Psychin'it

I'm on adult inpatient psychiatry and detox. Most patients are self care, but we do get the occasional incontinent patient that need total care. IV fluids and antibiotics are allowed but no pushes. It's infrequent, because they need to be on 1:1 observation, because it's a strangulation hazard. We get some pretty significant wounds that we have to care for. We do a lot of EKGs, but no tele. Lots of insulin. You have to be very alert because psych patients have a lot of medical comorbidies that can be written off as psych issues until they become severe. Some patients are very somatic and complain all day every day, so you have to be very observant to pick out the real problem. Also, delusional patients and delirious or hypoxic patients can look very similar, so you have to keep close tabs on their vitals.