We have a rapid response team at our facility, that family, patient, or nurse can initiate. Family and patient are instructed upon admission regarding the progress. I ALWAYs tell my patients this is to be used when you feel your voice is not being heard by nursing or medical staff. It is not to be used to be toileted, or fore a new pitcher of water. We have had this in our facility for I think over 3 years and it has been a life saver. We have never had a patient abuse this system. I personally have called 3 on my patients, all which were needed. These types of systems have saved numerous lives at hospitals all across the country!! Try to really embrace this at your facility. When you need to call one for the right reason you will see how great these systems are.