If yes, how often?

1. Three times a day
2. Once per shift
3. Every shift, this is more for the environment.
4. Once a shift
5. Broset violence checklist is done every shift on every patient.
6. At beginning and end of shift
7. At change of shift we do environmental rounds to check for observable contraband to include patient rooms and common areas.
8. Every 8 hours and PRN
9. Every two hours and complete Behavioral and MH assessment at 12 hour intervals
10. During shift change and during leisure time.
11. Hourly
12. Every Shift
13. Once per shift, safety check the entire environment
14. Every hour
15. When indicated by client verbalization and/or behaviors.
16. Change of shift
17. When risk identified
18. Every 4 hours
19. Beginning and mid each shift
20. At nights, as ordered
21. Twice a shift we do specific timed environmental rounds, checking specifically for harmful items or equipments
22. When patient is placed on 1:1
23. At the start of each shift
24. Change of shift
25. 2 times daily
26. Once
27. 2 times daily
28. TWICE
29. Twice per 12 hour shift
30. As needed
31. Change of shift 2 oncoming and 1 off going staff.
32. At least once each shift
33. Upon admission a complete search is done
34. Based on the needs of the patients
35. Security guard does these only after 5 pm.
36. Twice daily
37. Room searches twice/week
38. Every shift
39. Change of shift environmental checks
40. An RN assessment at least once per shift.
41. Some patients are 1:1 or line of sight
42. Daily or every other day
43. We plan to institute environmental rounds Q shift but haven't formalized this yet
44. As needed
45. At admission, during meals or activities.
46. Every shift
47. One to one observation and shift change environment of care rounds
48. Is determined by pt need
49. At night
50. Twice a day
51. Shift change, milieu issues, if my "gut" tells me to
52. On a case by case basis
53. 15 minutes
54. Room checks once per shift
55. Depends if there is any question someone's safety is in jeopardy.
56. When first coming on to the shift, and prior to ending the shift
57. Between shift changes
58. Environmental safety rounds at change of shift - staff check all patients and assessment all patient care areas and special safety issues, i.e. bed alarms are present and functioning on geriatric unit.
59. Room sweeps each shift
60. Environmental assessment q. shift
61. The nurse does an in depth safety interviews with the patient as often as necessary
62. We check the environment at least once a shift
63. From 1:1 observation to Q5min-Q15minutes
64. Audio visual or 1:1 sitters when high risk for harm.
65. When their special concerns
66. Any time indicated by events on the unit such as discovery of contraband, violent acting out, etc.
67. Every 12 hours
68. Start of each shift - done together by oncoming and outgoing staff
69. Every day and evening shift client rooms are thoroughly checked for prohibited and dangerous items as well as for cleanliness.
70. Each shift
71. Every eight hours with shift change
72. Each shift
73. Unit and outpatient clinic rounds occur according to best practice standards on a routine basis. More frequent checks occur if there are any additional risks, such as a volatile inpatient population, or the presence of a high risk outpatient. Otherwise, more thorough checks occur on all units and programs by objective safety teams who review the environment, protocols, and staff comfort level with reporting safety concerns and near-misses.
74. Sleep is documented from 1000PM to 0630AM
75. Once a shift, checking to make sure doors and closets are locked and that no visitor has brought and left any contraband (i.e. plastic bags)
76. As above one time per shift and when conditions such as leaving the unit/visits occur
77. During all shift changes all patients return to their rooms and a staff member remains in each hallway.
78. Night
79. Hourly
80. Each shift does a room check.
81. After alarms, walks, etc., anything that may lead to patients leaving the unit without notice
82. During 1:1 with pt
83. When a patient id on suicide precautions, they may be every 5 minutes or constant surveillance.
84. Three times a day, rooms are searched for contraband.
85. During change of shift
86. At change of shift there are 2 staff performing checks before handing unit over.
87. Twice a day, each room is checked for unsafe items as well
88. Environmental rounds each shift
89. Every 2 hours
90. Environmental safety check of each room twice a day.
91. Individually as indicated by case
92. PRN, as a situation warrants it.
93. An environment check is done weekly or depends on milieu of the unit.
94. End of shift milieu check for safety hazards
95. Depends on the pt, could be every 5 minutes
96. Environmental checks which include showers, bathrooms and common areas are checked every 15 minutes
97. PRN, as a situation warrants it.
98. Twice
99. Hourly
100. Charge nurse walk thru on units
101. At change of shift.
102. Shift change or three times per day
103. Varies depends on patient acuity and risk factors
104. Every 8 hours rooms, unit thoroughly checked
105. Nursing assessment by the RN
106. Ongoing, always checking.
107. On 3-11 we do room checks checking for items to be removed from the room before bedtime. We do a physical search on all admissions that require the patient to remove all clothes and under garments and a gown in placed on the patient to maintain privacy and then the patient is wanded with a metal detector
108. As needed
109. Every shift
110. If contraband is found during any of the above checks, a search is initiated. A search will involve opening any patient property, looking into lockers, flipping mattresses, patting down curtain hems and inspecting paper towel, toilet paper and toilet seat cover holders.
