Sync template from atomicqms-style deployment

SOPs/General/SOP-001-Document-Control.md

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+# Standard Operating Procedure: Document Control
+
+| Document ID | SOP-001 |
+|-------------|---------|
+| Title | Document Control |
+| Revision | 1.0 |
+| Effective Date | [DATE] |
+| Author | [AUTHOR] |
+| Approved By | [APPROVER] |
+| Department | Quality Assurance |
+
+---
+
+## 1. Purpose
+
+To establish a procedure for the creation, review, approval, distribution, and control of documents within the Quality Management System.
+
+## 2. Scope
+
+This procedure applies to all controlled documents including:
+- Policies
+- Standard Operating Procedures (SOPs)
+- Work Instructions
+- Forms and Templates
+- Specifications
+- External documents of external origin
+
+## 3. Responsibilities
+
+### 3.1 Document Owner
+- Responsible for document content and accuracy
+- Initiates document creation and revision
+- Ensures periodic review is performed
+
+### 3.2 Quality Assurance
+- Maintains the document control system
+- Assigns document numbers
+- Manages document distribution
+- Archives obsolete documents
+
+### 3.3 Approvers
+- Review and approve documents before release
+- Ensure documents are adequate for intended purpose
+
+## 4. Procedure
+
+### 4.1 Document Creation
+
+1. Identify the need for a new document
+2. Request document number from Quality Assurance
+3. Draft document using appropriate template
+4. Include all required header information
+5. Submit for review and approval
+
+### 4.2 Document Review and Approval
+
+1. Route document to appropriate reviewers
+2. Reviewers provide comments within 5 business days
+3. Author addresses all comments
+4. Final approval by designated approver
+5. Quality Assurance releases document
+
+### 4.3 Document Numbering
+
+Documents shall be numbered according to the following convention:
+
+| Type | Prefix | Example |
+|------|--------|---------|
+| Policy | POL | POL-001 |
+| SOP | SOP | SOP-001 |
+| Work Instruction | WI | WI-001 |
+| Form | FRM | FRM-001 |
+
+### 4.4 Revision Control
+
+1. All changes require documented justification
+2. Changes follow same review/approval process as new documents
+3. Revision number increments with each approved change
+4. Revision history maintained in document footer
+
+### 4.5 Document Distribution
+
+1. Current versions available in document control system
+2. Obsolete versions marked and archived
+3. Training on new/revised documents as needed
+
+### 4.6 Periodic Review
+
+1. Documents reviewed at least every 2 years
+2. Review documented even if no changes made
+3. Reviews may result in revision or reaffirmation
+
+## 5. Related Documents
+
+- FRM-001 Document Change Request Form
+- FRM-002 Document Review Record
+
+## 6. Definitions
+
+| Term | Definition |
+|------|------------|
+| Controlled Document | Document managed under document control system |
+| Obsolete | Document no longer valid for use |
+| Revision | Updated version of a document |
+
+---
+
+## Revision History
+
+| Rev | Date | Description | Author |
+|-----|------|-------------|--------|
+| 1.0 | [DATE] | Initial release | [AUTHOR] |

