1 / 6

C.N.A. Role during a 1:1 for Suicide Prevention

C.N.A. Role during a 1:1 for Suicide Prevention. Terri Mathew, RN, BSN Nurse Educator . What is your role monitoring a client on suicide precautions?. The patient is never alone and is supervised in the shower or bathroom.

keita
Download Presentation

C.N.A. Role during a 1:1 for Suicide Prevention

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. C.N.A. Role during a 1:1 for Suicide Prevention Terri Mathew, RN, BSN Nurse Educator

  2. What is your role monitoring a client on suicide precautions? • The patient is never alone and is supervised in the shower or bathroom. • The patient is not allowed to leave the unit except for necessary procedures and only with a member of the clinical staff. • Proximity to the patient is usually by the bedside or within arms’ length when the patient is awake.

  3. C.N.A. Role continued • The patient is usually placed in a room close to the nurses’ station, or, as in the intensive care unit, in a room within view of the nurses’ desk. • Only clinical staff may do Constant Observation. Family members and friends may not provide Constant Observation.

  4. C.N.A. Role continued • The observer sits in close proximity to the patient, usually by the bedside or at the door. The observer does not sit between the patient and a window. The observer always sits closer to an exit should the patient suddenly become threatening or violent. • The observer engages the patient in conversation when the patient is awake, alert, and wishes to talk. Only when the patient is asleep may the observer read or engage in a quiet activity while remaining close to the patient. The observer maintains a calm, respectful, empathic demeanor with the patient.

  5. C.N.A. Role continued • The observer will check that all utensils on the meal tray are accounted for. • The observer notifies the nurse when there is a change in the patient’s behavior that is of concern. Examples include: the patient who was quiet and calm begins to become restless, agitated, upset; the patient threatens to leave; the patient begins to try to harm himself.

  6. C.N.A. Role continued • The observer remains in the room when visitors are present and notifies the nurse if the patient becomes upset or agitated. If the visitors bring in items that are potentially dangerous to the patient, the observer will explain that it is not safe for the patient to have those items and the visitors are to bring the items home. • The observer will document every 15 minutes on a serial monitoring sheet. Date/time/and a brief description of the patient’s behavior/activity are noted. Examples: “awake”, “asleep”, “eating”, “visitors present.” • The observer will plan with the nurse for lunch and breaks.

More Related