Does your staff receive specific training on conducting safety checks?

If yes, tell us a little bit about it:

  1. When staff starts working, they are shown wand and board and explained how to do it.
  2. During orientation.
  3. Upon orientation and annually at the skills fair.
  4. Orientation, training about what to look for (s/s of anxiety) and what to report to the nurse
  5. New staff briefed about patient's status
  6. Specific orientation on essential of a safety check
  7. Safety is emphasized as top priority from interview to orientation and thereafter. They must see the patient and verify the patient is alive and well. If sleeping, must verify respirations, keeping patient's head and neck uncovered. If checking while patient is in the bathroom, may knock and make verbal contact the first round, but must visually see patient if they are still in the bathroom on second round. Also trained to conduct safety check every shift, scanning for items that are potentially unsafe.
  8. This is part of the orientation process for every new employee & when staff is pulled to work the unit.
  9. We have general orientation where written and verbal materials/policies are offered. We also have a skills check-off where scenarios are presented for processing.
  10. Training of not having a predictable 'routine', to not be distracted from task
  11. During orientation the nurse educator trains staff; then staff are mentored by a more seasoned staff when first performing the function.
  12. This is done during orientation of all new staff NY Nurse Educators and reiterated during unit specific orientation by Head Nurses.
  13. In orientation and through mentoring program
  14. Yearly training in restraint and seclusion management and non violent crisis intervention, Code Gray procedures, fall risk, suicide precautions
  15. Orientation covers body searches, room searches, hall monitoring, bed checks and 1:1 monitoring
  16. There is a safety check off list. ...
  17. During orientation
  18. How to fill out forms; how to assess patients when sleeping or in bathroom
  19. At orientation, all nursing staff is taught the reasons and procedures for both Behavioral Safety Checks and the Broset. All are precepted at the unit level and the procedure reviewed.
  20. During orientation period the staff is made aware of the unit policy about safety check
  21. Orientation and competency job description
  22. 15 minute observation is only one element of safety check. Assessments related to safety for self harm or harm to others is documented by RN twice a day. This is covered in all orientations of staff. In addition as we have patients with different, more intense observation needs, we will then document more detail and have another level of observation indicated up to and including one to one.
  23. Precepted by experienced staff during orientation.
  24. Primarily done during unit orientation with preceptor
  25. As a part of orientation they are taught rationale for use and how to perform appropriately
  26. We call them Rounds and they are trained how to document, read the key, use exact times and place they saw the patient.
  27. Only the security guard. I don't know.
  28. During orientation safety checks and the rational with examples are explained, demonstrated and practiced via role play. The related policies are reviewed as well. Then, during "on unit" with a preceptor, the rounds are conducted several times with the preceptor and the new employee.
  29. They must review all policies specific to safety, demonstrate how they perform checks, how the document and verbalize what they would communicate to the RN for any concerns
  30. But not enough training. They are supposed to be trained/oriented to the importance of checks but there is a big problem on our unit with the staff NOT doing checks appropriately
  31. In Orientation, yearly and then on a prn basis
  32. At orientation policy reviewed regarding levels of observation and why we do this and on annual education
  33. Have a list to follow for potential items
  34. Part of orientation
  35. On the job instruction
  36. The focus is on suicide/self-harm risk, mini-mental status exam.
  37. Show and tell.
  38. At night, they are trained to document respirations. The unit culture on our unit also expects staff to alert primary nursing staff of any potentially dangerous behaviors.
  39. Policy and procedure outlines specific tasks at shift change hand off as well as specific questions that could and should be utilized throughout the day interacting with patients
  40. Oriented to expectations of information on sheet
  41. Orientation what to look for and importance of the role
  42. New hire orientation one on one with mentor
  43. Educated on the overall process and coding that is used for each shift.
  44. Informal training by the nurse preceptor
  45. Describe how to use sheet
  46. Discuss condition changes to report
  47. Orientation and yearly reviews of policies
  48. We have safety techs on the floor whose job it is to keep safety on the unit.
  49. Annual in-service for Patient Care Tech to review
  50. There is a lecture on safety checks in orientation, a sample sheet is distributed, and it is demonstrated during training.
