Comparison of Violent or Self Destructive vs. Non-Violent Restraints
|
|
- Hope Gardner
- 5 years ago
- Views:
Transcription
1 Description Restraints can be initiated when unanticipated outbursts of severely aggressive or destructive behavior poses an imminent danger to the patient or others due to an underlying behavioral diagnosis and not due to a medical diagnosis (i.e. electrolyte imbalance, head injury). Limited to emergencies where there is an imminent risk of an individual physically harming himself/herself or others, and non-physical interventions were not effective. Behavior management standards for restraints are reserved for patients in emergency crisis situations related to behavioral diagnoses (aggressive, violent). Examples: A patient admitted for a medical problem that has been stabilized. The patient is awaiting transfer to a psychiatric facility and is acting out. His/her behavior presents a threat to self or to others (i.e. biting, strangling, beating, grabbing, throwing chairs, trying to break window to jump out in a suicide attempt). In acute medical and post-surgical care, a restraint may be necessary to ensure that (for example) an intravenous or feeding tube will not be removed, or that a patient who is temporarily or permanently incapacitated with a broken hip will not attempt to walk before it is medically appropriate. Medical/Surgical restraints are for patients who exhibit actions that pose risks to their safety, the safety of Associates, and/or others, such as agitation not relieved by sedation, inability to follow commands, attempting self-injury, combative behavior, climbing over rails, pulling at tubes or wandering that persists despite efforts and which could place the patient in harm. Physician Orders The organization authorizes qualified registered nurses to initiate the use of restraints in emergency situations before an order can be obtained from the licensed independent practitioner. However, the Physician In emergency situations, the nurse may restrain the patient, but MUST notify the primary physician to inform them of the situation and obtain an order (if applicable). Page 1 of 6
2 Physician Orders (cont. d) Timeframe to See Patient Reevaluation MUST be notified immediately and informed of the situation so that an order may be obtained. Verbal and written orders for restraint are limited to: Four hours for individuals 18 years of age and older Two hours for children 9 to 17 years of age One hour for children under 9 years of age The physician must conduct an in-person evaluation within one hour of the initiation of the restraint, even if the restraints have previously been removed. The physician or RN reevaluates/reassesses the efficacy of the individual s treatment plan and works with the individual to identify ways to help the patient regain control. The physician order may be verbal or written, must not be on a PRN or standing basis, and must be on a calendar day basis. The physician and/or RN will assess the patient s ongoing need for restraints at a minimum of every calendar day. If the patient requires multiple episodes of restraint use or continuous restraint use, an interdisciplinary patient care team will review and evaluate the patient s current treatment plan. The team will attempt to identify other less restrictive alternatives to using restraints. The RN will document discussion with the physician, apply restraints if appropriate and monitor the patient as per the restraint policy. Reevaluation must be done a minimum of every calendar day. Page 2 of 6
3 Reevaluation by a physician/registered nurse takes place every: - Four hours for patients 18 years of age or older - Two hours for patients 9 to 17 years of age - One hour for patients under the age of 9 In person reevaluation by the physician must be done: - A minimum of every eight hours for patients 18 years of age or older - Every four hours for patients 17 years of age or younger Note: The physician must reorder the restraint every: Note: The physician must reorder the restraint every calendar day either verbally or in writing. Assessment Four hours for individuals 18 years of age and older Two hours for children 9 to 17 years of age One hour for children under 9 years of age A registered nurse will assess the patient immediately after the placement of behavioral restraints to ensure that any physical restraints used are applied correctly and that there are no immediate compromises to the patient s safety. The RN will also ensure that there is adequate staffing allocated to the monitoring of the patient while in behavioral restraints. The need for restraints will be assessed by an RN. All applicable alternatives, to include a least restrictive environment, will be considered first before choosing the type of restraints to be utilized. These attempts will be documented in the patient s record and communicated to the Physician. If the alternatives are not successful, this information will be communicated to the Physician, and an order for physical restraints will be obtained. Page 3 of 6
