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How to Document a Follow-Up on a Seclusion and/or Restraint Order

The Seclusion &Restraint Safety Check automatically sets up follow-up checks that are visible on the Whiteboard and tracked as a Flow Sheet. Follow these steps to document a follow-up.

  1. Click the Search icon.
  2. Type ‘Whiteboard’ into the search bar.
  3. Click to select Whiteboard (My Office).   
  1. Locate the Next Check column and click the displayed time hyperlink. The follow-up window opens.
    1. Note: the time indicates when the next check should occur. Red next to the time indicates it is past due.
  1. Complete the Safety Check sections, as needed. This may be completed by non-medical staff. If so, they would complete areas associated with their responsibilities and within their scope of practice.
    1. Confirm date and time are accurate and correct if necessary.
    2. Select a status for the safety check. Add a comment if applicable.
    3. Click the checkboxes next to the seclusion/restraint options used. Select Location and Points from the dropdowns. Type physical or medical conditions into the field.
    1. If Range of Motion was monitored, click the checkbox next to Range of Motion options assessed and enter comments in the text field as needed.
    2. If Food/Fluid/Toilet was monitored, click the checkbox next to Food/Fluid/Toilet options performed and enter comments in the text field as needed.
    3. If Vitals was monitored, enter assessment results in the text field beside each factor assessed, or click the Patient Refused checkbox if the patient refused Vitals.
    1. Click the checkbox next to Intervention options performed and enter comments in the text fields as needed.
    2. Click the checkbox next to Discontinuation options taken and enter comments in the text fields as needed.
    3. Select a debrief option from the dropdown and/or enter text in the comment field as required.
    4. This would only be completed at the end of S&R.
  1. Click Save and Close to return to the Whiteboard