The record reflects that the patient was released as necessary for 90% N/A eating, drinking, bathing, toileting or special medical orders. The record reflects that the patient’s extremities were released 90% N/A sequentially, with one released at least every fifteen minutes. Copies of events were forwarded to Clinical Director and Patient 90% N/A Advocate. For persons with mental retardation, the applicable regulations 85% N/A were met. The record reflects that the order was not entered as a PRN 90% N/A order. Where there was a PRN order, there is evidence that physician 95% N/A was counseled. A restraint event that exceeds 24 hours will be reviewed against 90% N/A the following requirement: If total consecutive hours in restraint, with renewals, exceeded 24 hours, the record reflects that the patient was medically assessed and treated for any injuries; that the order extending restraint beyond 24 hours was entered by Clinical Director (or if the Clinical Director is out of the hospital, by the individual acting in the Clinical Director’s stead) following examination of the patient; and that the patient’s guardian or representative has been notified. Patient Elopements V31) Quarterly performance data that, in 5 out of 6 quarters, the number of patient elopements does not exceed one standard deviation from the national mean as reported by NASMHPD. This depicts the number of elopements that occurred for every 1000 inpatient days. For example, a rate of 0.25 means that 1 elopement occurred for each 4000 inpatient days. An elopement is defined as any time a patient is from a location defined by the patient’s “absent privilege status regardless of the patient’s leave or legal status.” The following graphs depict the number of elopements stratified by forensic or civil classifications that occurred for every 1000 inpatient days. For example, a rate of 0.25 means that 1 elopement occurred for each 4000 inpatient days. The hospital-wide results from
The record reflects that the patient was released as necessary for eating, drinking, bathing, toileting or special medical orders. 90% N/A The record reflects that the patient’s extremities were released sequentially, with one released at least every fifteen minutes. 90% N/A Copies of events were forwarded to Clinical Director and Patient Advocate. 90% N/A For persons with mental retardation, the applicable regulations were met. 85% N/A The record reflects that the order was not entered as a PRN order. 90% N/A Where there was a PRN order, there is evidence that physician was counseled. 95% N/A A restraint event that exceeds 24 hours will be reviewed against the following requirement: If total consecutive hours in restraint, with renewals, exceeded 24 hours, the record reflects that the patient was medically assessed and treated for any injuries; that the order extending restraint beyond 24 hours was entered by Clinical Director (or if the Clinical Director is out of the hospital, by the individual acting in the Clinical Director’s stead) following examination of the patient; and that the patient’s guardian or representative has been notified. 90% N/A Patient Elopements V31) Quarterly performance data that, in 5 out of 6 quarters, the number of patient elopements does not exceed one standard deviation from the national mean as reported by NASMHPD. This depicts the number of elopements that occurred for every 1000 inpatient days. For example, a rate of 0.25 means that 1 elopement occurred for each 4000 inpatient days. An elopement is defined as any time a patient is “absent from a location defined by the patient’s privilege status regardless of the patient’s leave or legal status.” The following graphs depict the number of elopements stratified by forensic or civil classifications that occurred for every 1000 inpatient days. For example, a rate of 0.25 means that 1 elopement occurred for each 4000 inpatient days. The hospital-wide results from
Section13-Riverview.docx