4 The RN will assess the patient s readiness for discontinuation of restraints based on the ordered discontinuation criteria, and communicate this to the Physician. A staff member who is trained and competent will monitor the individual at the initiation of restraint, and at a minimum of every two hours. The RN will assess the patient s readiness for discontinuation of restraints, and communicate this to the Physician. Monitoring of Patient The purpose of monitoring is to ensure the individual s physical safety. A Nursing Assistant, who has been trained and demonstrated competency in caring for restrained patients, will monitor the individual at the initiation of restraint and every 15 minutes thereafter. The monitoring includes the following, as appropriate for the type of restraint employed: - Signs of any injury associated with the application of restraint - Nutrition/hydration - Circulation and range of motion in the extremities - Vital signs (as appropriate per physician orders) - Hygiene and elimination - Physical and psychological status and comfort Monitoring will include continuous, in-person/face-toface observation by an assigned Nursing Assistant who has demonstrated competency in this activity. The purpose of monitoring is to ensure the individual s physical safety. Patient needs to be monitored every two hours and this needs to be documented on the restraint checklist. The monitoring includes: - Signs of any injury associated with the application of restraint - Nutrition/hydration - Circulation and range of motion in the extremities - Vital signs - Hygiene and elimination - Physical and psychological status and comfort Page 4 of 6
5 Training Training requirements for all direct care Associates: In order to minimize the use of restraints, all direct care Associates as well as any other Associates involved in the use of restraints receive ongoing training in and demonstrate Other training requirements: physical holding techniques, takedown procedures; the application and removal of mechanical restraints. Training requirements for staff who are authorized to perform the 15 minutes assessments: 1. taking vital signs and interpreting their relevance to the physical safety of the individual in restraint. 2. recognizing nutritional/hydration needs. 3. checking circulation and range of motion in the extremities. 4. addressing hygiene and elimination. 5. addressing physical and psychological status and comfort. 6. assisting individuals in meeting behavior criteria for the discontinuation of restraints. 7. recognizing readiness for the discontinuation of restraints. 8. recognizing when to contact the physician in order to evaluate and/or treat the individual s physical status. All Associates who have direct patient contact will receive education on: - The proper and safe use of restraint application and techniques - Alternative methods to restraints Page 5 of 6
6 Licensed Associates, who in the absence of a licensed independent practitioner, are authorized to initiate restraints and/or perform evaluations/reevaluations of individuals who are in restraints in order to assess their readiness for discontinuation or establish the need to secure a new order, receive the training and demonstrate the competence cited above, and are also educated and demonstrate competence in: - recognizing how age, developmental considerations, gender issues, ethnicity, and history of sexual or physical abuse may affect the way in which and individual reacts to physical contact, and the use of behavioral criteria for the discontinuation of restraints and how to assist individuals in meeting those criteria. Page 6 of 6
POLICY AND PROCEDURE RESTRAINT/SECLUSION, MEDICAL CENTER PATIENT CARE Effective Date: March 2010
Number: MS 08:03:05 Submitted by: BEHAVIORAL HEALTH CLINICAL PRACTICE TEAM Issuing Department: PATIENT CARE SERVICES Approved By: Reviewed by: Date: Patient Care Practice & 12/09 Outcomes David W. Cress,
More informationNew OSU Hospital Policy on the Use of Restraints and Seclusion
University Hospitals Office of the Medical Director 130 Doan Hall 410 West 10 th Avenue Columbus, OH 43210-1228 Phone: (614) 293-8158 FAX: (614) 293-4989 MEMORANDUM DATE: February 7, 2000 TO: FROM: RE:
More informationSite: Lovelace Health System Title: PATIENT CARE - Restraints Approved Date: 08/28/2015 Effective Date: TBD
Approved Date: 08/28/2015 Effective Date: TBD 08/01/2018 Document Number P-NS-1063.6 Document Type: Policy Page 1 of 11 1. Policy: All patients have the right to be free from physical or mental abuse,
More informationEmergency Use of Manual Restraints Policy
Emergency Use of Manual Restraints Policy It is the policy of this DHS licensed provider, Companion Linc, to promote the rights of persons served by this program and to protect their health and safety
More informationRestraint Reduction. Moving Towards Restraint Free Care
Restraint Reduction Moving Towards Restraint Free Care Revised: BW/January 2016 RESTRAINTS: Defined Any manual method, physical or mechanical device, material or equipment, that immobilizes or reduces
More informationRestraint Update 2016
Restraint Update 2016 For questions contact: Weddy Balmaceda, MSN, RN-BC, CCRN, CCDS Professional Development Ext. 5241 Source: RBMC policy and procedures Objectives Review types of restraints Review RBMC
More informationRevised 08/07/2014 BEHAVIORAL MANAGEMENT I-59 New 07/2013
3195 Neil Armstrong Blvd. Eagan, MN 55121 651-686-0405 204 Mississippi Ave. Red Wing, MN 55066 651-388-7108 224 Main Street Zumbrota, MN 55992 507-732-7888 1202 Beaudry Blvd Hudson, WI 54016 715-410-4216
More informationRestraint Reduction. Moving Towards Restraint Free Care
Restraint Reduction Moving Towards Restraint Free Care Revised: BW/September 2010 RESTRAINTS: Defined Any manual method, physical or mechanical device, material or equipment, that immobilizes or reduces
More informationEMTALA and Behavioral Health. Catherine Greaves
EMTALA and Behavioral Health Catherine Greaves Need for EMTALA As individuals moved from tradition indemnity coverage to managed case plans, hospitals were forced to absorb cost of emergency care. ERs
More information[ ] POSITIVE SUPPORT STRATEGIES AND EMERGENCY MANUAL RESTRAINT; LICENSED FACILITIES AND PROGRAMS.
