Information
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Conducted on
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Department & Location
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Prepared by
Audit 1
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Staff Member Name
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Question: How have u provided care for your patient today?
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Target Concept - Did they say:<br><br>Was information obtained about medical/physical conditions placing patient at increased physical risk during restraint/seclusion. History of sexual or physical abuse that would place patient at increased psychological risk during restraint/seclusion. Techniques or tools to help patient regain control, including family when appropriate. PC.03.03.11 EP5
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Key Concept:
Initial RN assessment
H&P
Crisis assessment (in Psych ED) -
Response
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Related Policies
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Question: We're any patients physically held or placed in restraints or seclusions for behavioral reasons?
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Target Concept - Did they say:<br><br>Is patient's dangerous behavior documented in chart? PC.03.03.11<br>Are non-physical interventions which were attempted documented? PC.03.03.11<br>Have patients in restraint or seclusion had continuous in-person monitoring by staff and 15-minute assessments documented in the patient chart? <br> PC.03.03.23 EP2 PC.03.03.25 EP1
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Key Concept:
Behavioral Restraint Flowsheet -
Response
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Related Policies
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Question: Are orders for patients in physical hold, restraint or seclusion obtained?
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Target Concept - Did they say:<br><br>Are orders received from the LIP within 1 hour of initiation? PC.03.03.13 EP2 <br>Are orders time limited based on patient age? PC.03.03.15 EP1<br>Was a new order obtained as needed appropriate to the time limit on the original order? PC.03.03.17 EP3
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Key Concept:
Orders -
Response
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Related Policies
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Question: (For Behavioral restraints in behavioral health units only) We're any patients physically held or placed in restraints or seclusions for behavioral reasons?
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Target Concept - Did they say:<br><br>What training do you receive related to minimizing the use of restraint/seclusion and for maximizing patient safety when they are used?<br>PC.03.0307 EP1, EP2, EP3, EP4, EP5, EP6<br><br>We're clinical leaders informed if a patient remained in restraint or seclusion for more than 12 hours, or if 2 or more episodes of restraint or seclusion incurred within 12 hours?<br>PC.03.03.21 EP1<br><br>Was the restraint/seclusion discontinued when the patient met criteria for discontinuation? <br>PC.03.03.27 EP2<br><br>Did staff and patient debrief following restraint or seclusion? As appropriate, was the patient's family debriefed? <br>PC.03.03.29 EP1
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Key Concept:
De-escalated and aggression management training(ex. SAMA)
Collaborative problem solving training
Restraint/seclusion training
Behavioral restraint Flowsheet -
Response
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Related Policies