Suicide Precautions
Documentation
Environment of Care
Patient Safety
General
100

Color of patient armband for suicide precautions

orange

100

The flowsheet that must be completed if patient screens High-Risk Suicide on admission

Critical Value Escalation

100

Wet contact time for Sani Wipes

2 minutes

100

The number of staff members that must be present for toileting and showering if patient on CVO ability to immediately intervene for high-risk suicide?

2

100

Number of visitors that are allowed to visit on C3 at one time

4

200
The level of suicide precautions that require an order for CVO Line of Sight

Moderate risk

200

Place to add translation note to MTP 

Add additional goal under Alteration in Eating Pattern Long-Term Goals

200

What is acceptable to place on the glass pane in the patient's hallway cubby?

Nothing

200

Actions to take if patient screens high risk suicide on admission

Place on 1:1, contact MD, complete Critical Value Escalation Flowsheet

200

Who is allowed on visitor/contact list

What is family living in home and actively involved (parents, legal guardian, siblings).

300

Action to take if suicide banner does not match order

Contact provider to update

300

Time to correct missing documentation in EPIC

24 hours

300

Amount of clearance required around fire extinguishers and fire pulls

3 feet

300

Spiral notebooks are allowed on C3

FALSE

300

Items used for EDO's fall risk prevention protocol

wheelchair and shower chair x 48 hours

400

The level of suicide precautions that requires an order for CVO Ability to Intervene and a 1:1 safety assistant

High Risk Suicide

400

This must be included with Psych MTP

shift summary report/progress note

400

What must be completed after every meal and snack?

Wipe and clean the tables

400
Can only be used for non-urgent communication

EPIC Chat

400

The number of items for blue snacks

2

500

Tools for Suicide screening and risk stratification

ASQ and Columbia

500

This is where downtime forms are located

In lower cabinet in medication room on C3

In storage closet across nurse's station on PHP

500

What is IFU and where can you find it?

Instructions for Use on ChildNet

500

Used for structured communication

SBAR

500

First contact if needing additional staff members for support

Contact the other side

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