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hppygr8ful ASN, RN, EMT-I

Psych, Addictions, Elder Care, L&D
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hppygr8ful has 18 years experience as a ASN, RN, EMT-I and specializes in Psych, Addictions, Elder Care, L&D.


Our deepest fear is not that we are inadequate. Our deepest fear is that we are powerful beyond measure. MARIANNE WILLIAMSON

hppygr8ful's Latest Activity

  1. hppygr8ful

    Doctor Derogatory Comments in the OR?

    Did you see the one where the Dr carved his initials on a woman's abdomen? https://apnews.com/045cf600657ae4548c0c764b0d101b07
  2. hppygr8ful

    Psychiatric charting help

    I like it and we used to do it that way but we had a federal survey and the surveyors said we also had to include this information in the narrative. I just love redundancy in medicine! Hppy
  3. hppygr8ful

    Week Of August 2 - 8

    So it's Sunday and I have made a commitment to cut down on my coffee intake. It appears that Caffiene causes an increase in free cortisol which is a primary factor in the creation of belly fat. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2257922/ So small espresso size cup of Joe, lots of water and electrolytes and decaff green tea, We are lighting up the smoker to cook some chicken and brisquit today. Have a happy Sunday Hppy
  4. For some reason I can't embed the link but go look up goats in pajamas.
  5. hppygr8ful

    How can I be a good psyche nurse?

    All the above suggestions are great. I would add "Don't engage in power struggles with the patient." Hppy
  6. hppygr8ful

    Psychiatric charting help

    The big problem with psych is that many nurses, even ones that have been around for a bit, tend to only chart on psych issues and forget to include crucial medical information. If you are charting for medicare/medicaid and some private insurance companies you need to include the following data. Orientation, Pain, appetite and sleep. Ability to ambulate and ADL's. You should include if the patient has s&s of contagious disease and with Covid we need to include that we educated the patient about covid and if he/she understood the teaching. Now for the psyc part which can be any thing of a psych nature that you observe or is reported to you by floor staff. Here's an example. Patient (Name) is awake, alert, oriented times 3 and medically stable. Vital signs are within normal limits for (name) baseline. HE is able to ambulate and perform ADLs independantly. There is no C/O pain, elevation in temperature or respiriatory illness noted. (Name) was educated regarding Corona Virus/Covid 19 and the importance of handwashing, covering the face and nose and maintaining a six foot social distance to prevent disease transmission.(Name) was receptive to teaching. (Name) is currently on 5150 DTS/DTO after having made threats to "shoot up" the neighborhood and brandishing a shotgun when police arrived. (Name) states he has been seeing giant cats in the neighborhood and they want to eat him. This writer inquired if (Name) feels safe in the hospital. (Name agreed) he felt safe at this time. He is attending groups and program activities without prompting but tends to keep to himself during free time. This writer encouraged him to stay compliant with medications and treatment, to seek out staff if thoughts to harm self or others or if thoughts about the cats become overwhelming. Will continue to monitor safety every 15 minutes and provide a supportive environment. Remember that many insurance companies will deny payment unless the patient is suicidal/homicidal or gravely disabled by reason of mental illness. Hope this helps Hppy
  7. hppygr8ful

    Week Of August 2 - 8

    So the first week of every month is usually my cleanse week. Lots of green leafy fiber, minimal meat and tons of fluids. I almost always end up cheating at some point - but we got to start somewhere!
  8. Getting a bit ahead of things. Here's an easy 5 minute workout you can do at home with no equipment. If you want to post your numbers, a recipe or discussion topic for this week go ahead. I am plowing and prepping my garden for Fall planting this weekend so I'll be in and out of the board. I am having trouble posting the video but here is the link! https://www.Youtube.com/watch?v=q2NZyW5EP5A&t=61s
  9. hppygr8ful

    Week of July 26 to August 1 2020

    So I got about 4400 steps today! Blood sugar stayed below 200. But I am really tired this afternoon/evening - probably be off to bed early today
  10. I challenge each of you to post an easy recipe that is yummy and diet friendly! Have fun! Happy
  11. hppygr8ful

    How Does This End?

