EponaRN

EponaRN

Psychiatric

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All Content by EponaRN

  1. Internal transfers- your thoughts?

    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. 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. 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. 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. 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...
  6. 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...
  7. 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...
  8. FINALLY!! I am an RN!!!!!!!!!

    Welcome to the club! Enjoy it now!
  9. sorry I should clarify, she's denying strange urine color, I hadn't been able to observe it.
  10. So with all the craziness befuddling many Wisconsinites lately a new tightly kept secret was finally brought to light. Governor Scott Walker has not only gutted Badgercare (Wisconsin's Medicaid) which many farmers rely on as well as low income and b...
  11. Wisconsin has gutted Medicaid, no mandated ratios!

    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 ...
  12. Wisconsin has gutted Medicaid, no mandated ratios!

    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...
  13. Wisconsin has gutted Medicaid, no mandated ratios!

    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...
  14. Wisconsin has gutted Medicaid, no mandated ratios!

    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...
  15. Wisconsin has gutted Medicaid, no mandated ratios!

    he was the county executive that oversaw the complex and the behavioral health department before becoming governor.
  16. Wisconsin has gutted Medicaid, no mandated ratios!

    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...
  17. Wisconsin has gutted Medicaid, no mandated ratios!

    Really because my url even says nursing-patient-issues? Obviously that is a fight I will gladly take on, however I am wanting to discuss the potential harm that can happen to nurses and patients alike if reduced funding, which will reduce nursing sta...
  18. Wisconsin has gutted Medicaid, no mandated ratios!

    I'm for a national and higher sales taxes, or consumption taxes, as it would be since those who are in the top 1% don't receive an income they don't pay taxes on their wealth (which is why Dems want estate tax), they are called a leisure class for a ...
  19. Wisconsin has gutted Medicaid, no mandated ratios!

    This is not an idea I've heard of yet and if you could ensure that hospitals and pharmaceutical companies were honest in their pricing, then I'd be for it. I am a small business Capitalist, as it may be a surprise to those that have probably pegged ...
  20. Wisconsin has gutted Medicaid, no mandated ratios!

    Sigh, I didn't bring up taxes, I also kept repeatedly saying "this isn't about taxes" so once again "this isn't about taxes" This is why I brought it up on the Patient Safety thread. Funny how my non-Nurse Economist husband can understand how I am...
  21. Wisconsin has gutted Medicaid, no mandated ratios!

    whoa knee jerk reaction, i was trying to find out your frame of reference not insult you.
  22. Wisconsin has gutted Medicaid, no mandated ratios!

    Quick question, what is the max number of patients you have had to care for?
  23. Wisconsin has gutted Medicaid, no mandated ratios!

    Please cite this because according to those who actually study Economics, small business and new businesses create jobs. You are willing to pay more taxes then? It will happen eventually, cannot kick the can of crumbling infrastructure, failing sch...
  24. Wisconsin has gutted Medicaid, no mandated ratios!

    It is only "free" to people who are below the federal poverty line, many people pay into the system premiums because they cannot afford insurance in the marketplace. Many farmers rely on this and even some nurses who work 2 part time jobs who do not...
  25. Wisconsin has gutted Medicaid, no mandated ratios!

    Here's the thing, you can make cuts but the drastic cuts that were made were not thought through. Also, why then give away tax breaks to Corporations? I find it ironic that one cannot step outside of the political points on this and see this is not...