On 5/20/23, RN called to the unit for additional support where resident was in the hallway picking at self-harm spots on her arms. Staff tried to stop the self-harming by blocking attempts and verbally de-escalating. Resident began to hit her head on the wall with enough force to cause injury and began kicking her legs at staff. Due to concerns for safety, the nurse called for a physical hold and contacted the provider. Resident was transitioned out of the hold when they appeared relaxed and calm and could verbalize ability to remain safe. Resident taken to nurses’ station where existing self-harm wounds were cleaned and covered. No injuries sustained from physical hold. Resident will be on a self-harm safety plan including constant line-of-sight monitoring for a period to be determined by the therapist.
