The fire extinguisher is not just for show
I think you should try one day on yourself. Seriously. it's nothing like as you describe, which would be more on the level of a N/C at 15 LPM. You won't suffer any ill will. There are issues with 15 LPM (free radicals, etc), but it's more along the lines of "why are you doing something that won't actually help the patient?"I’ve heard being on 15 LPM on NRB is like sticking your head out the window of a moving car. That’s definitely gonna worsen a lot of patients conditions where they don’t need it whereas not putting a restraint on some psychs won’t necessarily make a lot of difference so it’s really not analogically the same
The question really becomes if a person wants helps, is willingly getting help, why are you treating the like a violent psych and putting them in 4 point restraints? imagine the impact on their already damaged mental status. Also, think of every psychiatrists/psychologists office: how many mandate that every patient they see is secured in 4 points?
I'm going to just ignore @Qulevrius for obvious reasons........
the shotgun approach, overly broad policies and knee jerk responses show, in my opinion, that the medial director doesn't trust the people under them to use their clinical judgement as to when they should or should not apply or utilize a particular treatment.my medical director i guess trusts me any my staff to, as you said, "Not shotgun everything". We view restraints as a treatment, with clinical criteria for such. Just making a statement that activates a hold isnt criteria for such, just as saying "i have chest pain" isnt automatically getting 15LPM NRB O2.
Thankfully, I have never had to work in a system with that type of medical director.
Anyone who has worked in this field long enough knows that company policy is looking out for the interests of the company first, not the provider and not the patient (unless they happen to line up with the company's interests, which isn't always the case)It is poorly written however it is implied as “these are the conditions when it is necessary: danger to themselves/others, 5150 hold, in PD custody”. Company policy backs it up.