1. Fever, shaking, chills, difficulty walking, and muscle rigidity
2. Tachycardia, confusion, change in mental status, monitor vital signs, abdominal cramps, diarrhea
3. Stop taking the St Johns wort, notify physician so orders can be given, treat fever, hold Zoloft, encourage P.O. fluids, give congestion for muscle rigidity
Staff in the milieu at all times
Low environmental stimuli
Attend to behavior before it escalates
Staff is trained to mange behavioral emergencies as well as medical/ fire/...
Locked medications-most units give their meds through a door in the med room
No unsafe items-weapons, strings, shower heads in wall, breakable shower bars, pictures adhered to the wall, no easy to throw items-chairs...
At least 15 minute checks
Rounds at least every hour
Elopement precautions-signs, closed door-when can you go after a patient-only the police, only involuntary and it is only good in the state it is made.
No glass in mirrors or picture frames
No plastic in garbage cans
Windows are locked
Activities for patients-organized, planned and frequent such as exercise, wellness groups, relapse, goals, community meeting
Monitor smoking where it is still allowed
Search all patients and objects visitors bring in
Communication Interventions: Call the patient by their name, empathize, firm/calm/concise in tone, active listening