Do you do a more thorough check at any point during the day?

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
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