| Policy Title |
Policy Number |
Description |
Last Issue Date |
| ORGANIZATION |
| Admission Criteria for the FMHF |
MSH FMHF-01 |
This policy defines the criteria for admitting patients to the Montana State Hospital Forensic Mental Health Facility. |
08/21/2019 |
| Appropriate Patient Conduct for the FMHF |
MSH FMHF-02 |
Defines, clarifies, and communicates appropriate conduct for patients at the Montana State Hospital Forensic Mental Health Facility. |
02/1/2016 |
| Staffing Requirements for the FMHF |
MSH FMHF-03 |
Defines and clarifies the requirements for staff who serve at the Montana State Hospital Forensic Mental Health Facility. |
08/13/2018 |
| Notification of Policy Implementation or Change for the FMHF |
MSH FMHF-04 |
Establishes a procedure to assure that staff assigned to the MSH FMHF understand and follow policies specific to operation of the program. To establish a method of informing patients of new or revised policies and procedures. |
08/01/2019 |
| Operation of Patient Deposit for the FMHF |
MSH FMHF-05 |
Establishes guidelines for the operation of the Montana State Hospital Patients Accounts Office of . |
06/03/2020 |
| Verification of Licensure and Certification |
MSH HR-17 |
Provides a systematic method, which ensures current licensure, certification or registration for Montana State employees of the Montana State Hospital to include the Main Hospital, Mental Health Group Homes, and the Forensic Mental Health Facility. |
09/06/2019 |
| Credentialing and Privileging |
MSH MS-01 |
Defines procedures for credentialing and privileging of physicians and dentists. |
08/1/2012 |
| Infection Prevention and Control Plan |
MSH IC-09 |
Establishes a comprehensive infection prevention and control program. |
02/17/2012 |
| Quality Improvement Plan |
MSH QI-02 |
Provide a systematic hospital-wide process for evaluating quality of services at Montana State Hospital. |
12/11/2015 |
| Patient Grievance Procedure |
MSH PR-03 |
Describes the Patient Grievance Process. |
02/12/2016 |
| Allegations of Abuse and Neglect |
MSH TX-17 |
Procedures to be taken when allegations of patient abuse or neglect occur. |
12/1/2015 |
| Student Internships |
MSH FMHF-26 |
Establishes policy and procedures outlining the expectations of student internships at the FMHF of MSH. |
02/17/2016 |
| Discharge or Conditional Release from Forensic Commitments |
MSH FP-09 |
clarifies standards, responsibilities, and procedures for the discharge or conditional release of patients under forensic commitment to MSH for inpatient psychiatric examination, custody, care, and treatment. |
01/25/2016 |
| PATIENT SERVICES |
| Initiating Services for Patients at the FMHF |
MSH FMHF-07 |
Defines the process for referring patients to the MSH FMHF, initiating services, and reviewing service provisions. |
02/1/2016 |
| Patient Rights and Grievance Procedure Information |
MSH PR-04 |
Ensures a systematic process for informing patients about their rights and the hospital grievance procedure. |
02/12/2016 |
| Nursing Assessment for the FMHF |
MSH FMHF-08 |
Defines a process for systematically collecting relevant data about the patient as the initial step of the nursing care process. |
06/17/2020 |
| Psychiatric Assessments at the FMHF |
MSH FMHF-09 |
Provides guidelines for assessing patient’s psychiatric needs while they are at the MSH FMHF. |
06/19/2020 |
| Admission/Annual History & Physical at the FMHF |
MSH FMHF-10 |
Provides guidelines for assessing patients’ medical needs while they are at the MSH FMHF. |
02/1/2016 |
| Social Assessment for the FMHF |
MSH FMHF-11 |
Clarifies policies, standards, and procedures for social assessments of patients at the MSH FMHF. |
02/1/2016 |
| Progress Notes at the FMHF |
MSH FMHF-12 |
Provides guidelines for the entry of progress notes into the medical record for patients at the MSH FMHF. |
02/1/2016 |
| Treatment Plan for Patients at the FMHF |
MSH FMHF-13 |
Establishes policies and procedures for the initiation, development, implementation, and review of treatment plans for each patient at the MSH FMHF. |
02/1/2016 |
| Discharge Summary for Patients at the FMHF |
MSH FMHF-14 |
Provides guidelines for the completion of discharge summaries |
02/1/2016 |
| Medication Administration & Safe Handling, Principles of |
MSH NS-02 |
