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Discussion

microwave on psych unit

Does anyone have any comments/experience with having a microwave on an acute, intensive-care psych unit that staff are expected to heat food/beverages for patients? Particularly the safety aspect ie: hot things, angry patients. thanks

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It's far better for you to heat the food than the patients. (You can assess behavioral control as well as the temp of the food.) In an acute psych ward I wouldn't have a microwave that is accessible to patient's on the unit. (I know of a case where a sex offender heated a cup of cooking oil to near boiling and threw it in a staff members face. Luckily he had a tray in his hand which deflected most of the oil away from his face or he could have been blinded. He ended up in the burn unit.)

I have worked in psych units in hospitals as well as a free-standing psychiatric hospital on units for children up to Alzheimers.

Not one of these places had a microwave that was available for the pt to use themselves. All microwaves were either in a locked kitchenette or in the staff's report room.

I too think this absolutely a safety issue. I can imagine many ways in which a pt could use this to harm others or themselves.

I work at a psychiatric hospital as a float. Our PICU does have a microwave in the patient kitchen for them to use. In the year and a half that I have worked there we have not had any issues with it but I do see where it would be a concern. The patient kitchen does have a lock on the door and we have had to lock it inbetween meals for various reasons but not because of the microwave...yet.

Yep, a patient accidently started a fire in the microwave by cooking a packaged vending machine hotdog too long. Smoke alarms went off, and mandatory fire department visit. The microwave was ruined. I always worried about the coffeepot too.

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