FolksBtrippin BSN, RN

Psychiatry, Community, Nurse Manager, hospice

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All Content by FolksBtrippin

  1. FolksBtrippin

    Calling all hospice nurses

    I am a hospice nurse and I work on call at night as the runner. My shift is Monday to Sunday 5pm to 830 am for one week and then the next week I am off. It is totally unpredictable as sometimes I get...
  2. FolksBtrippin

    I have a medsurg stigma and can't get hired in any other specialty

    If you've put in for a transfer at your hospital after 6 years of good work you should get it. A conversation with your manager and with HR is in order. Have you o my been applying outside your...
  3. FolksBtrippin

    Drug screening policy in your area

    Wow upon return from vacation? That is really
  4. FolksBtrippin

    Drug screening policy in your area

    Many workplaces require drug tests as a condition of employment. It is not a screen, it's not legal to base an employment decision off a screen. A full test with chain of custody has to be done. I...
  5. FolksBtrippin

    Incompetent Pennsylvania Board of Nursing

    PA BON is definitely a headache. The good news is that they now accept compact licensure so if you have that, you don't need to
  6. FolksBtrippin

    Constipation Tricks

    Love this thread for all of the cocktail names! Opioids require a stimulant laxative on top of a stool softener. Otherwise it's all mush and no push. We use senna-S in
  7. FolksBtrippin

    Deathbed Visions of Children

    I am a hospice nurse and I can attest to the fact that people do see their dead family members. And even have long conversations with them, don't take their eyes off the place where they say they are,...
  8. FolksBtrippin

    Rapport with pts

    There are different philosophies on boundaries when it comes to recovery. I used to work in a community program for people with mental illness and addiction (not inpatient). I would never ask anyone...
  9. FolksBtrippin

    Social worker giving meds ?

    In NJ this is allowed in group
  10. FolksBtrippin

    Advice for dealing with addicts?

    I give prns as ordered if the patient asks for them. There is no benefit to making detox more uncomfortable for the patient. Wanting to feel better is normal. Asking for medications to feel...
  11. FolksBtrippin

    I feel like I hate the hospital

    Some nurses do hate the hospital, but I think it's too early to tell if you are one of them. Orienting to days and nights, and just getting your feet wet you are bound to feel overwhelmed and...
  12. FolksBtrippin

    Surviving a Performance Improvement Plan (PIP)??

    Agree with Rose Queen, for the most part, PIPs are not there to get rid of you, they are there to guide your manager, preceptor and you on what you need to do to improve. Read the PIP. Is it...
  13. FolksBtrippin

    How to respond to opoid addiction?

    I respond this way: Addiction is a complex illness that compels a person to take a drug they don't need even though it is harming them. Your mom needs the morphine and it's not harming her so...
  14. FolksBtrippin

    How to respond to "am I dying?"

    I'm a hospice nurse, so my answer is going to be some type of yes, almost all of the time, with a likely time frame. Because people need to talk about it. And they need to check their thoughts and...
  15. FolksBtrippin

    Wrongful Termination

    The company can contest your unemployment claim and they might, but as someone else said it will cost them money to do so, and they may know that they have no case. The burden of proof is on them that...
  16. FolksBtrippin

    To hold or not??

    I always give the long acting and only hold the short acting. If you're really worried about their blood sugar in the moment give them some juice. Holding Lantus makes the problems of chronic diabetes...
  17. My advice is to start slow to determine if you're really ready, and also build up your confidence if you are ready. I know you were already in school, is there a prerequisite you still need for RN, or...
  18. FolksBtrippin

    Why do dying people reach upward?

    When they can talk, they tell me they are reaching for the angels, or for God, for Jesus, for their mom, their spouse. One person turned to me and said "I can't go.” I said, "You can go.” She...
  19. FolksBtrippin

    Wrongful Termination

    It sounds like a terrible job. Long term care is often a nightmare. I am a hospice nurse and have to deal with these toxic facilities too, but not on a daily basis and at least I'm not employed by...
  20. You're in a tough position. My advice is to set some boundaries. Do you feel you have already learned everything you needed to from the shadow experiences? Are you sure you want the position? Do...
  21. FolksBtrippin

    Paid Orientation Question

    Call the local labor board. They should be able to tell you whether it's legal or
  22. FolksBtrippin

    Home health work from nurses home?

    Wow, I've never heard of this. As an ACT nurse, I gave injections in the car, and even in a fast food bathroom. But never in my home. That was psych
  23. FolksBtrippin

    Life Changes

    Thank you for sharing, you will be remembered here Viva. Many blessings in your
  24. FolksBtrippin

    Why is it so difficult to find a job!

    My first thought is to check what is happening with your
  25. FolksBtrippin

    Foley ordered for patient able to void on own?

    Calling to question a foley for a patient who is voiding on her own with 0 mL post void is a legitimate call, not at all like what's your favorite color. That should be obvious from the comments here....