What it means
They include close observation, from checks every 15 minutes to a staff member staying within arm's reach at all times, depending on the level of risk. The room and belongings are checked and anything that could be used for harm is removed, such as belts, cords, shoelaces, sharp objects, plastic bags and some medicines. Meals may be served with safe utensils.
For the nurse
Ask directly about thoughts of suicide and a plan. Check that the client swallows medicines. Risk can rise when a severely depressed client starts to gain energy, so keep watching closely. Document observations at the ordered intervals.
Related terms
precaution
A step taken ahead of time to prevent harm, such as the infection-control practices used with every client.
sitter
A staff member assigned to stay with one client and watch them continuously to keep them safe.
seizure precautions
Safety steps set up for a client at risk of seizures, to prevent injury if one happens.