24 hour visiting

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    Help I hate my job now.. we went 24 hour open, my patients get no rest, we have no control people walking in on procedures in process and they think they own the place.. my husband was in as a patient a few weeks ago and from the patient standpoint he hated it too. said peoples cells were ringing all night and they were coming and going he couldn't sleep at all... what ever person came up with this is nutz... all we think about is making the family happy what about the patient and the staff.. we deserve to have some piece. No other job is like this... patient satisfaction scores... choose our hospital people don't come here because they want to.. they have to.. and dont get me wrong we treat our patients top notch.. but I am sick of catering to the family when my patient in the next room is crashing.. I was in a code not to long ago and the family of my other patient actually came to the room and asked me if I could pull up their family in bed.. our hospital didnt change the procedures we just push the button and let in everyone.
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  3. 14 Comments so far...

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    Our visiting hours aren't technically open, but they're technically not not open either...get it? On paper our hours are from 11am - 2pm and from 4pm to 8:30pm, but we aren't very strict on when people come in and when they don't. We usually take it case by case, family by family.
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    When I was a patient, the place might as well have been open. Nobody respected "visiting" hours and I couldn't rest to save my life. I was so happy to leave just to go home to recuperate, something I couldn't do in that expensive hospital room. Common sense seems to go out the window when the suits try to please everybody and forget that patients are sick, injured, or trying to heal.
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    Quote from ICU4U
    Help I hate my job now.. we went 24 hour open, my patients get no rest, we have no control people walking in on procedures in process and they think they own the place.. my husband was in as a patient a few weeks ago and from the patient standpoint he hated it too. said peoples cells were ringing all night and they were coming and going he couldn't sleep at all... what ever person came up with this is nutz... all we think about is making the family happy what about the patient and the staff.. we deserve to have some piece. No other job is like this... patient satisfaction scores... choose our hospital people don't come here because they want to.. they have to.. and dont get me wrong we treat our patients top notch.. but I am sick of catering to the family when my patient in the next room is crashing.. I was in a code not to long ago and the family of my other patient actually came to the room and asked me if I could pull up their family in bed.. our hospital didnt change the procedures we just push the button and let in everyone.
    Well said.
    daisy2daisy likes this.
  7. 0
    Quote from caliotter3
    When I was a patient, the place might as well have been open. Nobody respected "visiting" hours and I couldn't rest to save my life. I was so happy to leave just to go home to recuperate, something I couldn't do in that expensive hospital room. Common sense seems to go out the window when the suits try to please everybody and forget that patients are sick, injured, or trying to heal.
    This is an eye opener, coming from the side of the visited.
  8. 2
    It's all about patient satisfaction and "family-centered care" now. Seriously, there's a bunch of research blowing up on it. I think my last magazine from AACN might have had a research article on it.

    However, I stand firm that the ideal pt is intubated, sedated, and has no family.

    Where I work we have 24 visiting but it doesn't keep me from telling families that their loved ones need to rest. We also have a "2 or less" family members at one time rule in the ICU. Family cannot sleep at the bedside or they are asked to leave. I usually say things like "if your loved one is sick enough to be in the ICU, then they need rest." or "I know we don't technically have visiting hours, but these are glass doors and other patients are trying to sleep.". Overall, none of my coworkers or I have any complaints about it.
    daisy2daisy and amoLucia like this.
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    When I was in the hospital about 2 years ago i was having some heart issues and was in the telemetry unit/CCU step down and they had 24 hour visiting and my boyfriend could sleep over. I actually enjoyed it because I was in the hospital for a week and I was away from all other family and it was scary being the patient. But he was good when it came to test and doctor rounds he ask me if I wanted him to step out. But it can be a comfort to the patient.

    it could also help that my boyfriend is a cop and was in uniform hahaha
    Last edit by geekchic on Jun 26, '12 : Reason: had to add a second thought
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    If families are disturbing others, then ask them / tell them / demand that they tone it down. Call security if they refuse. Close your patient doors or at least most of the way. If they're nosing around, tell them to mind their own business. Open doors doesn't mean a 'free for all'. It's still a hospital, you're still the nurse, put them in their place. Nurses will always win!
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    Our hospital just recently went to 24 hour open visiting in the ICU. It is taking all the staff time to adjust. I can see where it is more satisfying for patients and their families. However, as with any change problems have arose.

    I feel the nurse still needs to be the patient's advocate. If the patient needs rest than it's the nurses job to politely communicate this to the family and friends. All situations are different and need to be handled as such. The staff need to keep in mind our goal isn't to make our job as nurses easier but to satisfy customers.
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    All our ICU's have 24 hour visitation, BUT that is for immediate family only. We only let 3 people in after regular visiting hours. If the visitors are being out of control, we warn them and then they get the boot. We tell them cell phone are to be off or on vibrate and if they need to speak on them, they have to leave the unit. We deal with parents wanting to touch, etc the babies all the time and you do have to be an advocate on their part. Like we tell some of them...how would you like it if you were sick and someone kept bugging you...bet you'd be mad!

    We have a visitation policy that we give to the main visitors (ie spouses, mothers, fathers, etc) they have to read it and then sign it. If they don't abide by it, their visitation is cut off.


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