Face to Face Locked Orders

Specialties Psychiatric

Published

I'm having an issue with these locked seclusion orders on my floor. I was told by management that during night shift where there is no physician and after about three pm no advanced practice psychiatric nurse then the person who needs to sign the order is a registered nurse. This supposedly has not been approved or confirmed but that is what management is telling me to do. I mean these locked orders only last for four hours. I feel extremely uncomfortable signing these orders and I had my first locked patient and the charge nurse told me that the best thing to do besides risking my license is unlocking the patient while he is asleep and hope for the best. So I unlocked him and thankfully he was fine for my shift. So what is the locked seclusion protocol for your floors I'm so confused about this topic.

Specializes in Med-Surg, Geriatric, Behavioral Health.
Good to know. What is the definition of an LIP?

Thanks for asking.

A LIP is a "Licensed Independent Practitioner" who is in a collaborative practice agreement with a licensed physician....such as an Advanced Practice Nurse (APN)....for example, a Nurse Practitioner (NP) or Clinical Nurse Specialist (CNS).

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Aha! I see that CMS has knuckled under to all the whining and complaining from the docs and hospitals, and they are making it okay for RNs to do the evals. :o I think that is a real shame.

Why do you think this is not a good thing, elkpark?

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