Time Limit on Time out for patients

  1. 0
    Please help answer this if you can as I've been reading everything with no real answer. Is there any LEGAL time limit on how long a patient remains in open door Time Out room.

    Get the hottest topics every week!

    Subscribe to our free Nursing Insights newsletter.

  2. 13 Comments...

  3. 0
    Joint Commission recognizes ANY time you tell a patient they can't leave a room or physically prevent them to do so as a seclusion. I work C&A and we got dinged when they asked a kid if he was allowed to come out of his room and he said no. We're not allowed to use time outs at all anymore.
  4. 0
    It's my understanding that if a pt goes to their rooms voluntarily and the door is left open the pt can be in their room as long as it takes for them to calm down, if it is made a coping skill you can encourage using it, although I know this will not always work, I feel like it's a therapeutic and safe option
  5. 0
    What about if its for their own safety from another pt?
  6. 0
    In my facility a pt can be in his or her room or the quiet room as long as they need to be to calm down. For the kids its usually not that long. 15 mins, half hour at most. If they are making suicidal statements and wont contract or they are presenting a danger to staff or other pts, they get to work on packets in their room or one of the observation rooms at the nurses station. There is a time limit on physical/mechanical restraint and locked door seclusion and it depends on age. Once you've reached that limit, you have to get a new order. I have only ever seen one locked door and it was a teenager who had serious out of control aggression. Usually if we give IMs they remain in the quiet room and they sleep it off in there.
  7. 1
    When we do open seclusion we basically tell the patient when they feel like they are in control they are permitted to leave the room. we have no time limits because they can leave the room whenever they want.
    New Angel likes this.
  8. 0
    No, This is 24/7 and pt is not there voluntary. Supposedly IF there is no incidents in 7 days THEN they can be out 1 hour and read a magazine or something.
    NO magazine, no ANYTHING, nothing but a mattress on floor is allowed in Time Out room. ANd you are right, it is considered "SECLUSION" regardless if door open . IMO Isolation also as pt is not allowed to talk except to ask for "needs". (ie I need to go to restroom, I need to shower, etc). Meals are even in there on plastic tray.
    I was also told we are not under "STATE" rules (which say 12 hours) but under DADS. Does that make a difference REALLY? Doesn't state laws govern over them?
  9. 0
    Quote from conroenurse
    No, This is 24/7 and pt is not there voluntary.
    It wouldn't matter if the patient was there voluntarily or involuntarily--the regulations would still be the same.
  10. 0
    Quote from conroenurse
    No, This is 24/7 and pt is not there voluntary. Supposedly IF there is no incidents in 7 days THEN they can be out 1 hour and read a magazine or something.
    NO magazine, no ANYTHING, nothing but a mattress on floor is allowed in Time Out room. ANd you are right, it is considered "SECLUSION" regardless if door open . IMO Isolation also as pt is not allowed to talk except to ask for "needs". (ie I need to go to restroom, I need to shower, etc). Meals are even in there on plastic tray.
    I was also told we are not under "STATE" rules (which say 12 hours) but under DADS. Does that make a difference REALLY? Doesn't state laws govern over them?
    If those stipulations exist why is the door even open? As for length of time, we have to have orders to continue renewed based on patients age. Since we only have over 18, the order has to be re-evaluated every 4 hours. We can D/C as a nursing measure when pt meets criteria. I dont know if there is a maximum amount of time, but the patients must meet criteria to continue ( imminent risk to self or others)
  11. 0
    Oh no, when a pt is in time out they can talk as much as they want/use the bathroom etc. Usually staff is with them. Honestly for time outs is mostly kids and we give them an expectation that once they cane be calm for 10 mins they can go back on the unit. Adults that go there usually get IMs and they sleep it off in there.


Nursing Jobs in every specialty and state. Visit today and Create Job Alerts, Manage Your Resume, and Apply for Jobs.

A Big Thank You To Our Sponsors
Top