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Safety Considerations for the Admission Procedure on Inpatient Psychiatry (8.31A)

Safety Considerations for the Admission Procedure on Inpatient Psychiatry (8.31A) - Policies, Clinical, UWHC Clinical, Department Specific, Nursing Patient Care, Misc

8.31A

NURSING PATIENT CARE POLICY & PROCEDURE





Effective Date:
December 29, 2017


Administrative Manual
Nursing Manual
Other ___________

Policy #: 8.31A

Original
Revision

Page
1
of 2

Title: Safety Considerations for the
Admission Procedure on Inpatient Psychiatry
(Adult)

I. PURPOSE

To maintain a safe environment for everyone on the Inpatient Psychiatry unit by
identifying and removing potentially dangerous articles.

II. PROCEDURE

A. Upon admission and return from a Hospitalized Patient Pass, a patient’s belongings
and clothing are thoroughly inspected. This inspection occurs regardless of whether
or not entry into the unit was through admissions or the emergency department. The
patient is asked if they have medications, weapons or dangerous items. The patient is
told that the bags and items brought in will be inspected. This process usually occurs
in the presence of the patient. Patients are asked to empty and/or turn out their
pockets. If the staff believes the pockets contain anything, the pockets will be patted
down. Refer to UW Health Administrative Policy 4.26, Weapons and Controlled
Substances.
B. Upon completion of this inspection the following items are removed:
1. Matches, lighters or lighter fluid
2. All sharp objects such as razors, clippers, scissors, or knives
3. Toxic or flammable items
4. Glass and materials with glass components, including mirrors
5. Medications, including over-the-counter preparations, must be given to
pharmacist for storage
6. Tools (e.g., screwdrivers, hammers, knitting needles, sewing supplies, and
certain craft supplies)
7. Electrical appliances (e.g., hair dryers or electric razors)
8. Controlled substances or weapons
9. Cameras, including cell phones, laptops, and tablets with cameras
10. Shoelaces, purse straps, belts, drawstrings, and other “ligature-like items”
11. Any other items deemed unsafe to be on the unit
C. Items removed from the patient are stored in a locked cabinet in the patient’s
room. Staff will have the key.
D. If possible, some items should be sent home with the patient’s family.
E. Money, credit cards, and high value items should be either sent home or sent to
the hospital safe in accordance to UW Health Clinical Policy 2.1.22, Patient
Belongings and Valuables.
F. All patient belongings, whether kept by the patient or stored elsewhere, are
documented on the patient belonging list, in the patient’s clinical record.

Page 2 of 2

G. A patient may check out his/her stored items if the assigned nurse evaluates the
patient and finds him/her capable of using the items safely with or without staff
supervision.
H. The Care Team Leader/Charge RN is responsible for communicating to
supplemental staff which patients on the unit are able to have stored items and
whether or not supervision of the patient is required when the items are used.

III. UW HEALTH CROSS REFERENCES

A. UW Health Administrative Policy 4.26, Weapons and Controlled Substances
B. UW Health Clinical Policy 2.1.22 Patient Belongings and Valuables
C. UW Health Clinical Policy 2.4.1, Suicide Assessment and Prevention

IV. REVIEWED BY

Nurse Manager, Inpatient Psychiatry
Nursing Patient Care Policy and Procedure Committee, December 2017

SIGNED BY

Beth Houlahan, DNP, RN, CENP
Senior Vice President, Chief Nurse Executive