A newly admitted patient required seclusion immediately on entering the inpatient unit. His assessment was incomplete, and no medical orders had been written. Immediately after secluding the patient, the priority action of the nurse should be to:
a. provide a chance for the patient to use the bathroom.
b. notify the physician and obtain an order for seclusion.
c. complete necessary forms and notify the unit manager.
d. debrief the staff and any witnesses to the incident.
B
Emergency seclusion can be initiated by a credentialed nurse but must be followed by securing a medical order supporting the use of seclusion within a period of time specified by the state and the agency (often 1 hour). The other options may be important but are not required by law.
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