4 Rs

Q: All ICUs should have a professional, friendly, respectful, and teamwork environment. However, stressful situations can quickly convert the ICU into a 'toxic' place to work and cause psychological trauma. What are the 4 Rs of Organizational approach to prevent such trauma?

Answer: The Substance Abuse and Mental Health Services Administration (SAMHSA) recommends r Rs - realizes, recognizes, responds, resists retraumatization

• Realizes the impact of trauma and understands potential paths for recovery
• Recognizes the signs and symptoms of trаսmа in staff and others involved with the system
• Responds by fully integrating knowledge about trauma into policies, procedures, and practices
• Seeks to actively resist Retraumatization

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Reference:

SAMHSA’s concept of trauma and guidance for a trauma-informed approach. Office of Policy, Planning, and Innovation. Substance Abuse and Mental Health Services Administration. United States Department of Health and Human Services. https://ncsacw.acf.hhs.gov/userfiles/files/SAMHSA_Trauma.pdf (Accessed on November 10, 2024).