RISKY BUSINESS
This is the 10th leading cause of death in the US
What is suicide
How frequently do you have to obtain a renewal order for a non-violent restraint
What is every calendar day
This is the timing for "frequent observation"
What is every 15 minutes
Things such as companionship, staff or family to stay with patient, room near nursing station, consistent toileting schedule, diversion activities, music, relaxation techniques, etc.
What is interventions and alternatives to restraints
S
What is "support the team"
Anything which could be used to attach a cord, rope, or other material for the purpose of hanging/strangulation
What is Ligature Risk
Licensed personnel permitted to order restraint or seclusion per Medical Staff bylaws include
Physicians, ARNPs and PAs
A face to face assessment must be completed within 24 hours of restraint application by this individual
What is a qualified physician or licensed provider
Within Cerner utilize "Restraint" navigator band and initiate a dynamic order set "pizza box", document all applicable fields within dynamic order set and sign
What is "How to document restraints"
A
What is "ask questions"
Any physical or mechanical device, material, medication, or equipment that immobilizes or reduces the ability of a patient to move his or her arms, legs, body, or head freely
What is a restraint
This must be documented if the order for restraints is continued by the provider
Justification of restraints
Per the Florida Statute how frequently must we release a patients extremity and provided range of motion exercises
What is every hour
When initiating restraints, this REQUIRED tool in CERNER is utilized to ensure the proper interventions and goals are ordered and documented
What is an IPOC
F
What is "focus on task"
A fourth bedrail for a mobile patient is considered....
What is a restraint
(exceptions: seizure precautions, stretcher for transport, forensic/correctional restrictions)
These two restraint types can be ordered
What is "non-violent, non-self-destructive" and "violent/self-destructive" restraints
According to the C-SSRS, initiating 1:1 observation, room safety check, mental health consult and re-assessing suicide risk every shift are all interventions for which suicide risk level?
What is "High-Suicide Risk"
Where in CERNER would you document a "SAFE ROOM CHECK LIST"?
What is "Columbia Suicide C-SSRS" navigator band
E
What is "effective communication every time"
Interventional, nonphysical skills training used at Shorepoint Health for de-escalation
What is SAMA
A provider is to be notified of non violent restraint applications within what time frame?
What is 15 minutes
Our suicide ideation and behavior screening tool used for all of our patients
What is the Columbia-Suicide Severity Rating Scale
For moderate or high level suicide risk patients, how often will you complete C-SSRS?
Every shift and/or if there is an observed or stated change in behavior
S.A.F.E is an error provision tool that comes from the "Safety/Quality" pillar of _______.
What is community cares.