A psychiatric ward, run safely
The legal status that governs every patient, the risk that decides how closely they are watched, the rounds that prove they were, and a restraint register that cannot be tidied up afterwards.
Everything this module covers
- Legal status under the Mental Health Act 2018, with authority, review and expiry dates
- Warnings before a detention lapses or a review falls due
- Suicide, violence and absconding risk assessments with review dates
- The Broset Violence Checklist built in, scored as it is filled
- Observation levels from general to constant one-to-one
- Timed rounds generated automatically and recorded at the bedside
- Missed checks shown as gaps, never filled in afterwards
- A seclusion and restraint register that locks once an episode closes
Every detention lawful, every review on time
Whether a patient may leave, who consents to their treatment and what must be reviewed by when all follow from their legal status. The register keeps it current and warns before a date is missed.
What this does for you
Whether a patient may leave, who consents to their treatment and what must be reviewed by when all follow from their legal status. The register keeps it current and warns before a date is missed.
- Voluntary, emergency, involuntary, assisted and court-ordered admissions
- Authority reference and reviewing body on every detention
- Review and expiry dates with an overdue flag
- A daily warning before a review falls due
- The full history kept when a status changes
The whole ward at a glance
Each patient status, authority and next review, with the ones needing attention at the top.
Rounds that prove the patient was seen
Set the level and the rounds appear on their own. Each check is recorded when it happens, with where the patient was and how they were, and a check nobody made stays a gap.
What this does for you
Set the level and the rounds appear on their own. Each check is recorded when it happens, with where the patient was and how they were, and a check nobody made stays a gap.
- General, every 30 minutes, every 15 minutes, constant and arms length
- Rounds generated as soon as a level is set
- Location and state recorded in a couple of taps
- Overdue checks flagged while there is still time
- Missed checks recorded as gaps, not filled in later
The ward census
Every bed on the ward and who is in it, the screen a nurse in charge opens at handover.
Risk rated, planned and reviewed
Each risk is rated by a named clinician with the reasoning and the plan written down. The higher the rating, the sooner it comes back for review.
What this does for you
Each risk is rated by a named clinician with the reasoning and the plan written down. The higher the rating, the sooner it comes back for review.
- Suicide, self-harm, violence, absconding, vulnerability, neglect and falls
- Low, moderate, high and extreme ratings
- Formulation and mitigation plan on every assessment
- Review dates that shorten as the rating rises
- The Broset Violence Checklist, scored as it is filled
The risk register
Current ratings across the ward, by type, with the reviews that are due.
A register that cannot be tidied up afterwards
An episode is examined later by people who were not there. The register records why it started, who authorised it, every review while it lasted and how it ended, and locks when it closes.
What this does for you
An episode is examined later by people who were not there. The register records why it started, who authorised it, every review while it lasted and how it ended, and locks when it closes.
- Seclusion, manual, mechanical restraint and rapid tranquillisation
- A reason required before an episode can start
- Timed reviews with a prompt when one is due
- Whether anyone was injured, asked before it can close
- A debrief recorded after the episode ends
Open episodes first
A running episode sits at the top with its next review, above the closed ones.
Part of the ward workspace
The register sits alongside rounds, risk and the legal register in the psychiatry menu.
Frequently asked
Does it follow the Mental Health Act 2018?
Can a restraint record be changed afterwards?
Is it only for psychiatric hospitals?
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