AHS Protective Services Unofficial Guide

Red Deer Regional Hospital quick reference

Site Reference

RDRH

Red Deer site notes, maps, safekeeping, morgue process, authorities, and restraint references.

M

Maps

Grounds and floor maps with click-to-expand viewing.

S

Safekeeping

Intake, receipt, release, and documentation reminders.

10

Morgue

Morgue in/out process, SBM, partials, and admissions steps.

R

Restraints

Restraint reference images with note cards for your write-ups.

RDRH Quick Reference

Maps

Grounds

Hospital grounds map

Lower Level

Lower level map

Main Level

Main level map

Second Floor

Second floor map

Third Floor

Third floor map

Forms

Form 1 - (Admission Certificate)

Patient is detained under the mental health act for 24 hours and cannot leave. If they manage to elope, RCMP will be contacted by ER or Unit staff for a warrant to be placed to be brought back. Depending on the situation, they may be paced under a security watch or under interval checks (Q15, Q30, Q60). Check with staff if this is desired.

Form 2 - (Renewal Certificate)

Custody has been extended from 24 hours to up to 3 months

Treated/Operational the same as a Form 1

Form 8 - (Warrent for MHA)

Someone went to a judge and essentially got an order for a Form 10

Treated/Operational the same as a Form 1

Form 10 - (Peace Officer Apprehension)

Protective Services may take over once the individual is in a proper room. Do not take over in the family room.

If the person is calm and unlikely to cause issues, then it may be Treated/Operational the same as a Form 1

Form 11 - (Incompetence to Make Treatment Decisions)

This allows medical treatment against the patients will (like forced bloodwork) if necessary.

These are very rare and reqiures three doctors to sign off on

Form 23 - (CTO Apprehension Order)

Pataint missed there court mandatied MHA appointment. Often brought in by RCMP PACT Team

Treated/Operational the same as a Form 1

The TL/ATL has final say if a watch cannot be supported due to call volume, short staffing, or site demands.

Safekeeping

Item Intake

  • Log contents on the envelope. Money goes in its own envelope.
  • Have the individual sign to confirm the contents are accurate.
  • If staff provide the items, staff may sign instead.
  • Record the envelope number and details on the Safekeeping Log.
  • Give the receipt page to the patient or unit.

Important Notes

  • Do not edit safekeeping sheets after completion.
  • No partial releases. Release everything and re-log if needed.
  • Do not hold illegal items, including illegal drugs or open liquor.
  • Do not release items unless the patient provides the receipt.

Morgue

Morgue Location

The morgue is located on the lower level in the hallway leading toward the loading docks.

Morgue In: Regular Patient

  • Contact porters to confirm they are ready.
  • Meet at the porters office and escort to the unit.
  • Ask whether the patient is bariatric. If so, use the larger gurney from the morgue cooler.
  • Ask staff if personal effects are being sent with the patient.
  • Escort the porter and patient to the morgue.
  • Use the cooler lift to transfer the tray from the gurney to the rack.
  • Complete the morgue book and place any effects sheet in the binder.
  • Take the toe tag to Admissions, or ER Admissions after hours.
  • Record the information in the online morgue tracker.

Morgue In: SBM

Go to the unit and escort the nurse with the patient to the morgue. Place the patient on the SBM tray in the cage inside the cooler. Complete the morgue book and take the tag to Admissions.

Morgue In: Partial

Swipe into the OR area from the regional main hallway near the patient/porter elevator. Tell the front desk you are there for a partial 10-53 in. Take the yellow container to the morgue and place it inside the cage in the cooler.

No tag or morgue book entry is required for partials.

Morgue Out

  • Go to the loading dock and lower the ramp for the funeral home.
  • Escort funeral home staff to the morgue.
  • Assist with transferring the patient as needed.
  • Complete the morgue book and release effects if applicable.
  • Write the release time on the toe tag slip and take it to Admissions.
  • Record the release in the computer morgue log.

Common Use of Authorities

Form 10

RDRH is a designated mental health facility, so officer my apprehended someone Form 10 for MHA if required. If you Form 10 someone they are automatically under a security watch. Whether you apprehended or RCMP, a copy of the Form 10 must be attached to the file.

If you complete a Form 10, complete the form, create the Perspective file, attach the Form 10, and complete your notes.

Trespass

You may inform someone they are trespassed and escort them off property. If they refuse to leave, you may physically escort them off property. If they resist, you can decide to continue with the escort or arrest them transfer custody to RCMP.

It is preferred that the person signs the Trespass Form and receives a copy. If they refuse, write RTS for refused to sign. Attach the form to perspective

If they return without DIRECTLY seeking medical care, remove them from property or arrest them.

Restraints

Officers at RDRH will likely use these in combination multiple times a shift

Restraint types reference

Restraint Type

1. Verbal = Giving lawful clear verbal directions


2. Chemical = Behavior PRN ordered by staff, use physical or light physical to avoid needle breaking or unintended targets. Behavioral medicine you will encounter are::

  • Lorazepam (aka Loraz or Ativan) Level 1 - Quick acting, not strong
  • Haloperidol (aka Haldol) Level 2 - Takes 20-30
  • Olanzapine (aka Olanz) Level 2 - Takes 15-20
  • Zuclopenthixol (aka Acuphase) Level 3 - Starts working in 2 Hours, but lasts days
  • Acuphase + Haldol (aka Snow) Level 3.5 - Used for quick plus long term sedation
  • Ketamine Level 20 - Instant (very rare, mostly used in life or death struggles)

3. Velcro = Uncommon (some EMS have) and difficult to use, avoid if possible


4. Soft = geriatric or disoriented individuals. There are two version, single and double straps


5. Segufix = aka mechanical restraints, used with actively combative or cognitive elopement attempts (High Risk)


6. Handcuffs = aka hard restraints. Mostly used in transporting or to secure after a physical restraint


7. Physical = Physical mean force was required, Light physical means with little to no force or resistance


CEG colour reference

Segufix Colors

Yellow = Wrists

Green = Feet

Blue = Extension

CEG workflow restraint reference

Segufix Waist and Double Foot Restraints

Used mainly for geriatric or extremely mobile individuals when required. The waist restraint can be difficult to work with. Simplest way the belt faces up and the belt with the extra straps gets secured to the bed.