SOPs/General/SOP-002-CAPA.md

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+# Standard Operating Procedure: Corrective and Preventive Action (CAPA)
+
+| Document ID | SOP-002 |
+|-------------|---------|
+| Title | Corrective and Preventive Action |
+| Revision | 1.0 |
+| Effective Date | [DATE] |
+| Author | [AUTHOR] |
+| Approved By | [APPROVER] |
+| Department | Quality Assurance |
+
+---
+
+## 1. Purpose
+
+To establish a systematic process for identifying, investigating, correcting, and preventing nonconformities and potential nonconformities.
+
+## 2. Scope
+
+This procedure applies to:
+- Product and process nonconformities
+- Customer complaints
+- Audit findings
+- Process deviations
+- Potential nonconformities identified through risk analysis
+
+## 3. Definitions
+
+| Term | Definition |
+|------|------------|
+| Corrective Action | Action to eliminate the cause of a detected nonconformity |
+| Preventive Action | Action to eliminate the cause of a potential nonconformity |
+| Root Cause | Fundamental reason for a nonconformity |
+| Effectiveness Check | Verification that implemented actions achieved desired results |
+
+## 4. Responsibilities
+
+### 4.1 CAPA Owner
+- Investigates the issue
+- Identifies root cause
+- Develops and implements corrective/preventive actions
+- Verifies effectiveness
+
+### 4.2 Quality Assurance
+- Manages CAPA system
+- Assigns CAPA numbers
+- Tracks CAPA status
+- Reviews and approves CAPAs
+- Reports CAPA metrics to management
+
+### 4.3 Management
+- Provides resources for CAPA implementation
+- Reviews CAPA trends
+- Ensures timely closure
+
+## 5. Procedure
+
+### 5.1 CAPA Initiation
+
+1. Identify nonconformity or potential nonconformity
+2. Document issue on CAPA Form (FRM-003)
+3. Classify severity and priority
+4. Assign CAPA owner
+
+### 5.2 Investigation
+
+1. Gather relevant data and evidence
+2. Interview personnel involved
+3. Review related documents and records
+4. Use appropriate investigation tools:
+   - 5 Whys
+   - Fishbone Diagram
+   - Failure Mode Analysis
+
+### 5.3 Root Cause Analysis
+
+1. Identify potential root causes
+2. Verify root cause through evidence
+3. Document root cause determination
+4. Consider systemic implications
+
+### 5.4 Action Development
+
+1. Develop corrective/preventive actions
+2. Assign responsibilities and due dates
+3. Assess actions for:
+   - Appropriateness to problem severity
+   - Impact on other processes
+   - Resource requirements
+
+### 5.5 Implementation
+
+1. Execute approved actions
+2. Document implementation evidence
+3. Update affected documents/processes
+4. Provide training as needed
+
+### 5.6 Effectiveness Verification
+
+1. Define effectiveness criteria
+2. Allow sufficient time for actions to take effect
+3. Collect and analyze data
+4. Document verification results
+5. If ineffective, reopen CAPA for further action
+
+### 5.7 Closure
+
+1. Review all CAPA documentation
+2. Verify all actions completed
+3. Confirm effectiveness verified
+4. Obtain approval for closure
+
+## 6. CAPA Metrics
+
+Quality Assurance shall track and report:
+- Number of open CAPAs
+- CAPA aging
+- On-time closure rate
+- Effectiveness rate
+- CAPAs by category/source
+
+## 7. Related Documents
+
+- FRM-003 CAPA Form
+- SOP-003 Nonconforming Product Control
+- SOP-004 Customer Complaints
+
+---
+
+## Revision History
+
+| Rev | Date | Description | Author |
+|-----|------|-------------|--------|
+| 1.0 | [DATE] | Initial release | [AUTHOR] |

SOPs/General/SOP-003-Training.md

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+# Standard Operating Procedure: Training and Competence
+
+| Document ID | SOP-003 |
+|-------------|---------|
+| Title | Training and Competence |
+| Revision | 1.0 |
+| Effective Date | [DATE] |
+| Author | [AUTHOR] |
+| Approved By | [APPROVER] |
+| Department | Human Resources / Quality |
+
+---
+
+## 1. Purpose
+
+To ensure personnel performing work affecting product quality are competent based on appropriate education, training, skills, and experience.
+
+## 2. Scope
+
+This procedure applies to:
+- All employees performing quality-affecting activities
+- Contractors and temporary personnel
+- Personnel requiring GxP training
+
+## 3. Responsibilities
+
+### 3.1 Supervisors/Managers
+- Identify training needs for their personnel
+- Ensure training is completed before performing tasks
+- Evaluate competence of personnel
+- Maintain department training records
+
+### 3.2 Human Resources
+- Coordinate training programs
+- Maintain central training database
+- Track training compliance
+- Archive training records
+
+### 3.3 Quality Assurance
+- Develop QMS-related training
+- Approve training curricula for GxP activities
+- Audit training compliance
+
+### 3.4 Employees
+- Complete assigned training on time
+- Maintain current qualifications
+- Report training needs to supervisor
+
+## 4. Procedure
+
+### 4.1 Training Needs Assessment
+
+1. Identify competence requirements for each role
+2. Document requirements in job descriptions
+3. Assess current competence of personnel
+4. Identify training gaps
+
+### 4.2 Training Curriculum Development
+
+1. Define learning objectives
+2. Develop training materials
+3. Identify delivery method:
+   - Classroom
+   - On-the-job
+   - Self-study
+   - Computer-based
+4. Define assessment criteria
+5. Obtain approval from Quality (for GxP training)
+
+### 4.3 Training Delivery
+
+1. Schedule training session
+2. Document attendance
+3. Deliver training per curriculum
+4. Assess comprehension through:
+   - Written test (minimum 80% passing)
+   - Practical demonstration
+   - Supervisor observation
+
+### 4.4 Training Documentation
+
+Training records shall include:
+- Employee name and ID
+- Training title and date
+- Trainer name and qualifications
+- Assessment results
+- Signatures
+
+### 4.5 Retraining Requirements
+
+Retraining is required when:
+- Significant document revisions occur
+- Performance deficiencies identified
+- Extended absence from job function
+- Periodic requalification due
+
+### 4.6 New Employee Orientation
+
+All new employees shall complete:
+1. Company orientation
+2. Quality system overview
+3. Job-specific training
+4. SOP read and understand for applicable procedures
+
+## 5. Training Records Retention
+
+- Training records maintained for duration of employment
+- Records retained 3 years after employee departure
+- Records available for regulatory inspection
+
+## 6. Related Documents
+
+- FRM-004 Training Record Form
+- FRM-005 Training Assessment Form
+- Job Descriptions
+
+---
+
+## Revision History
+
+| Rev | Date | Description | Author |
+|-----|------|-------------|--------|
+| 1.0 | [DATE] | Initial release | [AUTHOR] |

