Meraki

Meraki

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All Content by Meraki

  1. Mental Health Worker / Psych tech

    Meraki posted a topic in Psychiatric

    Hi The facility I work in doesn't have either of thses disciplines as we have Child and Youth Counselors as staff on our unit. As part of a program review I am trying to compare staffing. Can...

  2. A big mess!!!

    Meraki replied to edisonnurse's topic in Psychiatric

    Hi, I also have never heard of EPS as a side effect of Ativan and we never really give cogentin to the kids as they aren't on meds (older antipsychotics) that would bring on side effects requiring...

  3. Privilges and other policies in adult in-pt acute care units

    Meraki replied to epg_pei's topic in Psychiatric

    if a patient is admitted involuntarily, do they receive permission to leave the unit unaccompanied for short breaks? ie smoking breaks no, the only exception is if a pt is involuntary for a long time...

  4. Pediatric/Adolescent refusal to take meds?

    Meraki replied to NewEnglandRN's topic in Psychiatric

    Hi Michelle I work on an acute crisis child/adolescent unit and this is something we run into on occasion. First we assess why they are refusing: is it paranoia/suspicion, is it related to stigma, is...

  5. Staffing levels

    Meraki replied to epg_pei's topic in Psychiatric

    Hi I work in a Canadian pediatric hospital. Our psych units (thanks to a commitment to care by our managers) have great staffing. Our adolescent unit is 1:3 and our children's unit is 1:2,...

  6. Animal Cruelty ' Therapy'?

    Meraki replied to Meerkat's topic in Psychiatric

    I must say I am a little alarmed by the responses referring to this child/youth as a serail killer waiting to happen and also to the proposed solution of locking him up. Perhaps my reaction to these...

  7. Recreational Drug-Induced Psychosis

    Meraki replied to Goodby5's topic in Psychiatric

    Hi Goodby5 I have worked on an adolescent inpatient unit for years and have seen quite a few drug induced psychotic breaks... the outcome varies. I have seen teens completely recover, often taking a...

  8. Crisis Unit: To lock or not to lock??

    Meraki posted a topic in Psychiatric

    That is the question. I apologize for the length of the post but I need your experience and expertise and want to make the situation as clear as possible. I work on a 15 bed adolescent acute care,...

  9. The 'frontline' worker

    Meraki posted a topic in Psychiatric

    I work on a psych unit that has a 50/50 ratio of RN's and youth workers. Historically we have collectively referred to ourselves as 'frontline'. Our management does not like this term and would like...

  10. Psych Software ??

    Meraki posted a topic in Psychiatric

    Hi I am just wondering if anyone is using software to do their careplanning. I am looking for a program that is specific to mental health and has the capacity to deal with both child and adolescent...

  11. Crisis Unit: To lock or not to lock??

    Meraki replied to Meraki's topic in Psychiatric

    well....things have progressed quicker than I expected. They unlocked the door yesterday! They were open to having guidelines in place...ie situations in which the door needs to be locked. I guess...

  12. Adolescent Crisis/Assessment Unit Programming

    Meraki posted a topic in Psychiatric

    Hi I work on a adolescent crisis/assessment unit. We are currently looking to revamp our programming (a combination of group and individual programs) Much of the programming currently in place is...

  13. Safety Policies

    Meraki posted a topic in Psychiatric

    Hello All I am currently reviewing the safety policies for the adolescent inpatient psych unit I work on. Any input any of you have on areas I should develop policies for OR if any of you have...

  14. Search and Seizure

    Meraki posted a topic in Psychiatric

    Just wondering what happens on your units.... If you are highly suspicious or have confirmation that a patient has illicit drugs, razor blades, a knife, a lighter or other serious contraband on your...

  15. 15 minute checks...worth using??

    Meraki posted a topic in Psychiatric

    I am currently in the middle of a discussion with my management team as to whether or not to keep close obs (15 minute checks) in our obs policy. On one hand they are useful for transitioning a...

  16. 15 minute checks...worth using??

    Meraki replied to Meraki's topic in Psychiatric

    suzanne...we do have a pretty intense obs policy for restraints...it's all the other times! elkpark...thanks for the great reply...i guess this problem has been around for awhile, your knowledge and...

  17. What are your common psych prn meds?

    Meraki replied to lovinghands's topic in Psychiatric

    for the first four years i worked on my floor (child/adol psych) every patient was admitted with standing prn orders for aggression - thorazine po/im 50-100 mg + 2 mg ativan, anxiety - ativan 2 mg and...

  18. Are Timeouts really Seclusion?!?!?

    Meraki replied to Tracyhbrn's topic in Psychiatric

    I work on a crisis child/adol psych unit. We have a time out/seclusion room (same room...voluntary / unlocked door = timeout, involuntary / locked door = seclusion) we use it only as a last resort....

  19. Safety Policies

    Meraki replied to Meraki's topic in Psychiatric

    Thanks Bjo and Hukilau Basically the reason I am taking on this project is that we have no written policies on the floor...scary...and there was recently a death and inquest at another facility near...

  20. new rules for canadian nurses

    Meraki posted a topic in General Nursing

    Hi i have a question.... Can someone explain to me what exactly I need to do to be able to work in California? (I am Canadian). Do I need to write the NCLEX?...do I need the new Visa Screen?... how do...