59MDWI44-134 governs procedures for managing dangerous or suicidal patients requiring eye contact in specified medical facilities.
View 59MDWI44-134 on armypubs.army.mil
It defines dangerous patients and suicidal risk and requires least restrictive safety measures, constant observation, and controlled rooms. It also addresses violent-patient responses, transport and disposition safety, and consent and admission exceptions for pediatric patients.
Applies to: This instruction applies to all personnel assigned, attached, or on contract to WHASC and JBSA-Randolph Clinic.
A dangerous patient is defined as a person who threatens to injure self or others, or to destroy property. (paragraph 1)
Suicidal thoughts, plans, or behavior indicate suicidal risk. (paragraph 1)
Dangerous patients are to remain under constant direct observation at all times, including when using the restroom. (paragraph 2)
Use a private room designated for dangerous patients that is free of dangerous or sharp objects, medications, or any other items that could be used to injure self, others or destroy property. (paragraph 2)
Do not attempt intervention without adequate assistance. (paragraph 2)