Private Branch psychiatric hospitals
Mental Disorders / / August 12, 2017
Traditionally, psychiatric hospitals closed offices most typical kind.Branches are divided into male and female.Patients in these offices do not have the right of free entry and exit.Entrance doors are locked locks wagon type, the keys of which are available at all hospital medical staff.If necessary, go beyond the separation (in vneotdelencheskie offices for additional methods of research, in medical and employment workshops, a walk, and so on. N.) Patients must retain the staff.When the outputs of the group of patients is accompanied by several people, including one of the employees is required to be at the head of the group, and the other is the last.These precautions are necessary to prevent "escape" of patients from the hospital, and they commit any unforeseen actions.In particular, the described cases, when the motion on the stairs, patients with suicidal intentions tried to jump into the flight of stairs.
The department has chambers in which the patients are under the general supervision of the
number of personal belongings at the disposal of patients severely restricted;stabbing, sharp objects, matches are excluded.However, the patient's stay in the observation ward should not be long.The problem lies in the fact that all available means to achieve change in the patient's condition, which would take him out of this chamber.
Branch should be comfortable, but the excess furniture, clutter any unacceptable.The department has its own dining room, which in the absence of special rooms can also be a room for occupational therapy, and in the evening - a room for cultural work.
often provides for additional measures to strengthen safety: shatterproof glass panes of plexiglass;door of toilets and bathrooms need to be made so that, if necessary, could be easily opened staff.If you allow the internal architecture, basic nursing unit should be located in a place from which you can see most of the offices and the patients are in it.
Thus, in a closed compartment provides the maximum possible safety of patients due to enhanced monitoring.However, you must know that only by strengthening monitoring patient safety can be ensured even in the presence of active treatment and technical improvements in the architecture and planning department.
Another essential element is to be separation regime, aimed at all-round development of the activity of patients, involving them in useful activities, the distribution of responsibilities between the self-service, compliance with the order of the department.
third binding element is to establish close contact with the sick individual and group conversations with them, which allow not only better to know their experiences, but also to correct the wrong in their behavior, change the direction of their interests.
In closed offices goodbye patients with relatives organized on certain days and hours.During visits to the nurse assigned additional responsibilities.On the one hand, the relatives, the state interest in the sick, ask a lot of questions that need to be answered.On the other hand, the observation of the behavior of patients during visits, especially their reactions and relationships with attendees give a lot to the understanding of their mental state, as well as to assess the situation in which the patient can be discharged after.All these details should be seen as a nurse present during visits.
Finally, be aware that sometimes relatives, breaking the existing rules, pass the sick things that can serve as a source of danger, which, naturally, must be firmly rejected.All the important details about the last date should be recorded in a diary or reported to the doctor.