Restraint & Seclusion
The number of hours a violent restraint/seclusion order is valid for
What is 2 hours
What is the special number for Code Blue?
4444
What foods should be avoided with MOI drugs?
What are foods high in tyramine.
The recommended distance when a patient is escalating
Timeframe of Face-to-face evaluation by MD after restraint/seclusion
What is 30 minutes
Code Blue is defined as
What is imminent danger
Therapeutic level of Lithium
What is 0.6-1.2 mEq/L
Threatening bodily harm to self or others
What is late stage?
Documentation of restraints and seclusion can be found here
What is the flowsheets section of epic
What should be conducted after a Code Blue is called?
What is a debriefing.
Labs that are collected for Lithium Levels
What are electrolytes, BUN, and creatinine levels
Disruptive or destructive behaviors
What is middle stage
How often are assessments/reassessments done by the RN after initiation of violent restraints/seclusion?
What is every hour
What is the range for moderate lithium toxicity?
What is 1.5 to 2.5 mEq/L
Any change in usual behavior (rocking, pacing)
What is early stage
A patient is placed in restraints/seclusion what should be updated
What is the nursing care plan
Specific lab to be drawn for Clozaril