The patient above has now settled into your acute bed in the

ED. Under observation, you note that he seems withdrawn and mute. However,

after a period of 2 hours, you are called to the bedside by the nurses. He is

pacing, shaking and looking anxious. He refuses to return to bed and is

requiring 2 nurses to hold onto  him.

They have repeated his observations. HR 90/min, BP 130/80, RR 18, SAO2 96% and

Temp: 36.8°C.

They are concerned that he is unsafe without one-on-one

nursing.

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