    You can customize the interior any way you want there are larger versions that include an infirmary and even a surgical suite. As far as the garage goes I would convert to stable because it opens to the outside easily. Bowling alley gotta have game night!
  12. hppygr8ful

    What will you wear?

    You can add distilled white vinegar to your laundry the same amount as you would bleach but give the cloths an extra rinse.
  13. hppygr8ful

    Suicidal patients food and drink provision

    I am confused! Don't your ER patients on suicide precautions have a sitter/security personnel on hand. In that case a pitcher could be left within reach of that person who could fill the styro-foam cup as needed. I am confused about your waitress duty comments as there is nothing you describe in your post that is outside the normal scope of practice for an RN. Remember Henderson's famous description of the nurse: “the unique function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform unaided if he had the necessary strength, will, or knowledge”. She further enumerated 14 things included in this: eat and drink breathe move sleep dress work to gain a sense of accomplishment maintain normal body temperature eliminate wastes keep clean communicate participate in recreation worship avoid dangers or hurting others learn and discover Nothing personal to you OP but I do get a bit tired of nurses who call basic care "Waitress duties/CNA" work! Hppy
  14. hppygr8ful

    Week of July 19, 2020

    You would have to see the steps to get in the position but the left leg is crossed in front while the right leg is stretched out and the upper torso goes forward.
  15. So let's set some goals for the next week. The above stretch is one of my favorites. It stretches all the big muscles and isn't nearly as uncomfortable as it looks. Though I suggest you go slowly at first and look up different variations of the pigeon pose to find the modification that is best for you. I will work 6 days out of 7 this week (getting old for this crap) doesn't leave me a lot of time but I am in the push towards retirement. It been pretty hot in Cali this past week so my husband hooked up the patio misters and we got our fountain running which adds a certain peaceful tranquility to the back yard. Will fire up the BBQ later and cook some tri-tip and roasted veggies. We are in the process of xero-scaping the front yard to reduce water usage and it's starting to look pretty nice. Hoping it will cool down enough to start walking in the evenings. So since this is my long work week I am setting my step goals at 3500 per day. Also have a goal to keep my blood sugar below 200. It always seems to go up after my evening meal even with the insulin, glipizide and metformin. My Dr. believes this is stress mediated and that I should relax more (Ha. Ha, Ha) So how about it what are your goals? Feel free to post recipe's, exercise tips and meditations. Please remember to play nice as people will have different ideas about diet, exercise lifestyle etc... It's OK to debate the various merits/problems with each as long as we are respectful to each other. Since it appears to be a major source of stress please let's stay away from politics. I will redirect political discussions to the Politics group. Hppy
  16. hppygr8ful

    How Does This End?

    This is a false argument as the people who protested the economic disaster that followed city, state and county closers were largely peaceful. They did not riot, steal, destroy property or openly sanction the killing of law enforcement officers and just plain white folks caught out in the open. Let's not forget that Michigan is an Open Carry state and as such people are within their rights and breaking no laws by openly carrying a firearm in public. The rioters on the other hand, set out to purposely injure and kill people, vandalize property, loot business and keep sick folks from reaching hospitals. Not to mention the numerous police officers injured or killed while engaged in trying to keep the peace. There was nothing legal about their actions. The right to peaceful assembly is one thing. We had several of these assemblies near where I live and I wholly support them. We don't have to like or even respect each other to understand the basic principle of rights and responsibilities. The be honest I hate wearing a mask. No matter what anyone says it's uncomfortable and frightening for my mental health and autistic patients who need to see you face as part of any exchange. Still I don my mask when I am at work and when there is reason to believe that I might come within 6 feet other other human beings I don't live with. I am more infuriated about people who wear the mask wrong, or go around in vented N-95s or wearing gloves in the store which they throw on the ground in the parking lot, than I am about the rare person I meet who actually refuses to wear a mask.
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