UVM Medical Center changed its policy on patient observation. Some staff worry about patient safety.
Summary
UVM Medical Center changed its policy in June about how staff watch patients who might hurt themselves. The hospital now uses video monitors and fewer licensed nursing assistants (LNAs) as sitters, which some staff say could affect patient safety.Key Facts
- The hospital limits LNAs from working as sitters, who watch patients at risk of falls, wandering, or self-harm.
- Instead, the hospital uses remote video monitoring or designated observation staff for patient supervision.
- Staff say the new system leaves gaps because remote monitoring can confuse or scare some patients with psychosis or dementia.
- The hospital currently staffs 17 clinical patient safety attendants (CPSAs) per shift for all units and the emergency room.
- Nurses and LNAs have reported shortages and concerns that patient safety is compromised without enough in-person sitters.
- Two labor unions representing hospital workers sent a letter asking the hospital to pause the new policy due to contract negotiations and safety worries.
- The unions say the hospital does not always consider nurses’ opinions on observation practices under the new system.
- The hospital states it still assigns in-person sitters for patients at very high risk and says patient safety is a top priority.
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