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Women wanders away from hospital room and dies

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by CoffeeRTC CoffeeRTC (Member)

CoffeeRTC has 25 years experience and works as a RN LTC.

5 Likes; 21,270 Visitors; 3,719 Posts

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Leeleesmom has 4 years experience and works as a Medical-Surgical Nurse.

934 Visitors; 10 Posts

If we had a 1:1 for all confused patients half our patients would have a sitter. We very seldom have a sitter and in the rare cases we do we have to fight for it and they can be taken away should staffing be short. At another hospital i worked at we had volunteers. Sitters would be the best defense but is unlikely to happen.

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Not_A_Hat_Person has 10 years experience as a RN.

7 Likes; 1 Follower; 37,358 Visitors; 2,891 Posts

At one of the hospitals where I had a clinical, they floated PCAs from units with a low census to other units as sitters.

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ChristineN works as a RN.

28,197 Visitors; 3,464 Posts

At one of the hospitals where I had a clinical, they floated PCAs from units with a low census to other units as sitters.

My experience with UPMC is that they are not that fond of floating staff. I think it has to do with their trying for Magnent status.

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2,345 Visitors; 118 Posts

at my hosp we have a pool of sitters, our sitter policy is so broad, if someone has a guardian they have a one on one, the other day we had a one on one to prevent elopement for a quadriplegic that was fairly alert and oriented but he gave guardianship to his brother for financial reasons because he was having problems with exectutive skills. also anyone who has ever been committed ever. we had a 45 y/o with chest pain r/o MI. apparently when a relative died when he was 21 he had problems dealing with that and was committed for 3 days in in like 1984 I think so he had a one on one sitter, he was alert, oriented and was his own guardian. of course any one with with a hx of dementia has a one on one even if they are essentially comatose. this can get frustrating because with a ward of 24 pts sometimes 5 meet the elopment criteria so our staff of 7 or 8 we subtract sometimes 3 (usually get a sitter or 2 from sit dept) and we might only have 3-4 staff to give total pt care for the other 19. watching a comatose person with a g tube that is 98 years old that has no chance of elopment for a 12 hr shift is like watching grass grow. some times the one on one can be take too far

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4,777 Visitors; 295 Posts

bed alarms if there is confusion and then one on one if they are out of bed

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12,715 Visitors; 1,785 Posts

I have had confused patients that remembered how to turn the bed alarm off..... I found him wandering, naked, on the far other end of our sister unit!!

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oneLoneNurse has 25 years experience and works as a Clinical Analyst.

6,438 Visitors; 613 Posts

Having just placed our dear old dad onto a locked unit at Sunnybrook, I can relate to this situation. Dad, 87 is failing. Sunnybrook put some sort of patch on his back that could track him.

We placed my father onto a locked unit for his safety. We expect staff to know where he is at all times. If a similar event were to happen to my father, I would be a proponent of taking the institution to the cleaners. Though, there would be no winners, as money can't replace my dad.

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3,576 Visitors; 58 Posts

I work at the 'other' health system in Pittsburgh. We have a system of paying NAs to sit. Since it's easy pay, there are usually lots of takers.

UPMC's reputation of gutting nursing is growing by leaps and bounds. Everyone I know who works at Presby advises RNs NOT to work there.

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1,024 Visitors; 9 Posts

I have a very close relative who works at that hospital. they blamed the hospital for cutting the sitters positions. the locks on the door to the upstairs were not in place due to work. one thing that upsets me is that the family did not come until they could get themselves together (take showers and get an attorney). soooo sad. that poor woman. :redpinkhe

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