Nursing

Web site spotlight: Ongoing safety assessment in the psychiatric milieu

Nurse Leader Insider, May 24, 2010

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NPSG.15.01.01 requires that patients being treated for emotional or behavioral disorders be assessed for the risk of suicide. Meeting this goal has required a number of interventions using a multidisciplinary team approach. This requires ongoing training on many different levels.

Nurses will gather information at admission to perform an initial safety assessment of the patient. This involves not just asking the patient about his or her suicidal ideation, but also obtaining information on any current suicide plan, feasibility of following through with the plan, and past attempts.

Rating the intensity of the patient’s suicidal ideation is important in determining the level of supervision that the patient requires. For example, patients who are depressed may have non-suicidal thoughts of death. They wish to die but would not take any action for this to happen. A patient who is restricting oral intake in order to die has less suicidal intensity than a patient who has a plan to overdose on medication.

Editor’s note: To read the rest of this article, visit “Ongoing safety assessment in the psychiatric milieu” found in the Reading Room at www.StrategiesForNurseManagers.com.

Do you need continuing education (CE) credits? Check out this month’s CE article about suicide risk assessment and its place in patient safety and the survey or visit our archives and view a compilation of CE articles (marked with an asterisk).



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