  51. Staff are trained on how often safety checks are performed, as well as what behavior defines a safe milieu.
  52. During orientation. We could do a better job of orienting people to searching patient’s belongings. Things have been missed. We have lists of what patients can and cannot have so staff knows when they do rounds, items deemed as contraband are put away or discarded.
  53. During orientation there is a general discussion about safety
  54. New employee orientation and periodic nursing staff education and & discussions initiated by nursing safety committee
  55. Review of policy and training from experienced BHT
  56. Orientation and as a yearly competency.
  57. During orientation staff is instructed for one hour regarding the policy and procedure. On unit orientation they are shown proper procedure by unit preceptor. A yearly net learning module is mandatory for all staff.
  58. During orientation and annually - review of the policy with expectations.
  59. Part of unit orientation.
  60. On the job training, procedure and return demonstration
  61. Is an annual competency. Staff are trained on the importance of checking each patient, what to document, when to notify charge nurse
  62. It is explained in orientation and new staff is shown what this involves
  63. Staff is trained to observe where patient is and what they are doing, and to make quick scan of environment for unsafe items and situations
  64. Monthly staff training, feedback on documentation and occurrences
  65. Staff are interviewed specifically about perception of safety and 'taught' during that process about what safe environments are and what can/should be done if safety compromise is discovered. Staff are encouraged to feel 'safe' in a blame free culture, so that issues can be brought forward either directly to their supervisors, or anonymously by phone or electronically. Staff is encouraged to be stakeholders in problem identification and in development of quality action plans.
  66. New staff accompanies experienced staff to learn the issues that may present. They also received education about why those items are not allowed on the unit.
  67. During orientation by preceptor
  68. It is included in New Employee Training and this year is a competency (since our forms were updated).
  69. Before new staff are given the responsibility they shadow and a senior staff member. Periodically all staff are given a demonstration to reinforce why some common items are not permitted on the unit. They are shown how fast and easily CDs can be broken and soda cans be torn and used as weapons for harm to self or others. Fruit is slashed to show them the sharpness, usually makes a strong impression on all the staff.
  70. Proper way to do observational is covered in the orientation class
  71. Because safety checks are for a specific purpose, the RN explains what to check & how to non-professional staff involved
  72. Initial and Annual in-service on safety issues with psychiatric patients
  73. All staff is oriented to the general safety rules and procedures and is trained on how to do checks.
  74. Taught during orientation and during mandatory supervision training
  75. All new orientees are trained in the safety checks; it is one of the most important jobs for staff.
  76. Training is developed from policy re: Safety of the Environment. Includes what to observe while walking through the unit, possible meaning of patient behaviors, etc.
  77. Structured class, with discussion highlighting an experience in which a patient was "found" hanging during a routine safety check and a life was saved. It makes quite a point.
  78. On orientation to the job all staff is oriented in safety checks
  79. Safety checks are conducted at the change of the shift by Mental Health Tech and Charge Nurse in a team concept/effort. Log kept to ensure continuation with potential dangerous findings or concerns
  80. Part of orientation to unit and job responsibilities
  81. 1. during orientation to unit by charge nurse 2. Yearly Safety Competency training on suicide risk assessment and de-escalation techniques.
  82. Just during orientation.
  83. During orientation
  84. At initial orientation and periodic competency evaluation.
  85. In their initial program orientation.
  86. there is a policy to support how the rounds are preformed, looking for contraband, items that could cause a fall, environment of care abnormalities (breakaway curtains falling off, shower door snapped off)
  87. This is covered as a new employee and then annually via a competency checklist
  88. In BH related orientation
  89. During job orientation staff is educated on specific issues involved in safety checks. Such as, cannot go through patient's room with patient present.
  90. During orientation this is covered, and the CNA's are told to report their findings to the RN.
  91. Not that I know of. If we have a float come to unit, they are taught the specifics of safety checks, but there is no formal training or competency.
