Does your unit have to absorb the cost of sitters? - page 3

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... Read More

  1. by   Guttercat
    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.
  2. by   NBMom1225
    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!
  3. by   oinch97
    Wow, I wish we could use Posey beds where I work now. Our facility only uses them in psych areas
  4. by   RNperdiem
    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.
  5. by   MikeatFreedom
    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.
  6. by   xoemmylouox
    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.
  7. by   wooh
    Ugh. Enclosure beds SUCK.
  8. by   Esme12
    Yes.......they do.
  9. by   Ruby Vee
    Sitters and translators -- our unit sucks up the cost.
  10. by   turnforthenurse
    Quote from Esme12
    Yes.......they do.
    Where I work you need to make sure you get a physician's order to use this type of bed because it is considered a restraint.

    And also where I work, these beds have been pretty useful. We also have "low boy beds" which decreases the distance from the bed to the floor if a patient were to fall. These beds come with mats to put on the sides of the bed to cushion the floor. They also have a built-in bed alarm. Of course, even with all of these "measures" put into place, patients still fall.

    Our unit absorbs the cost of sitters. If we can't find an extra CNA or tech to sit with the patient, we have to pull one from our floor. On a rare occasion, if we have an RN on call and they are not needed on the floor, they will be called in to sit with a patient. If the patient has a family member, we always try to call them in to sit with the patient and they usually never make a fuss and this can really help us out.

    I have worked in other hospitals and they too had to pull a CNA/tech from the floor or from another unit to come sit with the patient.
  11. by   Esme12
    Quote from turnforthenurseRN
    Where I work you need to make sure you get a physician's order to use this type of bed because it is considered a restraint.

    And also where I work, these beds have been pretty useful. We also have "low boy beds" which decreases the distance from the bed to the floor if a patient were to fall. These beds come with mats to put on the sides of the bed to cushion the floor. They also have a built-in bed alarm. Of course, even with all of these "measures" put into place, patients still fall.

    Our unit absorbs the cost of sitters. If we can't find an extra CNA or tech to sit with the patient, we have to pull one from our floor. On a rare occasion, if we have an RN on call and they are not needed on the floor, they will be called in to sit with a patient. If the patient has a family member, we always try to call them in to sit with the patient and they usually never make a fuss and this can really help us out.

    I have worked in other hospitals and they too had to pull a CNA/tech from the floor or from another unit to come sit with the patient.
    These type beds have been reported and caused patient deaths. You ABSOLLUTELY NEED AN ORDER! They have their place but I have never liked them.

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