Harbor:Involuntary holds - Revision history

Bchap23: /* Additional References */

2022-04-05T17:18:21Z

Additional References

← Older revision		Revision as of 17:18, 5 April 2022
Line 51:		Line 51:
	*347B Code Gold-Behavioral Response Team		*347B Code Gold-Behavioral Response Team
	*620 Consent for Medical Treatment for Patient Lacking the Capacity to Provide Consent		*620 Consent for Medical Treatment for Patient Lacking the Capacity to Provide Consent
			*604A Consent
	*Sheriff "Cheat Sheet" for Code Green and Code Gold		*Sheriff "Cheat Sheet" for Code Green and Code Gold

Rossdonaldson1: Text replacement - "Harbor:Operations manual" to "Harbor:Main"

2019-01-31T06:40:16Z

Text replacement - "Harbor:Operations manual" to "Harbor:Main"

← Older revision		Revision as of 06:40, 31 January 2019
Line 62:		Line 62:

	==See Also==		==See Also==
	*[[Harbor:~~Operations manual~~]]		*[[Harbor:Main]]

	==References==		==References==

Rossdonaldson1 at 23:05, 7 January 2019

2019-01-07T23:05:10Z

← Older revision		Revision as of 23:05, 7 January 2019
Line 3:		Line 3:

	==Psychiatric reason==		==Psychiatric reason==
	**5150 (5585 for Peds) only for a '''mental health disorder.'''		*5150 (5585 for Peds) only for a '''mental health disorder.'''
	**Voluntary patients usually not placed on a 5150/5585, but can be.		*Voluntary patients usually not placed on a 5150/5585, but can be.
	**Non-psychiatric medical personnel can detain anyone who meets criteria until they can be evaluated by a psychiatrist.		*Non-psychiatric medical personnel can detain anyone who meets criteria until they can be evaluated by a psychiatrist.
	**'''5150 can be placed by''':		*'''5150 can be placed by''':
	*** '''Psychiatrist ONLY INSIDE''' MAIN HOSPITAL BUILDING		** '''Psychiatrist ONLY INSIDE''' MAIN HOSPITAL BUILDING
	*** '''Sheriff ANYWHERE OUTSIDE''' MAIN HOSPITAL BUILDING, including rest of hospital grounds		** '''Sheriff ANYWHERE OUTSIDE''' MAIN HOSPITAL BUILDING, including rest of hospital grounds
	****Sheriff has independent authority to place the 5150 or not		***Sheriff has independent authority to place the 5150 or not

	==Medical reason==		==Medical reason==
	**Patients who '''lack capacity''' and are a danger to themselves or others for non-psychiatric reasons. Do not need psych consult to determine capacity when restraining patient for a medical reasons, and psych cannot override decision to restrain a patient for non-psychiatric reasons. DO NOT REFER TO THIS AS A "HOLD" AS THIS MAY LEAD LAW ENFORCEMENT TO BELIEVE THE PATIENT IS ON A 5150.		*Patients who '''lack capacity''' and are a danger to themselves or others for non-psychiatric reasons. Do not need psych consult to determine capacity when restraining patient for a medical reasons, and psych cannot override decision to restrain a patient for non-psychiatric reasons. DO NOT REFER TO THIS AS A "HOLD" AS THIS MAY LEAD LAW ENFORCEMENT TO BELIEVE THE PATIENT IS ON A 5150.
	**If they try to elope you can detain/restrain, if they become violent or aggressive, call a CODE GOLD (see below).		*If they try to elope you can detain/restrain, if they become violent or aggressive, call a CODE GOLD (see below).
	**These patients can be held against their will for their own safety no 5150 is required or applies (5150 for psych issues only).		*These patients can be held against their will for their own safety no 5150 is required or applies (5150 for psych issues only).
	** No specific legal form for restraining medical patients - document reasons in chart. Use '''restraint form''' for restraints.		* No specific legal form for restraining medical patients - document reasons in chart. Use '''restraint form''' for restraints.

