Whispera MSN, RN

psych, addictions, hospice, education

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All Content by Whispera

  1. Whispera

    Would keeping my own birth book be a HIPAA violation?

    Why do you want or need to do
  2. Employers sometimes search online to see what potential employees are up
  3. Whispera

    Should I have turned the LVN in?

    I don't know of places that hire "nurses" without verifying their licenses before hiring, or shortly afterward. If the facility this person works for didn't verify, they aren't doing what they...
  4. Whispera

    "I just can't help you..."

    Alprazolam BID probably isn't often enough--it doesn't last 12 hours--nowhere near! Also, is the dose big enough to help even when it's given? Maybe he wants company and that's why he's nice when...
  5. Whispera

    I need to interview a Registered Nurse for a class

    As an instructor, if I gave that assignment, it would be to give students the experience of interviewing, in person, hopefully, or by phone as second choice. It's a learning, shyness-removing,...
  6. Whispera

    ECT

    In my experience nurses don't do ECTs, only doctors do them. Nurses do help however, kind of like a nurse would help during surgery, before, during, and after. Friends of mine who have worked...
  7. Whispera

    Knocked off my feet

    Sometimes when we suddenly face a roadblock to what we think we want, it's a sign that something better is out there for us. Maybe this is the case for you? I wish you luck and hope things get less...
  8. Whispera

    Ethical Issue: ECT on down/dementia patient?

    What are the ECTs for? There's no purpose for them in someone who has Down's Syndrome or dementia. Maybe the lady has depression, mania, or anxiety? That's what ECTs are used for. If she's been...
  9. Whispera

    Every visit, pain is 7?

    A few thoughts/questions come to mind: --Does she have a belief that pain is required to atone for sins before dying? --Why don't family members give her the pain medications when she cries all...
  10. SAM-e is an SSRI. Taking it with other medications that raise levels of serotonin can lead to more of the side effects serotonin causes, as well as raising the likelihood of serotonin syndrome, which...
  11. Whispera

    Most useful items to pack-medical mission

    Check with the organization you're going with to see if the country has required people to pay a "duty" fee to bring things into the country. They might have a list of things that can be brought in...
  12. Whispera

    Staffing on Inpatient Unit

    I worked as the only (I repeat, only) staff member, on an evening shift, on a psych unit with up to 12 patients. It was not a good situation at
  13. Whispera

    Hypothetical Ethical Issue

    I think it's one thing to think about this hypothetically, "what would you do if..?", and a whole other thing to actually do it. We can say we'd care for anyone with no biases in the care we give,...
  14. Whispera

    ethical question

    It's not appropriate to a relationship with a patient outside the hospital. In fact, I think you were outside the usual boundaries when you bought food and made yourself a friend while he was in the...
  15. Vitamin D deficiency is getting some notice
  16. Whispera

    hospital habits

    ok...for the first
  17. There will be times when you won't be able to help looking like an a** since this area is totally new to you and you're in the process of mastering a huge learning curve. So, be honest about it and...
  18. Whispera

    hospital habits

    Try to avoid signing your credentials after your name when you write it outside of work. The bank, for instance, doesn't want to see checks signed Whispera,
  19. Were you being facetious when you wrote this: "most of the time I lose my will to work and occasionally my will to live." ??? If you truly lose your will to live due to the job, it's time to move on...
  20. Yes, remind them now. I'd think they'd want to get the letters done now so they don't forget before the letters are needed. They are no doubt busy, but they will do it, since that's what instructors...
  21. Whispera

    question about drug testing

    Interesting, XXWeaponX. I was in an auto accident while en route to seeing a patient. I had eaten a poppy seed muffin with lots of poppy seeds in it that morning. I had to have a drug test as part...
  22. Whispera

    question about drug testing

    Side note: Poppy seeds don't cause a positive opiate reading, unless you eat oodles of them. I know this from personal experience of having a drug test right after eating a poppy seed
  23. Whispera

    Is this a HIPAA violation?

    Let's say the lady's Aunt Tillie knew she had brought the child to the ER at that hospital that night and happened to be a friend of a friend of a friend and read that. Let's say Aunt Tillie did...
  24. Whispera

    Critical Incident Stress Debriefing

    Where I worked about 10 years ago, we had a team. It was the EAP person and others who went through the training. I was on the team as a psych nurse. I only know of one time the team was...
  25. Whispera

    Nursing Diagnosis - R/F based on family HX alone?

    Risk for ineffective coping related to family history of mental illness as evidenced by ________________. Hey, I just looked diagnoses up online. It didn't take so long! I do think such a thing is...