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Tigerlily8

Tigerlily8

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Tigerlily8's Latest Activity

  1. Tigerlily8

    Facing my second major cardiac surgery in 3-years :(

    Hi, I am a former ICU RN who was born with a bicuspid aortic valve. I was unaware and asymptomatic until my late 50's when I also gained weight and became hypertensive. I had my aortic valve repair surgery approximately 5 years ago. I recovered quickly from the surgery. Unfortunately, I experienced a brief single episode of afib with rvr post-op and am on metoprolol for rate control. I feel like I am less energetic than before surgery but attribute it to the beta blockade. Aside from that, I had an uneventful recovery and have no activity restrictions.
  2. Tigerlily8

    Anyone selected to test right before discharge?

    I was selected to test approx. 1 day prior to completion and right before an approved trip out of town. I would have been finished with monitoring well before results were in, obviously a waste of my money. I called my case manager, not expecting much but she had the wisdom and graciousness to cancel the test.
  3. Tigerlily8

    Staffing Ratios

    Hi everyone, I am relatively new to psychiatric nursing and for decades worked in critical care areas with a 1:2 nurse:patient ratio. I am now employed at a for-profit acute care psychiatric facility with a 1:15 nurse:patient ratio. The PICU does have a 1:12 ratio. Is this common in behavioral health? We are now opening a unit that accepts medically fragile geriatric unit. Right now the ratio is 1 RN : 15 Patients. My opinion is that we are dangerously understaffed. We have no CNA's, lifts and only a few hospital beds. What is the norm elsewhere?
  4. Tigerlily8

    Diluted urine drug test!!

    I would not worry too much about a single dilute specimen. In my experience with the Texas monitoring program they only give you a hard time for repeated dilute specimens because then they assume the participant is deliberately trying to interfere with the accuracy of testing. Just do as you have been instructed. I have heard that a high protein snack about an hour before producing urine specimen will help to avoid a dilute specimen but do not know if that is true. I know it can be difficult to strike that balance, of course you want to be able to produce enough urine when you arrive at the lab and it is easy to overdo the fluids. Hang in there! This too shall pass.
  5. Tigerlily8

    tpapn jobs

    From what I hear, UHS is TPAPN friendly. Good luck to you!
  6. Tigerlily8

    First DUI. No hope. Help.

    I suggest you research the Washington state program for impaired nurses to get an idea of what to expect should you remain in Washington. I hear that California is one of the strictest states in dealing with impaired health care providers but have no first hand knowledge. Will it not be simpler to remain where you are? I am anticipating that you will have court appearances, DUI classes, community service etc that will need to be completed in the municipality where the offense was committed. Don't despair, you are not the first nursing student/health professional to make such a mistake. It will help you to be non-judgmental with your future patients.
  7. Tigerlily8

    TPAPN friendly employers in Austin?

    Hi ATXRN83, I reside in the Austin area and recently completed TPAPN. My first job in TPAPN was in Home Health. It was not really for me, I found it to be a difficult way to earn a living but it did allow me to circumvent the narcotic restriction. Another advantage was some control over my daily schedule and the opportunity to catch an AA meeting during the workday. I worked for 2 different Home Health companies, Jordan Health Services and HealthAtHome, and was offered a position by Encompass. Eventually, I ended up in Psych. Again, it is not an easy way to earn a living. The narcotic restriction should not be a big deal in Psych, I work in Psych now and really do not give that many controlled substances, mostly Haldol, Geodon, Zyprexa but with a sprinkling of Ativan and Xanax. I would suggest focusing on the smaller agencies and facilities. I must have applied for hundreds of positions @ Seton, Baylor Scott & White, St. Davids and the State of Texas to no avail. Among psych facilities, I have applied to Rock Springs many times without success. Best of luck to you. Are you able to PM me?
  8. Tigerlily8

    MSN done

    Congratulations! I don't know you but nevertheless I am very proud and happy for you.
  9. Tigerlily8

    should I just give up? DUI/ mental illness

    Hi, I urge you to be rational and creative in this decision. For example, try to calculate your future earnings as an RN vs whatever other skills you possess. Today RNs command a pretty nice salary compared to Liberal Arts, Communication graduates, etc. The barrier you are experiencing will only last a few years. How many years more do you expect to remain in the workplace ? Can you arrange to have a roommate or live with a friend or family for awhile until your income stabilizes? The program I am familiar with is TPAPN, the drug tests are $55 each, expect to be tested weekly in the beginning. There are a few other charges as well. Figure out how much you have invested in your nursing degree, Is it wise to set it aside?
  10. Tigerlily8

    should I just give up? DUI/ mental illness

    Please do not give up, you have come this far. In my opinion, your state BON will likely force you into their monitoring program. It is no fun, it is not fair but it is doable and only lasts a few years. I recommend you stay the course and try to find sources of income ASAP. If the BON does require monitoring then look for a job that fits their stipulations. I promise you, this too shall pass.
  11. Tigerlily8

    Hand sanitizers ... what do you use??

    When I was a TPAPN participant I used Babyorganics alcohol-free foaming hand sanitizer. The active ingredient is Benzalkonium chloride and is found in the baby section of supermarkets.
  12. Tigerlily8

    TPAPN and homehealth

    I have completed my TPAPN program but I did work in Home Health while a participant. One of the requirements was that I had to stop by the office every morning prior to seeing patients and then check in by telephone at the end of my workday. The agencies that hired me were Jordan Home Health and HealthAtHome. I was also offered a position by Encompass. Good luck to you! Eventually someone will offer you a job as well.
  13. Tigerlily8

    It's Official!

    I am happy to announce I have recieved my official Letter of Completion from TPAPN.It was frustrating, humiliating and financially devastating but at long last it is over! Thank you to all who have provided me encouragement and emotional support. To all the current participants in punitive, draconian monitoring programs: Just keep putting one foot in front of the other, the absurdity eventually comes to a close. I wish everyone the best of luck and patience.
  14. Tigerlily8

    It's Official!

    I am happy to announce I have recieved my official Letter of Completion from TPAPN.It was frustrating, humiliating and financially devastating but at long last it is over! Thank you to all who have provided me encouragement and emotional support. To all the current participants in punitive, draconian monitoring programs: Just keep putting one foot in front of the other, the absurdity eventually come to a close. I wish everyone the best of luck and patience.
  15. Tigerlily8

    TPAPN friendly employers in Austin?

    I suggest that you apply at the local psychiatric hospitals. Home health is also TPAPN friendly but if you don't have experience there is a steep learning curve and it is a difficult way to earn a living. Once you are assigned an advocate, that person may have suggestions. Are you able to PM me? I do not want to post my employer's name here.
  16. Tigerlily8

    Austin Area Support Group

    Hi Everyone, I am just wondering if there is interest in starting an informal recovering nurse support group in the Austin area. Maybe get together for coffee or a meal. PM me if interested. I am in my last year of TPAPN and I would have to say that lack of support from others in the same position is something I would find very helpful. TPAPN has been a hellish experience and is worsened by the loneliness and isolation.
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