Recognizing Risk
1:1 Observation Rules
Safety & Environment
Communication & Escalation
100

A patient expressing hopelessness or wanting to die is showing this type of concern.

What is suicide risk?

100

High-risk patients require this level of observation

What is one-to-one (constant) observation?

100

Items like cords, scissors, or plastic bags are removed because they pose this risk

What is self-harm risk?

100

If a patient asks for help or seems distressed, you should immediately do this.

What is notify the RN?

200

Sudden mood changes, like going from very sad to very happy, may signal this

What is a warning sign for suicide risk?

200

You must always keep these three body areas visible

What are the face, neck, and hands?

200

Before giving items (like food trays or belongings), you must do this.

What is check for dangerous items?

200

If you notice a safety concern in the room, your first action is this.

What is report it right away?

300

If a patient starts withdrawing or acting differently than usual, you should do this

What is notify the RN immediately?

300

You must stay within this distance from the patient

What is arm’s length?

300

During meals, these sharp utensils are not allowed.

What are knives and forks?

300

Family members are allowed to replace you as a 1:1 observer—true or false?

What is false?

400

Hearing a patient say they feel worthless or want to die is an example of this type of clue.

What is a verbal warning sign

400

True or False: It’s okay to step out of the room briefly if the patient is resting.

What is false? (Never leave the patient alone.)

400

When a patient uses the bathroom or shower, you must do this.

What is maintain continuous observation

400

If a patient attempts to leave the room or unit unexpectedly, you should do this.

What is notify the RN immediately and follow safety procedures?

500

Even if you’re unsure, when you notice concerning behavior, your priority action is this

What is report it right away to the RN or care team?

500

You cannot leave the patient until this happens

What is being relieved by another trained staff member?

500

The patient must NEVER be left alone, even during this activity.

What is toileting or showering?

500

Your role in suicide precautions is best described as this: keeping eyes on the patient, ensuring safety, and reporting changes.

What is continuous observation and communication?