Seclusion & Restraints Policy
Code Grey Roles & Responsibilities
Medication Administration
Code Grey Documentation
De-escalation/CPI
100

These providers may initiate a personal hold or seclusion in emergencies for the prevention of imminent physical harm to a patient or others

Who are physicians, physician's assistants, and registered nurses?

100

During a behavioral emergency this team member directs security and other staff involvement, delegates needs to support staff, follows up with patients and staff and debriefs the event

Who is the Coordinator? 

100

The name of a medication commonly administered during a behavioral health emergency at DCMC MHU

What is olanzapine/Zyprexa?

100

Begin documenting an episode of restraint or seclusion under this IView heading in Compass

What is Restraint Alternatives?

100

When a patient exhibits anxious behavior, staff may de-escalate the situation by responding with this attitude or approach

What is Supportive?

200

This type of observation is required for patients in personal hold or seclusion

What is continuous, face-to-face, in-person line of sight monitoring provided by a staff member who is not applying the personal hold?

200

This team member responds first to a behavioral incident and works to verbally deescalate an agitated patient

Who is First Responder?

200

Olanzapine for injection is reconstituted with this substance ONLY

What is sterile water?

200

What are 3 interventions that must be documented every q15 while a patient is in locked seclusion? 

What are hydration, elimination and hygiene?

200

Refusal and asking staff challenging questions are examples of this type of patient behavior

What is Defensive?

300

Staff members involved in personal holds must take this action, if a patient becomes prone or supine during a personal hold

What is transition the patient to a side-lying or other appropriate position

300

These are ways of ensuring environmental safety during a behavioral health emergency

What are moving furniture out of the way, moving cords and unsafe items away from the opening in the nurses station windows, locking drawers/doors, picking up loose items

300

These are suitable sites for injection of short-acting IM olanzapine 

What are deltoid and ventrogluteal?

300

The respiratory and circulatory status and skin integrity of a patient in seclusion must be monitored and documented at least this often

What is q15 min?

300

When patients exhibit defensive behaviors, staff may de-escalate the situation by responding with this approach

What is limit setting?

400
A physician's order for personal hold or seclusion may not exceed this length of time for patients ages 9-17

What is 15 minutes for personal hold/ 2 hours for seclusion?

400

In addition to performing tasks delegated by the coordinator and ensuring environmental safety, support staff team members implement this important intervention during a Code Grey

What is bring other patients to an activity room or outside, so that they do not witness the event?

400

This is the maximum daily dose of olanzapine from all sources for patients experiencing agitation

What is 30 mg?

400

The Face-to-face evaluation form may be found under this toolbar menu item in Compass

What is AdHoc

400

These are examples of limit setting communication techniques

What are redirection, if/then statements, and fail safe choices?

500

This type of evaluation must be conducted within 1 hour following the initiation of restraint or seclusion

What is face-to-face evaluation?

500

Staff members call this number to request security presence on standby

What is 55555? 

500

DAILY DOUBLE SKILLS CHALLENGE :)

Prepare olanzapine IM 5 mg for administration.

500

How long does staff have to notify family of a restraint? And where can this be documented?

What is 12 hours? What is "I-view Restraints-> Restraint Episode->Restraint Initiation-> Who was notified of Restraint?"

500

Whenever possible, staff should approach patients from this physical position

What is from the side/Supportive Stance?

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