All:
We are a CAH with a 6 room ED holding more behavioral health (BH) patients for longer periods of time. With only 6 beds in a small dept, boarders create disruptions with outbursts, low inhibitions & dysregulation to the department. We have developed a binder with a guide for our team to provide a structured environment. We recently implemented a BH architect designed SAFER room with a TV we can provide for boarders. We utilize tele-psychiatry and local crisis management teams as part of the care team.
When boarding patients for days pending placement we are looking for ways to facilitate the best environment we can given our limitations.
- Do any facilities "board" behavioral health patients awaiting placement? If so, please describe your process.
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Do any EDs allow for facilitated outside time (we do not have any courtyards) or exercise time. If so, how is this provided and do you partner with law enforcement or other services to facilitate?
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Do any EDs partner with PT, OT, music therapy, activities coordinator or other services to help make a more therapeutic environment? If so, what are you doing? Are the outside services able to charge for the care provided?
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What are EDs doing to account for productivity when having sitters?
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What are EDs doing to account for the time boarding to add to their productivity?
Thank you for your help!
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Christina Costello MS, RN, CEN
Director of Emergency Services
Mount Desert Island Hospital
Bar Harbor ME
207.801.5013
chris.costello@mdihospital.org------------------------------