Consistent errors with consents and ROIs. Multiple emails have been sent regarding proper protocol and requesting additional support/training on correctly completing these documents, yet the issues continue to occur repeatedly.Multiple new leadership staff in the role have been responsive to these concerns and have made consistent efforts to implement changes and provide guidance. There are periods where improvement is seen and documentation is completed more consistently however, the same issues often reoccurs the following month, resulting in incomplete consents and ROIs again. At this point, it may be helpful to further evaluate current workflows, staffing demands, and accountability measures related to the completion of consents and ROIs. Additional staffing support or a more structured system focused on ensuring accurate completion of these documents may help improve consistency and efficiency.These issues directly impact patient care, communication, and discharge planning. When patients transfer to the unit without completed consents or ROIs, delays occur because patients may no longer have access to their phones, may have difficulty recalling provider contact information, or may require parental support. This delays communication with schools, outpatient providers, and other supports involved in discharge planning.As a hospital, we consistently emphasize that discharge planning begins on day one of admission. In order for this process to be effective, support from intake is essential in obtaining accurate ROIs and provider information whenever clinically appropriate. Having this information early allows social workers to quickly identify which patients already have established providers and which patients may require additional support with referrals, care coordination, and linkage to services. This also helps social workers better prioritize their caseloads based on patient acuity and discharge planning needs, allowing more time and attention to be directed toward patients requiring higher levels of support. I understand that not every patient may be clinically stable or appropriate to complete ROIs at the time of admission. However, for patients and families who are able to provide this information during intake, obtaining it early can improve continuity of care, communication, and overall efficiency in care.

Putting security in intake 24/7. Patients are more acute and our safety is at risk.Overnight needs more support but that has been overlooked since Kara left. We used to have two clinicians and one tech overnight.

Raises would be positive. I also think that appreciating employees by admin is important.

Hospital leadership listening to feedback from other employees

Pay a comparable fare

Initiatives for staff to pick up on shortage days.

Better Budget for Dietary department

So much, too much to type

Pay your MHT more money to deal with super aggressive patients. WTH is $18-$20?! To be dealing with patients that sometimes wanna hurt you? That’s ridiculous.😡😡😡😡😡

Better staffing for the safety of our patients. Observing the techs we have (far too many are always getting in power struggles w/patients and are disrespectful to staff and patients) (the techs roll their eyes at you and make you feel like a burden when you need help for a body check and/or collecting vitals). Better screening for admissions. More security. Observing acute fall risks and staffing properly. Replacing equipment more efficiently (no working bladder scanner, having more than 1 Geri-chair, more wedge pillows, better wheelchairs/walkers/geri-chairs (most our faulty and don’t lock or work properly), better vitals machines for the unit, teaching staff on how to use a Hoyer lift (and again having on that actually works )