Detox Units - page 2

I was just wondering... Anyone's hospital have an inpatient 72-hour medical detox unit? Ours does, but it seems to have a revolving door...that just keeps spinning! I know it was initially... Read More

  1. by   Nurse Ratched
    Quote from RNin92
    The director there has finally started refusing a few FF...but then we have to keep them in the ED until their levels are low enough to release them. If they have someone who can pick them up we can release them at that time, too.
    If we kept our FF's just until their levels were low enough to release, that's the point they'd start going into DT's. I've seen some of our folks getting jittery when their BA hits 200.
  2. by   RNin92
    Quote from Nurse Ratched
    If we kept our FF's just until their levels were low enough to release, that's the point they'd start going into DT's. I've seen some of our folks getting jittery when their BA hits 200.
    No kidding!!!
    Most of the chronics-their baseline IS 200.


    So here's the goal...decisional but still enough ETOH in the system to prevent seizures...
    It is such a bad situation.

    No answers here...only more dilemmas
  3. by   RNin92
    Quote from veetach
    we dont have an in house detox, ours is down the road, BUT we usually get them if their ETOH level is above .2 . If they come in to the rehab center with a BAC higher than that, they dump them ( sometimes literally) on our doorstep. AND then they have to sleep it off in one of our rooms for hours. When they wake up sober the next day they usually sign out and go home

    how dysfunctional is that?

    We do, however have a large behavioral health unit, (the only one in a 4 county area) so we get the mental health patients too. The problem with this is that it takes sometimes 4-6 hours for our crisis counselors to get authorization for admission from the insurance companies of a lot of these people and while they are waiting they are taking up ER rooms. what a vicious circle. We have a lot of repeat offenders in this area too.... its pretty bad when we know them on a first name basis.
    It's the same here.
    The crisis people come in quickly...it's the insurance authorization that holds everything up 3-4 hours.
    I don't get it...

    Medical screening for psych eval...emergent...hospitals cannot refuse to treat
    Mental Health TREATMENT...not emergent...hospitals CAN refuse to accept...based on insurance.

    Go figure.
    :uhoh21:

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