Red Flags
Every 15 minutes
What is documentation time frame for sitters?
Tone of voice; body language; listening; be non-judgmental
What are de-escalation tools/ways to de-escalate patients?
Meals delivered on paper materials.
What is a safe tray?
Depression; Significant change in performance; Giving away personal possessions.
What are warning signs of suicide?
Two types: non-violent and violent
What are types of restraints?
Do not allow visitor with backpack to take backpack in to visit suicidal patient.
What is sitter's responsibility--to ensure safety of patient?
Most important thing to do when you think someone is at risk for suicide? (Be specific)
What is ASK....Are you thinking of killing yourself?
Stethoscope around neck; lanyards; hanging jewelry.
What are things I should never wear as a sitter?
10th leading cause of death.
What is suicide?
To care for someone else's feelings or feel sympathetic towards that person is known as this.
What is Empathy?
Anxiety leads to agitation leads to aggression
What is process for escalating behaviors?
Attempt to decrease patient's anxiety using effective communication.
What is de-escalate?
Recheck of suicidal patients and their environment for sharps and other contraband.
What is every shift?
Previous suicide attempts; family history of suicide; Chronic pain; Social stressors; History of substance abuse.
What are suicide risk factors?
Non-violent patient restrained for over 72 hrs.
What is prolonged use?
A set of negative and often unfair beliefs that a society or group of people have about something
What is Stigma?
Call for HELP.
What is the required action to take if patient becomes aggressive?
Maintain direct path to exit.
What is one of the guidelines for protecting myself when sitting with patients?
Low Risk; High Risk.
What are levels of suicide precautions (according to Pender policy)?
Prolonged use of restraints is an extreme measure and could potentially seriously harm the patient. What must occur when patients' are in restraints for prolonged time?
What is patient status is discussed during daily interdisciplinary rounds?
Suicidal precautions; involuntary commitment; potential for self-injury; potential for injury to others
Who are patients that require a sitter?
Assessment of patients' mood, affect and behavior.
What are assessments that must be documented?
Call bell cords, IV tubing; oxygen tubing; razors; cell phone chargers
What is contraband?
Sally, age 24, brought to ED by her mother. Sally had consumed an unknown number of medications and her mother found her unresponsive when she returned home from shopping. Sally is quiet, withdrawn, and reluctant to answer questions. Six months ago, Sally attempted suicide and was hospitalized. Using Suicide Risk Assessment Tool what is Sally's risk level?
What is High Risk?
Family, friend, or someone in community.
What is who can have someone involuntarily committed?