Restraint/Seclusion
definition of physical management
what is action in which staff places hands on the client
proper way to dispose of client identification arm bands?
what is HIPAA Shred Bin
location of where to find current Allhealth policies
what is sharepoint
-if questions, reach out to your leadership team, Karen Mooney, or Steph Farrell
situation when vitals equipment is cleaned
what is after each use
**please note special isolation kits have been put together and are located on each unit in the med room for situations where a client may need isolation precautions (includes blood pressure cuff, etc)
How are you directed as to what to do in an emergency
what is
Emergency Response Manual
Safety Captains
Emergency Cards
Fire and evacuation drills
definition of seclusion
what is confinement of a person in a room from which egress is prevented
**seclusion does not include the placement of persons who are assigned to an intake unit on a secure treatment facility in locked rooms during sleeping hours
egress: the action of going out of or leaving a place.
Ways a client is informed of their rights
what is
client is given Client Rights Sheet at intake to unit
Posted in milieu of each unit/lobby of facilities
Frequency of fire drills
what is monthly
what are
-right client
-right medication
-right dose
-right time
-right route
-right frequency
-right documentation (including how they responded)
What are you required to do in case of a power outage
what is
Call Facilities after hours number
Evacuate if dangerous
Utilize paper MAR/charting
definition of restraint
what is
any method or device used to involuntarily limit freedom of movement, including but not limited to bodily physical force, mechanical devices, or chemicals
way a client can access services here
what is
Call Central Access phone number 303-730-8858
If already in services and need different/further services, it is coordinated by their treatment team with the WIC for referral
All referrals to CSU/ATU goes through WIC
If needs continued services after discharge, referrals/appointments set up with Allhealth locations or other mental health entities as appropriate
types of training provided by Allhealth for your job (not including RN license)
what is
NEO
Orientation with supervisor
Shadowing
Co-facilitation groups
Supervisor reviews
Clinical documentation
Clinical consultation in clinical supervision
Ongoing training and education tracked through Relias
MANDT training
ways to identify client when doing medication pass
what is
-utilize arm band
-ask name and date of birth
-utilize photo book
-write down medications in med cup as well as ensure cup has name of client written on it to ensure giving correct medications
when do you notify law enforcement of an occurrence
(first notify LOC)
what is...
Physical abuse on site
Sexual abuse on site
Verbal abuse on site
Diverted drugs from our location/medication storage areas
Death of a client on site
Elopement (missing persons) of a client who is on a certification or hold
Neglect of a client occurring on site
staff will assess this during restraint (as relevant to each restraint)
what is
-signs of injury associated with applying seclusion/restraint
-proper positioning
-ensure circulation is not restricted
-ensure airway not obstructed
-vital signs
-hygiene and elimination
-physical/psychological status and comfort
-readiness for discontinuation of seclusion/restraints
Steps to take if client wants to file complaint/grievance
what is:
Attempt to resolve issue if possible (sometimes an escalated emotional response looks like a complaint but isn’t)
Notify supervisor/LOC
If the client wants to file a formal complaint:
-Provide Client Representative Line number (303-347-6405)
-Client Rep works with treatment team and client to resolve the complaint
-Client Rep documents complaint/resolution/communication
-Client is also reminded of grievance contacts for OBH, CDPHE, Signal, Colorado Access.
-Kiersten/Steph have 48 business hours to respond to complaints/grievances after initial call
Types of animals allowed on-site
What is service animals, not required to allow emotional support animals (see service animal policy)
process for emergency medications
what is
-follow orders given by psychiatric provider
-always attempt to have client comply to prescribed psychiatric medications before going route of emeds
-offer oral e-meds before IM
-if declines medications voluntarily, and is showing risk to themselves or others, follow order for IM e-meds
-within a reasonable amount of time before or immediately after e-meds, status of M1 should be obtained. E-meds indicate status of risk for harm to self or others typically
kinds of ON-SITE occurrences that require a report to CDPHE
what is
Physical abuse
Sexual abuse
Verbal abuse
Diverted drugs
Death
Elopement (missing persons)
Neglect
observation requirements of seclusion/restraint
what is
-a nurse will oversee the staff member who has been assigned primary responsibility for observation of the client throughout the restraint
-a clt who is in restraints will be observed in person by this staff member at least every 15 minutes
-the observation and behavior of clt will be recorded Q15 min
What does HIPAA stand for?
Health Insurance Portability and Accountability Act
Steps for a room check
what is
1) Room check should only be completed if there is knowledge of contraband or suspicion of contraband/something that can cause harm to client or others
2) Doctor's order should be obtained for room search
what is required for discharge
what is:
-smartcare discharge from program
-CCC discharge (when at CSU)
-verify medications to continue/discharge from provider
-complete active medications to continue on discharge plan
-list pharmacy address/name/# where client's medications have been called into
-review discharge plan with client and have them sign it
-3 copies of signed discharge plan 1) for client 2) one for physical chart 3) one to be sent to medical records
-
locations and types of safety equipment/resources
what is
-fire extinguishers located on each unit
-emergency manuals in each location
-AED on each unit
**please know the locations of each of this on your units