SOPs/General/SOP-004-Internal-Audit.md

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+# Standard Operating Procedure: Internal Audit
+
+| Document ID | SOP-004 |
+|-------------|---------|
+| Title | Internal Audit |
+| Revision | 1.0 |
+| Effective Date | [DATE] |
+| Author | [AUTHOR] |
+| Approved By | [APPROVER] |
+| Department | Quality Assurance |
+
+---
+
+## 1. Purpose
+
+To establish a systematic approach for conducting internal audits to verify the effectiveness of the Quality Management System.
+
+## 2. Scope
+
+This procedure covers:
+- QMS process audits
+- Compliance audits
+- Product audits
+- System audits
+
+## 3. Definitions
+
+| Term | Definition |
+|------|------------|
+| Audit | Systematic, independent examination to determine conformance |
+| Auditor | Person qualified to perform audits |
+| Finding | Observation of conformance or nonconformance |
+| Observation | Noted item not rising to level of finding |
+
+## 4. Responsibilities
+
+### 4.1 Lead Auditor
+- Plans and schedules audits
+- Prepares audit checklists
+- Conducts audit activities
+- Reports audit findings
+
+### 4.2 Quality Manager
+- Maintains audit program
+- Qualifies auditors
+- Reviews audit reports
+- Reports to management
+
+### 4.3 Auditee
+- Provides access to areas/records
+- Responds to findings
+- Implements corrective actions
+
+## 5. Procedure
+
+### 5.1 Annual Audit Schedule
+
+1. Develop annual audit schedule considering:
+   - Previous audit results
+   - Process criticality
+   - Regulatory requirements
+   - Changes to processes
+2. Ensure all QMS processes audited at least annually
+3. Obtain management approval
+4. Communicate schedule to affected areas
+
+### 5.2 Auditor Qualification
+
+Auditors shall:
+- Complete auditor training course
+- Conduct at least 2 audits under supervision
+- Be independent of area being audited
+- Maintain competence through ongoing audits
+
+### 5.3 Audit Preparation
+
+1. Review applicable procedures and standards
+2. Review previous audit reports
+3. Prepare audit checklist
+4. Notify auditee of audit scope and schedule
+5. Confirm auditor availability
+
+### 5.4 Conducting the Audit
+
+1. Hold opening meeting with auditee
+2. Execute audit checklist
+3. Gather objective evidence:
+   - Document review
+   - Personnel interviews
+   - Process observation
+4. Document findings with evidence
+5. Classify findings:
+   - Major Nonconformance
+   - Minor Nonconformance
+   - Observation
+6. Hold closing meeting
+
+### 5.5 Audit Reporting
+
+1. Complete audit report within 5 business days
+2. Report shall include:
+   - Audit scope and criteria
+   - Personnel interviewed
+   - Findings with evidence
+   - Recommendations
+3. Distribute report to auditee and management
+
+### 5.6 Finding Resolution
+
+1. Auditee responds with corrective action plan within 10 business days
+2. Quality reviews and approves plan
+3. Auditee implements corrective actions
+4. Auditor verifies effectiveness
+5. Close finding upon verification
+
+## 6. Audit Records
+
+Maintain for 5 years:
+- Audit schedules
+- Checklists
+- Reports
+- Corrective action records
+
+## 7. Related Documents
+
+- FRM-006 Audit Checklist Template
+- FRM-007 Audit Report Template
+- SOP-002 CAPA
+
+---
+
+## Revision History
+
+| Rev | Date | Description | Author |
+|-----|------|-------------|--------|
+| 1.0 | [DATE] | Initial release | [AUTHOR] |

