Other:

1. Per patient seen (private practice)
2. Patients at risk for suicide, etc. can be placed on 1:1 precautions.
3. Depends on doctor orders or unit protocol
4. Environmental Rounds done once a shift
5. Outpatient facility; not done routinely during business hours.
6. Search of environment 2 times daily
7. Every shift is a complete room check
8. Depends on level of psychiatric acuity and nature of illness
9. I perform them as needed, if a mental health assistant is not available
10. On admission and room checks once per shift
11. Depends on the patient and observation status. We do environmental safety checks q30 minutes when we make rounds (eyeball environment and patient rooms looking for contraband i.e. plastic bags, sharps etc.)
12. This is routine for everyone.
13. Once per shift. When patient leaves unit, or when visitors have come.
14. Patients on special precautions for identified risk would be on 15 minutes/line of sight or 1:1.
15. Could also be constant arm's length observation or constant eyesight observation
16. When a patient is started on safety precautions and during the time that the patient is on safety precautions.
17. Open areas
18. When a patient is started on safety precautions and during the time that the patient is on safety precautions. Patients on Safety Precautions are monitored either constantly or four times an hour (dependent on level: Strict or close).
19. "Officially" documented q15 minutes
20. Some patients get every 15 minute checks (active suicide risk, acute psychosis, etc.)
21. Every 8 hours
22. Most is informal
23. Ideally every 15 minutes q24 hours. Line of site ideal; however if the patient is in a family in session with staff the session is not interrupted
24. On admission and after TLOA
25. Dayroom watch
26. Every 7.5 minutes
27. Safety checks are done on admission. Rounding is for the purpose of verifying patient presence and safety
28. We also have constant visual orders for patients requiring constant attending
29. Depending on individual need
30. Ours are random 15 minute safety checks.
31. Line of sight was recently eliminated at our hospital
32. Constant camera monitoring (1:1) at times when it is too intrusive to visualize the patient directly
33. This would be assessing whereabouts
34. More often when there's a known potential
35. All patients are on at least 15 minute checks, some on 5
36. Line of sight or one to one only if q15 minute checks are inadequate to maintain safety
37. To patient every 15 minutes, to room every 8 hours
38. I am not always on the units
39. As an ARNP, I am usually off the units except for morning rounds
40. Individualized based on patient needs
41. Safety checks are "contraband" checks weekly.
42. The mental health workers perform safety checks every 15 minutes.
43. Depends on situation
44. Monitoring for safety, outside of the minimum checks is decided based on the guest's behavior
45. Terminology "close observation"
46. Always looking for safety issues
47. Individualized for each patient as necessary
48. These are done by RNs
49. Depending on issue--standard in our facility is 30 minutes could drop down to 15 if needed. 1:1 observation and line of sight as needed.
50. Depends on patient's need and doctor's order
51. With the admission of each patient and one time every 8-hour shift and as further indicated.