EponaRN

EponaRN has 2 years experience and specializes in Psychiatric.

Latest Activity

1. Internal transfers- your thoughts?

   EponaRN replied to beeker's topic in General Nursing

   If you live in fear that you may be written up when you've done nothing wrong, you will only start to become bitter and someone will suffer. If it isn't your spouse, family, patients, it will be you. Utimately you should go for your dream job becau...

2. Is this restraint issue a dilemma that can go to the ethical committee?

   EponaRN replied to J-Swish's topic in General Nursing

   Unless they are suicidal or homicidal you don't have a legal basis to keep them under a treatment director's hold which is what you would need and in order to start that the patient has to request an AMA discharge first. Otherwise our docs would let...

3. Is this restraint issue a dilemma that can go to the ethical committee?

   EponaRN replied to J-Swish's topic in General Nursing

   If it "might" have been drug withdrawal, what kind? Unless alcohol or benzo withdrawal it isn't a medical emergency and you don't really have to keep them. Then you get into competency and capacity issues for ability to accept and agree to treatmen...

4. Is this restraint issue a dilemma that can go to the ethical committee?

   EponaRN replied to J-Swish's topic in General Nursing

   There is not enough information here to make an informed decision on a message board. Kind of a "had to be there moment" it seems. How old is this patient is the first thing I'd ask, what is their reason for admission, why do they have a foley, IV,...

5. Racking my brain for this 14 year old patient, can't get her case off my mind, help?

   EponaRN replied to EponaRN's topic in General Nursing

   To answer a few questions this is a Psych hosp only axis one is depression and SI w plan r/o Ptsd. Med doc started hctz 12.5 qam but no further testing ordered at this point. I put her on strict I & O with RN to assess hat contents. If bp doesn...

6. Racking my brain for this 14 year old patient, can't get her case off my mind, help?

   EponaRN replied to EponaRN's topic in General Nursing

   As far as cuff size we tried multiple machines and stuck with manual just to be sure it wasn't a human error or machine error, in fact we had three different people take it about an hour apart just to be sure. She denied pain and I suppose stress co...

7. FINALLY!! I am an RN!!!!!!!!!

   EponaRN replied to NayD_RN's topic in General Nursing

   Welcome to the club! Enjoy it now!

8. Racking my brain for this 14 year old patient, can't get her case off my mind, help?

   EponaRN replied to EponaRN's topic in General Nursing

   sorry I should clarify, she's denying strange urine color, I hadn't been able to observe it.

9. Racking my brain for this 14 year old patient, can't get her case off my mind, help?

   EponaRN posted a topic in General Nursing

   I work in an acute inpatient Mental Health hospital and last night I was on the Adolescent Unit and this case caught my and the Charge RN's eyes. 14 year old African American female, sickle cell trait, normal weight, normal ECG, low MCH &MCV, h...

10. Wisconsin has gutted Medicaid, no mandated ratios!

    EponaRN replied to EponaRN's topic in Activism

    I am not trying to take an "anti-Walker" stance or tax stance on anything. I am talking about the real threat of cutting large swaths of funding to hospital systems that get MOST if not all of their funding from the very source getting cut and what ...

11. Wisconsin has gutted Medicaid, no mandated ratios!

    EponaRN replied to EponaRN's topic in Activism

    Not sure I gave the impression I cared about the administration making money, I thought I was talking about patient safety and the real possibility of it being threatened by too much too soon cuts to funding. You kind of just made the point I've bee...

12. Wisconsin has gutted Medicaid, no mandated ratios!

    EponaRN replied to EponaRN's topic in Activism

    Your opinions on taxes aside, care to answer my question on patient safety being potentially impacted by cutting an exorbitant amount of Medicaid in rural and urban areas of my State that will have to figure out how to manage with the less money (the...

13. Wisconsin has gutted Medicaid, no mandated ratios!

    EponaRN replied to EponaRN's topic in Activism

    Yes but your system has been in place for how long? This is radical change that is happening in this State not incrementally but immediately once the new budget starts in June. While we can probably get there, there will be a lot of I fear, death a...

14. Wisconsin has gutted Medicaid, no mandated ratios!

    EponaRN replied to EponaRN's topic in Activism

    he was the county executive that oversaw the complex and the behavioral health department before becoming governor.

15. Wisconsin has gutted Medicaid, no mandated ratios!

    EponaRN replied to EponaRN's topic in Activism

    My reason for concern is the mismanagement of the Milwaukee County Mental Health Complex under Scott Walker that went seriously understaffed, CNAs were cut leaving RNs to have to pick up extra shifts and overtime. This got so bad one patient in part...