At approximately 1400, resident was in the classroom when she became dysregulated by another peer. She began attempting to self-harm by scratching herself. In response to this, staff members attempted to verbally deescalate and physically block self-harm attempts, but resident continued to self-harm with more aggressive attempts. In response to this, she was placed into a physical hold to maintain her safety. Resident stated to RN that she was going to continue to self-harm after she was released. After several de-escalation attempts by different staff members, resident continued to be an imminent threat to herself and a one-time emergency medication was administered. Resident was able to calm herself and verbalize maintaining safe behaviors and was transitioned out of physical hold. Resident sustained a small abrasion on her left hand from her nails while she was scratching herself. Resident will continue to be on self-harm precautions until otherwise stated by clinical. Psych APRN notified for medication adjustment in relation to continued episodes of self-harm. Licensing Specialist reviewed camera footage for a provider reported incident on 3/30/2023.Licensing Specialist observed residents in the classroom sitting in different areas with staff present. Licensing Specialist observed what appeared resident and a peer having a verbal disagreement. Resident walked away and sat to the side of the classroom out of camera view where it was reported that she was attempting to scratch herself. Licensing Specialist observed the other residents being removed from the classroom and resident being placed in a physical restraint. The ratio was 4:1. Licensing Specialist observed resident trying to break free from the physical restraint. A few minutes later, Licensing Specialist observed a nurse on the phone. Minutes later, Licensing Specialist observed resident receiving medication through a syringe. Licensing Specialist observed resident calm down and released from the restraint. She was able to sit up and process with staff. [REDACTED] (Director of Nursing) informed Licensing Specialist that resident’s medication adjustment has been helpful in relation to her self-harm episodes. Licensing Specialist: Kendra Rice.
