What's The Risk
Tool used to assess adults for risk of self-harm or harm to others
What is CTRS?
These need to be collected early in the ED visit
What are personal belongings?
Risk reassessments are done at this interval for high-risk patients
What is every 4 hours?
Intervention for patients who cannot be reasoned with, contained, delayed or denied.
What is a chemical restraint?
A CTRS score of 4 makes a patient this risk level
What is high?
This is required for a high or moderate risk patient to have their cell phone
What is an order?
Done at handoff, change in condition, and before transfer
What is CTRS/ASQ rescreening
Interval for renewal of most restrictive restraint orders
What is every 4 hours >18; every 2 hours for 9-17; hourly for less than 9 years of age
Tool used to assess pediatric patients for self-harm or harm to others
What is ASQ?
This needs to be completed when personal belongings are inventoried
What is the belongings flowsheet or section in the ED Narrator?
This is good for 8 hours
What is an emergency custody order (ECO)?
Required assessment interval after chemical restraint has been initiated
What is every 15 minutes for an hour after the last dose of medication?
Placement in a safe room is required what risk score
What are high, moderate, and low?
This is required to be completed when personal belongings are given to registration
What is a valuables envelope?
This needs to be completed within an hour of restraint initiation
What is a provider evaluation?
Doing this IS NOT considered a restraint
What is putting the siderails up on the stretcher?
Tool used to assess risk of behavior escalation
What is DASA?
Belongings are secured for which risk score
What is high, moderate, and low?
This needs to be completed every 1.5 - 2.5 hours
What is documentation of basic patient care needs (circulation of restrained extremity, need for food and elimination)
This position is contraindicated when placing a patient in restraints
What is the prone position?