Methods and systems for door access and patient monitoring are described. The patient monitoring system includes a door access control system coupled to one or more doors of a facility for monitoring and controlling the access of patients coupled to a patient monitoring device. Whenever a patient coupled to a patient monitoring device comes within a predetermined distance of a particular door the door access control system transmits a first signal encoded with the door location data to the patient monitoring device. The patient monitoring device then transmits a second signal encoded with the door location data and patient identification data of the patient coupled to the monitoring device to the door access control system and a monitoring system that controls the door access and monitoring of patient within the facility. If the door coupled to the door access control system is in the open position when the patient is detected, the door access control system transmits a third signal encoded with the door location data to the monitoring system. The monitoring system then compares the door location data encoded in the second signal with the door location data encoded in the third signal before displaying that data at a master station for alerting facility staff.