Engagement & Observation in Mental Health Inpatient Units HNELHD

How many observation levels are there?

• 3

• 4

• 5

• 6

Answer explanation

There are five levels of observation:

Level 1 - constant

Level 2 - 15 minutes (minimum)

Level 3 - 30 minutes (minimum)

Level 4 - hourly (minimum)

Level 5 - 2 hourly (minimum)

Compliance with this Policy Compliance Procedure is:

• Mandatory

• Recommended

Answer explanation

p.3:

Compliance with this PCP is mandatory

What's wrong with this Level 2 form? (type your response)

Answer explanation

No designation - entries must be accompanied by the printed name, designation, and signature of the clinician

A consumer allocated Level 1 observations must be medically reviewed how often?

• Every shift

• Daily

• 3 times a week

• Weekly

Answer explanation

Daily

p.8:

"A medical review will be conducted on a daily basis, Monday to Friday in consultation with nursing staff."

Level 1 obs: how many progress note entries are required per shift?

• One

• Two

• Three

• Four

Answer explanation

p. 8:

"The nurse performing level 1 observations will make four contemporaneous documented assessments in the patients' medical record per shift"

Level 4 & 5 obs: how many progress note entries are required per shift?

• One

• Two

• Three

• Four

Answer explanation

p. 11 & p. 12:

"The nurse performing level 4 / 5 observations will make one contemporaneous documented assessment in the patients' medical record per shift"

What's wrong with this Level 1 form? (type your response)

Answer explanation

Respirations are not documented.

p. 8:

"Observations of respirations are to occur at all times and documented that this has occurred every 15 mins on the Mental Health Level 1 Engagement and Observation form in the Remarks column"

A 17 year old consumer has been admitted to the adult unit & has not yet seen a consultant. What observation level must they be allocated?

• Level 1

• Level 2

• Level 3

• Level 4

Answer explanation

Level 1

p. 8:

"Child or young person in an adult unit must be placed on Level 1 until reviewed by a consultant psychiatrist and an appropriate observation level is assigned."

A consumer allocated Level 2 observations must be medically reviewed how often?

• Every shift

• Daily

• 3 times a week

• Weekly

Answer explanation

Daily

p.9:

"At least daily, or as per clinical need."

Level 2 obs: how many progress note entries are required per shift?

• One

• Two

• Three

• Four

Answer explanation

p. 9:

"The nurse performing level 2 observations will make four contemporaneous documented assessments in the patients' medical record per shift"