SOPs/General/SOP-005-Management-Review.md

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+# Standard Operating Procedure: Management Review
+
+| Document ID | SOP-005 |
+|-------------|---------|
+| Title | Management Review |
+| Revision | 1.0 |
+| Effective Date | [DATE] |
+| Author | [AUTHOR] |
+| Approved By | [APPROVER] |
+| Department | Quality Assurance |
+
+---
+
+## 1. Purpose
+
+To ensure top management reviews the Quality Management System at planned intervals to ensure its continuing suitability, adequacy, and effectiveness.
+
+## 2. Scope
+
+This procedure applies to the periodic management review of the QMS, including all processes and quality objectives.
+
+## 3. Frequency
+
+Management reviews shall be conducted:
+- At least annually
+- More frequently if significant changes occur
+- As needed based on quality performance
+
+## 4. Responsibilities
+
+### 4.1 Quality Manager
+- Prepares management review agenda and materials
+- Facilitates the meeting
+- Documents meeting minutes and action items
+- Tracks completion of action items
+
+### 4.2 Top Management
+- Attends management review meetings
+- Reviews QMS performance data
+- Makes decisions on QMS improvements
+- Allocates resources as needed
+
+### 4.3 Department Managers
+- Provides input data for their areas
+- Attends management review
+- Implements assigned action items
+
+## 5. Management Review Inputs
+
+The following shall be considered:
+
+### 5.1 Actions from Previous Reviews
+- Status of action items
+- Effectiveness of implemented actions
+
+### 5.2 Changes in Context
+- Internal changes (organization, resources)
+- External changes (regulations, market)
+
+### 5.3 QMS Performance
+- Customer satisfaction and feedback
+- Quality objectives achievement
+- Process performance metrics
+- Nonconformities and corrective actions
+- Audit results
+- Supplier performance
+
+### 5.4 Resource Adequacy
+- Personnel
+- Infrastructure
+- Work environment
+
+### 5.5 Risk and Opportunities
+- Risk assessment results
+- Effectiveness of risk controls
+- New opportunities identified
+
+### 5.6 Improvement Opportunities
+- Process improvements
+- Product improvements
+- QMS enhancements
+
+## 6. Management Review Outputs
+
+Decisions and actions related to:
+- Improvement of QMS and processes
+- Product improvement
+- Resource needs
+- Changes to quality policy or objectives
+
+## 7. Documentation
+
+### 7.1 Meeting Minutes
+- Date and attendees
+- Items discussed
+- Decisions made
+- Action items with owners and due dates
+
+### 7.2 Record Retention
+- Management review records retained for 5 years
+- Available for regulatory inspection
+
+## 8. Related Documents
+
+- FRM-008 Management Review Agenda Template
+- FRM-009 Management Review Minutes Template
+
+---
+
+## Revision History
+
+| Rev | Date | Description | Author |
+|-----|------|-------------|--------|
+| 1.0 | [DATE] | Initial release | [AUTHOR] |

