GoAway2020

Anyone else have some insight?

This is how every nurse I work with sees it. But management claims the health district/CDC approves of this. The only way I could even potentially see that is under emergency circumstances where we have literally run out of places to house everyone. This is somewhat the case as the county is desperate to house these individuals and we do not have the space to provide each with their own room.

I'm an nurse in an inpatient detox in a larger city. Our facility is large and had many extra beds when COVID hit and so we "offered" them up to the county to be used as isolation for positive patients with nowhere to go. These patients have mild symptoms, if any, and must be self-sufficient in order to be admitted (e.g. independent with ADLs, compliant with medication on their own, walky/talky, etc.). We mostly have homeless patients, awaiting placement in a shelter or return to a sober home, etc. after their isolation period. We have the periodic pt. who does not want to return home to possibly infect family. Again, we are in inpatient detox facility with limited equipment (no oxygen, imaging, no CNAs - we use MHTs). The COVID unit is run by a single RN/LPN. It is voluntary to work. Nurses visit the unit approx. once every 2 hours for VS, meals, etc. There are no cameras. Pt's have their own phones in order to contact nurse if they need to. There are many questions that the nurses continue to ask. We are given inadequate answers or provided what we see as "the run-around." Firstly, men and women are housed together on the unit. Again, these patients are unsupervised for the vast majority of the day. Secondly, patients are co-mingling in shared rooms and a dayroom. Whether they are day 1 or 10 of isolation, they are all together. We've been told that the CDC approves of this but it seems wrong to discharge a patient as cleared when they were just standing next to/hanging out with a patient on day 1 of iso. Third, pt's have their own medications on the unit and are expected to comply with med on their own. We merely ask them if they have taken their meds. This has been explained to me as patients being completely independent as if they were at home, only we are providing to space for them. However, some patients do have narcotics on the unit and there's a risk of OD by themselves or other patient that may steal their meds. Fourth, the hospital is single-story and patients are able to leave via an emergency door which does not alarm. A number of patients have been caught leaving premises but I'm sure a far greater number have come and gone without anyone knowing. This also gives them easy access to contraband brought in from outside source. Fifth, patients have access to a smoking patio and are allowed to smoke (again, treated as if they were at their own home - well, except we take vitals on them, provide meds when needed if they don't have them, etc.). Nursing and admin have disagreed on whether or not we should allow smoking and have argued both sides of "well, if they were at home they could" and "In any other hospital, if you left the unit to smoke, they'd discharge you." I don't even know why I numbered these as there are a dozen more issues right on the surface. I guess I hoped it would make it easier to see the big picture and maybe answer the big questions. Are we doing this whole thing wrong? Are we completely out of compliance with CDC recs? Are we being negligent? I've researched a bit on CDC recs but it can get confusing and I'm honestly overworked and overwhelmed and just needed to reach out for some guidance, ASAP. I know some at my facility really do want to help the community with this service. I'm also sure many admin are just seeing money signs every time they see COVID on a referral.