These are three time frames for VSD restraint orders
What are adults 18 or older(4 hours), children 9-17(2 hours) and children less than 9 (1 hour)
100
The patient safety is no longer a threat to self or others and is compliant with safety measures/medications and treatment plan.
What is restraint removal/discontinuation?
100
These are behaviors to implement non-violent, non self destructive restraints
What is confusion, pulling at tubes, IV lines, restlessness
100
This is how often patients are to be monitored for nonviolent, non-self destructive restraints.
What is every 2 hours
100
This person should be notified of overflow BHT patients
What is the Clinical Coordinator?
200
These are alternatives to restraints
What are therapy modification, diversionary activity, environment modification, comfort and behavior modification
200
These are not an approved method of restraint
What is walking, linen, kerlex, tape, bandages, backboards?
200
These behaviors implement violent self destructive restraints
What is kicking, hitting, or attempting to leave the setting where the patient safety is at risk?
200
This is how often patients are to be monitored for violent, self destructive restraints
What is q 15 minutes (Q 1 hour by RN)?
200
These room assignments for overflow tethered patients.
What is 214-216 and 223-225?
300
Communication, alternative methods, explanation of restraint methods
What is education of the patient and family?
300
The Registered Nurse, Physician/PA or qualified clinical assistive staff knowledgeable of the situation
Who determines the restrictive device and method of application?
300
The time an order must be placed by MD if restraints are applied emergently.
What is within one hour?
300
This person is responsible for evaluating a new patient with a VMAS>4
Who is Cat 2W Senior Staff?
300
These items are to be placed in appropriate lockers or closets
What are belongings?
400
These are three components to be monitored while patient is in restraints.
What is respiratory, circulatory status, fluids/hydration, LOC (neuro status)?
400
The clinical care team considers obtaining emergency support for the application of retraints
What is Code Gray, Rapid Response, Code Hug or Security?
400
This is how often non-violent, non-self destructive restraints need to be ordered by a physician.
What is every 24 hours?
400
This must be documented q 4 hours while the patient is in BHT,
What are vital signs?
400
This patient has to stay in BHT until transported to a psychiatric facility
What is a patient that has a petition of court?
500
MD, DO and Physician Assistants under physician delegation, and according to state law, may order restraints and perform face to face assessments with documentation of patient condition
What is Privileged Provider?
500
Patient exhibits behavior that can only be managed by the reapplication of restraints
What is a new restraint order?
500
These are two types of restraints
What is non-violent, non-self destructive and violent self destructive?
500
This must be documented q 1 hour while patient is in BHT