When mental health patients become extremely psychotic and agitated, they need urgent and appropriate treatment that stabilizes their mental state and decreases the risk of self-harm and violence against others (Elder, Evans and Nizette, 2005). This can range from threatening or aggressive behaviors, including refusal to cooperate, to intense hostile and intimidating behavior with stares or movements, aggression toward objects, and intentional or unintentional harm to self or others. (Electronic Therapeutic Comprehensive Guidelines, 2014). This article will describe the current clinical practice of sedating aggressive patients in the Geraldton Emergency Department where I work, identify gaps between current practice and best practice and how to implement change so that Geraldton Emergency Department nurses provide the safest and most effective treatment. best possible care.Unfortunately, violence in the healthcare system is becoming more and more prevalent each year and the need to be able to put patients to sleep quickly and safely to protect themselves and others has almost become a daily occurrence in the service of Geraldton emergency rooms. Before sedation is considered, the three main causes of these patients' presentation should be discussed, which may include one or a combination of medical conditions typically associated with delirium, substance abuse, illicit drugs or alcohol and finally to the majority of patients who receive emergency sedation. departments suffer from a variety of psychiatric disorders such as mania, schizophrenia, post-traumatic stress disorder, and personality disorders (Completed Electronic Therapeutic Guidelines, 2014). Once sedation has been deemed appropriate, de-escalation action and strategies will not work. .... middle of article ......Pharmacological treatment of behavioral emergencies. [Online] Available at: http://online.tg.org.au.wachslibrasources.health.wa.gov.au [Accessed 25 April 2014]. Jahan, N. (2013). Evidence Summary: Patient Aggression and Violence in Health Care Settings. The Joanna Briggs Institute, pp.1-6.Long, K. (2013). Restraint: Chemical. The Joanna Briggs Institute, pp.1-3. Sharma, L. (2014). Management of aggressive behavior: short-term care. The Joanna Briggs Institute, pp.1-2. Western Australian Department of Health WA Country Health Service, (2014). Sedation for mental health patients awaiting RFDS transfer from remote areas. Perth: Western Australian Department of Health, pp.1-12. www.health.wa.gov.au, (2014). Mental Health Act 1996. [Online] Available at: http://www.health.wa.gov.au/mhareview/resources/legislation/wa_mental_health_act_1996.pdf [Accessed March 25. 2014].