FolksBtrippin BSN, RN

Psychiatry, Community, Nurse Manager, hospice

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All Content by FolksBtrippin

  1. 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...
  2. 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...
  3. 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...
  4. 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...
  5. 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...
  6. 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...
  7. 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...
  8. 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...
  9. 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...
  10. 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...
  11. 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...
  12. FolksBtrippin

    Paid Orientation Question

    Call the local labor board. They should be able to tell you whether it's legal or
  13. 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
  14. FolksBtrippin

    Life Changes

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

    Why is it so difficult to find a job!

    My first thought is to check what is happening with your
  16. 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....
  17. FolksBtrippin

    Foley ordered for patient able to void on own?

    To be clear my point was that you should always call the doc when you question an order. Obviously we don't question every
  18. FolksBtrippin

    Foley ordered for patient able to void on own?

    I'm not really sure what you mean by "at what point do you not question orders" I agree that not understanding something doesn't necessarily mean something is wrong. If the order makes sense to you,...
  19. FolksBtrippin

    Foley ordered for patient able to void on own?

    I agree. That's why I think you should always call to question an order. If the physician wants you to proceed then they can explain why, and you understand your patient
  20. FolksBtrippin

    We Must Demolish NP Diploma Mills

    Change my mind about what? You stated that a school that allows students to work through the program and a school that has active recruitment is a diploma mill. And I did not agree with that. And I...
  21. FolksBtrippin

    We Must Demolish NP Diploma Mills

    Educated and intelligent people do not use ridicule and insults to guide the novice members of their profession. Nor do they deride them, question their intelligence without basis, call them gullible...
  22. FolksBtrippin

    We Must Demolish NP Diploma Mills

    You probably don't need to practice as an RN before starting NP school. If NP school takes 3 years, then you have 3 years of RN experience before you become an NP. If you just came from a university...
  23. FolksBtrippin

    Unsafe situation LTC

    It's incredibly distressing to see how poorly LTC residents' pain is treated. Advocate for pain management. Like can she have a pain management doc? We in hospice sometimes get referrals like these,...
  24. FolksBtrippin

    Terrible Charge Nurse, I have to do his job!!

    For a patient reporting painful breathing, vital signs are the first thing to do, at least RR and SPO2; heartrate and temp should be quick and easy, a blood pressure may not be feasible. Do what you...
  25. FolksBtrippin

    Sit to stand lifts

    I wouldn't worry about losing your license over a lift. I would worry about getting hurt, like someone else said. If truly no one wants to do this, you need to have a convo with PT, the MD, your