Quote from canoehead
It sounds like the paper gown was a bit much, and some iffy issues with a staff member screaming, or telling the pt she didn't know what to do. But it also sounds like a bit of manipulation on your daughter's part too and in your sympathy you are giving her the benefit of the doubt.
It is the "iffy" situations that concern us most...We are aware of the manipulation factor in anyone that suffers this type of behaviour, and although I'm sure there was a bit of that intwined in these incidents, we have repeatedly given the RTC the benefit of the doubt by allowing them to continue with our daughter for 4 1/2 months now. The screming incident is a perfect example of this.
She was able to cut herself when on SO...unfortunately it happens with very determined patients. I know of a woman on 1-1 who sat crosslegged with her back to the nurse and bit through her femoral artery- nothing could be done in time to save her. Your daughter successfully cut while on SO, so they upped the precautions.
The fact that they were caught off gaurd and had to up the precautions is not disputed at all by us. In fact I applaud it. But supposedly a search was done before her entering this room which lends creedence to meg's view of events. That she was allowed to enter her residential room after the search and without supervision.
They stripped her completely and put her in hospital clothes the next time. Unfortunately paper(?) but if thats what they use there probably wasn't a choice for the nurses on duty. I'm sure it was uncomfortable, and I wasn't there, but do you think your daughter might have milked the situation for effect? Were you cold without your coat? If they had given her a blanket it would have defeated the whole purpose of taking her clothes as there are lots of folds and ways to sneak and arm out and grab a sharp object if you are wrapped in a blanket.
They have the choice of the regular cotton gowns as well, because she has been in them before. I'm sure it was uncomfortable as well, I don't like those gowns when I see my doctor much less having to wear them in front of everyone including male staff. She didn't milk that situation, she seemed fine with it, it was myself who had the problem with it. And it was cold enough that she was shivering, and when I gave her my coat I was chilly, and I was in street clothes. I'm alittle confused by your last sentence. In the previous paragraph you told an unfortunate story of a woman who was successful at suicide using nothing but her teeth. Giving the all to common therory that we have heard of " well, if she really wants to harm herself, we can't stop her." Then here you take precaution of a basic such as a blanket to keep warm, while direct monitoring?
Male staff- not so cool- but with only one man and one woman scheduled they may not have had a choice, again, we would need to have more information.
Forgive me. Sometimes I assume that floor plans are simular for other RTC's as they are here. There are two sides with a staff station seperating the two wards C3 and C4. Meg was on C4 at the time and C3 had two female staff.
If a nurse was required to stay within arms reach I'm sure she was uncomfortably close, but it's her butt if something happens. Especially if she didn't know you as trustworthy from previous experiences. Could your daughter have asked you for a pen, or some gum in those little pop out packages, or could she have reached in your purse to get them? Both can and have been used to produce life threatening wounds in my experience.
Actually I was informed that eyesight was to be maintained. Not "arms length." We visit our daughter every other day like clock work along with her brother. Some of the other girls on the floor have kind of adopted us because of the fact that most parents don't visit as often if at all. It's sad. We are accute to anything that would produce injury and to notice signs in Meg's behaviour that signals this type of action. And I am her father, but nothing was in my coat but dryer lint.
Did you think to empty the pockets of your coat before you wrapped it around her? As a nurse I would have been very nervous about that one, and they were bending the rules by allowing you to do that.
There was nothing in the pockets. As for bending the rules, how would I know because as I have stated we have repeatedly asked for protocol and proceedures so that we may be familiar and have never been given anything but the papers that we signed to admit her.
Obviously I don't know you or your daughter, and I don't know what you've been through, but these are some possible reasons.
Thank you for the input here. I really appreciate it. It does help to kind of get an insight to all of this from the professonals point of view....
PS No hospital I know of will hand out copies of their policies on demand for liability reasons.
Why not? whos liability are they protecting? Mine or theirs? Liability should not be a concern unless they are not following their own policy and something happens, right? ie: allowing a cutter to purchase razors......etc.
But thanks again....