When we have a patient come in claiming to be suicidal our doctor evaluates them and decides whether or not they will be a "1013" meaning they will be transferred to a MH facility (since we don't have one) whenever a bed becomes available. My problem is this, as you know when the patient comes in, goes through triage and gets called back when a bed is available they are not put in paper scrubs until they are deemed 1013. They can go out and smoke, they are told to ask a nursing staff to go with them but the never do. I think if someone comes through triage and claims to be suicidal they get the paper scrubs THEN, and all things are removed that they could use to hurt them, until the doctor comes in and we can initiate transfer. No going out and smoking or to make a call. What if they did something to themselves while they were outside, would we not be responsible? I was just wondering you guys policy and your feelings on what I have posted.
Thanks in advance
PS, the paper scrubs dont officially go on until after they are deemed 1013
Aug 30, '11
by Ashley_RN, BSN
Same as Roy- pt out of street clothes & into gown with security at bedside for a 'search' of patient (people hide crazy things in crazy places) and 1:1 cannot be family member. The 1:1 aka "constant observer" remains at the pt beside/bathroom use/with visitors present (basically at all times) with pt always in view. They've undergone classes educating them on suicidal patients & the best way to interact, things to be watching for, etc. Also, they're not allowed to watch tv, bring their own belongings into room, or step out at any moment without coverage of another 1:1 or RN. Kitchen is also notified for a certain tray (cant think of what its called) but its all paper/plastic & pt is given a spork with all meals. A psych eval is placed immediately.
Can you tell we've had a suicide at our hospital
Last edit by Ashley_RN on Aug 30, '11