In 2021, we presented on the creation of a Behavioral Emergency Response Team (BERT) at a large Psychiatric hospital that caters to Medicaid patients and its utility in fostering culture change in both staff and providers. With the success of the pilot program, the hospital team tasked us with an expansion project – rolling out a dedicated BERT team beyond the walls of the Behavioral Health units and into the 456 bed medical center. During this roll out, significant time has been spent providing in-service education on the Behavioral Activity Rating scale (BARs), as well as providing demonstration on how a BERT is called, how it is preformed, and the importance of a proper debrief afterward. While working on this, multiple opportunities for improvement were found, leading to the rollout of new tools to aid in deescalation in the general hospital setting.
Learning Objectives:- Describe the opportunities in rolling out the BERT approach in the medical setting.
- Introduce the changes needed to adapt BERT to a new environment.
- Describe the BERT Box, a new tool used during codes.
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