She was seen talking to herself, minding her own business. I'm sure she talks to herself all the time, she is mentally ill. This is her daily life.
The police were called because she was talking to herself and making people uncomfortable. Of course she was confused. Police called ambulance. Ambulance brought her to us of course.
She was confused and agitated when they took her in the ambulance. So they restrained her. She arrived in restraints and on a hold.
When she arrived, we debated whether to keep the restraints on. Here's the thing: she weighed 300 pounds. If she got out of control, somebody could get hurt. Decided to keep two restraints on. She went to the bathroom soon after arrival. Spent too much time in there until I had to make her get out. Went back to the room and started pacing the room. After 15 minutes of asking her to lay down, she finally did.
OK, whew, at least she is under control. Security on watch. Let me start the restraint paperwork which means charting about 15 things every 15 minutes.
She continued to be agitated, trying to get up.Security and I spent lots of time trying to redirect her. I could tell she was in her own little world, talking to at least three other people. Eventually, I gave
her meds, not sedatives, anti psychotics. Didn't work. Finally talked the doctor into something to sedate her. She calmed down some. I took the restraints off.
She went to sleep. When she woke up, she would pace the room, try to walk out the door.
Of course, she would be admitted for about the 4th time in the last 6 months. Here's the thing: no beds available at our hospital. Getting a psych bed at our hospital is impossible these days. Of course there were no other psych beds in the city either. They were looking at a bed two hours away.
When Iest 12 hours later, she was still there, up walking back and forth in the room. She'll probably be there in the morning, pacing and talking to herself. This is the lot of mental health patients in emergency departments these days, waiting hours and hours, sometimes days for nonexistent beds.