Behavioral 1:1
How often is documentation required on a patient who has a bedside sitter order?
Every 4 hours
Required distance for patients on suicide precautions
What is arms length?
When working in the Helping Hands role what do you need to make sure you are logged into in securechat? What do you do when you are then placed in a 1:1?
Opt-in GCH Close Observer group chat
-Opt out if going into 1:1 and make sure if you committed to any activities that you close the loop with nursing
What is required for both Behavioral 1:1 and SI 1:1 prior to entering room?
Handoff/check in with Bedside/Charge RN
The bathroom should remain in this state
What is locked?
Your patient that was on SI precautions is transferring to 49000 and the RN asks you to accompany the patient. Pt is in behavioral control. What are your next steps?
-DPS needs to be present
-Pt needs to transfer in wheelchair or stretcher
-Have RN give you black folder to bring
You cannot initiate these without an RN present
What is violent restraints?
A close observer documents that the room is cleared and there is a phone charger in the room with a long cord. What is the concern?
The room wasn't actually cleared and documentation is inaccurate.
Pediatric ED asks you to sit with pt is 31L and 31R who are both on Suicide precautions. What are your next steps?
-Pts that are on SI precautions need to be one staff to one patient.
-How would you navigate that conversation?
You have a 16yo M patient that is admitted due to aggressive outbursts and substance use. He has no parents at bedside. He is perseverating on leaving, gets his shoes on, and walks out the door. What are your next steps?
-Do not block door
-Announce loudly that your pt is eloping
-Call DPS
-Follow from a safe distance if able
Name 3 things that are typically restricted for patients that are on SI precautions.
-Free access to bathroom (bathroom must remained locked)
-Must remain in room unless leaving for medical procedure
-Phone calls should be limited to parents unless otherwise noted
You are in the HH role and are asked to transport a patient from the Peds ED to 7S. You collect their chart and check in with the bedside nurse. When you walk into the patient's room, you notice that the patient is connected to telemetry and pulse oximetry. What do you do next?
-Check in with the bedside RN. If no longer needs telemetry and pulse ox it can be discontinued by RN and you may proceed. If required- RN has to travel with you.
Your patient was cleared from SI precautions yesterday after cutting themselves with a knife and causing a laceration that needed to be stitched. Providers ordered behavioral 1:1. What questions should you be asking nursing during handoff to maintain pt safety? How do you protect yourself during documentation? What if you leave on break and you come back to scissors at the bedside?
-Bathroom locked? What should be cleared from the room?
-Documenting answer with RN name
What needs to be cleared from this room? (10 things)
- Long necklace
-scissors
-garbage bags
-linen
-unused IV tubing
-gloves
-aluminum can
-tray
-silverware
Walk me through how you would know if your patient has a behavioral plan and how to access the quick abbreviated triggers and comforts versus the actual behavior plan.
-show on erecord