Does your unit have to absorb the cost of sitters? - page 2

by NBMom1225 6,148 Views | 23 Comments

Our 36 bed med-surg/surgical unit is always inundated with sitter cases, average of 4-6 per shift. If we can't get enough sitters, our techs are pulled to sit, leaving us short on the floor. What bothers me is that management is... Read More


  1. 1
    Has your unit tried net beds?
    Boog'sCRRN246 likes this.
  2. 1
    THIS is the main reason I am always burned out and getting somewhat bitter at work. We have sitter patients often too. We have a 32 bed unit and 3 CNAs. More often then not our CNAs are in sitter rooms and we (RNs) are stuck doing our work and the work of the 2 or 3 CNAs. Customer satisfaction is down lately and head honchos wonder why...
    Gee......I am ONE person and can only do 3 things at a time as an RN and you want to make me do the job of two people. Well tough cookies...I try my best but sheesh! it's getting ridiculous. Especially when I hear our hospital's parent company makes HUGE profits each year.
    wooh likes this.
  3. 0
    We always jsut take aides from the floor to be sitters.
  4. 0
    Our hospital just got rid of sitters.

    If the floor needs a one-on-one, a CNA is pulled and the rest pick up that CNA's patients.

    It's like 1993 all over again.
  5. 0
    Thank you everyone for your responses, at least I know I'm not alone! Our floor gets all the ETOH's, elderly post-fall patients, suicides (real 1:1's...but we cohort the others when possible).

    Last night was a prime example...6 sitter patients (were able to cohort that down to using 3 sitters), 6 bed alarm patients, 2 in restraints, and an additional patient in a Posey bed...we were short a PCA, RN's and PCA's all pitching in to relieve sitters for breaks, and what happens?? A confused LOL fell and was found on the floor after staff heard a thud, right after hourly rounding occurred, even though all the usual appropriate deterrents/reminds were utilized...it just doesn't stop!

    Managements 'new' idea is to d/c the sitters (where 'appropriate') and put them all in Posey beds...apparently Posey beds don't come out of the unit budget! Aren't we supposed to be using the 'least-restrictive' options before jumping to restraints?! Not to mention the bulk of our patients would NOT be appropriate for a Posey bed, it would increase their agitation and they could harm themselves/pull out their IV's/Foleys etc attempting to get out.

    All I know is that this unit is burning me out...I would really love a phone triage RN job right now, lol!
  6. 0
    Wow, I wish we could use Posey beds where I work now. Our facility only uses them in psych areas
  7. 0
    Sigh...
    The purpose of sitters was so restraint use could be minimized, and even eliminated.
    I started nursing when restraints were more freely used, and it looks like your floor is going back full circle.
  8. 0
    More and more facilities are re-visiting the use of Enclosure Beds in place of Sitters. This is a viable solution when facilities are "stuck with the cost of a sitter". A recent Enclosure Bed company recently received FDA Clearance for its Enclosure Bed product as a less restrictive, restraint option. This product will also meet CMS requirements for less restrictive devices. I believe this product is better than another alternative which is chemical restraints. Facilities have the option to purchase or rent this product. With the average cost of $16 an hour for a Sitter (X 24 hours a day = $384.00 day) - an Enclosure Bed saves money (average is about $50 day). I know of several rental companies that offer this product as well as manufacturers who will sell it.
  9. 0
    Enclosure beds have their purpose, but it sounds like they are being overused. Patient safety is a risk in those beds, not to mention they get so filthy. I wouldn't want to be zipped up in one.
  10. 0
    Ugh. Enclosure beds SUCK.


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