When I went into James room this morning I noticed that his tube feed was stopped and was only about 2/3 through.  I asked the nurse and she said,  "well.....let me tell you why!"  They started his breakfast at the normal time and peeked in on him shortly after,  all was well,  and they continued on.  Shortly after that one of the care aides just had a gut feeling that she should check on him.  He was on the floor!  There is some debate as to whether he slithered out between the rails or went over the rails.  General thought seems to be that he may have gone over the rail!  He is fine though,  and just after they found him he was laughing.  He had a quick x ray to make sure that he didnt dislodge his feeling tube.  He seems no worse for the wear.  The nurses and care aides though....are all in need of some sedation now!  Thankfully his bed was as low as it goes,  and now he has big foam wedges in the sides of his rails to hopefully stop any more escape plans!  I was bugging the physiotherapist this morning.  I told him, "One day you show a guy he can walk and the next morning he is crawling out of bed!"   He said "Hey I showed him how to walk not how to jump out of bed!"  Lol.  What a day!  He may be getting a bed alarm tonight too.