Reply to Elderly woman died after carjacking near WHC in NW this afternoon, SUV crashed

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]I'm probably the only person on this thread who has actually worked inpatient psych at a **DC hospital**

Everyone listen up: because there aren't enough beds in DC, ever, the threshold for actually holding someone in practice is impossible to meet. Very easy to 1. confirm there are no beds in your hospital, then 2. check the system and confirm there are no beds at this moment in neighboring DC hospital then 3. have the on call psych do a consult and conclude that a hold is not warranted then 4. have the person hang around the ED with a 1:1 sitter for a while, in the event a bed opens up somewhere and another psych on-call consult is done.

Eventually, after making everyone's life hell while lounging on a gurney for hours ... the drugs wear off and/or the person is clear  enough to state they aren't a danger to themselves or others and off they go into the world.

The multiple ppl on this thread who think that intoxicated people get a FD 12 hold just because their parents tell the ED staff they desire one are clueless. [/quote]

Apparently she ran away before any of that could happen.  Even the 1:1 in the ER for a while might have been beneficial.

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A 1:1 in the ER isn't going to happen immediately. Hospital don't have staff just sitting around waiting to get assigned as a sitter. [/quote]

DP and it's unclear this person even made it past triage, let alone a provider assessment and subsequent order for 1:1 (which would/could only be based on clearly established suicidal or homicidal risk, or not just acting odd). While her subsequent actions clearly indicated she was a risk, it doesn't seem there was much evidence beforehand other than a vague description of acting erratic.

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