SOPs/Patient-Care/SOP-MHI-001-Admission-Assessment.md

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+# Standard Operating Procedure: Psychiatric Inpatient Admission and Assessment
+
+| Document ID | SOP-MHI-001 |
+|-------------|-------------|
+| Title | Psychiatric Inpatient Admission and Comprehensive Assessment |
+| Revision | 1.0 |
+| Effective Date | [DATE] |
+| Author | [AUTHOR] |
+| Approved By | [APPROVER] |
+| Department | Inpatient Psychiatry |
+
+---
+
+## 1. Purpose
+
+To establish standardized procedures for the admission and comprehensive psychiatric assessment of patients to the inpatient psychiatric unit, ensuring safety, regulatory compliance, and appropriate treatment planning.
+
+## 2. Scope
+
+This procedure applies to all psychiatric inpatient admissions including:
+- Voluntary admissions
+- Involuntary/emergency detentions
+- Transfers from other facilities
+- Forensic admissions
+- Medical clearance requirements
+
+## 3. Responsibilities
+
+### 3.1 Admitting Psychiatrist
+- Conduct psychiatric evaluation
+- Determine admission criteria met
+- Establish initial treatment plan
+- Complete admission documentation
+
+### 3.2 Nursing Staff
+- Conduct nursing admission assessment
+- Complete safety assessment and precautions
+- Inventory personal belongings
+- Orient patient to unit
+
+### 3.3 Social Worker
+- Conduct psychosocial assessment
+- Contact family/supports
+- Begin discharge planning
+- Assess resource needs
+
+### 3.4 Mental Health Technicians
+- Assist with admission process
+- Implement observation levels
+- Secure patient belongings
+
+## 4. Definitions
+
+| Term | Definition |
+|------|------------|
+| Voluntary Admission | Patient consents to hospitalization |
+| Involuntary Hold | Legal detention for evaluation/treatment without consent |
+| 1:1 Observation | Continuous direct observation by staff member |
+| Elopement Precautions | Measures to prevent unauthorized departure |
+| Medical Clearance | Confirmation patient is medically stable for psychiatric unit |
+
+## 5. Procedure
+
+### 5.1 Pre-Admission Requirements
+
+#### 5.1.1 Medical Clearance
+
+Before admission to psychiatric unit, patient must have:
+- [ ] Medical history and physical examination
+- [ ] Vital signs within acceptable parameters
+- [ ] Laboratory studies per protocol
+- [ ] Medical conditions stabilized or treatment plan in place
+- [ ] Clearance from ED physician or medicine consultant
+
+**Minimum Laboratory Studies:**
+| Test | Required |
+|------|----------|
+| Complete Blood Count | ☐ |
+| Comprehensive Metabolic Panel | ☐ |
+| Urinalysis | ☐ |
+| Urine Drug Screen | ☐ |
+| Blood Alcohol Level | ☐ |
+| Pregnancy Test (if applicable) | ☐ |
+| Additional (as indicated) | |
+
+#### 5.1.2 Legal Status Determination
+
+| Status | Documentation Required |
+|--------|------------------------|
+| Voluntary | Signed voluntary admission form |
+| Involuntary | Completed legal detention documents, physician certification |
+| Court-Ordered | Court order, sheriff documentation |
+| Minor | Parent/guardian consent OR court order |
+
+### 5.2 Admission Process
+
+#### 5.2.1 Patient Arrival
+1. Greet patient and escort to admission area
+2. Verify identity with two identifiers
+3. Confirm legal status and documentation
+4. Apply identification band
+
+#### 5.2.2 Safety Search and Contraband Removal
+
+**Required for all admissions:**
+- [ ] Wand metal detector screening
+- [ ] Personal search (same-gender staff)
+- [ ] Belongings search
+- [ ] Remove and secure contraband
+
+**Contraband List:**
+| Always Remove | Document Securely |
+|--------------|-------------------|
+| Sharps, blades | Medications |
+| Ligature materials (belts, cords, laces) | Valuables |
+| Drugs/alcohol | Electronics (per policy) |
+| Weapons | Lighters/matches |
+| Glass items | |
+
+Document all items on FRM-MHI-001 Belongings Inventory.
+
+#### 5.2.3 Observation Level Assignment
+
+| Level | Criteria | Monitoring |
+|-------|----------|------------|
+| 1:1 Continuous | Active suicidal/homicidal, severe agitation | Within arm's reach |
+| Close Observation | Recent attempt, high risk | Every 5-15 minutes |
+| Routine | Low/moderate risk | Every 15-30 minutes |
+| Open | No safety concerns | Per unit routine |
+
+### 5.3 Psychiatric Evaluation
+
+#### 5.3.1 Comprehensive Psychiatric Assessment
+
+**Required within 24 hours of admission:**
+
+1. **Chief Complaint and History of Present Illness**
+   - Current symptoms and duration
+   - Precipitating events
+   - Previous episodes
+   - Current stressors
+
+2. **Psychiatric History**
