On 5/22/23, resident was involved in a physical altercation with a peer after a verbal disagreement. Resident began hitting her peer until she was separated by staff. After being separated, resident began self-harming. The nurse was called and tried to process with patient and offered a stress ball to use for a coping mechanism. Patient refused stress ball, and persistently refused to give up contraband. When the nurse called for retrieval of contraband, patient became assaultive and began hitting and kicking nurse and assisting staff. She was able to restrain from further assaulting staff by assistance with verbal de-escalation. No further incidents occurred. RN noted a lateral scratch on her leg as a result of the self-injurious behavior that required no medical attention. She has been placed on assault precautions for 7 days as a result of this event. Self-harm precaution safety plan with constant line of sight plan in place.
Licensing narrative: four hours of video footage reviewed on 5/22/23. Client can be seen shutting her bedroom door and blocking it from the inside. Staff make entry into room. Struggle takes place between resident, nurse, and MHT inside room on the bed as the resident appears to be keeping something from them before staff are able to obtain it. Licensing Specialist: Chelsea Vardell.