hppygr8ful ASN, RN, EMT-I

Psych, Addictions, SOL (Student of Life)

allnurses Guide

All Content by hppygr8ful

  1. hppygr8ful

    What is it with the "I love going green" thought

    At the facility where I work any time we have to put "Hands On" a patient it's considered a treatment failure. I don't think any of us "enjoy" code greens but they do happen and we try to be...
  2. hppygr8ful

    New Grad Dilemma

    A bird in the hand is worth two in the bush. I don't know where you are but California is not what it's cracked up to be. Sure the weather is nice and there's swimming pools and movie stars but we...
  3. hppygr8ful

    Mandatory Vaccine Waiver in Nursing School/Clinicals

    I am full on all for vaccination but I was almost denied a clinical cite due to am "Incomlete MMR" I had even had a booster in college. I am not a big fan of needles so I took the vaccine list to me...
  4. hppygr8ful

    12 step meetings

    But the BON requires a sponsor - I am not one for telling people how to game the system - if they got caught they would be in even more trouble.
  5. hppygr8ful

    12 step meetings

    Anybody can start an AA meeting! After-all where ever tow or more alcoholic are gathered in the names of Smith and Wilson - there you will find an AA meeting. I'm not sure your BON will approve of...
  6. hppygr8ful

    why keppra is administered in 15 mins??

    I actually looked it up on the Keppra website let me see if I can find it a nd post the source. I think I googled the question Why is Keppra infused over 15 minutes? here's the article - I didn't read...
  7. hppygr8ful

    Does Death Have A Smell?

    The answer is Yes - Death has a smell - I can't actually describe it but I know it when I smell it and I'm nottalking about the passing of intestinal gas or feces either.
  8. hppygr8ful

    Manager Insists....

    Where I work our shift ends at 1530. report starts at 1500. It does not matter if report take 15 minute s or more or less we are expected to clock out at 1530. I usually get overtime easily approved...
  9. hppygr8ful

    why keppra is administered in 15 mins??

    Research show that a faster infusion rate is not well tolerated as it raised the therapeutic serum levels too quickly .
  10. hppygr8ful

    Happy Holidays!

    Happy Holidays to all. I am working Christmas day so we will be celebrating with friends and family tomorrow. Spent the day doing some shopping and making tamales. Should do one more batch but we...
  11. hppygr8ful

    How do you handle rude comments?

    Found this article which may help to explain what is going on Coping With Crises Close to Someone Else’s Heart - The New York
  12. hppygr8ful

    Is this Facebook status Hipaa compliant?

    In this day and age I just fail to see why anyone would talk about work or school in any fashion on face book, twitter or Instagram - We hear about nurses fired all the time not worth the risk. I...
  13. hppygr8ful

    Worried

    Did you explain you had been up since 1 am and/or offer to take a drug
  14. hppygr8ful

    Behavioral health patients requiring 1:1 sitter

    Yes the patient's doctor must renew the 1:1 order daily and provide justification rationale to continue this level of supervision but that's mostly so the insurance companies pay the extra dollars for...
  15. hppygr8ful

    Behavioral health patients requiring 1:1 sitter

    The staffing office assigned a sitter usually a unlicensed BHW (Behavioral Health Worker) to be the 1 to 1 staff for this patient. My unit has 1 RN (ME) for 17 patients, 1 lvn or psych tech to pass...
  16. hppygr8ful

    What do you like most about your specialty?

    I work in acute adolescent psych inpatient and I have a heck of a lot of fun. I play my guitar and sing to them. I get to talk to interesting and some very annoying people all day long and when I go...
  17. hppygr8ful

    Stethoscope Tubing

    Have you actually tried Littman? They c=have a lifetime guarantee on all their stethoscopes - They even repaired mine after I shortened the tubing which in essence would have voided the
  18. hppygr8ful

    "Recovery" and public shaming

    Funny thing is I don't feel shame at all. I never really did. I felt a whole lot of remorse for the pain I caused to a lot of people and the trust that I alone destroyed through my actions. I...
  19. hppygr8ful

    Behavioral health patients requiring 1:1 sitter

    This would actually be illegal in some states and the facility as well as assigned nursing staff would be held liable if an adverse event occurred. I have a patient who has been on 1:1 for a month....
  20. hppygr8ful

    How do you handle rude comments?

    Not in the same vein but I get asked rude and intrusive questions al the time. Especially with regard to why I don't drink alcohol. I really just want to say I used to be a falling down drunk and go...
  21. hppygr8ful

    Cough drops

    At the psych hospital we give a cough drop called Fisherman's Friend - They work great but taste awful and in a pinch can be used as a ammonia inhalant!
  22. hppygr8ful

    IM Injections

    If you are giving a lot of emergency meds to one person you want to try as much as possible to rotate sites and go for big muscles. IMHO PO meds work better and faster than injections if you can get...
  23. hppygr8ful

    Sleeping during your breaktime

    Most facilities have some sort of policy about sleeping on the job. However I am the master of the 30 minute power nap which occurs during my break. I found a quiet unused Dr's lounge and pop in set...
  24. hppygr8ful

    IM Injections

    Do you mean like emergency
  25. hppygr8ful

    Did I did not do enough?

    Based on the information you provided It appears you did all you could. One thing you didn't mention is if the leg in question was externally rotated which might have indicated a dislocation or even...