i have been working in the er for a year now and i am completely baffled by my hospitals lack of willingness to stand behing a policy regarding involuntary holds or ga 1013 status for people that are a harm to self or others. when a ga 1013 is signed by the md, we then notify security and they are suppose to come to the er and sit in near vicinity of that room. as a nurse caring for sick patients i don't have the time, patience or energy to constantly check in on these people, many of whom are there only for "3 hots and a cot". the problem comes in when we have a elopement and everyone wants to point fingers about why it has happened but ultimately nobody realizes this could be a sentinel event if we have an elopement followed by a mass casualty or even a suicide!!! and of course the person that is ultimately responsible for the pt is the rn. so i need to hear some feedback or policies that you may have in your hospitals and how they are enforced because i feel like this is a very unsafe position for all the nurses in the ed and we are getting thrown under the bus!