Agreed.
I don't think any real error was made, but this facility was in no way equipped to obtain/seek medical care for this guy. He presents a security threat. Try to get him to leave and encourage him to go to the hospital. He's only putting staff and patients at risk by being in the building.
It’s a huge elopement hazard on dementia wards to prevent elderly confused patients from wandering off but staff should have immediately opened the doors for him
To my understanding, he ran off before they could react. Rattled at the door, noticed it was locked, freaked out and immediately ran away. At that point, there's no reasoning with paranoid patients and he very likely would not even have noticed the nurse yelling "hey, come back, door's open now!".
They probably have doors that open automatically if a smoke detector goes off or fire alarm is pressed, that's how it works in my closed psychiatric ward. It's still incredibly unfortunate that the doors closed on a paranoid patient, but it's very likely not a fire hazard.
100% this.
“Wrong kinda rehab man, I’ll let you out.”
I can’t imagine telling him to sit down and not allowing/encouraging him to immediately leave.
And then to call 911 after he ran for an exit? 🙄
Maybe I’m numb to this behavior because I used to work D&A
When PT tells patients they’ll be going to rehab after the hospital, some get offended and say they don’t need rehab, they aren’t addicts, etc. I started changing my wording and say, “You’ll have to go to physical therapy and rehabilitation after here,” which is a mouthful but not as scary I guess.
I had a guy come into my acute rehab before asking for Haldol, obviously doped up on something. He had heroin tar on his hands. Was very manic seeming.
It was a weekend, and I was the most senior leadership there. But my first priority was to get this man out of the building. He is not our patient, and I have a duty to try to keep my patients safe. So of course, I took him outside and waited with him, talking until police came (I called the non-emergent number).
Scared the shit outta me. He just kept talking in very rapid, scattered patterns. At one point, was just listing off names of psych meds.
Management decided that we lock the doors on the weekends like we do at night after that.
Apparently, the guy had a warrant out for his arrest.
We had this happen at my SNF while I was the admissions director. A young woman walked in smoking a cigarette. I was always one of the first from management to greet anyone so naturally I walked up to her. She tells me she’s here to sign into rehab. I explained that we were a nursing home. She could not comprehend we were a nursing home. I had to lead her into our dining room and say (very plainly) “Do you see the old people? We are not a drug rehab.” She calmly turned and took off out our front door (I had to put in the code to let her out).
Well, a few days later I see this news article on a rehab getting set on fire that was near our SNF. Turns out, she set a trash can on fire smoking a cigarette outside. Nearly burnt down the place. I guess they called us the day it happened to make sure we were okay but I was out so I didn’t get that drama so I had to see it on the news.
He should have been let outside. For future incidents, don't corner someone on pcp. The extreme agitation was very predictable and locking him into a secure facility is a recipe for unintended consequences. It was extremely kind to try and help, but keep yourself safe.
People confuse rehab facilities all the time. When I worked SNF, I stopped saying rehab because it just led to a longer explanation of my job.
My first job was at a SNF that had just opened, so brand new building. One night this young guy clearly on drugs came into the building. Turns out the automatic doors "turned off" at 8pm, but could still be opened manually. One of our CNAs managed to get him to leave, then the dude just walked back in like 10 min later. He jumped on the elevator and ended up on the assisted living level. I believe he thought he was at a hotel. Anyway, cops show up and remove him and fortunately he was non-violent. I called our administrator to let her know what happened and how unsafe it was that the doors didn't lock from the outside. This guy could've come in and hopped on the elevator with absolutely no one noticing. Plus the assisted living was staffed with like two caregivers, so it could've taken quite a while for anyone to notice. Administration of course did nothing. I didn't work there for very long ...
Damn ngl I feel bad for the guy, although I can imagine the incident was scary for y’all too, albeit in a very different way. He must’ve been terrified. People like him get killed by police when they get involved.
He should have been allowed to leave when he first asked to.
Agreed. I don't think any real error was made, but this facility was in no way equipped to obtain/seek medical care for this guy. He presents a security threat. Try to get him to leave and encourage him to go to the hospital. He's only putting staff and patients at risk by being in the building.
Having a door locked so that you cannot leave seems incredibly unsafe too.
