It appears 3 hot's and a cot is now universal and not just to locality. The homeless are using our hospitals as hotels. They receive 3 meals, snacks, excellent health care, and expect us to be at their beck and call. They usually threaten Suicide to enter our facility. They can be our worst nightmare. Sometimes they threaten to report us to administration, or a state agency. They attempt to dictate exactly which medications should be prescribed, which almost always includes, Xanax, Ativan, Valim, Oxycontin and the list goes on and on. They demand we take their vital signs every 10 minutes, when they fall below
prescribed perimeters for their safety. Here in Florida, we also have winter homeless. They only come for the season. This is fraud. They use our tax dollars illegally, and no one reports it. We are dedicated to caring for the psychiatric patient, that isn't high on cocain, heroin, marajuana, ectasy, xanax bars, or taking opiates, and the list goes on and on. Also, our average inpatient stay is approx 3-4 days, but they usually say they're not ready for discharge, because they're still suicidal. They refuse to go to a homeless shelter. However, when it's the first day of the new month, they achieve a miraculous recovery to collect their checks and spend money on their self prescribed "medications", not those prescribed by their physicians.