Restraints
It is to be used as the last resort
What is a restraint?
This observation is conducted at arms length distance at all times
What is a 1:1?
Anything which could be used to attach a cord, rope, or other material for the purpose of hanging or strangulation.
What is a ligature?
The order time limit of this restraint expires in 2 hours
What is a 4 point restraint?
One reason why a 1:1 observation is ordered.
What are falls (1), suicide (2), self-harm (3), violence (4), sexually aggressive behavior (5), elopement (6)?
2 staff at minimum is required to perform this procedure from one area to another.
What is patient transport/escort?
The order time limit of this restraint expires in 10 minutes
What is a manual hold?
Staff are not allowed to do the following when conducting a 1:1 observation. [give one example]
What are:
Eating
Sleeping,
Leaving the patient by themselves [abandonment]
This is the appropriate footwear for patients that are risk for fall.
Grip Socks
Confining an individual in a room where he or she cannot leave at their own will and is never to be performed at Metropolitan
What is seclusion?
A patient who leaves a unit or area or hospital and may present as an imminent threat to himself herself or others
What is elopement?
This is required when visitors bring food or clothing from outside.
This must be documented every 15 minutes (violent/self destructive) / every 30 minutes (non-violent/non self-destructive) during a restraint. [name one example]
What are:
-patient behaviors
-vital signs
-food/fluid intake
-bowel/bladder movements
-skin integrity
These items are used to record 1:1 observations
This is the screening used for to measure the suicidality of a patient upon admission.
C-SSRS [Columbia Suicide Severity Rating Scale]