I was called to the ED to assist with a patient issue. The patient had arrived in the ED, transferred from an outside hospital for c/o suicidal ideation and homicidal ideation. She was prepared to admit herself voluntarily to our psych unit, but would not do so unless her service dog could accompany her. A team was assembled to discuss whether the dog could be admitted; but due to the fact that it would be in the psych unit and no adult would be available to care for the dog, we advised the patient that reasonable accommodations could not be made for her dog. The patient was very upset and refused to be admitted. An involuntary commitment was being discussed when I was advised that Cheryl had very graciously volunteered to drive the dog to the patient's daughter's home. As no adult/family member or friend was available to deliver the dog, the only alternative would have been to board him and even the ability to do that was doubtful, due to area boarding requirements and fees. The patient immediately agreed to this plan, as Cheryl had been with her since her arrival in the ED and she was comfortable allowing Cheryl to take the dog to her daughter. The daughter lived in Centerville, Iowa, a 2-1/2 hour drive from Iowa City. Cheryl had already been working all day, would not be off her shift until 7:30 pm and would then leave with the dog. By the time she got back home, it must have been well after midnight.
Cheryl's offer to transport the dog resolved what was a very difficult situation for the patient and the staff. The patient was immediately less agitated and consented to the voluntary admit to the psych ward. The ED staff was relieved that the patient was happier and could be safely placed. The dog was happy to be taken home by such a wonderful and caring nurse.
Cheryl exemplifies all that a nurse, or really anyone, should be willing to go that extra mile, not only for her patients but for all those in the patient's life, even their four-legged friends. She is an example for all of us of the kind, compassionate, and giving spirit, we strive for here at UI Hospitals and Clinics.