  92. Review of the checks procedure and "shadowing" staff conducting checks is a component of orientation and sign off is required to assure competency
  93. It is part of our orientation - it talks about the purpose & what is expected. Person is out on the unit at all times roaming unit
  94. In orientation they attend class to discuss safety issues then make rounds with staff and then are observed by staff. CNAs
  95. Class in orientation
  96. Our process is pretty simple, we use a code to indicate the various locations and activities, the hourly rounding is a bit redundant, but the whole hospital mandated it, so we created an extra process (inspection of the patients room every hour-quick look around, does not include opening drawers, or going through personal items unless something unusual is found)
  97. Part of their orientation and periodic supervisor checks to oversee proper documentation
  98. Competency based education
  99. They receive extensive training during orientation. They also receive training when there are any changes in the procedure or a problem area has been identified.
  100. Yearly in-services for ancillary and nursing staff.
  101. Trained re: environmental safety, contraband, patient rights, suicide precautions and risk factors, environmental security, milieu management.
  102. All new staff receives training and all staff must complete a yearly competence on behavioral safety.
  103. One place I worked we did a through safety check/room check- and our preceptor showed us key areas to search for contraband
  104. Where to search in rooms and unit
  105. On orientation to the job, during CPI refresher sessions and as part of daily practice.
  106. Shift meeting and staff meetings
  107. The expectations of making eye to eye contact with the patient and their environment for safety and suicide or self injury prevention is reviewed at orientation and as necessary.
  108. Unlicensed staff does our safety checks and teach each other, occasionally RNs review what is needed with staff that float to us
  109. In-services as needed and when protocols change
  110. Training is hands on and experiential.
  111. Use a power point to demonstrate specifics of safety check. Have a contraband list and an algorithm to demonstrate the process.
  112. Education on safety concerns, demonstration and return demonstration of safety check on unit, in patient room, of patients belonging, things to look for after a visit, How to ask request to look in the patients room. What to report to RN, MD and paper test
  113. We have written policy on what may be out and what must be secured, what patients may have, and a standard descriptive system of sleeping, bed, group, off-unit and ECT (off-unit).
  114. Yearly training is required in suicide prevention.
  115. Annual competency
  116. Mandatory one hour live training. Mandatory E-Learning assignment.
  117. All new staff is oriented to the unit for at least 6 weeks. Safety if a major focus of their training. They are shown how to do an admission safety check in as well as safety rounds, and checking patient belongings.
  118. Just during orientation
  119. General orientation and unit orientation
  120. New employees shadow the preceptor. Through education conduct to address the purpose and what specific they are monitoring, observing and documenting.
  121. we train the staff on distressed patient's, signs and symptoms of agitation, they receive training on how to do a safety check and we try to impart that if there is any job that is the most important in the hospital it is doing safety checks. This person monitors the unit and often is the first person to notice an issue.
  122. Nurses and Psych techs are trained on doing observation checks when they are hired
  123. During orientation and annual TACT training this is reviewed
  124. Via the Nurse Educator. This is done at time of hire in orientation as well as yearly and as needed updates
  125. I am new the facility I am in. I want to develop policies and trainings.
  126. During orientation
  127. Minimal is annual training
  128. By the e Charge nurse on the unit.
  129. During unit orientation, safety checks are explained
  130. Identifying early signs of emotional and physical distress as well as safety of the environment
  131. On-the-job training
  132. Preceptor demonstration
  133. Importance of safety checks and need to document as well as brief in-services on documentation
  134. Staff receives orientation as to what to check for during safety checks and how to document. RN's usually do rounds at the start of each hour. Mental Health Workers and/or LVNs do rounds the remainder of the hour.
  135. They review detailed guidelines and complete a quiz on the guidelines. They have to do an observed return demonstration 2 times to be signed off as competent before they are given the assignment to do rounds. The guidelines are also reviewed with them by a staff person when they are reviewed initially.
