example of BIRP psychiatric charting

[mrn2000]

Could somebody give me a written out example of BIRP chart for the psychiatric unit? Thank you!

[twinkerrs]

B: pt is repeatedly intrusive and aggressive with peers on the unit aeb cutting in line pushing peers out of the way and getting in a peers face and calling him a "butt"

I: redirect, discuss effective coping skills to deal with peers such as talking to them about your place in line, allow patient self time outs when frustrated ( you can insert any identified coping skills from treatment plan here or coping skills that pt identifies with you)

Response: patient able to maintain position in line without aggressive behaviors. Whatever the patient does after you intervene or for a part of the shift

Plan: continue to monitor patient provide 1:1 processing if necessary whatever you plan to do to keep building on a better behavior or what your next course of action will be if the interventions you use do not work. I used to say continue the monitoring process.

Also if patient is on medications you include those in your intervention and document response there and document if there are no side effects etc.

[Davey Do]

Our Institution hasn't used that Particular Format in a Couple of Years, but here's an Example:

Behavior: Pacing hall, self-talking stating, "I see you over there, Eggie Fricke, and if I get a hold of you I'm going to cut you ear to ear!"

Intervention: Approached Pt w/ support and reassurance given. Reality orientation attempted. Discussed "Eggie Fricke" and related feelings. Informed of prn. 5mg haldol given po at 2130.

Result: Decreased pacing/self talking. Commits to safety. Lying in bed w/ hands behind head, staring.

Plan: Continue to monitor status, intervene, and report outcome.