+   - Previous diagnoses
+   - Hospitalizations
+   - Outpatient treatment
+   - Medication trials
+   - ECT or other treatments
+
+3. **Suicide/Violence Risk Assessment**
+
+   **Suicide Risk:**
+   | Factor | Present |
+   |--------|---------|
+   | Current ideation | ☐ Yes ☐ No |
+   | Plan | ☐ Yes ☐ No |
+   | Intent | ☐ Yes ☐ No |
+   | Access to means | ☐ Yes ☐ No |
+   | Previous attempts | ☐ Yes ☐ No |
+   | Protective factors | |
+
+   **Violence Risk:**
+   | Factor | Present |
+   |--------|---------|
+   | Homicidal ideation | ☐ Yes ☐ No |
+   | Identified target | ☐ Yes ☐ No |
+   | History of violence | ☐ Yes ☐ No |
+   | Command hallucinations | ☐ Yes ☐ No |
+   | Access to weapons | ☐ Yes ☐ No |
+
+4. **Substance Use History**
+   - Substances used
+   - Quantity, frequency, route
+   - Last use
+   - Withdrawal history
+   - Treatment history
+
+5. **Medical History**
+   - Chronic conditions
+   - Current medications
+   - Allergies
+   - Recent medical issues
+
+6. **Family History**
+   - Psychiatric disorders
+   - Substance use disorders
+   - Suicide history
+
+7. **Social/Developmental History**
+   - Education
+   - Employment
+   - Living situation
+   - Relationships
+   - Legal history
+   - Trauma history
+
+8. **Mental Status Examination**
+   | Domain | Findings |
+   |--------|----------|
+   | Appearance | |
+   | Behavior | |
+   | Speech | |
+   | Mood | |
+   | Affect | |
+   | Thought Process | |
+   | Thought Content | |
+   | Perceptions | |
+   | Cognition | |
+   | Insight | |
+   | Judgment | |
+
+9. **Diagnosis (DSM-5)**
+   - Primary diagnosis
+   - Secondary diagnoses
+   - Medical conditions
+   - Psychosocial stressors
+
+### 5.4 Nursing Admission Assessment
+
+Complete within **8 hours** of admission:
+
+- [ ] Vital signs
+- [ ] Pain assessment
+- [ ] Fall risk assessment
+- [ ] Skin assessment
+- [ ] Nutritional screen
+- [ ] Medication reconciliation
+- [ ] Allergies verified
+- [ ] Current symptoms
+- [ ] Functional status
+- [ ] Sleep patterns
+- [ ] Safety precautions implemented
+
+### 5.5 Treatment Planning
+
+#### 5.5.1 Initial Treatment Plan (within 24 hours)
+- Provisional diagnoses
+- Initial medication orders
+- Observation level
+- Activity level
+- Diet
+- Laboratory/diagnostic orders
+- Consultation requests
+- Initial goals
+
+#### 5.5.2 Comprehensive Treatment Plan (within 72 hours)
+- Multidisciplinary input
+- Patient participation
+- Measurable goals
+- Interventions by discipline
+- Discharge criteria
+- Estimated length of stay
+
+### 5.6 Patient Rights and Orientation
+
+#### 5.6.1 Rights Information
+Provide and document receipt of:
+- [ ] Patient rights document
+- [ ] Grievance procedure
+- [ ] Privacy practices
+- [ ] Voluntary/involuntary rights specific to status
+- [ ] Right to refuse treatment (voluntary)
+- [ ] Advance directive information
+
+#### 5.6.2 Unit Orientation
+- [ ] Room assignment
+- [ ] Unit layout (exits, bathroom, common areas)
+- [ ] Schedule (meals, groups, visiting)
+- [ ] Rules and expectations
+- [ ] How to contact staff
+- [ ] Telephone use
+- [ ] Personal belongings policy
+
+### 5.7 Special Populations
+
+#### 5.7.1 Minors
+- Parental/guardian involvement
+- Age-appropriate assessments
+- Educational needs assessment
+- Child protective services notification if indicated
+
+#### 5.7.2 Geriatric Patients
+- Enhanced medical monitoring
+- Cognitive assessment
+- Fall precautions
+- Medication review for appropriateness
+
+#### 5.7.3 Forensic Patients
+- Legal hold documentation
+- Notification requirements
+- Security considerations
+- Court date tracking
+
+## 6. Documentation
+
+- FRM-MHI-001 Belongings Inventory
+- FRM-MHI-002 Admission Safety Assessment
+- FRM-MHI-003 Suicide Risk Assessment
+- Psychiatric Evaluation
+- Nursing Admission Assessment
+- Social Work Assessment
+- Treatment Plan
+- Patient Rights Acknowledgment
+
+## 7. Regulatory Compliance
+
+| Regulation | Requirement |
+|------------|-------------|
+| The Joint Commission | Assessment within 24 hours |
+| CMS | Treatment plan within 72 hours |
+| State Mental Health Code | Involuntary hold procedures |
+| EMTALA | Medical screening examination |
+
+## 8. References
+
+- State mental health statutes
+- The Joint Commission standards
+- CMS Conditions of Participation
+- Institutional policies
+
+---
+
+## Revision History
+
+| Rev | Date | Description | Author |
+|-----|------|-------------|--------|
+| 1.0 | [DATE] | Initial release | [AUTHOR] |

SOPs/Safety/.gitkeep

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+# Placeholder