Callan

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1. Psychiatric Trends

   Callan replied to Callan's topic in Psychiatric

   Thanks, Greg. I agree. I am in the midst of expanding my unit from a 28 bed to a 47 bed to be completed in the next 6 weeks. the county is privatizing these chronically mental ill patients which i itself is difficult. The CSP's(Community Support ...

2. Psychiatric Trends

   Callan posted a topic in Psychiatric

   Hi to all! I am a nurse manager for a 47 bed Behavioral Health Unit which is private, not for profit and is located in a fairly large metropolitan area. The county complex is closing units left and right due to decreased fundings at the state leve...

3. Restraints for acute patients...

   Callan replied to jojo's topic in Psychiatric

   To go back tot he gal who was questioning the need for restraints with someone in withdrawal, seizures, etc. We have, at times, had severe heroin withdrawal patients who are so confused and thrashing about while they have a peripheral line in for hy...

4. safety on an inpatient psychiatric unit

   Callan replied to Callan's topic in Psychiatric

   Since the last reply (feb) my department has become a Chapter 51 unit (In the state of Wi. this means we now accept involuntary patients from the county.) We have changed several policies, one being the visiting policy. We restrict visitors to 2 a...

5. safety on an inpatient psychiatric unit

   Callan replied to Callan's topic in Psychiatric

   JCAHO has never asked about the "list". They do ask what we do with our difficult population. They do not/have not asked about recidivism, ert. We have had our attorneys involved with some of these "do not admit" cases; however, we really need to ...

6. safety on an inpatient psychiatric unit

   Callan replied to Callan's topic in Psychiatric

   How can you get by with a "screening list"? We call it a "black list" but I always hear negatives about it. Is more than one visitor allowed to visit in this room? How many family members can visit with the patient? Do you have a policy for visitin...

7. psychiatric pathways

   Callan replied to Callan's topic in Psychiatric

   not really. I am initiating one for the detox arena(we are a combined unit-MH/AODA). I was wondering if the pathways work for psych. It seems to me they would be too individualized unless they were our chronics.

8. Providing Staff Coverage

   Callan replied to kate's topic in Psychiatric

   I have mandatory overtime for the unit as does the other departments in the hospital. For example, if someone from pms calls in, a day staff stays 4 hrs and a 3rd shifter comes in 4 hrs earlier.(unless someone volunteers) Management has approved a ...

9. safety on an inpatient psychiatric unit

   Callan replied to Callan's topic in Psychiatric

   That is a different way to look at it and I believe some of my staff see it that way; however, it still dosn't answer my question/concern about the contraband. Searches are done on patients--what about visitors? We can't search them. Another quest...

10. psychiatric pathways

    Callan posted a topic in Psychiatric

    anyone out there utilizing any clinical pathways for any of the psychiatric diagnoses?

11. safety on an inpatient psychiatric unit

    Callan replied to Callan's topic in Psychiatric

    The staffing problem has become a little better. Nursing administration has offered a bonus for those who pick up extra shifts as well as incentive bonuses for those who increase their FTE. There is a committment 6 mos up to 2 years. This has help...

12. safety on an inpatient psychiatric unit

    Callan posted a topic in Psychiatric

    I am a nurse manager for a Behavioral Health Unit. Recently, I have found a more challenging group of patients enter our unit. These folks usually have dual diagnosises and cause an increased rate of recidivism which is extremely frustrating for my...