Sec. 4. [245.8251] POSITIVE SUPPORT STRATEGIES AND EMERGENCY MANUAL RESTRAINT; LICENSED FACILITIES AND PROGRAMS. Subdivision 1. Rules. The commissioner of human services shall, within 24 months of enactment
More informationRestraint Education Program JHS Annual Mandatory Clinical Education
Restraint Education Program 2017 JHS Annual Mandatory Clinical Education Program Goals Prevent, reduce and eliminate use of restraints Initiate restraint only when other less restrictive measures have
More informationAppendix E: Minimizing Restraining Staff Training Presentation. Least Restraint, Last Resort
Appendix E: Minimizing Restraining Staff Training Presentation Least Restraint, Last Resort Audience: Registered Staff Release Date: December 3, 2010 Adapted from educational materials provided by Belmont
More informationDepartment of Veterans Affairs VHA DIRECTIVE Veterans Health Administration Washington, DC December 7, 2005
Department of Veterans Affairs VHA DIRECTIVE 2005-061 Veterans Health Administration Washington, DC 20420 VA NURSING HOME CARE UNIT (NHCU) ADMISSION CRITERIA, SERVICE CODES, AND DISCHARGE CRITERIA 1. PURPOSE:
More informationThe policy applies to all SHS employees involved in direct patient care and medical staff.
Restraints Use of Violent - System Introduction Restraints, Use of Violent System Introduction SCOPE The policy applies to all SHS employees involved in direct patient care and medical staff. Implementation
More informationSETHS STANDARDIZED USE OF RESTRAINT AND/OR SECLUSION. Date Adopted: 07/09 Date Revised: 03/18 Supersedes: Date Reviewed: 03/18
CHRISTUS Southeast Texas Health System ADMINISTRATIVE POLICY TITLE: I. KEY WORDS: Restraint, Chemical Restraint, Seclusion, Non-Violent/Non-Self Destructive Restraints, Violent/Self-Destructive Restraints
More informationFLORIDA DEPARTMENT OF CORRECTIONS OFFICE OF HEALTH SERVICES. HEALTH SERVICES BULLETIN NO Page 1 of 15
FLORIDA DEPARTMENT OF CORRECTIONS OFFICE OF HEALTH SERVICES HEALTH SERVICES BULLETIN NO. 15.05.05 Page 1 of 15 I. PURPOSE EFFECTIVE DATE: 08/27/13 The purpose of this health services bulletin is to ensure
More informationNOTE: The first appearance of terms in bold in the body of this document (except titles) are defined terms please refer to the Definitions section.
TITLE RESTRAINT AS A LAST RESORT - ACUTE CARE INPATIENT - PEDIATRIC SCOPE Provincial: Acute Care Inpatient Pediatric APPROVAL AUTHORITY Clinical Operations Executive Committee SPONSOR Senior Operating
More information- The psychiatric nurse visits such patients one to three times per week.
Community mental health community psychiatry Definition: Community psychiatry can be defined as the provision of psychiatric services to the patient within their community environment with an aim to achieve
More informationDial Code Grey Pip3 Male Side This Is The Head Nurse
Dial 77 88 Code Grey Pip3 Male Side This Is The Head Nurse By Janet Ferguson, PMHCNS-BC, Associate Director Behavioral Health Nursing, and Donna Leno-Gordon, RNMS, MPA, Director Behavioral Health Nursing
More informationRULES OF DEPARTMENT OF MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES DIVISION OF MENTAL HEALTH SERVICES
RULES OF DEPARTMENT OF MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES DIVISION OF MENTAL HEALTH SERVICES CHAPTER 0940-3-9 USE OF ISOLATION, MECHANICAL RESTRAINT, AND PHYSICAL HOLDING RESTRAINT TABLE OF CONTENTS
More informationRestraints and Seclusion Use Training
Restraints and Seclusion Use Training Table of Content TOPIC PAGE NUMBER OBJECTIVES 2 WHAT ARE RESTRAINTS? 3 INTRODUCTION 4 WHAT IS A RESTRAINT? 6 A RESTRAINT FREE ENVIRONMENT 8 THE MOST COMMON REASONS
More informationNOTE: The first appearance of terms in bold in the body of this document (except titles) are defined terms please refer to the Definitions section.
TITLE RESTRAINT AS A LAST RESORT - CRITICAL CARE SCOPE Provincial: Critical Care APPROVAL AUTHORITY Clinical Operations Executive Committee SPONSOR Senior Operating Officer, Glenrose Rehabilitation Hospital
More informationBED RAIL SAFETY 9/15/2015. A Clinical Process Guideline. Background. Federal Nursing Home Reform Act
BED RAIL SAFETY A Clinical Process Guideline Laura Funsch, RN, BSN, MS Director of Regulatory Strategy, LeadingAge Michigan Background Safety hazards related to bed rail use have been realized since 1990.
