1. Each order obtained within 15 100% minutes of the intervention? 4. Is Form 408 Nursing Seclusion/Restraint Progress Note 50% 86% 100% 93% complete? 5. On Form 408 Nursing Seclusion/Restraint Progress Note, Form 470 Nursing Assessment Protocol for Seclusion and 100% 79% 100% 90% Restraint, and Physician Orders do times match for interventions initiated and time of events? 9. Are details of event similar on all forms without discrepancies 408, 100% 98% 95% 97% 409, and Order sheets? 10. Is Form 470 Nursing Assessment Protocol for Seclusion 95% and Restraint completed? 11. On Form # 407RN 2 Hour Seclusion and Restraint Breaks breaks are completed at 100% 100% 100% 100% appropriate intervals and signed by RN? Baseline 1Q 2Q 3Q 4Q Data Elements YTD Target Aug 2018 2018 2018 2018 ‘15 12. On Form 2 Hour Seclusion and Restraint Breaks is 100% 100% 100% 100% time ended for S/R completed and signed by RN 13. On Form #407 Seclusion & Restraint Monitoring and Assessment 15-minute checks are completed at appropriate intervals, 100% 100% 100% 100% 100% with Pt’s behavior documented in behavioral terms as it pertains to release criteria, times, dated, and initialed by staff? 14. On Form #407 Seclusion & Restraint Monitoring and Assessment did each staff member 100% 100% 100% 100% that initialed 15-minute checks complete last page of form with signature and title?
1. Each order obtained within 15 minutes of the intervention? 100% 4. Is Form 408 Nursing Seclusion/Restraint Progress Note complete? 50% 86% 100% 93% 5. On Form 408 Nursing Seclusion/Restraint Progress Note, Form 470 Nursing Assessment Protocol for Seclusion and Restraint, and Physician Orders do times match for interventions initiated and time of events? 100% 79% 100% 90% 9. Are details of event similar on all forms without discrepancies 408, 409, and Order sheets? 100% 98% 95% 97% 10. Is Form 470 Nursing Assessment Protocol for Seclusion and Restraint completed? 95% 11. On Form # 407RN 2 Hour Seclusion and Restraint Breaks breaks are completed at appropriate intervals and signed by RN? 100% 100% 100% 100% Target Data Elements Baseline Aug ‘15 1Q 2018 2Q 2018 3Q 2018 4Q 2018 YTD 100% 12. On Form 2 Hour Seclusion and Restraint Breaks is time ended for S/R completed and signed by RN 100% 100% 100% 100% 13. On Form #407 Seclusion & Restraint Monitoring and Assessment 15-minute checks are completed at appropriate intervals, with Pt’s behavior documented in behavioral terms as it pertains to release criteria, times, dated, and initialed by staff? 100% 100% 100% 100% 14. On Form #407 Seclusion & Restraint Monitoring and Assessment did each staff member that initialed 15-minute checks complete last page of form with signature and title? 100% 100% 100% 100%
DDPCQuarterlyReport2Q2018.docx