- Substance Abuse Treatment
Our non-distinct, non DRG exempt inpatient psychiatric unit is licensed for up to 33 beds, and provides specialty care on a 24-hour basis. The units provide inpatient mental health care services to patients 18 years and older, who require inpatient psychiatric care and treatment, and/or stable medical detoxification for substance abuse. 3East or the Psychiatry Unit is located on the third floor of the East Wing of the hospital.
The most frequent diagnoses or conditions include, but are not limited to: Substance Abuse; Schizophrenia or Schizoaffective, Bipolar, and/or Personality disorders; Psychosis; Dementia; Suicidal ideations or gestures; Alcohol Withdrawal without acute delirium tremors. Patient Care interventions are supported by ancillary services in a collaborative manner and are requested/ coordinated according to hospital policy and procedures. Full-time ancillary services specific to psychiatry include social work and recreational therapy.
A Team Nursing Model is used as the method by which nursing care is delivered. A Multidisciplinary approach is utilized to develop and review the plan of care for all patients. Group therapy activities are coordinated and provided on the unit by professional staff.
Staffing needs are determined each shift by the Unit Manager, Shift Supervisor, and /or Charge Nurse. Staffing adjustments are based on census, patient acuity, staff competence and skill mix. This staffing plan is implemented to ensure that nursing care is provided to patients with particular attention to the diagnosis of the population served.
The Unit Manager and/or Shift Supervisor are responsible for preparing of the master patient assignments. Daily assignments are completed by the Unit Manager and/or delegated to the Supervisor or Designated Charge Nurse. Assignments are congruent with the practices outlined in the Psychiatry and Medical-Surgical Policy and Procedure Manuals. The policies and procedures reflect the degree of supervision needed for the individual patient, patient needs, technology etc.
The Psychiatry Unit utilizes current standards of practice to provide care in accordance with the North Carolina Nurse Practice Act. Patient care is monitored by ongoing Performance Improvement Activities. Performance is monitored through a multidisciplinary approach, and outcomes are communicated to appropriate personnel and committees.