SOP 508.31-att-7: Crisis Stabilization Unit Admission Log

Division:
Mental Health/Medical Services
Effective Date:
December 9, 2019
Topic Area:
508 Policy - MH Suicide Prevention/ACU/CSU/BTU
PowerDMS:
View on PowerDMS
Length:
61 words

Summary

This form is used to track and document all admissions to the Crisis Stabilization Unit (CSU) on a monthly basis. It records key information about each incarcerated individual admitted to the CSU, including their identity, referral source, admission and discharge diagnoses, and disposition upon discharge. Nursing staff complete entries and sign the log to ensure accountability and continuity of care.

Key Topics

  • Crisis Stabilization Unit
  • CSU
  • admission log
  • mental health
  • offender tracking
  • diagnoses
  • discharge planning
  • nursing documentation
  • mental health intake
  • inmate mental health

Full Text

# CRISIS STABILIZATION UNIT ADMISSION LOG Month: ___________ Year: _________

SOP 508.31
Attachment 7

12/9/19

|Date|Time|Offender|GDC#|Referral
Source|Admission
Diagnoses|Nurse
Signature|Discharge
Diagnoses|Discharge
Order Date|Transfer
Date|Referred to|Nurse
Signature|Col13|
|---|---|---|---|---|---|---|---|---|---|---|---|---|
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Form no. M70-02-07 Page 1 of 1

Retention Schedule: Upon completion, this form shall be maintained in the mental health area for four (4) years.

Attachments (9)

  1. CSU_ACU Daily Nursing Clinical Assessment (299 words)
  2. Crisis Stabilization Unit Psychiatric Admission Form (M70-02-02) (218 words)
  3. Abbreviated Psychiatric Admission for CSU (M70-02-03) (105 words)
  4. Crisis Stabilization Unit Treatment Plan (124 words)
  5. Crisis Stabilization Unit Discharge Summary (290 words)
  6. Crisis Stabilization Unit Admission Log (61 words)
  7. CSU Referral Report (M70-02-08) (732 words)
  8. CSU Discharge Summary Note (Form M70-02-09) (130 words)
  9. Crisis Stabilization Unit (CSU) Admission Cover Page (93 words)
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