Tigerlily8

Tigerlily8

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All Content by Tigerlily8

  1. 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...
  2. 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...
  3. 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...
  4. tpapn jobs

    From what I hear, UHS is TPAPN friendly. Good luck to
  5. 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...
  6. 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...
  7. MSN done

    Congratulations! I don't know you but nevertheless I am very proud and happy for
  8. 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...
  9. 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...
  10. 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
  11. 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...
  12. 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...
  13. 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...
  14. Transferring to another state

    Hi everyone, I have a question. I currently live in Texas and am a participant in TPAPN, the program for substance abusing nurses in Texas. I am getting a divorce and am unemployed so I am thinking...
  15. Positive Drug Test

    My greatest fear associated with TPAPN has been realized. I just found out my last uds was reported as "positive" for alcohol. I don't know if its just for a miniscule amount or not. I have requested...
  16. 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...
  17. Nurse recovery program question??

    Congratulations on your sobriety! I would suggest you look at the state recovery program guidelines. Find out how many 12 step meetings are required weekly then keep a written record. You can find...
  18. How to turn down a job I've already accepted

    Do not agonize over this, it happens all the time. Do let them know as soon as possible so they can start looking at other
  19. VA physical. Morbidly Obese (BMI 43) a problem?

    Hi CassyRN, You are wasting precious energy worrying about something that might happen. I suggest you come up with a reasonable plan to improve your health. Just get on the right track by making...
  20. TPAPN...ETOH and other questions

    It would be to your advantage to become vigilant. The testing methods used by TPAPN are very sensitive and if you test positive they will be unforgiving. Yes, its a nuisance and unfair but you will...
  21. TPAPN...ETOH and other questions

    Hi barbs23, If you are enrolling in TPAPN at some point you will download and print a bunch of forms, among them a list of prescriptions and Release of Information forms for all your health care...
  22. RN with stipulations

    I am in TPAPN and have been working in home health. Can you PM me for
  23. Home health has become too much!

    Does anyone know if it is legal in the state of Texas to withhold pay until documentation is complete? Is this a common
  24. Positive ETG

    I imagine it varies depending on which program you are enrolled. A while back i tested positive for for etg and TPAPN did not believe me. I was referred back to the BON and now my license is flagged....
  25. Resources for new Home Health Nurses

    I am an experienced RN but new to home health. Can anyone recommend a reference manual that would be helpful? My assessment skills are fine, i need help with documentation requirements, reimbursement...