Engagement & Observation in Mental Health Inpatient Units HNELHD

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)

p.3:

Compliance with this PCP is mandatory

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

Daily

p.8:

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

p. 8:

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

p. 11 & p. 12:

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

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"

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."

Daily

p.9:

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

p. 9:

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