hppygr8ful ASN, RN, EMT-I

Psych, Addictions, SOL (Student of Life)

allnurses Guide

All Content by hppygr8ful

  1. hppygr8ful

    Nurse Charged With Homicide

    As a guide on this forum I feel I have to remind all here of a few rules. What started as a civil discourse on the merits of the case has turned into pages and pages of unnecessary name calling. There...
  2. hppygr8ful

    Nurse Charged With Homicide

    Actually Wuzzie is being extremely polite to you and I have watched the exchange with interest. Wuzzie has never been one who doesn't say her/his piece but almost always has facts to back up whatever...
  3. hppygr8ful

    Nurse Charged With Homicide

    Legally she is not being charged with murder. She is being charged with criminally negligent homicide which are two different things. The first has implied intent the second requires no intent as the...
  4. hppygr8ful

    Nurse Charged With Homicide

    Based on the answer I received I checked with my agent - He's looking into what it would cost to get a rider to cover criminal charges. Still if this had been properly handled by RV so that she...
  5. hppygr8ful

    Nurse Charged With Homicide

    Not necessarily true. Dr.'s do go to prison for Criminal negligence if found guilty in court. I know of at least 1 who is currently in prison. But you make a good point about malpractice insurance. If...
  6. hppygr8ful

    Surgical NP's

    I so love this statement - that I would like permission to adopt it? I spent a lot of years trying to discover myself until I did just what you said.
  7. hppygr8ful

    I have made a complaint against an NP

    The standard for treatment of chronic psychosis is if a med is working to control symptoms we don't mess with it. So it would depend on if the med is being used to manage psychosis.
  8. hppygr8ful

    I have made a complaint against an NP

    When I was working in the group homes the State required that we periodically take stable psych patients off their meds to "see if they still required them." The resulting decompensations were...
  9. hppygr8ful

    Looking for advice; "handling" situations **LONG**

    Your long post was a little hard to follow but my advice in these situations is this. When your work criticized for any reason it is best to take a hard look at the situation and acknowledge any part...
  10. hppygr8ful

    I have made a complaint against an NP

    But to address your post - I have never in 18 years of psych nursing seen a Dr. or NP run away from to towards a psych emergency.
  11. Don't you know men are responsible for anything that makes a woman uncomfortable!
  12. hppygr8ful

    I have made a complaint against an NP

    So sorry I meant to address the op - I sincerely
  13. hppygr8ful

    I have made a complaint against an NP

    Is there a dress code where you work? If not mind your business and let her discover the inherent dangers of her clothing and footwear choices. I once told a new doctor who liked open toed shoes to...
  14. CIWA stands for Clinical Institute Withdrawal Assessment for Alcohol it is an assessment protocol used to assess levels of sedation/agitation along with Physical symptoms and how to medicate...
  15. I have found that the so-called "Do not readmit" list does not really exist. We have several psych patients that are on the so-called black-list but we legally cannot turn away a patient brought in by...
  16. CIWA has some wiggle room as the score is determined by both subjective and objective observations - Your patient's agitation alone could have been grounds for a higher score which would have allowed...
  17. sounds like a good time for a 5-2-50 Booty Shot Can you start CIWA protocol in the ER where you work?
  18. hppygr8ful

    Dorsogluteal injection tips

    I just read the instructions for Sandostatin which states it must given into a deep intragluteal injection site Both the ventral and dorso routes would appropriate. Perhaps it is your clinics...
  19. hppygr8ful

    Generation Z

    We are not allowed to carry cellular devices while at work - It is a first time terminatable offense.
  20. Well I recently had an upper respiratory infection and I had had some time off prior to getting sick. I took three days off for illness and came back to work looking like a used teabag. I was written...
  21. hppygr8ful

    Nurses that “only do it for the money”

    You missed my point - And I work with young people and know how the adolescent and young adult mind works. I have also have coached and trained many Generation Z adults. I never said you were...
  22. hppygr8ful

    Nurses that “only do it for the money”

    Weighing in a bit late on this but here are my thoughts. It always astounds me when some come on here (usually a 1st time poster) and asks a loaded question that just seems designed to get a rise out...
  23. hppygr8ful

    Dubious Victories

    As a psych professional you may appreciate this one. We were doing a probable cause hearing on an involuntary commitment and it was my turn to represent the hospital. I took my chair in a room with...
  24. hppygr8ful

    Nursing Intervention

    We are more than happy to help but need you to upload care plans you have already done - then we can help you - but we will not create your care plans for you. I have found the following book to be...
  25. hppygr8ful

    Do I have to disclose mental illness

    The question is specific to psychotic illness and the medications used to treat psychosis. (Haldol, Seroquel, Zyprexa etc....) As a psych nurse I know these are used for things other than psychosis...