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Joint Commission and Ligature Points

Nurses   (1,951 Views 66 Comments)
by Davey Do Davey Do (Guide) Guide Expert Nurse

Davey Do has 35 years experience and works as a Behavioral Health RN.

14 Followers; 1 Article; 73,876 Visitors; 5,970 Posts

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You are reading page 6 of Joint Commission and Ligature Points. If you want to start from the beginning Go to First Page.

Davey Do has 35 years experience and works as a Behavioral Health RN.

14 Followers; 1 Article; 73,876 Visitors; 5,970 Posts

 

6 hours ago, kbrn2002 said:

 this is beyond bonkers.  So if I get this right the floor can be short staffed already, probably per usual but somebody still has to do nothing but be a door? 

And, kbrn, it's not the whole story- it's merely the gist.

For example, the staff acting as the door, doing absolutely nothing, could have easily performed the duty of watching a patient who was on a Line Of Sight (LOS) status during the day only because they had a urinary catheter.

However, someone deemed that if a patient is a LOS during the day, they must be on a 1:1 status at night.

So, in essence, there were three staff members in a relatively small area being responsible for two patients.

1456381386_doorstaff.png.fb269156e495690228c872b61ff95461.png

 

There was also a staff member working the floor, making rounds and a charge nurse at the desk.

A total of five staff members for 12 patients.

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TriciaJ has 37 years experience as a RN and works as a Retired.

10 Followers; 32,648 Visitors; 3,116 Posts

Here's a scathingly brilliant idea:  why not just change out the chairs to ones with no ligature points?  Upholstered in vinyl without legs.  Wouldn't that solve the problem without structural changes and extra staffing?

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Davey Do has 35 years experience and works as a Behavioral Health RN.

14 Followers; 1 Article; 73,876 Visitors; 5,970 Posts

39 minutes ago, TriciaJ said:

Here's a scathingly brilliant idea:  why not just change out the chairs to ones with no ligature points?  

Ironically, TriciaJ, the adult men's and women's units have ligature free chairs- they also have community rooms with locking doors!

1414799654_ligfreechair.jpg.9916b2d25ce6f73fd71fd385deb64fb2.jpg

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nursosarus has 43 years experience as a CNA, RN, EMT-I and works as a nurse admin/pt care.

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As I have said many, many times, WHERE DO THEY GET THEIR REASONING??  Why don't these pencil pushing bureaucrats ever talk to people who actually do the work, see the actual, not perceived, problems, and have to deal with many irrational regulations.  Maybe they don't think we are smart enough to think on their level.

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Davey Do has 35 years experience and works as a Behavioral Health RN.

14 Followers; 1 Article; 73,876 Visitors; 5,970 Posts

1 hour ago, nursosarus said:

 Why don't these pencil pushing bureaucrats ever talk to people who actually do the work

My sentiment exactly, hursosurus.

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918 Visitors; 89 Posts

My greatest hope is that oversight bodies, such as Joint Commission, and others, will be required to fund, the unfunded mandates that they demand from institutional care. The funding will come from the government, who then will be forced into looking at the cost of their regulations, which should lead to fewer of them. 

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