  136. Education in q15 min checks 1:1 and LOS
  137. I work in Behavioral Health. We have policies and procedures as well as specific CPI training for our unit.
  138. Competency for new staff, orientation for new staff, ongoing reminders
  139. All staff are trained well enough prior to start working on our unit
  140. Environment of care is discussed in orientation to include safety, search, and vignettes about past hazards.
  141. The department policy is explained including safety protocol and will receive supervision and eventually be accountable on it
  142. During initial orientation
  143. Focused orientation on policy and strategy of the task
  144. During orientation staff are instructed on documentation and what to monitor in checks
  145. 1:1 orientation
  146. How to tell potential problems, when to alert nurse.
  147. Part of orientation
  148. Part of orientation-taught about how to do checks, items to be removed, reasons for checks (i.e. suicidal) importance of checks, etc
  149. Safety Checks is included in our suicide and dangerous behavior policies. These policies and others are taught during the House Wide Orientation classes staff must participate in during the hiring process.
  150. Learning to use the documentation sheet is part of initial orientation.
  151. Role playing, written scenarios, in some cases videos
  152. Is done at orientation. Updates are given to the psych techs as needed by the RN who is co assigned with the tech.
  153. During orientation, staff is shown exactly what to look for and how to document
  154. They are trained to perform a pat down, search, use a wand to detect metal objects and they received training about contraband. On the job the receive training to complete the "rounds" sheets.
  155. Considered part of orientation. Importance of visualizing the patient, making sure there are life signs at night, if under blanket checking to make sure there is no contraband, checking if doors are locked
  156. Demonstration and verbal instruction with rationale
  157. Importance of checks and emphasis on doing them every 15 min.
  158. Part of orientation to hospital, discussing all the perils of not performing, what you could find upon a safety check and how to handle it
  159. Basically I teach them to be very thorough and walk into EVERY pt care area and check their surroundings for high risk objects as well as keeping track of the pts. We do specific training for doing 1:1s - talk c pt be don't provide counseling, de-escalation strategies, safety first, always be able to see the pts hands...)
  160. List of contraband, list of safety hazards, reporting and documenting, and high risk behaviors.
  161. Orientation staff is taken throughout the facility to see all safety check things done
  162. Taught upon orientation, orientation hand out for float staff,
  163. Review and update safety policy. Update high risk pt at every shift change report.
  164. Class is taught by senior techs and an RN
  165. In-service and informal trainings
  166. During orientation, new staff is shown what to look for/watch for when making rounds & when completing room checks.
  167. Part of orientation but a lot of gray areas, I do my safety checks based on my experience and I'm rigid about it.
  168. Explain about the form, but I think that is not enough
  169. During orientation.
  170. At time of initial orientation and we have some aspect of patient safety as part of the yearly competency training day.
  171. Night shift staff is educated on how to conduct safety checks for people sleeping. All staff have a competency evaluation on observations in new hire orientation and psychiatric aids have this is an annual competency.
  172. We emphasize that this is the most important assignment on an inpatient unit and must be done without fail at the frequency ordered.
  173. Items to be documented, mood & behavior are taught during orientation, also changes in mood & behavior are recorded & checks that nurse is notified
  174. When patients are placed on special ops, for whatever reason, staff is given a report at the beginning of the shift, on the reasons for the special ops and issues to monitor/document.
  175. Staff orientation includes information about how to complete the "rounds board."
  176. Orientation, training with a preceptor
  177. Instructed to include all three issues
  178. Part of orientation in hospital orientation and then again when orienting to the unit
  179. Unit based orientation.
  180. In nursing orientation
  181. Unit orientation: Inpatient hires work with experienced tech for 1 to 2 days (More if orienting to tech role): Learn & practice: q15minute rounds, maintaining staff presence on unit, twice daily safety checks, belongings management etc. I'm currently working on a Milieu Safety module for our computerized learning management system as an annual reminder for all inpatient staff
  182. Annual skills fair; refresher per incident occurrence
  183. Core competency as part of unit orientation.
  184. It is incorporated in the unit staff orientation on safety
  185. It is discussed in our psych nursing orientation, and then each staff person gets trained how to do it on their unit by their preceptor
  186. In orientation, we have policy and unit rules
  187. In staff orientation, the orientee follows along and learns what to look for, what needs to be done with anything found, etc.
