I have served as a psychiatric mental health nurse for 40 years with a myraid of populations including children, adolescents, young adults, adults and older adults. I have worked as a frontline staff member, educator, utilization review nurse, case manager, intake coordinator, house supervisor, nurse manager, and psychiatric emergency team member. Currently, I work full time as the senior team coordinator for a bachelor’s of science in nursing program and teach mental health at the undergraduate and graduate level. I also facilitate clinical groups each semester in a 150 behavioral health setting and teach psychology at the undergraduate level. In addition, I continue to work in the department of nursing (education and professional practice) on special projects including the guidelines of care and practice change alerts. Fifteen-minute checks are just one of many interventions often utilized when a patient expresses suicidal ideation or intent or is assessed to be at risk for suicide. Locked inpatient units generally perform fifteen-minute checks on all patients on the unit. An actively suicidal patient often requires a locked environment, increased nursing ratios due to patient accessed acuity, 1:1 observation, more frequent contact, and use of a suicide observation room for sleep, among other things. The registered nurse assigned to that patient is directly responsible for that patient for the specified shift. If a behavioral health associate, certified nursing assistant, or licensed vocational nurse completes the fifteen-minute check, it is still the primary registered nurse’s responsibility to ensure the checks are done in a timely, professional and efficient manner. In my crisis prevention courses, I teach participants to make direct contact with each patient during each fifteen-minute check by noting their location, behavior, attitude, comments.