County of Los Angeles Department of Health Services ..., Exercises of Nursing

Download County of Los Angeles Department of Health Services ... and more Exercises Nursing in PDF only on Docsity! County of Los Angeles Department of Health Services VALLEYCARE OLIVE VIEW-UCLA MEDICAL CENTER/HEALTH CENTERS MENTAL HEALTH NURSING POLICY & PROCEDURE NUMBER: 4985 VERSION: 1 SUBJECT/TITLE: PSYCHIATRIC EMERGENCY ROOM (PER) NURSING ATTENDANT DUTIES – ALL SHIFTS MD ORDER: YES [ ] NO [ ] POLICY: PURPOSE: To describe the duties of the Nursing Attendant working in the Psychiatric Emergency Room, all shifts. DEPARTMENTS: MENTAL HEALTH NURSING DEFINITIONS: PROCEDURE: 1. Listens to shift report. 2. Checks task assignment. 3. Checks each patient for presence of an ID bracelet Double checks patient’s name and Medical Record Number (MRUN). 4. Checks restraint cabinet at the beginning of the shift, making sure that there are four (4) complete sets of restraints for emergency use. 5. Assists with restraining patients. 6. Checks patients in restraints for comfort, circulatory changes every 15 minutes and documents on the Restraint Management flowsheet. 7. Remains in the Holding Room to assist/observe patients 8. Assists patients with personal grooming needs, shower, shampoo, etc. 9. Makes and cleans beds as patients leave the Holding Room. SUBJECT/TITLE: PSYCHIATRIC EMERGENCY ROOM (PER) NURSING ATTENDANT DUTIES – ALL SHIFTS Policy Number: 4985 Page Number: 2 10. Assists with serving meal trays; charts the amount of food eaten. And informs Charge RN if patient does not eat at least 50% of meal. Feeds patient, if necessary. 11. Assists RN/ lab technician with blood work. 12. Takes lab specimens, i.e. blood, urine, stool and sputum to the processing lab. a) Make sure specimen is properly labeled, dated and initialed. b) Place specimen in plastic bag/container and make sure it is properly sealed. c) Make sure lab slips are clipped outside the plastic bag. 13. Accompanies patients to x-rays, clinics, and transfers to the floor. 14. Attends and assists physician in treatment room during physical examination. 15. If needed, stays with patient when transferred to DEM for 1:1 16. Checks vital signs on admission and each shift. Informs RN of abnormal findings . Records intake and output when required. 17. Notifies the Registered Nurse if any patient appears anxious, agitated or shows behavior changes so that appropriate interventions can be made, i.e. medications, verbal interventions, additional support or, if necessary, restraints. 18. Admits new patient to the Holding Room: a) Explain to the patient that staff will search his/her clothing and personal belongings. b) Do a contraband check; remove sharps, medication and put in a separate brown bag and label it“ Contraband” c) Itemized valuables, i.e. credit cards, money, checks and list on the valuables envelope. Obtain an RN’s signature for the second employee signature. If patient refuses to sign, obtain a third employee’s signature. d) If illegal or unknown drugs are found in patient belongings, notify the RN. The nurse will notify County Sheriff.