Self Harm by CPAP

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  2. I'm as serious as a myocardial infarction!
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    About Davey Do, RN Guide

    Joined: Jun '10; Posts: 9,870; Likes: 39,898

    11 Comments

  4. by   cleback
    Judging by the overall noncompliance with cpap wear, I perhaps would be suspicious of a suicidal patient requesting one.
  5. by   CalicoKitty
    Electric cords. My hospital Psych unit removes the electric cords from hospital beds (if the Pt's have a medical need for them other than the standard mattresses). The door frames don't have the hinges like normal doors. Bathrooms have nothing that can be "hooked onto". No plastic bags (they even remove the plastic bags that cover pairs of disposable socks...). So, a Cpap has an electric cord plus the air tubing, so I guess both are noose risks.
  6. by   Davey Do
    Quote from cleback
    Judging by the overall noncompliance with cpap wear, I perhaps would be suspicious of a suicidal patient requesting one.
    Well, actually, cleback, the hospital does not supply patients with CPAP devices. Patients must bring in their own CPAP devices otherwise, they're SOOL.

    That's why the new policy states (in the verbal word only) that "all psych patients admitted on active CPAP were to be placed on a one to one status".

    For example, I worked the adult male psych unit last night. A newly admitted patient used CPAP at home, but did not bring it in with him. Therefore, he was not placed on a one to one status!
  7. by   Davey Do
    Quote from CalicoKitty
    Electric cords. My hospital Psych unit removes the electric cords from hospital beds (if the Pt's have a medical need for them other than the standard mattresses). The door frames don't have the hinges like normal doors. Bathrooms have nothing that can be "hooked onto". No plastic bags (they even remove the plastic bags that cover pairs of disposable socks...). So, a Cpap has an electric cord plus the air tubing, so I guess both are noose risks.
    Yes, we have the same sort of setup, Calicokitty; in fact, it's identical.

    However, patients on O2 per nasal cannula with those long hoses are exempt from the one to one status, as are patients who need to use the O2 concentrator with the O2 tubing and the electric cord.
    Last edit by Davey Do on Oct 7 : Reason: I an the king of typos!
  8. by   Davey Do
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  9. by   Davey Do
    Rapid Resolution of Intense Suicidal Ideation after Treatment of Severe Obstructive Sleep Apnea
    "Patients with insomnia may develop suicidal ideation; however, we know of no reports of suicidal ideation associated with obstructive sleep apnea."

    Eyeglasses Can Be Hazardous
    "Researchers found injuries related to wearing eyeglasses sent an estimated 27,000 people to emergency rooms in the U.S. during a recent two-year period. More than 1,000 of those injured by their eyeglasses were admitted to the hospital for further treatment for their injuries."

    It would seem more prudent to implement self harm precautions for those who wear eyeglasses compared to those who use CPAP!
  10. by   smf0903
    Or you could have a patient who shares their cpap with a family member (true story) and thus only necessitate 1:1 every other night of the week
  11. by   Julius Seizure
    Quote from CalicoKitty
    The door frames don't have the hinges like normal doors.
    How do the doors work then?
  12. by   Meriwhen
    We put any patient with a CPAP on a higher level of observation while they are using the CPAP. These patients don't require a 1:1 while using it unless they were a high suicide risk to begin with.

    And we're not just worried about the patient using it. There's also the concern that other patients may use all those lovely cords and tubes to cause harm to themselves and/or others. Even more reason to keep a closer eye on it while it's on the unit.
  13. by   Davey Do
    Quote from CalicoKitty
    The door frames don't have the hinges like normal doors.
    Quote from Julius Seizure
    How do the doors work then?
    The door hinge runs the entire length of the door Julius Seizure.

    Here's a quick computer sketch of what he BR doors on the psych units look like:

    br-door-png
  14. by   Julius Seizure
    Quote from Davey Do
    The door hinge runs the entire length of the door Julius Seizure.

    Here's a quick computer sketch of what he BR doors on the psych units look like:

    br-door-png
    Oh! What an excellent computer sketch! I learned a thing, thanks!

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