	==Code GOLD==		==Code GOLD==
	**For all patients who become physically aggressive, either for psychiatric or medical reasons.		*For all patients who become physically aggressive, either for psychiatric or medical reasons.
	**They will be placed in '''hard restraints''' by CODE GOLD team		*They will be placed in '''hard restraints''' by CODE GOLD team
	**Call x111.		*Call x111.
	**'''No requirement''' patient be placed or already on 5150		*'''No requirement''' patient be placed or already on 5150
	**LASD (Sheriff) responds but is not part of team, only assists if detect or to prevent criminal activity by patient (assault)		*LASD (Sheriff) responds but is not part of team, only assists if detect or to prevent criminal activity by patient (assault)
	**Behavioral Response Team leader (BRT) should ID themselves on arrival and ED physician or nurse in charge of patient should brief them.		*Behavioral Response Team leader (BRT) should ID themselves on arrival and ED physician or nurse in charge of patient should brief them.
	**BRT leader has option of turning over situation to LASD as needed.		*BRT leader has option of turning over situation to LASD as needed.

	==Code GREEN==		==Code GREEN==
	**'''Already on or eligible for a 5150/5585''' and attempting to, or have physically left the department.		*'''Already on or eligible for a 5150/5585''' and attempting to, or have physically left the department.
	**Call x3311 LASD(Sheriff)		*Call x3311 LASD(Sheriff)
	**'''On a 5150 hold''' - LASD will return patient		*'''On a 5150 hold''' - LASD will return patient
	**'''NOT on 5150 hold'''		*'''NOT on 5150 hold'''
	***'''Inside''' Hospital Building - LASD can only convince patient to return - can't forcibly return. '''Only Psych''' can place 5150 inside hospital building		**'''Inside''' Hospital Building - LASD can only convince patient to return - can't forcibly return. '''Only Psych''' can place 5150 inside hospital building
	***'''Outside''' Hospital Building - LASD makes independent determination to place patient on 5150		**'''Outside''' Hospital Building - LASD makes independent determination to place patient on 5150
	****Physician or nurse in charge of patient should brief LASD if patient on 5150 or if not, indication for 5150		***Physician or nurse in charge of patient should brief LASD if patient on 5150 or if not, indication for 5150
	**If LASD decides not to place patient on 5150, document Code Green in chart and officers involved		*If LASD decides not to place patient on 5150, document Code Green in chart and officers involved

	==Code GRAY==		==Code GRAY==
	**'''ANYONE''' (patient, visitor, staff) who is combative or assaultive and it is not felt due to a medical or psychiatric reason		*'''ANYONE''' (patient, visitor, staff) who is combative or assaultive and it is not felt due to a medical or psychiatric reason

	*'''Above vetted by Law Enforcement, Psychiatry, Behavioral Response Team, ED Leadership, and Nursing leadership'''		*'''Above vetted by Law Enforcement, Psychiatry, Behavioral Response Team, ED Leadership, and Nursing leadership'''
	*Additional References
	**436 Procedures in Cases To Be Reported to Are Investigated by Law Enforcement Authorities		==Additional References==
	**301 Discharge Policy, Procedures, and Guidelines Including Elopement and AMA		*436 Procedures in Cases To Be Reported to Are Investigated by Law Enforcement Authorities
	**138 Law Enforcement Use of Force on Harbor-UCLA Campus		*301 Discharge Policy, Procedures, and Guidelines Including Elopement and AMA
	**347A The Use of Restraints Including Seclusion		*138 Law Enforcement Use of Force on Harbor-UCLA Campus
	**346 Involuntary Holds on and on Psychiatric Units and Emergency Medical Department		*347A The Use of Restraints Including Seclusion
	**379 Safety Attendant (Continuous in Person Monitoring)		*346 Involuntary Holds on and on Psychiatric Units and Emergency Medical Department
	**453 Patients in Police Custody		*379 Safety Attendant (Continuous in Person Monitoring)
	**347B Code Gold-Behavioral Response Team		*453 Patients in Police Custody
	**620 Consent for Medical Treatment for Patient Lacking the Capacity to Provide Consent		*347B Code Gold-Behavioral Response Team
	**Sheriff "Cheat Sheet" for Code Green and Code Gold		*620 Consent for Medical Treatment for Patient Lacking the Capacity to Provide Consent
			*Sheriff "Cheat Sheet" for Code Green and Code Gold

	==Public Health==		==Public Health==

Rossdonaldson1 at 23:04, 7 January 2019

2019-01-07T23:04:21Z

← Older revision		Revision as of 23:04, 7 January 2019
Line 1:		Line 1:
	==INVOLUNTARY HOLDS, CODE GOLD, COLD GREEN==		==Overview==
			INVOLUNTARY HOLDS: CODE GOLD, & COLD GREEN