More informationSECTION P: RESTRAINTS
SECTION P: RESTRAINTS Intent: The intent of this section is to record the frequency over the 7-day look-back period that the resident was restrained by any of the listed devices at any time during the
More informationPrior Authorization and Continued Stay Criteria for Adult Serious Mentally Ill (SMI) Behavioral Health Residential Facility
Prior Authorization and Continued Stay Criteria for Adult Serious Mentally Ill (SMI) Behavioral Health Residential Facility AUTHORIZATION CRITERIA FOR BEHAVIORAL HEALTH RESIDENTIAL FACILITY, ADULT Title
More informationBEHAVIOR HEALTH LEVEL OF CARE GUIDELINES for Centennial Care
BEHAVIOR HEALTH LEVEL OF CARE GUIDELINES for Centennial Care Acute Inpatient Hospitalization I. DEFINITION OF SERVICE: Acute Inpatient Psychiatric Hospitalization is a 24-hour secure and protected, medically
More informationLegal 2000 The Nevada Process of Civil Commitment
Legal 2000 The Nevada Process of Civil Commitment Some Proposed Amendments Lesley R. Dickson, M.D. President, Nevada Psychiatric Association June 17, 2008 LEGAL 2000 The Nevada Process of Civil Commitment
More informationNORTHERN VIRGINIA MENTAL HEALTH INSTITUTE DEPARTMENT OF NURSING SERVICES POLICIES AND PROCEDURES
Page 1 of 16 NORTHERN VIRGINIA MENTAL HEALTH INSTITUTE DEPARTMENT OF NURSING SERVICES POLICIES AND PROCEDURES Subject: Seclusion or Restraints Review Annually Frequency: Division: Psychiatric Nursing Care
More informationYouth Treatment Professionals
Realistic Job Preview Youth Treatment Professionals The mission of Devereux Colorado is to inspire growth and foster human potential in the lives of those we serve. By utilizing positive dynamic approaches
More informationSan Diego County Funded Long-Term Care Criteria
San Diego County Funded Long-Term Care Criteria Prepared By: 6/23/16 Table of Contents San Diego County Funded Long Term Care Criteria... 2 Referral Criteria by Level of Care: Institute of Mental Disease
More informationSOLUTION TITLE: Can Critical Care Become A Restraint Free Environment?
ORGANIZATION: ST AGNES MEDICAL CENTER SOLUTION TITLE: Can Critical Care Become A Restraint Free Environment? PROGRAM/PROJECT DESCRIPTION INCLUDING GOALS: The critical care environment is perhaps the last
More informationNO Tallahassee, December 15, Mental Health/Substance Abuse RECOVERY PLANNING AND IMPLEMENTATION IN MENTAL HEALTH TREATMENT FACILITIES
CFOP 155-16 STATE OF FLORIDA DEPARTMENT OF CF OPERATING PROCEDURE CHILDREN AND FAMILIES NO. 155-16 Tallahassee, December 15, 2017 Mental Health/Substance Abuse RECOVERY PLANNING AND IMPLEMENTATION IN MENTAL
More informationInstitutional Handbook of Operating Procedures Policy Responsible Vice President: Executive Vice President and CEO, Health System
Section: Clinical Subject: General Policies Institutional Handbook of Operating Procedures Policy 09.13.06 Responsible Vice President: Executive Vice President and CEO, Health System Responsible Entity:
More informationMedical Staff Rules and Regulations
Medical Staff Rules and Regulations Reviewed: December 2014 RIVER PARK HOSPITAL RULES AND REGULATIONS OF MEDICAL STAFF TABLE OF CONTENTS INTRODUCTION... 1 1. CRITERIA FOR ADMISSION... 1 2. ADMISSION...
More informationEMTALA. A 30 th Anniversary Journey. Steve Lipton. Cal. Society of Healthcare Risk Management March 10, Hooper, Lundy & Bookman, P.C.
EMTALA A 30 th Anniversary Journey Steve Lipton Cal. Society of Healthcare Risk Management March 10, 2016 1Hooper, Lundy & Bookman, P.C. HAPPY ANNIVERSARY EMTALA The Journey 3Hooper, Lundy & Bookman, P.C.
More informationState of West Virginia DEPARTMENT OF HEALTH AND HUMAN RESOURCES Office of Inspector General Board of Review 1027 N. Randolph Ave.
