continuous observation
Constant visual monitoring of a psychiatric patient by trained staff to prevent self-harm or ensure safety, documented at regular intervals.
Full Definition
Continuous observation is a safety intervention in which a psychiatric patient is kept under constant visual supervision by trained staff to prevent self-harm, suicide attempts, or other safety concerns. This intervention requires that the patient remain within arm's reach and direct line of sight of the assigned observer at all times, including during personal care activities, sleeping, and bathroom use. The observer documents the patient's status and behavior at specified intervals, typically every 15 minutes. Continuous observation is typically reserved for patients at highest risk and represents the most intensive level of psychiatric monitoring. The intervention is time-limited and requires physician orders with regular review to determine if the level of observation can be reduced.
Usage
Usage note: Distinguish from other observation levels in documentation; requires specific physician orders and regular review.
In Context
- "The physician ordered continuous observation after the patient made a serious suicide attempt." — safety order
- "Continuous observation documentation must be completed every 15 minutes with staff signature." — nursing protocol