General Adult Psychiatry is a 24-hour acute care unit
providing psychiatric care to a population of adult patients
experiencing acute psychiatric difficulties. Patients may be
voluntarily admitted to the unit on a temporary detention
order or commitment. Patients may require a medical court
order for medications or procedures.
Commitment hearings take place on the unit. Patients may
require some medical as well as psychiatric nursing
interventions common to the unit (e.g., symptom management,
milieu therapy, psychopharmacotherapy and assistance with
activities of daily living). Patients requiring telemetry or
chest tubes are excluded. Blood transfusions, peritoneal
dialysis and PCA are done on North 3 and require prior
contact of an on-site unit educator/advance practice nurse
or challenge level staff member for in
servicing/training/policy and procedure review.
The primary psychiatric services admitting to North 4 are
for schizophrenia, affective and dual diagnoses. Patients
from the medical psychiatry and geriatric psychiatry
services are admitted based on functional status and milieu
appropriateness. Bed utilization is based on the needs of
the patient and safety of the environment. Environmentally,
North 4 is modeled after traditional psychiatric units.
Patients may access staff through a wall-mounted call
Patients at severe or high potential for agitation,
self-harm, destruction of property, escape or harm to others
may be admitted to the North 4 General Adult Psychiatry
Unit. Patient's that have a high potential for violence
toward others are to be assigned to a private room. Forensic
patients and inmates are not admitted.