This emergency/quick purchase was required due to a situation in which public health or safety was threatened.

Due to recent changes in the Joint Commission life safety policies in effective on July 1, 2018, and previous incidents where patients unscrewed tamper proof security screws, fasteners, spanners and use them to harm themselves. A behavioral health risk assessment was done on 8E psychiatry from the office of Environment of Care and the Director of Patient Care Services, Psychiatry. Their findings on suicide risk is as follow: "A suicide risk assessment was performed on 8E Adult and 8E Child Psychiatry on September 19 and September 30; each unit has patient beds. Each of the following areas were assessed by the team: Patient rooms (including the rest rooms), patients shared room, game room, classroom, common room, isolation room. ?All rooms (patient rooms, hallways, washrooms) need to have ligature resistance hardware (hinges, handles, locking mechanisms and chemical resistant. Currently not all doors, locks, handles and equipment in 8E are ligature resistance. For the safety of the patients and accreditation compliance, all patient access and relate doors and hardware need to be replaced.