Janet source rebuild

DASA-IV and Code White Team Response

A PowerPoint-faithful rebuild focused on imminent aggression cueing, threshold communication, team role clarity, and restraint-prevention planning.

Sources: DASA PPT final (002), Code White role resources

Source intent

Risk assessment turns concern into action

Identify

What safety concerns are visible in the last 24 hours?

Assess

How much has behaviour changed from the patient's baseline?

Mitigate

What prevention strategy must happen now?

DASA-IV seven cues

Score observed change, not reputation

IrritabilityAnnoyed, impatient, easily frustrated. ImpulsivityActs without considering consequences. InstructionsUnwilling to follow reasonable direction. ProvocationSensitive to perceived slights. Denied requestsEasily angered when limits are set. Negative attitudesHostile or mistrustful stance. Verbal threatsThreats toward people or property.

Source visual

Thresholds should trigger communication

Extracted DASA threshold visual from Janet source deck
0Low/no immediate action beyond routine observation. 1-3Moderate: monitor and prevent. 4+High: communicate ASAP and act. 6-7Potentially imminent risk: active prevention now.

Extracted image is included as an internal reconstruction asset pending rights/provenance review.

Code White roles

Assign roles before entering the patient's space

LeaderNames plan, monitors team safety, closes loop. Main communicatorOne calm voice with simple choices. Back-up communicatorSteps in only if assigned. Medication nurseVerifies orders and monitoring requirements. Traffic/safetyClears peers, protects exits, watches scene. DocumenterTimes, cues, interventions, notifications, debrief.

Tabletop drill

Translate a DASA score into a team plan

Scenario

Patient is pacing, swearing, refusing instruction, and threatening to break the nursing station window after a denied pass.

Expected team move

Score observed items, notify team, assign Code White-ready roles, reduce audience, offer clear choices, and prepare ordered medication pathway if needed.

Web adaptation

Turn the deck into a DASA team-plan widget

  • Checkboxes for seven DASA items.
  • Threshold feedback tied to communication.
  • Role chips for Code White team assignment.
  • Least-restrictive prevention plan builder.
The web version should preserve the original teaching sequence: cue recognition, score, threshold, communicate, assign roles, prevent, document, debrief.

Local policy check

What must be verified before formal training?

  • Current DASA-IV documentation location and local thresholds.
  • Mandatory mitigation actions and escalation path.
  • Current Code White, security, restraint, seclusion, and debrief policies.
  • Medication-order and observation-level requirements.