Show Some Restraint!
1:1
Clear That Room
PEC Curveballs
Doc It Like It's Hot
100
You can do this with a patient's restraints as soon as the clinical justification no longer exists - even if the order hasn't expired.
What is remove them?
100
T/F: Your PEC patient wants to use the restroom and says she can't go without privacy. You can close the bathroom door and stand directly outside of it as long as the patient doesn't lock it.
FALSE - the door has to remain open for direct visualization
100
These make trash disposal a breeze, but they have to be removed from the room.
What are trash bags?
100
This is the resource you should look for on your unit if you are not sure what to do in the event of PEC patient.
What is the Behavioral Health (PEC Patient) Binder?
100
What screening takes place anytime a patient is admitted for the first time?
What is a suicide risk screening?
200
A patient in these restraints for violent or self-destructive reasons must be monitored through continuous in-person observation.
What are behavioral restraints?
200
T/F: Your phone rings while you are 1:1 with a PEC patient. It seems urgent. You can step outside to take the call at the nurses' station as long as you leave the door open.
FALSE - stay in the room with the patient where you can see them at all times.
200
These may keep you cozy on a cold night, but they have to be removed from the PEC patient's room.
What are extra linens/blankets?
200
Louisiana law states that this term ______ ______ means: " the condition of a person who is unable to 13 provide for his own basic physical needs, such as essential food, clothing, medical 14 care, and or shelter, as a result of serious mental illness or a substance-related or addictive disorder and is unable to survive safely in freedom or protect himself from serious physical harm or significant psychiatric deterioration."
What is gravely disabled?
200
According to hospital policy, patients under a PEC/CEC/judicial commitment cannot have access to what items?
What are the patient's personal belongings/items?
300
This type of knot is quick-release and ideal for securing restraints safely.
What is a slipknot?
300
T/F: Your monitoring a PEC patient when you hear a code called to your unit. In this emergency situation, you should leave your PEC patient to go assist with the code.
FALSE - code team members will respond to the code, and your PEC patient requires uninterrupted supervision.
300
These pose a ligature risk and should be cleared from a PEC patient's room except when the patient is not medically cleared and may require a pulse ox, oxygen, or an IV.
What are any tubes, cords, or lines?
300
This is placed on a patient to signify elopement risk.
What is an elopement wristband?
300
This document must be placed in the patient's chart immediately and visible at all times.
What is the original PEC/CEC?
400
This acronym comes from the latin phrase pro re nata meaning "in the circumstances" and cannot be used in ordering restraints.
What is PRN?
400
Documentation of 1:1 monitoring is required every _____ minutes.
What is 15 minutes?
400
Dietary will need to send these up with the PEC patient's meals.
Disposable tray, plates, and utensils.
400
T/F: A patient can voluntarily admit themselves for psychiatric care at Woman's Hospital.
What is true! 
400
Assessment and documentation of a patient in non-violent restraints is required at this frequency.
What is every 2 hours?
500
Physical restraint use in medical care dates back as early as the Middle Ages (5th-15th century), but it wasn't until this year _____ that CMS issued the first federal regulation pertaining to restraint usage to be enforced.
Hint: Prince is going to party like it's [this year]
What is the year 1999?
500
This is required in order for the PEC patient to leave their room for surgical, medical, or diagnostic procedures.
What is a physician's order?
500
Team Apple or Team Android, everybody has one. However, this item must be surrendered and secured safely during the room clearing process.
What is a (patient's) cell phone?
500
If a pregnant/postpartum patient is to be admitted or transferred to the PMHU, the patient must be medically ______.
Hint: This word also describes where horses sleep.
What is stable? (Medically "cleared" is also correct!)
500
Assessment and documentation of a patient in restraints due to violence or self destructive reasons is required at this frequency.
What is every 15 minutes?