Earl Ray Tomblin Governor State of West Virginia DEPARTMENT OF HEALTH AND HUMAN RESOURCES Office of Inspector General Board of Review 1027 N. Randolph Ave. Elkins, WV 26241 October 5, 2012 Rocco S. Fucillo
More informationSTATE OF KANSAS DEPARTMENT FOR AGING AND DISABILITY SERVICES OSAWATOMIE STATE HOSPITAL OPERATIONS ASSESSMENT EXECUTIVE SUMMARY
STATE OF KANSAS DEPARTMENT FOR AGING AND DISABILITY SERVICES OSAWATOMIE STATE HOSPITAL OPERATIONS ASSESSMENT Prepared by: THE BUCKLEY GROUP, L.L.C. OVERVIEW The Osawatomie State Hospital (OSH) in Osawatomie
More informationDelaware. Phone. Agency (302) Department of Health and Social Services, Division of Long Term Care Residents Protection
Delaware Agency Department of Health and Social Services, Division of Long Term Care Residents Protection (302) 421-7410 Contact Robert Smith (302) 421-7448 E-mail Robert.Smith@state.de.us Phone Web Site
More informationDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES
Use for a resident who has potentially unnecessary medications, is prescribed psychotropic medications or has the potential for an adverse outcome to determine whether facility practices are in place to
More informationMental Holds In Idaho
Mental Holds In Idaho Idaho Hospital Association Kim C. Stanger (4/17) This presentation is similar to any other legal education materials designed to provide general information on pertinent legal topics.
More informationGENERAL EVENTS REPORTING REQUIREMENTS
GENERAL EVENTS REPORTING REQUIREMENTS DDSD is pleased to introduce the revised General Events Reporting (GER) requirements. There are two important changes related to medication error reporting: 1. Effective
More informationMacomb County Community Mental Health Level of Care Training Manual
1 Macomb County Community Mental Health Level of Care Training Manual Introduction Services to Medicaid recipients are based on medical necessity for the service and not specific diagnoses. Services may
More informationEffective Date: 8/16/2017. Replaces: 8/23/2016. Formulated: 5/95 Reviewed: 07/17 SUICIDE PREVENTION PLAN
Page 1 of 5 PURPOSE: POLICY: To provide policy, defined procedures, and a program for identifying and responding to suicidal individuals. Prevention of suicide is the responsibility of Health Services
More informationSherri Proffer, RN, Program Manager. Dorothy Ukegbu, RN Coordinator, 02/20/2014 1
Sherri Proffer, RN, Program Manager Dorothy Ukegbu, RN Coordinator, 02/20/2014 1 Procedures for Determination of Medical Need for Nursing Home Services I. Medical Need Assessments A. Nursing Facility Procedures
More informationHCMC Outpatient Mental Health Programs. External Referral Form
HCMC Outpatient Mental Health Programs External Referral Form Thank you for your interest in the Day Treatment, Partial Hospital Program, or Dialectical Behavior Therapy Intensive Outpatient Program. All
More informationProvider Rate Table Residential Habilitation Services in a Licensed Facility Effective April 1, 2011
Provider Table Residential Habilitation Services in a Licensed Facility Effective April 1, 2011 Residential Habilitation Services - s with April 1, 2011 Reductions Without Geographic Factor With Geographic
More informationLink download full: Test bank for Varcarolis's Canadian Psychiatric Mental Health Nursing 1e Edition by Margaret Jordan Halter
Varcarolis s Canadian Psychiatric Mental Health Nursing: Canadian Edition Test Bank Halter Link download full: Test bank for Varcarolis's Canadian Psychiatric Mental Health Nursing 1e Edition by Margaret
More informationMENTAL HEALTH NURSING ORIENTATION. (2) Alleviating disabling symptoms of mental disorders.
Page 1 of 6 1. Mission Statement MENTAL HEALTH NURSING ORIENTATION a. The mission of mental health services is to provide constitutionally adequate care. Mental health care is provided to assist the inmate
More informationRules of Participation, Phase 1 Review
1 Rules of Participation, Phase 1 Review A Foundation check to launch Phase 2 from Presented by: Anabelle Locsin, RN, Ed.D., RAC-CT, LNC Quality Improvement Consultant PROGRAM OVERVIEW 2 This program was
More informationRALF Behavior Management Rules IDAPA
RALF Behavior Management Rules IDAPA 16.03.22 DEFINITIONS: 010.10. Assessment. The conclusion reached using uniform criteria which identifies resident strengths, weaknesses, risks and needs, to include
More information483.10(b)(4) and (8) Rights Regarding Advance Directives, Treatment, and Experimental Research
