Drugs
Policies & Procedures
Mental Health Act Forms
100

This drug is an anticonvulsant/anti-anxiety 

Clonazepam

100

who is responsible for assessment and management of suicide risk?

physicians, nurses and all members of the interprofessional team

100

Places patient on a 72 hour involuntary admission to be further assessed 

Form 1 

200

This medication works by blocking dopamine 2 and serotonin receptors 

Olanzapine
200

name some risk factors for suicide

family history, history of previous attempts, presence of psychosis, grief/multiple losses, physical illness and or chronic pain, impulsive/aggressive tendencies

200

Issued when the patient fails to comply with the conditions of the Community Treatment Order

Form 47

300

This drug should not be taken with MAOI's

Fluoxetine

300

name any of the interventions listed to prevent suicide or self harm

any or all things listed under suicide prevention and interventions section

300

Issued when a physician determines that a patient is not mentally capable to consent to treatment 

Form 33

400

Overdose of this drug results in a cholinergic crisis 

Galantamine 

400

list some protective factors for suicide

support, children/grandchildren, cultural/religious beliefs, access to care, effective coping skills etc..

400

Order for return to hospital 

Form 9

500

Flumazenil is the antidote to what drug?

Clonazepam

500

name some things that you should check for and remove from the environment

sharps, pencils, pens, knives, forks, string, electrical cords, shoelaces, lighters/matches, alcohol/illicit drugs, nail polish remover, mouthwash, toxic ingestible products, plastic bags, anything that can be used to cause harm.

500

Indicates that a patient has been seen by the rights advisor 

Form 50

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