ICRA – Clinical Documents

ICRA Clinical Procedure

The ICRA Clinical Procedure is in final approval stages. The necessary clinical documents will be linked below when available.

ICRA Health Record Visual Indicator

• Paper document for use in health record/chart during current episode of care.
• Used for all clients who have an assessed risk for violence based on VAT score.
• Placed at the front of the purple sleeve.
• Transitional document that is removed and shredded/confidentially recycled at discharge or when the visual indicator is removed.

ICRA Client Pyramid Plan (CPP)

• Individualized ICRA care plan that identifies triggers, contributing factors and successful de-escalation strategies.
• Encouraged for all clients with an assessed risk.
• Information may include staff knowledge of the client as well as information obtained in collaboration the client/family.
• Placed/kept in the purple sleeve behind the Health Record Visual Indicator.
• Retained in the purple sleeve at discharge as part of the permanent health record.

ICRA PIER Guide

The PIER is intended to be used as a helpful conversation guide for staff and clients/families.

• It outlines the SHA’s commitment to violence prevention initiatives and explains the purpose of the visual indicators and Client Pyramid Plan.
• Includes workbook pages to help the client/family identify triggers, contributing factors and successful de-escalation strategies which can then help to inform the collaborative development of a Client Pyramid Plan.

Printing instructions: Select scale to 'fit to paper’ - ‘print on both sides of paper' and 'flip on short edge' to ensure margins and page orientation are printed correctly. If stapling and folding are options for your printer, you can select those from ‘properties’ or ‘more printer settings’