Assessment levels

Our current assesment levels are very confusing. All our new admits are placed on SP 1 which is suicidal precautions. Of course, not all new admits are suicidal. I know some units use close observation as a term for new admits or someone acting out, etc. I try to explain to manager that when the word "precautions" is used it means certain criteria is set in motion, such as, q 2 hr. RN notes. When can I find info. on current assessment levels for new admits, tendicies, suicidal, etc. We need to get this clarified and in place quickly. JACHO is expected this fall. Help! and thanks!

[elce]

Originally posted by jsenos:

Our current assesment levels are very confusing. All our new admits are placed on SP 1 which is suicidal precautions. Of course, not all new admits are suicidal. I know some units use close observation as a term for new admits or someone acting out, etc. I try to explain to manager that when the word "precautions" is used it means certain criteria is set in motion, such as, q 2 hr. RN notes. When can I find info. on current assessment levels for new admits, tendicies, suicidal, etc. We need to get this clarified and in place quickly. JACHO is expected this fall. Help! and thanks!

I'm not sure where you can find information about assessment levels. We currently use a close observation list. Admitting docs decide what observation level is needed for each individual. i.e. 5 min checks, 15 min checks with unit restriction or with staff escorts. Most patients are unit restricted for the first 24 hours. special precautions are taken with those at risk for suicide and are observed every 5 min. We infrequently will see someone on constant observation. I'm not sure, but I think JACHO has policy manuals on assessments. hope this is somewhat helpful to you.