If our psych ward winds up full, they get transfered to our floor (med-surg). Typically the psych patients we get are the ones that are going through the DT's, and there's only ONE doctor that does that.
They don't get a "sitter" it's up to the family whether or not they want to stay with them. I'm the float CNA on floor that can have anywhere from 20-35 patients, then 1 nurse for every 5-7 patients.
So when this patient that has been on Ativan for about 12 hours decides to take off down the hall in nothing but their underwear, me and his nurse have to take turns sitting in a chair in the doorway of his room, which is taking away from the other patients. It's either that, or he gets far enough down the hall to bust through the pediatric ward's doors
. Where's the orderly? On the psych ward floor, pretty much doing the same thing. :stone
A big issue of patient safety if there ever was one.
Which reminds me, we had a DT pt. not too long ago that kept walking out of his room out in the hall. The lady next door, who was very with it mentally, every single time she would get out of bed, she would walk out of her room and actually walk in to the psych pt.'s room and just STARE at him. This happened for about 30 minutes, until the nurse finally had to TELL her not to go into this person's room.
Just kinda angers me when there are 15 beds available in the psych ward and this one doctor will try to put any pt. he has onto a floor with children 100 ft away if he can.