CENTRAL STATE HOSPITAL
 PSYCHIATRIC TREATMENT & FORENSIC SERVICES
PROTOCOL MANUAL
PTFS
Table of Contents

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