The December Perspectives details results from their December 8, 2017 ligature task force. In fact, it expands upon their discussion about ligature safety and details their suicide risk recommendations. Specifically it covers these areas:
- Day treatment
- Intensive outpatient services
They use the same numbering sequence as their November issue, adding recommendations 14, 15 and 16.
Suicide Risk Recommendations
Recommendation 14 simply states that the above mentioned program facilities need not be ligature free.
Recommendation 15 is the most complex. It states that these organizations should conduct a risk assessment. to identify elements in the environment that residents could use to harm themselves, visitors or staff. Furthermore, if possible, remove items with a high potential for harm. These items include scissors and sharp cooking utensils. Lock these items until needed.
In addition, your staff can help prevent a resident from developing serious suicide ideation. Train them to be aware of elements in the environment that may pose risks to a resident. Furthermore, staff should be trained to keep the patient safe until they can be stabilized or transferred to a higher level of care.
Lastly, recommendation 16 requires an organization to implement policies and procedures. They should address how to manage a patient who may experience an increase in symptoms that could result in self harm.
CMS has weighed in on ligature safety now also and their advice is remarkably consistent with that of TJC. Read the CMS section of our January newsletter for more information.