FolksBtrippin BSN, RN

Psychiatry, Community, Nurse Manager, hospice

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All Content by FolksBtrippin

  1. FolksBtrippin

    Leaving my first nursing job before 1 year?

    Are you eligible for a transfer at this point? There's usually a minimum amount of time you need to be in a job before you can transfer. 6 months is typical. You may need to stick it out until then. I...
  2. FolksBtrippin

    Patient abandonment question

    If you snuck out of the building without telling anyone, that's patient abandonment. If you quit without giving notice, it's not. If you report that you are leaving for the rest of the day due to your...
  3. If you want to work in home care or hospice long term, I think it's fine to start there. You're more likely to get a position in home care. In my area home care agencies are beefing up their education...
  4. FolksBtrippin

    Depression screen

    My understanding is that PHQ 9 (or 7) is the only one you mentioned that really works as a screening tool for people not diagnosed with depression. I think the others are intended for determining...
  5. FolksBtrippin

    Cameras

    Good answer all around. Makes me want to clarify my position on this. I am a home hospice nurse, and my time in people's homes is limited. I'm usually there for an hour. I also am almost never...
  6. FolksBtrippin

    Further Education after LVN/not RN

    Do you want to further your education or do you want a new job / type of work? If it's a different kind of job, what is your aim? Do you want to not deal directly with patients? Work with people...
  7. FolksBtrippin

    End of life policy hospice

    My state allows MAID (medical aid in dying). We don't insert NG tubes anymore for any reason due to guidelines that placement should be checked with imaging. Our hospice policy follows the...
  8. FolksBtrippin

    Stunned by Potential Employer

    You dodged a bullet. That is an employer who doesn't respect you and sees you as personal property they can just kind of swap in and out to where they need. Best of luck with your job
  9. You shouldn't be working if you aren't at the point where symptoms are improving. Are your symptoms improving and no fever? If so, it's mask and hand hygiene like you're thinking. If you're working...
  10. That is a good example of what never, ever should be put in a chart.
  11. FolksBtrippin

    Cameras

    I understand. It is distrusting, but I don't blame them for feeling that way. They (or their loved one) are sick and vulnerable and that makes people defensive. Trust comes with time and sometimes...
  12. FolksBtrippin

    Needing Advice

    I worked psych straight out of nursing school because it was what I wanted to do. Now I work in hospice. It's possible to cross train after your first year if it's what you want. Psych ED is where a...
  13. FolksBtrippin

    Am I jeopardizing my license, or am I overthinking?

    It's not outside your scope to make treatment recommendations. That's what RNs do, in all kinds of settings. We don't prescribe medicine, but we do ask for orders that we think are
  14. FolksBtrippin

    Cameras

    I don't mind this. I think it's probably legal to do in their own home, right? I like it better when families let me know they have a camera on, but I always assume someone is watching me. My first...
  15. FolksBtrippin

    Is Nursing worth it? (a rant)

    I second this comment. So important to discover what your needs are, when to make compromises, what to let go and when to put your foot down. Shortages are regional. Where there are...
  16. FolksBtrippin

    Requirements for school nurses to change insulin pump site

    The behavior needs to be addressed. You said EBD, but not sure exactly what's going on here. It could be a way to self harm. It could be oppositional. This needs to be explored, an interdisciplinary...
  17. FolksBtrippin

    NJ LPN endorseme t

    The NJ BON is notorious for being slow and random. You need to call, wait on the phone, and they will "escalate" your problem and then you are discouraged from calling for another 2 weeks....
  18. FolksBtrippin

    Requirements for school nurses to change insulin pump site

    My thoughts: The child is in 6th grade which means he is 11-12. An 11-12 year old should be more responsible for his own insulin pump. He should not be purposely removing it. He should be taught...
  19. FolksBtrippin

    Returning at 62

    I work in hospice. I wouldn't say that it's highly competitive. The reason is that it generally pays less than the hospital. Have you tried applying to local
  20. FolksBtrippin

    cellphone while driving

    It didn't for me. I got two of those tickets in 2018. Paid a hefty
  21. FolksBtrippin

    Fire drill

    I was taught to close the fire doors and wait for rescue in a fire, not to evacuate my patients. Not sure if that helps
  22. A conversation about self care needs to start with the fact that self care only goes so far and will not fix a situation that is exploitative/abusive. If you are consistently being traumatized at...
  23. FolksBtrippin

    Philly New Grads!

    There are more than a few pediatric psych facilities that are hiring new grads, if you don't mind that specialty. CHOP
  24. FolksBtrippin

    New grad job question (part time or per diem)

    My first nursing job was a part-time position. It is doable. Per diem is really not, as someone else
  25. FolksBtrippin

    Feel misled

    What do I think? I think it is not a good fit for you. You have every right to quit with 2 weeks notice and go somewhere that is a better fit. I also think they should have given you way more...