  188. Computer training
  189. Part of safety competency
  190. During orientation, they review list of contraband, list of safety issues and they watch rounds for at least two weeks prior to conducting rounds.
  191. Verbal training on the importance of having visual contact with patients during rounds
  192. Thorough orientation to policy and procedures
  193. During orientation they complete a module, then yearly education
  194. Staff has preceptors that instruct them on the proper methods of conducting safety checks.
  195. Staff is in-serviced on safety checks upon orientation, once per year via live demonstration and returns demonstration, as well as read through informative materials required by the department at least once annually.
  196. Room checks-What to look for, where are places things might be hidden in rooms.
  197. Discussed "script" engaging patient in conversation about recent medications, assist pt toilet if fall risk, pain assess/reassess
  198. Upon hire during orientation and upon any change in policy. Reminders are given by the RN on duty as needed.
  199. Purpose of checks, how often to check,
  200. What to look for, how to document, where to find policies
  201. This is provided during their orientation to the department.
  202. All staff is required to pass a Safety Check competency & be signed off on that.
  203. On orientation, and yearly during competency fair
  204. During psychiatric nursing orientations and unit orientation, and during annual update
  205. All new staff gets in-service by manager. Part of annual competency
  206. Have procedure
  207. On orientation,
  208. During orientation each new staff member takes a class on milieu management. In addition we do an annual education on maintaining a safe environment. We are just now implementing a competency program which includes milieu management and patient safety.
  209. Policy education and individual supervision meetings
  210. In-service: short class plus written instructions
  211. Verbal description of process, and what is being looked for, and why, when following another staff as a new employee
  212. Training done at orientation and on an as needed basis
  213. There is a set protocol as to what each of the observation levels require. Staff is given general instructions as to criteria and expectations of documentation.
  214. Orientation
  215. Techs are trained to round q 15 minutes; also to do contraband checks q shift.
  216. Discuss policy, PowerPoint with photos of what to note in term so patient and environment
  217. Taught to vary the pattern, look around the environment for hazards, not allow the pt to have covers over their head, call for additional staff if pt needs help rather than stopping rounds.
  218. Review of policy concerning patient on suicide or homicidal precautions and the unit polices.
  219. During clinical orientation as well as an online course on safe patient monitoring
  220. Staff oriented when hired.
  221. We have a short written standard but it would be great if we had something from this organization.
  222. Using flashlights, checking for breathing
  223. During orientation all staff learn how to and why.
  224. Don't know
  225. During orientation and periodically throughout the year random drills performed to assure ongoing competency of the staff.
  226. Aside from preceptor pass-ons, the only psych specific training our facility has is re: crisis prevention/take downs.
  227. The form is reviewed and the importance is stressed continually.
  228. New staff is taught about the policy but I don't know if there is a specific training module on this.
  229. The responsibility for conducting checks, the goal for safety, and how to conduct/document safety checks would be included as part of new employee orientation to the unit. However, there is no specific formal training involved.
  230. During new hire orientation, staff is taught frequency and importance of safety rounds and accurate documentation
  231. Not that I am aware of.
  232. Upon hire and annually in our skills fair.
  233. Staff reads policy and procedures, shadows experienced staff, demonstrates understanding, is signed off by supervisor
  234. Once a year we have CPI training
  235. The training is inadequate. The staff is taught a few generic things to watch for. The staff watching, the Keepers" should be excellent clinicians who form an alliance and use the alliance to monitor mental status changes to assist in identifying triggers and supporting coping strategies. Just watching is more of a risk management strategy-- Engagement is involving the individual in problem solving and empowerment.
The American Psychiatric Nurses Association is accredited with distinction as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.