Anytime I had a question a member of the staff would either call or email me. Enter your email address to subscribe to this blog and receive notifications of new posts by email. University of Texas Health Science Center at Houston and Harris County Psychiatric Center. While you can't always predict who will attempt to elope from a safe place, there are several risk factors that significantly increase the chances of this occurring. Common injuries—elopement and wandering. In addition to these significant safety concerns, elopement also has severe repercussions for skilled nursing facilities that are licensed by the government because they have to report any resident elopement. Debra Gerardi, RN, MPH, JD Chair, Program on Healthcare Collaboration and Conflict Resolution Werner Institute for Negotiation and Dispute Resolution Creighton University School of Law. To sign up for updates or to access your subscriber preferences, please enter your email address Rowe MA, Vandeveer SS, Greenblum CA, et al.

Faculty Disclosure: Ms. Gerardi has declared that neither she, nor any immediate member of her family, has a financial arrangement or other relationship with the manufacturers of any commercial products discussed in this continuing medical education activity. Specifically, it is unsupervised wandering which results in a resident leaving the nursing home facility. There are no defining traits that accompany elopement among nursing home residents. I would highly recommend his firm to anyone. Assault and battery. Additionally, they may suffer injuries or death as a result of wandering into traffic or bodies of water, or as a result of exposure to inclement weather. Wandering—defined as occurring when patients aimlessly move about within the building or grounds without appreciation of their personal safety. Available at: http://www.hasc.org/download.cfm?ID=7163. Available at: http://med.stanford.edu/shs/update/archives/FEB2003/details.html. Kosieradzki MR, Smith JE. They will face an investigation and potential fines, even if the individual is outside only for a few minutes and is not injured. Notification of appropriate administrative personnel.(. However, a resident’s mental and physical attributes may come into play when it comes to elopement.

Notification of security with a description of the missing patient and pertinent clinical information. Accessed December 6, 2007. One study that reviewed 325 cases of elopement in de…
Wisconsin Department of Health Services, 20 5 2010. I’m very appreciative of the care and compassion they exhibited through the entire process. In most organizations, this conversation is recorded in the medical record and the patient is asked to sign a form indicating that they are aware of the risks and that they are leaving against medical advice. 2nd ed. Rockville, MD 20857 In one ED, the use of the RF devices and a new triage protocol reduced the need for one-to-one monitoring of at-risk patients by half. (19) Patients with diminished capacity, such as in this case, pose a threat to themselves and perhaps to others. Notification of the operator by unit staff indicating a Code Green/Elopement. Supervision is a critical component to a safe nursing home facility. lopes 1. Additional precautions common in mental health and rehabilitation facilities include automatic door locks, alarms, and diversion activities.(13).

Elopement is a serious event that requires a system-wide, organized response. Available at: http://www.jointcommission.org/SentinelEvents/Statistics.

Determine if there is a pattern of the person's wandering behavior. J Nurs Care Qual. Notification of police by security as appropriate.

This sobering statistic highlights the reason why understanding elopement is such a high priority in dementia care. Other cases have resulted in car accidents, drowning or, at a minimum, hours of fear for the person with dementia and her family. 2005;34:149-160. Paul and Perkins definitely knows what they’re doing as they took away a lot of the weight of the process.

Accessed December 6, 2007.

In the nursing home setting, elopement is considered a type of unsupervised wandering. Identify legal risks associated with elopement. Further, incidents involving unsafe wandering or elopement can lead to regulatory sanctions, litigation, or both. What is an “elopement risk”? Hosted by the Regency Alliance on Senior Care. Available at: http://www.jointcommission.org/NR/rdonlyres/ F84F9DC6-A5DA-490F-A91F-A9FCE26347C4/0/SE_chapter_july07.pdf. Such a protocol may include locating the patient close to the desk, placing an electronic monitoring device on the patient when available, partnering the patient with a roommate, or requesting a family member or nursing assistant to sit with the patient. Does this patient have a court-appointed legal guardian? In: American Jurisprudence. Rigelhaupt J Jr. Hospital's liability for patient's injury or death resulting from escape or attempted escape. Any member of a nursing home population may elope at some point in time. (5) This reporting requirement reflects the level of harm to the patient regardless of the patient's intent to leave or mental capacity.
Consider setting up a schedule to document his whereabouts every 15 minutes.

2nd ed. Finding that a patient has "gone missing" is a scary situation for providers and patients' families. Read our, Medically reviewed by Isaac O. Opole, MD, PhD, Medically reviewed by Shaheen Lakhan, MD, PhD, Medically reviewed by Diana Apetauerova, MD, Types of Door Alarms to Improve Safety for Wandering in Dementia, Keep Your Child Safe With These Top Autism Safety Tips and Products, Prevent Wandering in Dementia by Understanding Its Common Causes, Differences Between Nursing Homes and Assisted Living Facilities, Types of Bed Alarms and Uses for Safety in Dementia, Gifts for Loved Ones Living With Alzheimer's or Dementia, How to Know If a Dementia Unit Would Help Your Loved One, Discover the Real Dangers of Trying to Restrain Someone With Dementia, Alzheimer's Association MedicAlert Safe Return Program for Wandering, Home Safety Tips for People With Dementia, Planning a Garden for Persons With Alzheimer's and Other Dementias. Keeping the patient safe is the primary goal and should guide all decision making. Accessed December 6, 2007. To run away; abscond. 30 May 2013. http://www.dhs.wisconsin.gov/rl_dsl/publications/10-009.htm, Thill, Laura. In some cases, elopement may come as a result of negligence on the part of nursing home staff. and in virtually every instance this can be extremely dangerous to the well being of the resident. Washington, DC: AAJ Press; 2003. In: American Jurisprudence. Add the column of numbers to obtain the total score. “Preventing Elopement.” Repertoire.

or unintentional ("I need to stretch my legs so I think I'll head over here"). Pleading and practice forms, hospitals. Regulatory and Litigation Risks of Elopement Elopements place nursing homes and assisted living facilities at great risk. Accessed December 5, 2007. Any member of a nursing home population may elope at some point in time. 11.

In the course of his ED visit, no one questioned the presence of a hospital ID bracelet and hospital gown; additionally, the hospital computer system failed to recognize that the same patient had been admitted simultaneously to both the inpatient floor and the ED. Us, Discontinuities, Gaps, and Hand-Off Problems, Health Care Executives and Administrators, http://www.va.gov/ncps/TIPS/Docs/TIPS_NovDec05.pdf, http://www.jointcommission.org/NR/rdonlyres/ F84F9DC6-A5DA-490F-A91F-A9FCE26347C4/0/SE_chapter_july07.pdf, http://www.jointcommission.org/SentinelEvents/Statistics, http://www.va.gov/ncps/CogAids/EscapeElope/index.html, http://med.stanford.edu/shs/update/archives/FEB2003/details.html, http://hcpc.uth.tmc.edu/procedures/volume1/ chapter7/quality_improvement_activities-09.htm, http://nursing.uchc.edu/Hosp%20Admin%20Manual/pdfs/08-004.pdf.


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