111. Beginning of every shift
112. Shift change
113. Once a shift we check pt rooms for contraband, trash, wet laundry etc
114. At start of shift a particular walk about is part of my personal routine, but not a requirement.
115. As needed by presentation
116. Twice daily
117. Patients are in commons area if not in a group or with staff or a doctor, always staff out with the patients
118. Change of shift.
119. Beginning of new shift
120. Every time we do a safety check
121. Morning room safety checks
122. Every 30 minutes
123. I would like to see more checks at change of shift.
124. Admission & Random health & welfare searches
125. If required per patient condition change
126. Depending on the acuity of the unit, workload of nurses and nursing personnel as well as individual patients at high risk.
127. q Shift, a check of the patient's room and belongings for contraband
128. Every shift 2 staff jointly perform a room search for contraband
129. Whenever patients are leaving the unit
130. Only if circumstances warrant.
131. Some times 10minutes
132. Safety check is consistently done 24/7
133. Search the environment for safety reasons especially if we have clients hoard things
134. q Shift
135. Twice daily the RN assigned meets w/the patient to assess needs, including safety.
136. Milieu turnover at change of shift
137. I scan constantly throughout the day.
138. q Shift
139. Nursing assessment of pt well being occurs at least every shift.
140. Start of each shift
141. At change of shift
142. No set period of time. RN's perform an assessment every shift.
143. Between shifts oncoming and off going staff
144. AS a personal practice, I go to each of my assigned patients at the start of the shift to do a quick assessment.
145. In the morning with physical assessments
146. Only if contraband is suspected.
147. There is a room check done every shift to check for anything unsafe.
148. Hourly check all locked doors
149. Constant eye sight
150. During times when pts are in their rooms; i.e., bedtimes, quiet time
151. Full environmental rounds hourly
152. At the beginning of the shift
153. Environmental safety checks q shift by two people
154. Day +eve shift
155. If person is on fall precautions/suicide precautions
156. At change of shift
157. Daily
158. Q2 routinely at a minimum more frequently depending on unit and patient
159. Once each shift
160. For high suicide risk: q shift or PRN (thorough room check; see above)
161. Twice on the day shift & the evening shift
162. One to one observation
163. Once each shift
164. Change of shift,
165. Start of each shift a thorough check of the rooms is done.
166. Each shift we check the pt. rooms for contraband, nights it is a visual surface check.
167. Start of the shift
168. Individual checks according to risk
169. At change of shift the oncoming MHT and off going MHT perform a safety check together.
170. Depends on the acuity of any of my patients
171. Look in each patient's room for unsafe items/sharps
172. q Shift change
173. Every shift
174. Depends upon their admitting diagnosis.
175. Twice: once on days; once on evenings
176. At change of shift
177. Prn individual patients per nurse directive
178. If patient is in bathroom on rounds staff should go back & check that they have come out or verbalized with them, the assigned staff person checks in and talks with them throughout the day in addition the rounds or safety checks occurring every 15 min
179. Nursing assessment q. 12 hours
180. q Shift, each room is checked for hazards, contraband, etc.
181. Just with one to ones they are on continuous observation
182. A full assessment is done q 8 hours.
183. First round in am
184. First round of the day
185. Two times
186. 5 to 10 minutes
187. Safety checks which encompass room checks occur at least twice per 24hour period.
188. Once a day room checks for contraband
189. We do room entry checks every 2 hours which include the visualization of all four corners of the room and look for anything out of place and check all doors and handles for security of the environment.
190. All day, all evening, every early a.m.
191. As needed
192. Change of shift rounds, MD rounds, nurse manager rounds
193. At the change of shift
194. The RN charge nurse does a thorough safety check at the beginning of each shift (3 times per day) before accepting the shift.
195. Every 12 hours
196. Room check Q shift
197. Suicide/violence/escape assessment q shift and during periods of higher acuity
198. We do room and unit check on day and evening shift
199. One to one
200. Hourly environmental rounds
201. At start of each shift safety assessment more detailed
202. 1st and last round
203. The RN documents a full nursing assessment twice a day
204. Environmental search once per shift and patient room search once per waking shift
205. Depends on the particular patient but it could be constant observation or 15 minute checks.
206. Each shift
207. Depends on situation
208. Room checks twice daily
209. Twice daily contraband check; "deep" room searches with physician order & sometimes security present if hazardous items found
210. Every shift or more often if need indicated
211. Thorough environmental check is done of patients' living space daily
212. Beginning of shift and middle of shift and before shift change
213. 1:1
214. RN additionally does hourly rounds during night
215. Some patients are on 1:1
216. Each shift
217. 1 hr
218. Assigned staff do a full evaluation minimally once per shift, and more if pt. having any difficulties but we have handoff rounds at change of shift.
219. Once per shift or as needed
220. Change of shift
221. Environmental rounds are done daily in rooms and common areas.
222. Depending on the acuity of the patient (detoxing, withdrawal, medicated...)
223. As dictated by patient's condition
224. Random room checks
225. At each shift report a face to face round in completed together by both the charge nurses
226. As often as 5 minutes if situation warrants it
227. Change of shift
228. Start of shift (usually) and mealtimes
229. Twice per day
230. At each change of shift, oncoming and outgoing nurses see the patient together
231. It's not routine, but would be done if indicated by safety concerns for the patient, e.g. if suspected of having contraband (matches, lighter, knife, etc.)
232. Depends on acuity of milieu.
233. Every shift we do an environmental round including pt rooms
234. Every shift
235. Daily, Q shift or 1:1 constant as needed. Room searches daily or Q shift as needed. Assigned staff offers 1:1 meeting BID and as needed
236. Once on the day shift and once on the pm shift
237. Three "actual counts" of all patients