Dear Boss:
Yes, after a recent meeting in which the nursing staff was errantly dressed down by management for flagrant patient violations of house rules, here's what I'd do if I ran the Hotel Rehab.
1. Yes, bring in the guys in the uniforms (our security force) and make them lay down the law.
Rule: you break it, you buy it, which means as soon as you can, you're outta here, pal.
2. Have psychology work rotations 24/7 on call. What a pain it is to have no support at odd hours when you need it. Psych's busy enough with all the commitments, suicidal ideations, etc. Come on down and peel this "not sick enough for psych" character off the ceiling so I can do my work. And stop the groper from groping my fellow staff members.
3. Really discharge non-compliant patients. You're perfectly competent, but choose to disobey rules and make yourself sick enough to require emergency care? Out you go...
Just my two cents. Maybe it'll stick if I repeat it enough.
Yours truly,
RehabRN