483.10(b)(4) and (8) Rights Regarding Advance Directives, Treatment, and Experimental Research (F155) Surveyor Training of Trainers: Interpretive Guidance Investigative Protocol Federal Regulatory Language
More informationa. The Care Plan dated 2/16/10 documented the following:
b. The Plan of Care dated 1/12/10 documented, "Problem: At risk for depression, related to very young to be in long term care facility and permanent brain damage R/T [related to] trauma. Approaches: Arrange
More informationTENNESSEE S CRISIS RESPITE SERVICES
TENNESSEE S CRISIS RESPITE SERVICES Tennessee Department of Mental Health and Substance Abuse Services Office of Crisis Services and Suicide Prevention Description A facility-based, voluntary service that
More informationRESTRAINTS TABLE OF CONTENTS. 1. Purpose Scope Definitions 2 to Policy Statements 6 to Procedures 7 to 14
PAGE: 1 of 18 TABLE OF CONTENTS Section Page Numbers 1. Purpose 2 2. Scope 2 3. Definitions 2 to 6 4. Policy Statements 6 to 7 5. Procedures 7 to 14 Cross References; Owner; References; Prior Version Dates
More informationCRISIS SUPPORT TEAMS (CST)
CRISIS SUPPORT TEAMS (CST) BLUEBONNET TRAILS COMMUNITY SERVICES Region 7 (Bastrop, Caldwell, Fayette & Lee Counties) Region 8 (Burnet & Williamson Counties) WHERE DID THESE TEAMS COME FROM? Federal government
More informationDATE: October 3, SUBJECT: Protective Services for Adults: Revised Process Standards
+-----------------------------------+ ADMINISTRATIVE DIRECTIVE TRANSMITTAL: 96 ADM-18 +-----------------------------------+ DIVISION: Services & TO: Commissioners of Community Social Services Development
More informationWORKPLACE VIOLENCE AND THE NEW REQUIREMENTS
WORKPLACE VIOLENCE AND THE NEW REQUIREMENTS New Requirements California Code of Regulations Title 8 - Section 3342 Violence Protection in Health Care New Regulations a) Determine if this applies to your
More informationAdverse Incident Reporting Form Provider Instructions and Definitions
Adverse Incident Reporting Form Provider Instructions and Definitions Please use the following instructions when reporting Adverse Incidents to the health plans. Providers are required to notify the health
More informationJCAHO Competency Exam
4041 Powder Mill Road, Suite 107 Beltsville, Maryland 20705 www.issnurses.com JCAHO Competency Exam Name: Date: Back Safety 1. The safest technique for pulling a patient up in the bed is: a. Position yourself
More informationNew Mexico DDSD General Events Report (GER) Guide
New Mexico DDSD General Events Report (GER) Guide APPLICABILITY: All DDW Participants age 21 and older plus DDW Participants age 18-21 who receive Supported Living or Family Living See definitions and
More informationHealthcare Workplace Violence PREVENTION: The California Experience. Gail M. Blanchard-Saiger VP, Labor & Employment California Hospital Association
Healthcare Workplace Violence PREVENTION: The California Experience Gail M. Blanchard-Saiger VP, Labor & Employment California Hospital Association Current Status Cal/OSHA is developing formal, comprehensive
More informationNew Mexico DDSD General Events Report (GER) Guide
New Mexico DDSD General Events Report (GER) Guide GER APPLICABILITY: All events that occur during delivery of Supported Living, Family Living, Intensive Medical Living, Customized In-Home Supports, Customized
More informationClinical Criteria Inpatient Medical Withdrawal Management Substance Use Inpatient Withdrawal Management (Adults and Adolescents)
4.201 Inpatient Medical Withdrawal Management 4.201 Substance Use Inpatient Withdrawal Management (Adults and Adolescents) Description of Services: Inpatient withdrawal management is comprised of services
More information# December 29, 2000
#00-53-3 December 29, 2000 Minnesota Department of Human Services 444 Lafayette Rd. St. Paul, MN 55155 OF INTEREST TO! County Social Service Directors/Supervisors! County Designated LMHA for PASRR! County
More informationSuicide Risk Screening, Assessment and Precautions (Non Psychiatric Care Units) Policy No.: NSI SFT_05
Suicide Risk Screening, Assessment and Precautions (Non Psychiatric Care Units) Policy No.: NSI SFT_05 ACKNOWLEDGEMENT: By opening and reviewing the following attachment: acknowledges that I have reviewed
More information9/17/2015. Bed Rail Safety A Clinical Process Guideline. Background. Federal Nursing Home Reform Act
Bed Rail Safety A Clinical Process Guideline Laura Funsch, RN, BSN, MS, Director of Regulatory Strategy Background Safety hazards related to bed rail use have been realized since 1990. Michigan s initial