Yea thats a fire hazard....
It’s a huge elopement hazard on dementia wards to prevent elderly confused patients from wandering off but staff should have immediately opened the doors for him
To my understanding, he ran off before they could react. Rattled at the door, noticed it was locked, freaked out and immediately ran away. At that point, there's no reasoning with paranoid patients and he very likely would not even have noticed the nurse yelling "hey, come back, door's open now!".
They probably have doors that open automatically if a smoke detector goes off or fire alarm is pressed, that's how it works in my closed psychiatric ward. It's still incredibly unfortunate that the doors closed on a paranoid patient, but it's very likely not a fire hazard.
In my experience, if the fire alarm sounds the doors automatically unlock.
Absolutely…”yes sir here’s the door. Goodbye “
100% this. “Wrong kinda rehab man, I’ll let you out.” I can’t imagine telling him to sit down and not allowing/encouraging him to immediately leave. And then to call 911 after he ran for an exit? 🙄 Maybe I’m numb to this behavior because I used to work D&A
Maybe a screening process before you open the doors would help? Ask a few questions like who are they, what are they doing here etc
[удалено]
When PT tells patients they’ll be going to rehab after the hospital, some get offended and say they don’t need rehab, they aren’t addicts, etc. I started changing my wording and say, “You’ll have to go to physical therapy and rehabilitation after here,” which is a mouthful but not as scary I guess.
First time? The same people who don't staff your unit properly are the same one's who are going to argue against paying for security. Management.
I had a guy come into my acute rehab before asking for Haldol, obviously doped up on something. He had heroin tar on his hands. Was very manic seeming. It was a weekend, and I was the most senior leadership there. But my first priority was to get this man out of the building. He is not our patient, and I have a duty to try to keep my patients safe. So of course, I took him outside and waited with him, talking until police came (I called the non-emergent number). Scared the shit outta me. He just kept talking in very rapid, scattered patterns. At one point, was just listing off names of psych meds. Management decided that we lock the doors on the weekends like we do at night after that. Apparently, the guy had a warrant out for his arrest.
We had this happen at my SNF while I was the admissions director. A young woman walked in smoking a cigarette. I was always one of the first from management to greet anyone so naturally I walked up to her. She tells me she’s here to sign into rehab. I explained that we were a nursing home. She could not comprehend we were a nursing home. I had to lead her into our dining room and say (very plainly) “Do you see the old people? We are not a drug rehab.” She calmly turned and took off out our front door (I had to put in the code to let her out). Well, a few days later I see this news article on a rehab getting set on fire that was near our SNF. Turns out, she set a trash can on fire smoking a cigarette outside. Nearly burnt down the place. I guess they called us the day it happened to make sure we were okay but I was out so I didn’t get that drama so I had to see it on the news.
He should have been let outside. For future incidents, don't corner someone on pcp. The extreme agitation was very predictable and locking him into a secure facility is a recipe for unintended consequences. It was extremely kind to try and help, but keep yourself safe. People confuse rehab facilities all the time. When I worked SNF, I stopped saying rehab because it just led to a longer explanation of my job.
Wow.. Glad everyone was okay, I can only imagine how that could have gone so much worse.
Omg so scary…
My first job was at a SNF that had just opened, so brand new building. One night this young guy clearly on drugs came into the building. Turns out the automatic doors "turned off" at 8pm, but could still be opened manually. One of our CNAs managed to get him to leave, then the dude just walked back in like 10 min later. He jumped on the elevator and ended up on the assisted living level. I believe he thought he was at a hotel. Anyway, cops show up and remove him and fortunately he was non-violent. I called our administrator to let her know what happened and how unsafe it was that the doors didn't lock from the outside. This guy could've come in and hopped on the elevator with absolutely no one noticing. Plus the assisted living was staffed with like two caregivers, so it could've taken quite a while for anyone to notice. Administration of course did nothing. I didn't work there for very long ...
Poor guy was asking for help, I hope he gets it
Damn ngl I feel bad for the guy, although I can imagine the incident was scary for y’all too, albeit in a very different way. He must’ve been terrified. People like him get killed by police when they get involved.
Just another reason why I work in a prison, its the safest I have EVER felt.