FolksBtrippin BSN, RN

Psychiatry, Community, Nurse Manager, hospice

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All Content by FolksBtrippin

  1. FolksBtrippin

    I'm crispy yo.

    I'm burnt out yo. I've had 4 (mostly per diem) jobs this year after being furloughed from my regular job... for a whole year. They finally called me back at my regular gig and I said no.......
  2. FolksBtrippin

    "Thank you for your service"

    I get uncomfortable when people thank me for my service for the sole reason that I do not know how I am supposed to respond. Like... "You're welcome" seems strange and everything else seems snarky. I...
  3. First off let me tell you that I have never worked in the OR and I know very little about circulating. But I'm chiming in because I have run into the problem of witnessing techs acting outside of...
  4. FolksBtrippin

    Experience treating patients with Munchausen Syndrome

    Its even less likely that a patient with this disorder would show up for mental health treatment. How can a medical nurse address factitious disorder while caring for a patient with...
  5. FolksBtrippin

    Medication Error in School

    Given that they wrote you up, suspended you and reported you to the board, did they also have a lab confirm that it was indeed trazodone? I hope this is an expensive lawsuit for these
  6. FolksBtrippin

    Experience treating patients with Munchausen Syndrome

    I don't think its impossible for medical nurses to help, just very tricky ?. Especially in the acute
  7. FolksBtrippin

    Experience treating patients with Munchausen Syndrome

    It's hard for a medical nurse to address the problem by building a rapport, because the attention you give as a medical nurse in the acute environment reinforces the behavior. As a psych nurse,...
  8. FolksBtrippin

    Got Fired From My First Nursing Job

    I've hit bone a couple of times, but I give a lot of IMs, and I frequently give them to squirmy and skinny people. Pts don't notice when you hit bone, it doesn't hurt more. You notice. You back off...
  9. FolksBtrippin

    My Experience of Trans Ideology and Nursing

    I'll stop you right there and clarify that I am not suggesting that gender has become or should become or will become a social construct. I am asserting that it is and always has been a social...
  10. FolksBtrippin

    My Experience of Trans Ideology and Nursing

    This is a good discussion to have even if it does get out of hand sometimes. I think we're missing some important pieces in this discussion. I think the discussion should start with the...
  11. You don't lose core nursing skills working in the
  12. I don't talk to the family member when that happens. I go straight to my patient and say "your mom called but she doesn't have your pin number. If you want us to talk to her please call her and give...
  13. FolksBtrippin

    Best practice for comforting embarassed patient?

    Don't hand the family soiled belongings. The patient should have control over what happens to their soiled belongings. If at all possible these should be washed on the premises. And by...
  14. You don't really have a gap in your employment. You were a community nurse. Are you asking for interview advice? If so, think about the following things before your interview. What...
  15. FolksBtrippin

    Is this reasonable?

    You're fine if you wear your PPE, 3 feet or 6 feet. If you feel like you can monitor just as well 6 feet away and that's where you're most comfortable, then I trust that you know best. Your...
  16. FolksBtrippin

    Looking for thoughts/opinions of experienced nurses

    Clozapine can cause life threatening neutropenia. You should hold clozapine for a fever, low blood pressure, low heartrate. I would have sent this patient to the emergency room. Was the...
  17. FolksBtrippin

    New Grad Contract — Enforceable?

    If you mean a contract that states you owe the hospital x dollars if you leave before 1 year, those are not legal to create in my state, and I don't think they are enforceable anywhere. I think...
  18. Wow! Incredible story. I hope it works out well for you. I would think that if your doctor clears you, you should be fine. But I have seen some nonsense. Incidentally, at my last assignment,...
  19. FolksBtrippin

    Patients Viewing Nursing Notes In Real Time

    I write every single note as if the patient is reading it while I'm writing it. And I work in psych. Quote the patient or family exactly, don't make value or moral judgments, facts only and...
  20. FolksBtrippin

    I'm way too scared to even start. I need help

    Getting fired is a tough blow to your confidence. It might help if you understand or face why you were fired so that you can make sure it doesn't happen again. What was the reason you were...
  21. FolksBtrippin

    Sexually assaulted at work

    Have you filed for workmen's comp? This is a workplace
  22. FolksBtrippin

    Asked To Change My Nursing Note...

    Your incident report was shredded? By the DON? Thats something I would take to the next
  23. FolksBtrippin

    I'm way too scared to even start. I need help

    It's been 1 and a half years, not 5 years. Your time in the clinic counts. That was nursing. It's a different kind of job than SNF but it's still a nursing job. Stop calling yourself dumb for...
  24. FolksBtrippin

    Asked To Change My Nursing Note...

    The most striking assessment piece that doesn't fit opioid overdose is the dilated and fixed pupils. You should see constricted pupils with opioid
  25. FolksBtrippin

    What if I'm not meant to be a bedside nurse?

    Please don't beat yourself up! You became a nurse at the most stressful possible time! You are succeeding in a neuro clinic. Please don't feel like a failure. You are a nurse. Be the...