educators, Advanced Practice Nurses, Nursing Advancement, IV Therapy Nurses, Nursing Informatics

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

The Bedside Nurse will:

Responds to the patient’s bedside
Assess the patient
Positions self at an extremity of the patient and aids in safely restraining the patient according to directions from the team leader
Assist in safe application of leather restraints as directed by the Team Leader according to Nursing Procedure 2.31
Provide patient information
Assist team in creating a plan of care for the patient including safe criteria for removal of leather restraints

The Charge Nurse will:

Responds to the patient’s bedside
Ensure team response with adequate resources and assists with providing additional resources if indicated
Assist team in creating a plan of care for the patient including safe criteria for removal of leather restraints

Nurse Supervisor

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

The Nursing Supervisor will:

Respond to the patient’s bedside
Assess the patient
If a Team Leader is not established, accepts the role of Team Leader
Positions self at an extremity of the patient and aids in safely restraining the patient according to directions from the team leader
Assist in safe application of leather restraints as directed by the Team Leader according to Nursing Procedure 2.31
Notify the Administrator On-Call immediately after Aggressive Child Emergency Response Team has stabilized the situation.
Notify Aggressive Child-Comprehensive Assessment and Treatment Team (AC-CATT)

Dealing with an Aggressive Patient:

If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

Respiratory

PICU

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

CICU

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

NICU

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

Emergency Department

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

Surgical Services

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

2B

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

2 West

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

3 East

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

3 West

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

4 East

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

4 West

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

Outpatient

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

Physician

PICU

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

CICU

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

NICU

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

Emergency Department

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

Trauma

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

Physician Surgical Services

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

Gold Team

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

Silver Team

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

Red Team

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

Blue Team

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

Anesthesia

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

General Pediatrics

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

All Other Physicians

AGGRESSIVE CHILD EMERGENCY

All Other Physicians Including But Not Limited To: Orthopedics, Diagnostic Referral, Pathology, Primary Care, Developmental Medicine, Genetics, Immunology, Behavioral Health, Endocrinology, Hematology/Oncology, Neurology, Nephrology, Pulmonology, Rheumatology, Weight Management, Rehabilitation, Otolaryngology, Transition Team, Dentistry, Ophthalmology, Urology

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

Security

Command Center

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

An associate will activate the Aggressive Child Emergency Response Team (ACE-RT) by calling the Command Center (53-5555). The associate will inform the Command Center of the patient’s name, unit, room number, and reason for the notification.
The Command Center will announce overhead “Attention ACE Team” to the designated unit to activate the ACE-RT. The Command Center will also contact the Aggressive Child-Comprehensive Assessment and Treatment Team (AC-CATT).

Other Security Personnel

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

The Security Officer will:

Responds to the patient’s bedside with the Aggressive Child Emergency Kit, including leather restraints
If a Team Leader is not established, a security officer will accept this role
Positions self at an extremity of the patient and aids in safely restraining the patient according to directions from the team leader
Assist in safe application of leather restraints as directed by the Team Leader according to Nursing Procedure 2.31

Dealing with an Aggressive Patient:

If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

Administration

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

The Administrator On Call will be notified by the Nursing Supervisor immediately after the stabilization of an Aggressive Child Emergency

Dealing with an Aggressive Patient:

If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

Pharmacy

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Be aware of any STAT medication orders from the ACT Response Team. Give priority attention to ACE-RT orders.

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

Clerk

Clerk/Aides

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

Social Work

Social Worker

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Social Work may be called upon by the ACE Response team for assistance and/or to formulate an on going plan of care.

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

Pastoral Care

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Provide comfort to patient, family, and associates as needed

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

Rehab and Therapy Services

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

Facilities

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Provide support as requested

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

Clinical Lab

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

No specific responsibilities for an Aggressive Child Emergency.

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

Information Systems

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

No specific responsibilities for an Aggressive Child Emergency.

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

Nutrition Services

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

No specific responsibilities for an Aggressive Child Emergency.

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

Radiology

X-Ray

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

No specific responsibilities for an Aggressive Child Emergency.

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

MRI

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

No specific responsibilities for an Aggressive Child Emergency.

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

CT

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

No specific responsibilities for an Aggressive Child Emergency.

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

Interventional

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

No specific responsibilities for an Aggressive Child Emergency.

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

Ultrasound

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

No specific responsibilities for an Aggressive Child Emergency.

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

Health Information Management

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

No specific responsibilities for an Aggressive Child Emergency.

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

Human Resource

Human Resources

<h2>AGGRESSIVE CHILD EMERGENCY</h2>
An Aggressive Child Emergency (ACE) is any situation where an associate feels physically or emotionally threatened or at risk of harm from a patient or the patient exhibits self destructive behaviors. The patient’s behavior poses a danger to self, visitor or a Nemours associate.
Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).
For an aggressive or violent non-patient, please refer to SECURITY ALERT
No specific responsibilities for an Aggressive Child Emergency.
Dealing with an Aggressive Patient:
<ul>
<li>Immediately call for patient's nurse</li>
<li>If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location<ul>
<li>The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.</li>
</ul>
</li>
<li>Remove furniture from room</li>
<li>Remove any equipment that may be used as a weapon</li>
<li>Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards</li>
<li>Keep room quiet, lower lights, decrease stimuli</li>
<li>Remain vigilant for any safety issues to the patient or associates</li>
<li>The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful</li>
<li>When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.</li>
</ul>
Location of the Emergency Management Plan: This 500 page document is physically located in or with Administration, Safety Officer, Emergency Management Officer, and in the Incident Command Code Delta box. A digital link to this plan is available only through the Nemours intranet.

Environmental Services

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

An Aggressive Child Emergency may require Environmental Services after completion of event

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

Materials Management

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Provide priority attention to ACE Response Team requests

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

Volunteer Services

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

No specific responsibilities for an Aggressive Child Emergency.

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

Critical Care Transport

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Dealing with an Aggressive Patient:

Notify AIDHC Command Center
Notify the Attending Physician overseeing the transport process
If necessary, pull over to the side of the road and dial 911 for assistance
Maintain communication with AIDHC Command Center until support arrives

Child Life

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

Provide support to patient and siblings as requested

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

Blood Bank

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

No specific responsibilities for an Aggressive Child Emergency.

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

Marketing and Public Relations

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

No specific responsibilities for an Aggressive Child Emergency.

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.

All Other Associates

AGGRESSIVE CHILD EMERGENCY

Any member of the healthcare team concerned that the behaviors of a patient pose a danger to the patient or others should activate the Aggressive Child Emergency Response Team (ACE-RT).

For an aggressive or violent non-patient, please refer to SECURITY ALERT

No specific responsibilities for an Aggressive Child Emergency.

Dealing with an Aggressive Patient:

Immediately call for patient's nurse
If deescalating strategies do not work, call 53-5555 requesting an ACE RESPONSE TEAM, naming specific location
- The associate that initiated the response will provide information about the patient and the activity that occurred prior to the event.
Remove furniture from room
Remove any equipment that may be used as a weapon
Remove any personal items that may be used as a weapon: pens, stethoscopes, necklaces, ties, lanyards
Keep room quiet, lower lights, decrease stimuli
Remain vigilant for any safety issues to the patient or associates
The ACE team will try deescalating strategies and may if necessary use leather restraints and/or medications if other methods are unsuccessful
When behavioral interventions on aggressive patients do not deescalate the situation, associates should contact the Attending Physician and/or the Attending Physician designee, the on-call Hospitalist, Child Psychiatry, and Social Work personnel for further assistance in addressing the patient's plan of care.