Seclusion & Restraints Policy
These providers may initiate a personal hold or seclusion in emergencies for the prevention of imminent physical harm to a patient or others
Who are physicians, physician's assistants, and registered nurses?
During a behavioral emergency this team member directs security and other staff involvement, delegates needs to support staff, follows up with patients and staff and debriefs the event
Who is the Coordinator?
The name of a medication commonly administered during a behavioral health emergency at DCMC MHU
What is olanzapine/Zyprexa?
Begin documenting an episode of restraint or seclusion under this IView heading in Compass
What is Restraint Alternatives?
When a patient exhibits anxious behavior, staff may de-escalate the situation by responding with this attitude or approach
What is Supportive?
This type of observation is required for patients in personal hold or seclusion
What is continuous, face-to-face, in-person line of sight monitoring provided by a staff member who is not applying the personal hold?
This team member responds first to a behavioral incident and works to verbally deescalate an agitated patient
Who is First Responder?
Olanzapine for injection is reconstituted with this substance ONLY
What is sterile water?
What are 3 interventions that must be documented every q15 while a patient is in locked seclusion?
What are hydration, elimination and hygiene?
Refusal and asking staff challenging questions are examples of this type of patient behavior
What is Defensive?
Staff members involved in personal holds must take this action, if a patient becomes prone or supine during a personal hold
What is transition the patient to a side-lying or other appropriate position
These are ways of ensuring environmental safety during a behavioral health emergency
What are moving furniture out of the way, moving cords and unsafe items away from the opening in the nurses station windows, locking drawers/doors, picking up loose items
These are suitable sites for injection of short-acting IM olanzapine
What are deltoid and ventrogluteal?
The respiratory and circulatory status and skin integrity of a patient in seclusion must be monitored and documented at least this often
What is q15 min?
When patients exhibit defensive behaviors, staff may de-escalate the situation by responding with this approach
What is limit setting?
What is 15 minutes for personal hold/ 2 hours for seclusion?
In addition to performing tasks delegated by the coordinator and ensuring environmental safety, support staff team members implement this important intervention during a Code Grey
What is bring other patients to an activity room or outside, so that they do not witness the event?
This is the maximum daily dose of olanzapine from all sources for patients experiencing agitation
What is 30 mg?
The Face-to-face evaluation form may be found under this toolbar menu item in Compass
What is AdHoc
These are examples of limit setting communication techniques
What are redirection, if/then statements, and fail safe choices?
This type of evaluation must be conducted within 1 hour following the initiation of restraint or seclusion
What is face-to-face evaluation?
Staff members call this number to request security presence on standby
What is 55555?
DAILY DOUBLE SKILLS CHALLENGE :)
Prepare olanzapine IM 5 mg for administration.
How long does staff have to notify family of a restraint? And where can this be documented?
What is 12 hours? What is "I-view Restraints-> Restraint Episode->Restraint Initiation-> Who was notified of Restraint?"
Whenever possible, staff should approach patients from this physical position
What is from the side/Supportive Stance?