Managing Psychiatric Crisis 1:1

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1:1 observation is the most restrictive intervention and must be employed only in the most high-risk situations where imminent danger to self and/or others is likely.

True

It is the RN's role to assess the patient throughout the shift to determine if there is continued need for the 1:1 and this should be documented in the notes at least every 4 hours.

True

The CEO and CNO will speak with the medical staff on a daily basis to ensure the appropriate level of care observation ate being utilized. It is important to discuss which of the following:

All of the above

Hospital CEOs, CNOs, and DCSs do not need to be highly vigilant in monitoring and evaluating the need for 1:1 observation and to ensure that 1:1 observation is only used when all other least restrictive measures have proven ineffective.

False

Q15 Minute Checks are to be performed at routine times to reduce the risk that a patient will predict staff.

False

We have to realize that 1:1 Observation is intrusive and, in some cases, can actually be counterproductive if continued for longer than necessary.

True

1:1 observation is not merely "guarding" the patient but should be an element of active treatment that is defined in the treatment plan. Examples of 1:1 Active Treatment include:

All of the above


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