Observation Levels and Patient Rounding
The status and location of all patients shall be directly observed and assessed in compliance with what
What are provider orders and prescribed protocols.
For adolescent patients, the parent/guardian must provide ______ prior to visitation.
What is permission and list of approved visitors.
The highest priority in our facility.
What is patient safety.
Why might physical management be used and what needs to be attempted prior to implementing physical management?
What is to protect the person or others from harm and after all attempts to verbally direct or de-escalate the person have failed.
Precautions identified that an admitting patient will be assessed for include:
What are danger to self, assault precautions, sexually acting out, vulnerability, seizure, fall risk, and elopement.
A physician must include this when ordering 1:1 monitoring for a patient.
What is the reason for increased monitoring?
A ______ is needed to institute a decreased observation level.
What is a provider order
The visiting hours for adolescents
What is 10:45-11:45 daily
The BHT (or designated staff) roles related to safety in the dining area.
What is engagement with patients, documenting observational rounds, and active monitoring
What is seclusion?
What is any involuntary confinement of a person alone in a room or area where they are physically prevented from leaving.
Name some precautions for a patient with potential for self-harm.
What are vigilant monitoring by staff of certain behaviors (suicidal statements, actions, abrupt changes in mood, command hallucinations) and Vigilant monitoring of the environment.
Where must a 1:1 staff member be positioned while the patient is asleep?
What is in the doorway of the patient room, visible from the hallway.
For a 1:1 level of observation the physician order must include the________.
What is the reason for increased monitoring (i.e. self-harming behaviors, assault risk, elopement risk, etc.
This needs to happen for potential visitors under 18 years of age.
What is approval by the treatment team and accompanied by an adult during their visit.
This specifically must be accounted for in the dining area before trays are sent to the dish area.
What are utensils.
This is a physical restraint/hold and this is the method of de-escalation/restraints used at PHC.
What is any manual or physical method of holding the patient against the patients's will that restricts movement or normal access to one's body and Therapeutic Options
What are important aspects of communication related to special precautions?
What are communicate clearly with the patient, communicate clearly with all staff members, and communicate clearly during hand off's and shift changes.
What do staff utilize for critical incident reporting?
What is the Vail Health Safety Event Reporting system. A safety event is submitting and risk management will review and report to appropriate authority.
A request for 1:1 monitoring is communicated to the _________
What is Nursing supervisor.
These are prohibited from being brought in for patients unless approved by the attending physician?
What are food and drink items?
A staff call for help if needed using ______.
What is Centegix
What are mechanical restraints and what may be utilized as a mechanical restraint at PHC?
What is a physical device used to involuntarily restrict the movement of an individual, and restraint chairs.
Homicidal or aggressive necessary precautions are determined by history, patient assessment and reassessment, and current behavior on the unit. What are some examples of assault precautions?
What are avoidance of loud or harsh tones, offering redirection, using de-escalation techniques, setting supportive limits, removing from peer audience
Examples of critical incidents.
What are breach of confidentiality, serious injuries, death, elopement, medication error, physical, sexual or verbal abuse
Alerts that the oxevision technology provides.
What is activity alert, vital signs measurements, and activity reports.
Visitors are not allowed in this area while visiting their person.
What are patient rooms.
Considerations/duties related to safety in the art room.
What are potential escalating behaviors, accounting for all art supplies, ensuring supplies are safe and appropriate, maintaining a well-lit and clutter free environment to reduce hazards.
Name some examples of behaviors that may necessitate the use of Violent/Self Destructive Restraint.
What are physically combative, self-harming behaviors, and extreme verbal aggressiveness with significant potential for harm to self and others.
What are some examples of sexual acting out precautions?
What are Observations for inappropriate behavior, redirection of sexual or suggestive comments, monitoring, always using a two-person approach with a patient on sexual precautions.
The procedure related to patient rights.
What are posted notice of patient rights, patient is offered a copy.
The minimum level of observation for all patients.
What is 15 minute observations (staff will observe and document a patient's location and behavior every 15 minutes)
Patients are asked if they would like to have family/friends visit _______
What is upon admission
The #1 thing that must be in place while engaging with gym activities.
What is staff closely supervise all patient activities in the gym.
What is comfort room time?
What is a process (patient initiated or staff directed) in which the patient is provided an opportunity to calm down and/or regain control voluntarily though quiet disengagement from immediate stressors.
Precautions for Elopement may include maintaining close proximity to the patient and redirecting the patient away from doors/exits. What are some positive reinforcers that may also be utilized?
What are encourage and facilitate the use of coping skills, continually offer reassurance of well-being and safety.
What about emergency preparedness and what is the primary responsibility of staff.
What is I know we have one and what is to provide safe and effective care.
I don't know an answer to a question about a policy or procedure.
What are refer to leadership and refer to the policy which can be found in policy stat.
These teams are provided a list of approved visitors for a patient.
What is the security and reception teams.
This can increase safety/decrease potential lack of safety in patient rooms.
What is conducting thorough room checks.
Following the use of seclusion, in person reevaluation time periods takes place EVERY ______ hours for adults and _____ hours for adolescents.
What is 4 hours and 2 hours.
What must be obtained prior to placing any precautions on a patient and are there any exceptions?
What is a provider's order and nurses can, in the case of urgent action, can implement precautions although communication must occur and an order should be obtained asap.
The procedure for a patient requiring medical treatment that is a life threatening emergency.
What is COMMUNICATION, calling 911, and defining roles. Nursing staff will perform CPR and basic life support measures until care is assumed by the paramedics.