Seclusion on Psychiatric Intensive Care Unit – Is the Trust Medical Review Policy Being Followed?

Aims Seclusion is a restrictive intervention used in inpatient settings for the safe management of patients who present with severe behavioural disturbance which likely to cause harm others. Clinical notes were establish if trust policy medical reviews seclusion was being followed on Psychiatric Intensive Care Unit (PICU). Methods Patients admitted male PICU at Springfield Hospital, Southwest London, over 4 month period (February 2022 May 2022) included this audit. secluded outside time or prior admission excluded from The clinical computer system (Rio) searched using term “seclusion”. timing initiation and termination noted as well grade professionals documented reviews. Results Over period, 12 discrete episodes identified. length varied 8 hours 45 minutes 5 days, mean almost 3 days (2 20 hours, 25 minutes). As differed so did required line policy. This involves Senior House Officer (SHO) review 30 minutes, Registrar Consultant 24 by 2 senior (one one Consultant) each subsequent hour continuous seclusion. 10 lasted Of these 40% had appropriately full 50% cases least 1 missed not review. There incidents Conclusion From results correctly carried out, correctly, majority (60%) hours. suggests opportunities patient terminate earliest opportunity national guidance. These have informed update guidelines bring it guidance view improve care will be re-audited.