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Identify

individuals
served safety
Find out which
risks NSPG.15.01.01
individuals served are
most likely to try to
commit suicide. (TJC,
2015)
Review each patients
personal and family medical
history for suicide risk
factors.

Screen all patients for


suicide ideation using a
brief, standardized,
evidence-based screening
tool.

Review screening
questionnaires before the
patient leaves the
appointment or is
discharged.

Take the following actions,


using assessment results to
inform the level of safety
measures needed.

Keep patients in acute


suicidal crisis in a safe
health care environment
under one-to-one
observation.

Provide immediate access


to care.

Check patients and visitors


for items that could be
used to make a suicide
attempt or harm others.

Keep patients away from


anchor points for hanging
and material that can be
used for self-injury.

EDUCATION
AND
Educate all staff in
DOCUMENTATI
patient care settings
ON
about how to identify and
respond to patients with
suicide ideation.
Staff education should
cover environmental risk
factors; finding help in
emergencies; and
policies for screening,
assessment, referral,
treatment, safety and
support of patients at
risk for suicide.

Document decisions
regarding the care and
referral of patients with
suicide risk.
Be generous in
documentation, as it
becomes the main method of
communication among
providers. Thoroughly
document:
Every step in the decisionmaking process
All communication with the
patient, family members,
significant others, and other
caregivers
Why the patient is at risk
for suicide
Content of the safety plan
and the patients reaction to
and use of it
Discussions and approaches
to means reduction

Behavioral
Health Care
National
Patient
Safety Goals
2015
THE JOINT
COMMISSION

ReferenceThe Joint Commission.


(2015). Behavioral health
care national patient safety
goals [PDF]. Retrieved from
http://www.jointcommission.o
rg/assets/1/6/
2015_BHC_NPSG_ER.pdf

Use medicines
safely!
NPSG.03.06.01

Identify
individuals
served correctly

NPSG.01.01.01
Use at least two ways to
identify individuals served.
For example, use the
individuals name and date
of birth. This is done to make
sure that each individual
served gets the correct
medicine and treatment.
(TJC, 2015)
It is imperative that we
identify our patients
correctly, each and every
time we provide a medical
service. Medications, labs,
therapy, etc. Even when we
know our patients, we still
identify!

Record and pass along


correct information about an
individuals medicines. Find
out what medicines the
individual served is taking.
Compare those medicines to
new medicines given to the
individual served. Make sure
the individual served knows
which medicines to take
when they are at home. Tell
the individual served it is
important to bring their upto-date list of medicines
every time they visit a
doctor. (TJC, 2015)

Yes, every time! Always


follow the 5 Rights of
Medication Administration
and always identify your
patient! Explain their
medications if they dont
know or remember!

Prevent
infection
NPSG.07.01.01
Use the hand cleaning
guidelines from the Centers
for Disease Control and
Prevention or the World
Health Organization. Set
goals for improving hand
cleaning. Use the goals to
improve hand cleaning. (TJC,
2015)
Healthcare workers should
wash hands with soap and
water when hands are visibly
dirty, contaminated or soiled
and use an alcohol-based
hand rub when hands are not
visibly soiled to reduce
bacterial counts.

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