More informationBed Rail Safety A Clinical Process Guideline. Laura Funsch, RN, BSN, MS, Director of Regulatory Strategy
Bed Rail Safety A Clinical Process Guideline Laura Funsch, RN, BSN, MS, Director of Regulatory Strategy Background Safety hazards related to bed rail use have been realized since 1990. Michigan s initial
More informationSpecialized Therapeutic Foster Care and Therapeutic Group Home (Florida)
Care1st Health Plan Arizona, Inc. Easy Choice Health Plan Harmony Health Plan of Illinois Missouri Care Ohana Health Plan, a plan offered by WellCare Health Insurance of Arizona OneCare (Care1st Health
More informationCrisis Resource Guide
Crisis Resource Guide My child has an intellectual or developmental disability and needs mental health support. What do I do when he or she gets out of control? This guide was created to help you determine
More informationRESIDENTIAL SUMMARY. Please complete one form per residential facility
RESIDENTIAL SUMMARY Business Name: Please complete one form per residential facility Facility Name: Facility Address: Facility Contact Person (s): Title: Contact Phone Number: E-mail: Site Phone Number:
More informationCommon ACTT Referral Form
Common ACTT Referral Form WELCOME! Please ensure that you have completed the accompanying screening tool to ensure that the applicant qualifies for this service. We want to process this application as
More informationHealth Information and Quality Authority Regulation Directorate
Health Information and Quality Authority Regulation Directorate Compliance Monitoring Inspection report Designated Centres under Health Act 2007, as amended Centre name: Centre ID: Centre county: Type
More informationAssisted Living Residence Assessment-Support Plan (ASP) For compliance with 55 Pa.Code Chapter Instructions for Use
Assisted Living Residence Assessment-Support Plan (ASP) or compliance with 55 Pa.Code Chapter 2800 Instructions for Use Chapter 2800 requires initial assessments, preliminary support plans, and final support
More informationPosition Number(s) Community Division/Region(s) Yellowknife
IDENTIFICATION Department Northwest Territories Health and Social Services Authority Position Title Registered Nurse - Pediatrics Position Number(s) Community Division/Region(s) 17-4278 Yellowknife Patient
More information6.20. Mental Health Home and Community-Based Services: Intensive Behavioral Health Services for Children, Youth, and Families 1915(i)
6.20. Mental Health Home and Community-Based Services: Intensive Behavioral Health Services for Children, Youth, and Families 1915(i) DESCRIPTION OF SERVICES The home and community-based services (HCBS)
More informationREQUEST FOR PROPOSALS Community Placement Plan Fiscal Year
REQUEST FOR PROPOSALS Community Placement Plan Fiscal Year 2015-2016 North Bay Regional Center (NBRC) is a community- based, private non-profit corporation that is funded by the State of California to
More informationBEHAVIOR HEALTH LEVEL OF CARE GUIDELINES for Centennial Care MCOs. Table of Contents
BEHAVIOR HEALTH LEVEL OF CARE GUIDELINES for Centennial Care MCOs Table of Contents Section Page Medical Necessity Definition 2 Acute Inpatient Hospitalization 5 Waiting Placement Days (DAP) Rate 7 23
More informationALABAMA MEDICAID AGENCY ADMINISTRATIVE CODE CHAPTER 560-X-41 PSYCHIATRIC TREATMENT FACILITIES TABLE OF CONTENTS
ALABAMA MEDICAID AGENCY ADMINISTRATIVE CODE CHAPTER 560-X-41 PSYCHIATRIC TREATMENT FACILITIES TABLE OF CONTENTS 560-X-41-.01 560-X-41-.02 560-X-41-.03 560-X-41-.04 560-X-41-.05 560-X-41-.06 560-X-41-.07
More informationPsychiatric Services Provider Manual 10/9/2007. Covered Services and Limitations CHAPTER IV COVERED SERVICES AND LIMITATIONS. Manual Title.
Subject Revision Date CHAPTER COVERED SERVICES AND LIMITATIONS Subject Revision Date i CHAPTER TABLE OF CONTENTS Inpatient Psychiatric Services (Acute Hospital and Residential) 1 Acute Care Hospitals 1
More informationCLINICAL CRITERIA FOR UM DECISIONS Skilled Nursing Facilities
COMMERCIAL CLINICAL CRITERIA FOR UM DECISIONS Skilled Nursing Facilities Capital Health Plan (CHP) will provide coverage for care in a skilled nursing facility, subject to the benefit limitations of the
More informationGEORGIA DEPARTMENT OF JUVENILE JUSTICE Transmittal # 18-5 Policy # 8.8 I. POLICY:
GEORGIA DEPARTMENT OF JUVENILE JUSTICE Transmittal # 18-5 Policy # 8.8 Applicability: { } All DJJ Users { } Administration { } Community Services {x} Secure Facilities Related Standards & References: O.C.G.A.