	*'''Psychiatric reason~~:'''~~		==Psychiatric reason==
	**5150 (5585 for Peds) only for a '''mental health disorder.'''		**5150 (5585 for Peds) only for a '''mental health disorder.'''
	**Voluntary patients usually not placed on a 5150/5585, but can be.		**Voluntary patients usually not placed on a 5150/5585, but can be.
Line 10:		Line 11:
	****Sheriff has independent authority to place the 5150 or not		****Sheriff has independent authority to place the 5150 or not

	*'''Medical reason~~:'''~~		==Medical reason==
	**Patients who '''lack capacity''' and are a danger to themselves or others for non-psychiatric reasons. Do not need psych consult to determine capacity when restraining patient for a medical reasons, and psych cannot override decision to restrain a patient for non-psychiatric reasons. DO NOT REFER TO THIS AS A "HOLD" AS THIS MAY LEAD LAW ENFORCEMENT TO BELIEVE THE PATIENT IS ON A 5150.		**Patients who '''lack capacity''' and are a danger to themselves or others for non-psychiatric reasons. Do not need psych consult to determine capacity when restraining patient for a medical reasons, and psych cannot override decision to restrain a patient for non-psychiatric reasons. DO NOT REFER TO THIS AS A "HOLD" AS THIS MAY LEAD LAW ENFORCEMENT TO BELIEVE THE PATIENT IS ON A 5150.
	**If they try to elope you can detain/restrain, if they become violent or aggressive, call a CODE GOLD (see below).		**If they try to elope you can detain/restrain, if they become violent or aggressive, call a CODE GOLD (see below).
Line 16:		Line 17:
	** No specific legal form for restraining medical patients - document reasons in chart. Use '''restraint form''' for restraints.		** No specific legal form for restraining medical patients - document reasons in chart. Use '''restraint form''' for restraints.

	*'''Code GOLD~~:'''~~		==Code GOLD==
	**For all patients who become physically aggressive, either for psychiatric or medical reasons.		**For all patients who become physically aggressive, either for psychiatric or medical reasons.
	**They will be placed in '''hard restraints''' by CODE GOLD team		**They will be placed in '''hard restraints''' by CODE GOLD team
Line 25:		Line 26:
	**BRT leader has option of turning over situation to LASD as needed.		**BRT leader has option of turning over situation to LASD as needed.

	*'''Code GREEN~~:'''~~		==Code GREEN==
	**'''Already on or eligible for a 5150/5585''' and attempting to, or have physically left the department.		**'''Already on or eligible for a 5150/5585''' and attempting to, or have physically left the department.
	**Call x3311 LASD(Sheriff)		**Call x3311 LASD(Sheriff)
Line 35:		Line 36:
	**If LASD decides not to place patient on 5150, document Code Green in chart and officers involved		**If LASD decides not to place patient on 5150, document Code Green in chart and officers involved

	*'''Code GRAY~~'''~~		==Code GRAY==
	**'''ANYONE''' (patient, visitor, staff) who is combative or assaultive and it is not felt due to a medical or psychiatric reason		**'''ANYONE''' (patient, visitor, staff) who is combative or assaultive and it is not felt due to a medical or psychiatric reason

Line 51:		Line 52:
	**Sheriff "Cheat Sheet" for Code Green and Code Gold		**Sheriff "Cheat Sheet" for Code Green and Code Gold

	* Public Health		==Public Health==
	** (213) 745-0800 (Tb)		** (213) 745-0800 (Tb)
	** 213-974-1234 after hours		** 213-974-1234 after hours
Line 57:		Line 58:
	Dir OPS 10/15/18		Dir OPS 10/15/18
	Dir AED, 10/28/16		Dir AED, 10/28/16


			==See Also==
			*[[Harbor:Operations manual]]

			==References==
			<references/>

			[[Category:Admin]]

Rossdonaldson1: Created page with "==INVOLUNTARY HOLDS, CODE GOLD, COLD GREEN== *'''Psychiatric reason:''' 5150 (5585 for Peds) only for a '''mental health disorder.''' Voluntary patients usually not pla..."

2019-01-07T23:02:57Z

Created page with "==INVOLUNTARY HOLDS, CODE GOLD, COLD GREEN== *'''Psychiatric reason:''' **5150 (5585 for Peds) only for a '''mental health disorder.''' **Voluntary patients usually not pla..."

