My unit allows visitors from 10-2 and 4-8, with enforcement up to the discretion of the patient's nurse. Sometimes I am very strict with the hours; others, I allow family to come and go, generally, at will. We are a locked unit and the visitors have to pick up a phone to be admitted into the unit. If I am in the middle of my assessment, or I am cleaning a patient, or doing a complicated dressing change, the family has to wait. Generally, I allow them back. I absolutely do not allow them to stay the night unless the patient is actively dying. Our visitors' lounge has fold out couches and we provide blankets, etc. The size of the room does not allow for tons of people and me having complete access to the patient. I also find that I am often bombarded with questions while I am trying to assess, listen, pass meds, check neurological status, etc. I do understand that people have concerned about their loved ones -- I have been that family member wthoutna medical background -- but I appreciate the uninterrupted time that limited visiting hours affords the nurses. It is not selfishness. It is about being able to provide exemplary care without interruption. I had an intubated patient recently that the pulmonologist was trying to wean (albeit agonizingly slowly). Her family would get six inches from her face and shout, "Mom! Are you thirsty?!". Her resps would be in the high 30s and her heart rate would be well over 120. I would beg, insist, plead, that they get out of her face and just be a presence in the room and let her rest, to no avail. Fnally I made then leave from 2-4 pm, explaining that it was a rest period for patients and that they should go get lunch. They wholeheartedly agreed. Her VS were perfect while they were gone. They arrived promptly back at 4 pm, got right in her face and screamed, "Mom! We tried to come in but SHE wouldn't let us.". Patient's heart rate shot up promptly to 140 with resps At 36. Patient never was able to extubate.