Ensures the safe, appropriate, and accurate administration and handling of medications. |
06/5/2014 |
| Medication Error Reporting |
MSH NS-06 |
Describes the procedures for reporting medication errors to ensure accurate and appropriate use of medications. |
01/27/2014 |
| Consultation Services |
MSH TX-05 |
Ensures provision of consultation and specialized treatment services for MSH patients. |
11/8/2011 |
| Crisis Response Services for the FMHF (patient related) |
MSH FMHF-15 |
Defines and describes crisis response services for patients at the MSH FMHF. |
08/06/2019 |
| Forensic Involuntary Medications (NGMI, GBMI, UTP Commitments) |
MSH FP-08 |
Defines the circumstances under which forensic patients may be administered involuntary medications, and defines the administrative review process under which MSH may authorized involuntary medications. |
02/17/2016 |
| Use of Seclusion & Restraint at the FMHF |
MSH FMHF-16 |
Establishes policy and procedures governing the use of seclusion and restraint procedures at the MSH FMHF. |
02/1/2016 |
| Clinical Nutrition Services for the FMHF |
MSH FMHF-17 |
Describes the Nutritional Assessment and Consultation processes at MSH FMHF; thereby providing guidelines for the identification and treatment of patients at nutritional risk. |
02/1/2016 |
| Provision of Dietary Services for the FMHF |
MSH FMHF-18 |
Establishes guidelines to ensure meal distribution and supplement service. |
02/1/2016 |
| Special Events Procedure for the FMHF |
MSH FMHF-29 |
To authorize and govern special recreational events held at the FMHF. |
08/2/2018 |
| EMERGENCY SERVICES |
| Contraband & Searches |
MSH SF-02 |
Provide staff with guidelines for conducting searches of patients and their living areas to prevent the entry of prohibited items into the therapeutic environment and to keep MSH staff, patients and visitors safe from items that may harm or have the potential to harm anyone residing on or visiting. |
01/25/2016 |
| Dietary Glove Use for the FMHF |
MSH FMHF-19 |
Provide guidelines to protect food, to prevent cross-contamination by minimizing bare hand contact with cooked and ready-to-eat foods, and to protect patrons from contagious and foodborne illnesses. |
05/13/2020 |
| Food-Drug Interactions for the FMHF |
MSH FMHF-20 |
To inform clients of food-drug interactions requiring significant dietary modifications to the clients of the Montana State Hospital (MSH) Forensic Mental Health Facility (FMHF). |
05/19/2020 |
| Security Procedures: Property, Facility, and Body Searches for the FMHF |
MSH FMHF-21 |
Provides security procedures specific to the FMHF of MSH. |
04/27/2018 |
| Security Procedures: Security Practices for FMHF |
MSH FMHF-22 |
Provide security procedures specific to the FMHF of MSH. |
04/27/2018 |
| Patient Visitation |
MSH FMHF-23 |
Provides guidelines for visiting Montana State Hospital patients. Visits from family members, friends, and other supportive individuals may enhance the treatment provided to patients and increase the prospect for the patient's successful return to the community. |
08/16/2019 |
| Security Procedures: Security Camera System for the FMHF |
MSH FMHF-27 |
Provides guidance regarding the security camera system and utilization of the records generated by the system at the MSH FMHF. |
05/18/2017 |
|
Security Procedures: Discharge & Transfer
Security Restraints for FMHF Patients
|
MSH FMHF-25 |
Provide for safety and security when discharging or transferring patients who present a serious risk to the public and who are committed to MSH FMHF through criminal proceedings (forensic commitments). |
| Security Procedures: Emergency Management of a Client Incident/Facility Disturbance for the FMHF |
MSH FMHF-28 |
To provide and define guidelines specific to the Montana State Hospital (MSH) Forensic Mental Health Facility (FMHF) personnel who will manage client-caused facility emergencies. |
08/17/2018 |
| Key Control for the FMHF |
MSH FMHF-24 |
Provides guidelines for controlling access to the FMHF. |
02/1/2016 |
| Fire, Emergency & Disaster Plan |
MSH ER-02 |
Ensures proper response by MSH and the FMHF personnel in the event of a fire or other emergency situation. Ensures all patient occupied buildings at MSH and FMHF have preplanned evacuation routes and relocation sites. |
01/25/2016 |