More informationCampus and Workplace Violence Prevention. Policy and Program
Campus and Workplace Violence Prevention Policy and Program SECTION I - Policy THE UNIVERSITY AT ALBANY is committed to providing a safe learning and work environment for the University s community. The
More informationBAY-ARENAC BEHAVIORAL HEALTH AUTHORITY POLICIES AND PROCEDURES MANUAL
Page: 1 of 14 Policy It is the policy of Bay-Arenac Behavioral Health Authority (BABHA) that all adverse events, such as unusual events (including risk), critical incidents (including all deaths) and sentinel
More informationDischarge Planning for Patients Hospitalized for Mental Health Treatment Interpretative Guidelines for Oregon Hospitals
Discharge Planning for Patients Hospitalized for Mental Health Treatment Interpretative Guidelines for Oregon Hospitals May 2016 1 PURPOSE This document is meant to offer interpretative guidance for Oregon
More informationALCOHOL AND/OR OTHER DRUGPROGRAM CERTIFICATION STANDARDS. Department of Health Care Services. Health and Human Services Agency. State of California
ALCOHOL AND/OR OTHER DRUG PROGRAM CERTIFICATION STANDARDS Department of Health Care Services Health and Human Services Agency State of California September 16, 2016 ALCOHOL AND/OR OTHER DRUGPROGRAM CERTIFICATION
More informationSAMPLE Behavioral Health Self-Assessment Questionnaire
Hospital Name: Person Completing the Assessment: Date: I. Executive Leadership Yes No 1. Do executive leaders and department medical staff members meet routinely? 2. Is the oversight of actionable plans
More informationISSUING AGENCY: New Mexico Children, Youth and Families Department. [ NMAC - Rp, NMAC, 05/29/09]
TITLE 8 SOCIAL SERVICES CHAPTER 8 CHILDREN, YOUTH AND FAMILIES GENERAL PROVISIONS PART 7 COURT ORDERED DOMESTIC VIOLENCE OFFENDER TREATMENT OR INTERVENTION PROGRAMS 8.8.7.1 ISSUING AGENCY: New Mexico Children,
More informationChecklist of Health and Safety Standards. for Approval of Family Caregiver Home
STATE OF CALIFORNIA -- HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES Checklist of Health and Safety Standards Pursuant to Division 31, MPP Section 31-445.3, in order to be approved,
More informationCommunity Crisis Stabilization Treatment Response Protocols
Community Crisis Stabilization Treatment Response Protocols Crisis Response-Treatment Protocols [February, 2017] 1461 Kensington Ave Buffalo, New York 14215 716.898.4950 millenniumcc.org Table of Contents
More informationCUT BACKS IN MENTAL HEALTH SERVICES IMPACTING LAW ENFORCEMENT May 1, 2013
CUT BACKS IN MENTAL HEALTH SERVICES IMPACTING LAW ENFORCEMENT May 1, 2013 SUMMARY The Grand Jury (GJ) conducted mandated jail visits (California Penal Code Section 919(b)) as well as visited local law
More informationAssertive Community Treatment (ACT)
Assertive Community Treatment (ACT) Assertive Community Treatment (ACT) services are therapeutic interventions that address the functional problems of individuals who have the most complex and/or pervasive
More informationAssisted Outpatient Treatment
Assisted Outpatient Treatment Tracey Green MD Chief Medical Officer Division of Public and Behavioral Health EXHIBIT R Health Care Document consists of 17 pages. Entire exhibit provided. Meeting Date 5-07-14
More informationEMERGENCY DEPARTMENT DIVERSIONS, WAIT TIMES: UNDERSTANDING THE CAUSES
EMERGENCY DEPARTMENT DIVERSIONS, WAIT TIMES: UNDERSTANDING THE CAUSES Introduction In 2016, the Maryland Hospital Association began to examine a recent upward trend in the number of emergency department
More informationMagellan Behavioral Health of Pennsylvania, Inc. Incident Reporting Form Provider Instructions and Definitions
Member s County of Residence: Magellan Behavioral Health of Pennsylvania, Inc. Incident Reporting Form Provider Instructions and Definitions Bucks County Cambria County Delaware County Lehigh County Montgomery
More informationDevelopmental Disabilities Supports Division (DDSD) Supersedes: New Policy. Policy Title: Medication Assessment and Delivery Policy
Department of Health Developmental Disabilities Supports Division (DDSD) Policy Title: Medication Assessment and Delivery Policy Policy Number: M-001 Supersedes: New Policy Effective Date: November 1,
More informationSUPPLEMENTAL GUIDELINES FOR MENTAL HEALTH UTILIZATION MANAGEMENT AND TREATMENT PLANNING
SUPPLEMENTAL GUIDELINES FOR MENTAL HEALTH UTILIZATION MANAGEMENT AND TREATMENT PLANNING Produced for the Magellan Mental Health Guidelines for the Pennsylvania HealthChoices Project Magellan Behavioral
More informationThe Challenges of Today s Changing Nursing Home Population: Balancing the Three R s Rights, Regulations and Requirements
The Challenges of Today s Changing Nursing Home Population: Balancing the Three R s Rights, Regulations and Requirements By: Danielle Holley, Esq. O Connell & Aronowitz Beyond the Basics for the Admissions
More informationProvider Treatment Record Audit Tool
Provider Treatment Record Audit Tool Provider Name: Discipline: Practice Name: Solo Group Provider ID Number: Provider Location: Address: Suite: (City) Phone Number: (State) Enrollee ID: Age: Diagnosis
More informationThe Prevention and Control of Violence & Aggression Policy CONTROLLED DOCUMENT
CONTROLLED DOCUMENT The Prevention and Control of Violence & Aggression Policy CATEGORY: CLASSIFICATION: PURPOSE Controlled Document Number: Version Number: 3 Controlled Document Sponsor: Controlled Document
More informationWORKPLACE VIOLENCE PREVENTION. Health Care and Social Service Workers
WORKPLACE VIOLENCE PREVENTION Health Care and Social Service Workers DEFINITION Workplace violence is any physical assault, threatening behavior, or verbal abuse occurring in the work setting A workplace
More information