Our facility is considering changing how patients are monitored by MHT. I am now involved in part of the training for MHT and am making suggestions to management on how to improve care of our patients. Our patients are free to roam the facility 24/7, and have both day and sleep wings which are far apart. We have different observation levels, with staff assigned accordingly rather than patients being restricted. They have scheduled smoke breaks when pts are typically awake and later breaks occur upon pt request 24/7. If the milieu or a patient is of high concern, this setup changes based on nursing judgment (altho some MHT don't understand this and problems have occurred). Management really wants to reduce the use of seclusion, restraint, court-ordered meds, and emergency meds and we've been able to do that with this setup.
I would like to know how patients are monitored at other facilities and what documentation is done to show that patients are being monitored by MHT. I also would like to know what expectations pose difficulties for your MHT and what makes their jobs easier.
I would greatly appreciate any input and PM is available for anyone that wants more anonymity. Trying to remain anonymous, so requests for more detailed info about our facility will be available thru PM.
Thanks so much in advance!