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General Description
Requirements
Overview of Steps
Detailed Steps
Subject Experts
Emergency/Crisis Procedures for Emotional or Behavioral Crisis
Procedure

Document Number: RWC--102p Revision #: 1.0
Document Owner: Executive VP Date Last Updated: 07/11/2013
Primary Author: Dean of the School of Nursing and Health Sciences and Health Sciences Status: Approved
Date Originally Created: 05/22/2012

General Description
Description / Scope:

Information about emergency/crisis procedures for emotional or behavioral crisis relative to the Rudy Wellness Center.


Purpose:

Delineation of procedures.


Who Performs / Responsibility: All faculty, staff, students, and administrators

When to Perform: As needed

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Requirements
Pre-Knowledge: Before performing this task you must know:
Current University policy
Federal statutes
Local statutes
Standard company policies
Standards of good practice
State statutes

Terms and Definitions: Additional training

Corrective Action

Loss of privilege, staff

Loss of privilege, student

Suspension

Suspension-student

Termination

Equipment: Policy and Procedure Handbook

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Overview of Steps
1.

Emergency/Crisis Procedures for Emotional or Behavioral Crisis

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Detailed Steps
1.

Emergency/Crisis Procedures for Emotional or Behavioral Crisis


1.1

Daytime Emergency Services


How to Do:

During office hours, clients may call the Mobile Crisis Line at 1-800-704-2651 and ask to be scheduled for an emergency appointment. If no one is available and it is a crisis situation, the following guidelines apply:

· If a client has attempted suicide, call 911 for emergency transport to the emergency room.

· If a client is in crisis and no one answers or is available at the Rudy Wellness Center, there are other options:

* Call Campus Security at campus extension 2222 or (615-476-3061) who can call 911 or the RUDY WELLNESS CENTER (615-257-9500) if during business hours Monday-Thursday, 9am–1pm.

* Call 911 for assistance.

* Call the Assessment Coordinator at McFarland Hospital at 615-449-0500.

* Call the Crisis Intervention Center (615-244-7444).

* Call Wilson County Mobile Crisis (800-704-2651).

* Call Vanderbilt Respond (615-327-7000).


1.2

After-Hours Emergency Services


How to Do:

Clients in crisis after hours can call:

· Call Campus Security at extension 2222 or (615-476-3061) who can call 911.

· 911

· The assessment coordinator at McFarland (615-449-0500)

· The Crisis Intervention Center (615-244-7444)

· Wilson County Mobile Crisis (800-704-2651)

· Vanderbilt Respond (615-327-7000)

 

Regardless of what time of day or night an emergency occurs, if a client is actively suicidal and/or homicidal, 911 should be called immediately or the client should be taken immediately to the emergency room or to McFarland Hospital.   


1.3

Transporting


How to Do:

The Rudy Wellness Center staff does not transport clients in emergency situations.  In cases that require transporting to the hospital, a family member, friend, the Lebanon Police Department, or an ambulance is called depending on the particular situation.


1.4

Intoxicated Clients


How to Do:

Rudy Wellness Center staff members do not intervene with clients who are intoxicated or under the influence of drugs.  A clinician can have little impact on students who are “high.”  Some such individuals may need medical attention or to be kept safe in a hospital or other secure environment. These individuals will need to be transported to the UMC Emergency Room for evaluation.  The safety of the client, the staff of Rudy Wellness Center and others is always a primary concern.


1.5

Volatile Clients


How to Do:

In the unlikely event that a client should become volatile in the Rudy Wellness Center’s office, Campus Security extension 2222 or (615-476-3061) and/or 911 will be contacted immediately for assistance.  Specific guidelines for handling such situations are outlined in Managing Volatile Clients, (Appendix J).  


1.6

Suicide Attempts/Self-Injurious Gestures: Notification of Appropriate Parties


How to Do:

Unless clinically contraindicated, parents, next of kin, or the person identified as “emergency contact” by a client on his/her paperwork may be called if any life-threatening attempt is made or if the clinician evaluates a client to be at immediate and substantial risk of serious harm to him/herself.  All clinical staff members should seek consultation and inform the Director and/or the CU Counseling Center Director about all such notifications.  It may also be necessary to inform other personnel on campus and/or in the community.  Campus Security at extension 2222 or (615-476-3061) is to be contacted in these situations.

 

If a client has evidenced suicidal ideation or behavior and refuses service either at the Center or an outside resource and, if the client does not meet the legal standard for involuntary treatment, it is critical that all information be fully documented, including that counseling or other service was recommended, offered, and refused by the client.  The clinician will consult with the Center’s Director to determine whether to contact parents or next of kin.


1.7

Threat to Others


How to Do:

When a student has evidenced homicidal ideation or potential threat to physically harm another, the clinician will consult with the Director and/or CU Campus Security or the Lebanon Police Department who will respond as required by law.  It is mandatory to inform other agencies on campus including the Dean of Students, the Director of Counseling/Disability Services/Disability Services, and other administrative personnel including the Executive Vice President, the Executive Director of Facilities and Safety, and the University President.  

 


1.8

Sexual Assault


How to Do:

Educating clients about the potential limitations of confidentiality in regards to reports of sexual assault incidents is crucial in the cases of alleged sexual assault; clinicians reporting responsibilities and those of other university offices may differ dramatically, and the confidentiality may be compromised.  The university’s Sexual Assault Policy (Appendix K).  This form should be provided to the rape/assault victim.

 

A written copy of information to assist students in determining actions to take following a sexual assault or rape is available through the Rudy Wellness Center What Should You Do After A Sexual Assault or Rape?” (Appendix L).  If a clinician has been called to respond to a sexual assault emergency, the form should be given to the student in addition to a verbal explanation; at a time of high stress/trauma, much of what is verbalized is likely not to be remembered.


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Subject Experts
The following may be consulted for additional information.
Dean of the School of Nursing and Health Sciences and Health Sciences

Dean of Students

Director of Counseling/Disability Services/Disability Services Center

Executive VP

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