Suicide Precaution Policy

 

You are working on a newly opened observation unit in the hospital. Recently there has been an overflow of suicidal clients awaiting placement at the psychiatric facility. The staff recognizes there is not a fully developed policy on how to safely care for a suicidal client. Working together with case management and other staff nurses, you have been asked to create policy recommendations. Your recommendations should include:

How to create a safe environment
Considerations or actions needed when a client is admitted or discharged
Considerations or actions during the client’s admission (length of stay)
Identify allowable and restricted personal items for the client
Expectations of client monitoring
Describe the requirements of how the client is to be monitored, how often, and by whom.
Nursing Considerations
Expectations of nursing interactions when dealing with suicidal client
Required documentation expectations
Describe the roles of CNA, LPN, RN

Sample Solution

In the area of services, Van Binsbergen was the first case where the Court regarded such behaviour to fall within the scope of abuse of rights, making it the first example of circumvention. Van Binsbergens lawyer had established himself in Belgium in order to avoid stricter rules in the Netherlands, which under Dutch law meant he lost the right to represent his client. This clearly constitutes circumvention, where a person: (1) established himself in another Member State, (2) in order to avoid the legislation of his home Member State. Though Centros narrowed the scope of the general concept, this remains the most common form of alleged abuse of rights before the CJEU.

2.3 Fraudulent Behaviour
In order to benefit from countless provisions of Union law, certain conditions must be fulfilled honestly and obtained in good faith. For fraud to occur, the claim to rights here must be based on objective false premises. An example can be found in the Van de Bijl case, where Dutch authorities questioned the validity of a certificate which a painter claimed meant that pursuant to Directive 64/427/EEC, he should be allowed to perform professionally in another Member State. The false certificate was deemed enough to constitute fraud, and Van de Bijl was not allowed access to the rights he sought.

2.4 Misuse
Misuse is a broad concept which encompasses activities by economic actors which are, in their result, contrary to the purpose of the right in question. In such a situation, the question is if the national measures at issue jeopardise the supremacy and uniform application of Union law. National courts are thus free to apply measures up to this point only, as to do otherwise would be contrary to the division of authority between Member State and the Union.

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