CENTRAL STATE HOSPITAL
 PSYCHIATRIC SERVICES
PROTOCOL MANUAL

PS Posted
Table of Contents 7/29/09

Section 1: Leadership

1. Administration
1.1.1: Mission and Vision 7/17/09
1.1.2: Schedule for Protocol Review 7/17/09
1.1.3: Communication with DDMHAD and other Various Agencies 7/17/09
1.1.4: Communication Service 7/17/09
1.1.5: Communication Maintenance 7/17/09
1.1.6: Local and Routine Open Market Purchases 7/17/09
1.1.7: Resolving Conflicts between Clients and Families/Guardians 7/17/09
2. Staffing Organization
1.2.1: PTFS Organizational Charts: Review and Updates 7/17/09
Section 2:  Active Treatment
1. Treatment Team Protocols
2.1.1: Treatment Team 7/17/09
2.1.2: Plan of Care 7/17/09
2.1.3: Plan of Care Reviews 7/17/09
2.1.4: Plan of Care: Discharge Referrals 7/17/09
2.1.5: Educational Services 7/17/09
2.1.6: Client Monitoring 7/17/09
2.1.7: Daily Assignment of Client Care 7/17/09
2.1.8: Client and Family Education 7/17/09
2.1.9: Active Treatment Program/Monitoring 7/17/09
2.1.10: Administrative Supervision: High Risk Clients 7/17/09
2.1.11: Staff-Client Interactions 7/17/09
2.1.12: Treatment Resistive Clients 7/17/09
2.1.13: Substance Use/Addiction Rehabilitation Recovery Programming 7/17/09
2.1.14: Nursing Facility Placement Referral 7/17/09
2. Behavior Therapy Protocols
2.2.1: Behavior Support 7/17/09
2.2.2: Prevention & Management of Aggressive Behavior Verbal and Physical Interventions 7/17/09
2.2.3: Report of Verbal Threatening/Assaultive Behavior 7/17/09
2.2.4: Ethics Review for the Proposed Behavior Support Plan 7/29/09
Section 3: Client Care
1. Nursing
3.1.1: Required Information for Medication Areas 7/17/09
3.1.2: Nurse Meetings 7/17/09
3.1.3: Clinic Appointments 7/17/09
3.1.4: Cardiopulmonary Resuscitation (CPR) Code Team 7/17/09
3.1.5: Maintaining Clients NPO 7/17/09
3.1.6: Medical Observation Protocol-Acute Care Units 7/17/09
3.1.7: Assignment of Client Care 7/17/09
3.1.8: Monitoring Activity-Medications 7/17/09
3.1.9: Ensuring Effective Communication at Shift Report 7/17/09
3.1.10: Monitoring of Clinic Appointments 7/17/09
2. Unit Operations
3.2.1: Escorting Client Groups Off Unit for Activities 7/17/09
3.2.2: Client Room Assignments and In Unit Transfers 7/17/09
3.2.3: Procedures to Address Overcrowded Conditions in Units 7/17/09
3.2.4: Client Visitors 7/17/09
3.2.5: Guidelines for Visitation 7/29/09
3.2.6: Daily Assignment of Clients and Supervision Accountability 7/17/09
3.2.7: Centralized Coordination of Nursing Time 7/17/09
3.2.8: Client Supervision 7/17/09
3.2.9: Alleged Sexual Assault upon Client 7/17/09
3.2.10: Prohibited Items Check/Metal Detection 7/17/09
3.2.11: Code Yellow 7/17/09
3.2.12: Notification Requirements for Clients Who Leave Without Consent (LWC) 7/17/09
3.2.13: Visitation in Forensic Services Deleted
3.2.14: Procedure for Assuring Adequate Unit Coverage 7/17/09
3.2.15: Client Weekend Schedule 7/17/09
3.2.16: Staff Communication Requirements 7/17/09
3.2.17: Tracking and Supervision of Risk-Related Items 7/17/09
3.  Property/Supplies
3.3.1: Security of Client Property 7/17/09
3.3.2: Client Mail 7/17/09
3.3.3: First Aid Kits 7/17/09
3.3.4: Barrier Bags 7/17/09
3.3.5: Beds, Mattresses, Pillows-Cleaning 7/17/09
3.3.6: Oxygen Safety 7/17/09
3.3.7: Cleaning and Disinfection of Wheelchairs and Other Equipment 7/17/09
3.3.8: Wheelchair/Stretcher/Geriatric Chair Control 7/17/09
Section 4: Admission
4.1: Admission of Eligible Applicants 7/17/09
4.2: Admission of Ineligible Applicants (Non-Admits) 7/17/09
4.3: Continuity of Care-30 Day Readmissions 7/17/09
4.4: Disposition of Clients 7/17/09
4.5: Accepting Referrals from Outside Agencies 7/17/09
4.6: Procedures for Clients to be Transported 7/17/09
4.7: Procedures for Client Searches in Admissions 7/17/09
4.8: Selection and Notification of Client Representatives 7/17/09
4.9: Client Cost of Care 7/17/09
4.10: Custody, Accountability and Disposition of Client's Personal Effects 7/17/09
4.11: Information Management in Admissions 7/17/09
4.12: Telephone Language Services 7/17/09
4.13: Procedures for Telecommunication Device for the Deaf, TDD 7/17/09
4.14: Judicial Court Hold Orders 7/17/09
4.15: Consumer's Unit Rotation 7/17/09
Section 5: Human Resources
5.1: Students, Interns, Volunteers & JPTA Workers 7/17/09
5.2: Employee Accident/Injury Reports 7/17/09
5.3: Nursing Staff Cross-Training 7/17/09
5.4 Call-Ins 7/17/09
5.5 Cross-Training and Orientation for PTFS Staff 7/17/09