Restraints & Seclusion Documentation
The two reasons patients may be placed in restraints.
What is a danger to self and a danger to others?
This action should occur immediately after a fall.
What is assessing the patient for injury?
Patient trays that have been eaten are placed here when the cart is gone.
What is soiled utility?
A law enforcement emergency detention lasts this many hours.
What is 48 hours?
The cameras just went down.
Who is security?
Timeframe for documentation of nutrition and hydration.
What is 2 hours?
This is the tool we use to assess fall risk in hospitalized patients.
What is the Morse Fall Scale?
These can be used at night to assist with sleep and must always be locked in a cabinet during use.
What is the sound machine?
True or False:
The court recognizes a psychiatric evaluation provided by a PMH-NP.
What is false?
Someone called in sick for their shift.
Who is ADCO or house supervision?
Name 3 less restrictive measures that should be documented before initiating restraints.
po prn medications, verbal de-escalation, behavioral redirections, limit setting, reorientation, therapeutic listening, removal of stimuli
Patients with a high risk for falls should be placed here.
What is close to the nurse's station?
This is taken from the med room to the soiled utility when full but not placed in the biohazard bin.
What is a sharps container?
This is where I can look in the EHR to see if the patient is on an EDO or is voluntary.
What is the sticky note?
You noticed a soiled ceiling tile.
Who is no one? You will put in a maintenance request via ServiceNow.
This must occur within 1 hour of restraint placement and can be completed by a provider or a trained RN.
What is a face to face?
This assessment needs to be evaluated with vital signs if patient states they hit their head or if head trauma unknown.
What is a neuro check?
Used toner cartridges are take here for disposal.
What is the recycling room?
One of these three criteria are required in order to initiate an emergency detention.
What is a danger to self, danger to others, or grave disability?
A patient has been in restraints for more than 12 hours or experiences two or more episodes of restraints in a 12 hour period.
Who is leadership?
This tab is where the restraint audit is now located.
What is the chart summary tab?
Names two documentation requirements after a patient fall.
What is post fall note, new morse falls score, and incident report.
In the nutrition room, items that are not in a wipeable container should never be placed here.
What is on the counter?
This is the number days from admission we have to take a patient to court on an EDO.
What is 14 business days?
I forgot my password.
Who us the help desk, option 7, then option 1?