Identify an RN who is caring for a patient on Suicide Precautions. Ensure the following elements are completed and documented (where applicable).

Which department are you completing this survey for?

Name of the employee observed:

select

Room checklist for this shift completed. Is the patient in a safe environment?

Is the room free of risks :

Hazards (including personal belongings)

Sharp objects

Non-necessary medical equipment.

Removal of all cords, strings & electronic devices

Is the patient in the correct attire?

Gown for in inpatient or appropriate attire for inpatient psychiatric

Is the sitter ensuring the safety of the patient?

Is the sitter within 2 arms length?

Attentive without distractions

Review the documentation. Is there a plan of care and updated goals?

Suicide plan of care in place, goals documented daily

Optional Comment