Published
I worked last night 3-11 shift, med-surg, and in my patient assignment was what is becoming known as our notorious room 315 where a patient was going through narcotic withdrawal, but had been in the hospital for a few weeks with a variety of serious physical problems. I know she was going through hell and had to be on 1:1 supervision, but her anxiety and outbursts were very difficult to handle. She had numerous psych problems before all this and the withdrawal has just intensified them. (There is a psychiatrist involved in her care and we unfortunately have no psych unit since administration closed it two years ago to make more med-surg beds.:stone )
In this same room 315 in the past year I have had three other patients who had the most challenging psych issues to deal with in my 10 year career. They were admitted for various medical reasons, but their incredible psych problems made for the most demanding, time-consuming, and nerve-wracking patients I've ever cared for. It made me wonder if there is a certain room on your unit where you seem to get the most challenging patients (or where codes or deaths frequently occur, for example) more than in other rooms.