New page

==INVOLUNTARY HOLDS, CODE GOLD, COLD GREEN==

*'''Psychiatric reason:'''
**5150 (5585 for Peds) only for a '''mental health disorder.'''
**Voluntary patients usually not placed on a 5150/5585, but can be.
**Non-psychiatric medical personnel can detain anyone who meets criteria until they can be evaluated by a psychiatrist.
**'''5150 can be placed by''':
*** '''Psychiatrist ONLY INSIDE''' MAIN HOSPITAL BUILDING
*** '''Sheriff ANYWHERE OUTSIDE''' MAIN HOSPITAL BUILDING, including rest of hospital grounds
****Sheriff has independent authority to place the 5150 or not

*'''Medical reason:'''
**Patients who '''lack capacity''' and are a danger to themselves or others for non-psychiatric reasons. Do not need psych consult to determine capacity when restraining patient for a medical reasons, and psych cannot override decision to restrain a patient for non-psychiatric reasons. DO NOT REFER TO THIS AS A "HOLD" AS THIS MAY LEAD LAW ENFORCEMENT TO BELIEVE THE PATIENT IS ON A 5150.
**If they try to elope you can detain/restrain, if they become violent or aggressive, call a CODE GOLD (see below).
**These patients can be held against their will for their own safety no 5150 is required or applies (5150 for psych issues only).
** No specific legal form for restraining medical patients - document reasons in chart. Use '''restraint form''' for restraints.

*'''Code GOLD:'''
**For all patients who become physically aggressive, either for psychiatric or medical reasons.
**They will be placed in '''hard restraints''' by CODE GOLD team
**Call x111.
**'''No requirement''' patient be placed or already on 5150
**LASD (Sheriff) responds but is not part of team, only assists if detect or to prevent criminal activity by patient (assault)
**Behavioral Response Team leader (BRT) should ID themselves on arrival and ED physician or nurse in charge of patient should brief them.
**BRT leader has option of turning over situation to LASD as needed.

*'''Code GREEN:'''
**'''Already on or eligible for a 5150/5585''' and attempting to, or have physically left the department.
**Call x3311 LASD(Sheriff)
**'''On a 5150 hold''' - LASD will return patient
**'''NOT on 5150 hold'''
***'''Inside''' Hospital Building - LASD can only convince patient to return - can't forcibly return. '''Only Psych''' can place 5150 inside hospital building
***'''Outside''' Hospital Building - LASD makes independent determination to place patient on 5150
****Physician or nurse in charge of patient should brief LASD if patient on 5150 or if not, indication for 5150
**If LASD decides not to place patient on 5150, document Code Green in chart and officers involved

*'''Code GRAY'''
**'''ANYONE''' (patient, visitor, staff) who is combative or assaultive and it is not felt due to a medical or psychiatric reason

*'''Above vetted by Law Enforcement, Psychiatry, Behavioral Response Team, ED Leadership, and Nursing leadership'''
*Additional References
**436 Procedures in Cases To Be Reported to Are Investigated by Law Enforcement Authorities
**301 Discharge Policy, Procedures, and Guidelines Including Elopement and AMA
**138 Law Enforcement Use of Force on Harbor-UCLA Campus
**347A The Use of Restraints Including Seclusion
**346 Involuntary Holds on and on Psychiatric Units and Emergency Medical Department
**379 Safety Attendant (Continuous in Person Monitoring)
**453 Patients in Police Custody
**347B Code Gold-Behavioral Response Team
**620 Consent for Medical Treatment for Patient Lacking the Capacity to Provide Consent
**Sheriff "Cheat Sheet" for Code Green and Code Gold

* Public Health
** (213) 745-0800 (Tb)
** 213-974-1234 after hours

Dir OPS 10/15/18
Dir AED, 10/28/16

Harbor:Involuntary holds - Revision history

Bchap23: /* Additional References */

Rossdonaldson1: Text replacement - "Harbor:Operations manual" to "Harbor:Main"

Rossdonaldson1 at 23:05, 7 January 2019

Rossdonaldson1 at 23:04, 7 January 2019

Rossdonaldson1: Created page with "==INVOLUNTARY HOLDS, CODE GOLD, COLD GREEN== *'''Psychiatric reason:''' **5150 (5585 for Peds) only for a '''mental health disorder.''' **Voluntary patients usually not pla..."

Rossdonaldson1: Created page with "==INVOLUNTARY HOLDS, CODE GOLD, COLD GREEN== *'''Psychiatric reason:''' 5150 (5585 for Peds) only for a '''mental health disorder.''' Voluntary patients usually not pla..."