How does your hospital do it, and who does it? What's the apropiate distance that the staff must have from the patient? During nightshift while the patient sleeps, do they allow the staff to read a book or keep his mind busy?
From where I work it's one hand distance and is usually the assistants that do it. However I hear constant complains that the distance is too close, and that it's not safe for the staff. Another usual complain is on nightshift when they want the assistant to watch the patient, without doing anything else besides, filling the activity log, which must be documented every 15 minutes. I find this abusive, because they expect me to make sure they don't fall asleep, but then they don't want them to do anything besides staring at the patient for an 8 hour shift!!
Any online guidelines or a website explaining the 1:1 vigilance would be apreciated too!