Development timeline: May 2019 – March 2020
This guidance is open for public consultation. Have your say now!
Submissions close Friday 28 February.
Together with emergency care clinicians we've identified managing behaviours of concern as a priority area to focus on.
Why are we developing this guidance?
Managing patients who display behaviours of concern can be challenging for emergency care clinicians. There is growing concern that these behaviours are happening more often and pose significant safety risks.
We've established an expert working group to help us develop this guidance. They define behaviours of concern as:
‘Patients exhibiting acute behavioural disturbance and displaying agitated or aggressive behaviour. This puts them at risk of causing harm to themselves or other patients, relatives, visitors or staff.’
Our statewide guideline will describe best practice approaches to managing these behaviours and reduce variation in care.
Scope of guidance
This guidance is intended for managing adult patients who present to emergency departments or urgent care centres, including during transitions of care.
Not in scope
- Managing paediatric patients
- Managing patients with a clear organic cause for acute behavioural disturbance, such as dementia, delirium, closed head injury
- Caring for patients after discharge or transfer from emergency department or urgent care centres
- Providing clinical guidance to police and pre hospital care*
*While this is out of scope, our guideline may be suitable to adapt.
Expert working group
|Dr Thomas Chan (chair)||Emergency physician
Director of emergency department
|Kristy Austin||National standards accreditation lead||Ambulance Victoria|
|Dr Shaun Baxter||
Adult Retrieval Victoria
|Paul Burke||Clinical practice guideline development specialist||Ambulance Victoria|
|Dr Simon Craig||Emergency physician||Monash Health|
|Jo Colvin||Emergency department alcohol and other drug nurse practitioner||Latrobe Regional Hospital|
|Sim Crawford||Lived experience of behaviours of concern in emergency care settings||Consumer|
|Dr Dan Crompton||
Bass Coast Health (Wonthaggi hospital)
|John Cunning||Clinical nurse specialist (psychiatry)
Associate director of nursing
|Dr Cathy Daniel||
Consultation liaison nurse
Royal Melbourne Hospital
University of Melbourne
|Claire Doherty||Project lead, emegency care clinical network||Safer Care Victoria|
|Daniel Eltringham||Emergency department drug and alcohol care co-ordinator||Bendigo Health|
|James Fowler||Clinincal fellow, emergency care clinical network||Safer Care Victoria|
|Kate James||Emergency department clinical nurse specialist||Werribee Mercy|
|Cristina Roman||Emergency department pharmacist||Alfred Health|
|Frances Sanders||Senior care advisor, DHHS office of the chief mental health nurse||Consumer|
|Penny Whelan||Emergency department nurse unit manager||Goulburn Valley Health|
Terms of reference
Last updated 15 Oct 2019
Page last updated: 03 Feb 2020