hppygr8ful ASN, RN, EMT-I

Psych, Addictions, SOL (Student of Life)

allnurses Guide

All Content by hppygr8ful

  1. hppygr8ful

    If You Could Have Any Skill to Deal with Difficult People -- What Would It Be?

    hppygr8ful replied to PancakeSaturdays's topic in Patient, Colleague Relations

    I think the ability to stay calm when annoyed - I have worked in one for of psych or another for 17 years so I have a pretty cool temperament. While I am friendly at work - I rarely socialize with...
  2. hppygr8ful

    Personal Disaster Relief Packing List

    hppygr8ful replied to InArduisFidelis's topic in Disaster Preparation

    I would bring a back-pack filled with a few emergency supplies and maybe even a few comfort items you might enjoy that might not be readily available. Sanitary pads/tampons (if you use them),...
  3. hppygr8ful

    Tag team elopement

    hppygr8ful replied to statcoffee's topic in Patient Safety Issues

    My only question is if you Heroine Detox patient was on an appropriate medication protocol to address his symptoms? The COWS protocol when properly applied keeps the Opiate detox patient pretty...
  4. hppygr8ful

    Nurse stealing narcs advice

    hppygr8ful replied to Nursenicole1's topic in General Nursing

    PS> If I had a patent in pain and shift change was a 3 pm ( which is it is my facility where we work 8 hour shifts) and I had a patient in pain I would not hesitate to give a Q 8 PRN that was due...
  5. hppygr8ful

    Nurse stealing narcs advice

    hppygr8ful replied to Nursenicole1's topic in General Nursing

    Yes the hour before rule does apply to PRNs and can be given - It is so stated in the JACHO and CMS guidelines.
  6. hppygr8ful

    Disrespectful patients

    hppygr8ful replied to Mrs.in2015's topic in Patient, Colleague Relations

    I think until you have been a patient (and I mean a patient)you don't really know just how scared and frustrated a patient can be. I was very sick for almost 2 years and ultimately had 18 inches of my...
  7. hppygr8ful

    Finished probation today!!!!

    hppygr8ful replied to paidmydues's topic in Nurses Recovery

    Congrats and what happy news - You may also want to see about licensure in Alaska. Many folks I know winter in Hawaii and Summer in Alaska and love it. Good luck to you - you have certainly paid your...
  8. hppygr8ful

    Facebook and employers/school

    hppygr8ful replied to daisybird27's topic in General Nursing

    Ok so my husband works with a big security agency - I could tell you which one but then I'd have to kill you! Because of the Govt surveilling our computer activity we are pretty careful what we put...
  9. hppygr8ful

    Use of cellphones while at work

    hppygr8ful replied to givxnchy's topic in General Nursing

    I am going to make one last comment on this and leave it alone. I am sure others here have made this point but I for one am old enough to remember a time when people followed the rules because they...
  10. hppygr8ful

    Facebook and employers/school

    hppygr8ful replied to daisybird27's topic in General Nursing

    True That
  11. hppygr8ful

    New grad in psych

    hppygr8ful replied to anna_91's topic in Psychiatric

    I might also add to your very cogent statements that once the brain is damaged in such a way that the hallucinations become a permanent fixture it's still a mental illness even if it was caused by...
  12. hppygr8ful

    New grad in psych

    hppygr8ful replied to anna_91's topic in Psychiatric

    Yes we do the q 15 RR checks and monitor the patients closely - we have also started using visteril instead of Ativan for anxiety especially in patients not already habituated to Ativan. I hadn't...
  13. hppygr8ful

    Vent/Advice Needed

    hppygr8ful replied to vintagemother's topic in Geriatric, LTC

    I know your frustration so I am going to tell you how I did it. The electronic MAR that we used was PCC. It has a way to prioritize your med pass. so when I started at 3 pm and my first pass was 5 - I...
  14. hppygr8ful

    Facebook and employers/school

    hppygr8ful replied to daisybird27's topic in General Nursing

    I have a face book account a which is designated for friends and family only. I am a sober alcoholic and haven't had a drink since October 2004. Still I have seen pages of friends and Instagram of...
  15. hppygr8ful

    New grad in psych

    hppygr8ful replied to anna_91's topic in Psychiatric

    Really? It's actually the cocktail of choice for our patients who are allergic to Haldol! Everything else you said spot on. I might also add that is very easy to be taken in by some patients....
  16. hppygr8ful

    RN being pulled to work as aide?

    hppygr8ful replied to Llame_Llama's topic in Nursing Professionalism

    What you are describing is not uncommon in LTC. The problem, as others here have mentioned, is that weather you are working as an RN or CNA you are still held liable to the highest degree of your...
  17. hppygr8ful

    Use of cellphones while at work

    hppygr8ful replied to givxnchy's topic in General Nursing

    I heard on the news but haven't yet been able to find it on the internet but the psych field has coined a new disease called cell phone separation anxiety disorder or CPAD. Now let's see what drug the...
  18. hppygr8ful

    What would you do if you knew someone was actively using

    hppygr8ful replied to run.for.the.roses's topic in Nurses Recovery

    I can only speak for I would handle this situation personally which would be to talk to the nurse first - Tell them that I suspected they were using or impaired while at work and that they needed to...
  19. hppygr8ful

    Is this discrimination?

    hppygr8ful replied to WheresMyPen's topic in Patient, Colleague Relations

    the only way to make her stop legally is to hire a lawyer and issues a "Cease and Desist" order to her. She may or may not stop. If she chooses to continue you have to decide how far you want to push...
  20. hppygr8ful

    Getting your insurance to pay for drug tests

    hppygr8ful replied to RNdynamic's topic in Nurses Recovery

    I always paid out of pocket for my tests - and they were much cheaper back when I was being monitored but it is a good question. I would call the insurance company directly to ask and I would pick a...
  21. hppygr8ful

    Interview for SNF

    hppygr8ful replied to Mzkikalvn's topic in LPN, LVN Corner

    Well working SNF will definitely put you out of your comfort zone. While all nurses work hard some LTC/SNF nurses are some of the hardest working nurses I know. The regulations in the state you...
  22. hppygr8ful

    Moral character

    hppygr8ful replied to beckiand's topic in Nursing Professionalism

    However if it would be up to the court to determine if the report was made in good faith or with malicious intent. Any private citizen can file a lawsuit against anyone else. In this case without...
  23. hppygr8ful

    Too sick to leave AMA?

    hppygr8ful replied to Rexie's topic in General Nursing

    Even if she signed AMA I would be reluctant to turn every thing off. What I would have done in this particular case with an alert and oriented patient who was clearly dying would be to contact the...
  24. hppygr8ful

    Moral character

    hppygr8ful replied to beckiand's topic in Nursing Professionalism

    I checked the California BON Nurse Practice Act and found that their is a clause requiring a licensee to refrain from acts of moral turpitude. It also states that if a licensee is convicted of a crime...
  25. hppygr8ful

    Requesting modifications on my restrictions

    hppygr8ful replied to willow14's topic in Nurses Recovery

    It never hurts to ask - especially if you have been 100% compliant with your contract. I would caution you against asking for two many things at once. If I read your original post correctly you have...