hppygr8ful ASN, RN, EMT-I

Psych, Addictions, SOL (Student of Life)

allnurses Guide

All Content by hppygr8ful

  1. hppygr8ful

    Overweight

    If you are female and approaching or past menopause and the pounds are creeping up on you - metabolism is the likely cause. Still that doesn't mean you have to give up. Like I said I push my...
  2. hppygr8ful

    Overweight

    Hey I recently lost 20 pounds doing two things - no change in eating habits but I don't sit in the Nurses station except to do end of the day charting and I push my medcart every where with me. Wear a...
  3. Back to the point of your post - I work in a small LTC facility it's usually me and one other nurse and two CNA's for 38 patients so we don't take breaks together and are pretty busy most of the...
  4. hppygr8ful

    Off duty RN scope of practice on an airplane.

    Just a thought that Lay people give epi all the time - I have had an epi pen for my allergic asthmatic son since he was two. Because he goes to a private school any number or teachers, coaches and...
  5. I don't get angry about it as long as the supes not around I eat in the Nurses station all the time. I am trying to retire at exactly 65 which leaves me 13 years before I but a peace of land and...
  6. hppygr8ful

    Beard for interviews?

    I say as long as it is neat and tidy - not hanging all ove like a duck dynasty thing I would say go with it. If however you find yourself not getting jobs I would consider shaiving it. Some hospitals...
  7. hppygr8ful

    What nursing task do you loathe???

    Anything to due with suctioning and phlegm or sputum set's my gag reflex off big time - after that the poopy stuff - Don't get me wrong I do it all and would never leave a patient untended - but some...
  8. You get a lunch Break? Although I am required to clock out for lunch before the 5th hour of the shift. That's usually when a new admit arrives on my unit or some other catastrophe is happening. So I...
  9. hppygr8ful

    Sexual Comment from Boss???

    without context for the cooment I can't say - he could of meant something like you catch more flies with honey - which my family says all the time. There may or may not have been a sexualy...
  10. hppygr8ful

    What to do when u find an unresponsive patient

    As a new grad - You may have had a deer in the headlights moment - but after thar (10 seconds) your BLS traing should kick in. 1: Press the code blue button if there is one or call light if not. @...
  11. hppygr8ful

    Assessment question? Is this common?

    I might also like to note that patient's can present very differently from shift to shift. A patient may be peachy keen perfect on dayshift and go into sundown mode when the sun goes down. Good...
  12. hppygr8ful

    New grad med passing

    The LTC I work at has BP cuffs (Manual) that don't work either the bladders or gauges are broken. Silly me I aksed for new ones and was told to provide my own! I have both manual and automatic cuffs...
  13. I work in LTC and I have to say that we have some truly outstanding CNA, we also have some incredibly lazy ones who hide in the bathroom most of the shift or seem to be on a perpetual smoke break. Our...
  14. It's my impression that this is a board for nurses and while I realize that anyone is welcome to join isn't it our purpose to keep these topics geared somewhat towards nursing? I'll admit I'm as...
  15. hppygr8ful

    To medicate or not to medicate

    My first love in nursing will always be psych and do lot of reading. Last year I read and article on the gene P450 2D6. This is a genetic anomaly that when expressed prevents certain medication...
  16. hppygr8ful

    Apologizing to coworkers for diversion..

    This topic is actually covered in action steps. 5.6.7.8 They tell us that we must make a list of all our defects of character and share them with another person. Humbly ask our Higher power to remove...
  17. hppygr8ful

    To medicate or not to medicate

    Just a side note from a crusty old psych nurse - you should always give Geodon with a light snack as it requires a certain digestive enzyme to activate and be fully effective. I got this from a Geodon...
  18. hppygr8ful

    To medicate or not to medicate

    Hi you don't say if you work in an acute setting of LTC but from your hours I would hazard to guess it is LTC. I work the same shift and this is my take on the whole bedtime/PRN/Routine meds angle....
  19. I would contact your pharmacy that dispensed the medication - If the bottles are unopened you may be able to simply return them and get a credit. If that is not an option I would try looking up a...
  20. One has to remember that weather we like it or not modern medicine in a consumer driven big business. I'm not saying it should be but that's the reality. As such Patients and Physicians are the...
  21. hppygr8ful

    Salary Ettiquette

    I personally never accept a job without a written job offer in hand which includeds information on wages, benefits and job description. When I received my offer letter from my current job it took me...
  22. hppygr8ful

    Teamwork...Why do we do this to ourselves?

    I don't know about Hospitals or Clinics but in almost every state unlicensed "Care Giver's" who yes are often high school drop outs pass medications to patient's living in group homes. The state's...
  23. hppygr8ful

    Arrogant "know it all" RN

    I don't know about this - where I come from Coyotes serve a purpose in maintaining the balance of nature. They keep down the rodent population. Still if they become truely problematic 32 caliber lead...
  24. hppygr8ful

    Insurance & Weight Loss Meds

    I have found that when dealing with Insurance companies - you have to be very proactive. First you need to get a list of all medications in their formulary. Then you need to get a phone number for the...
  25. hppygr8ful

    What nursing task do you loathe???

    I love putting in IV's It's the best part of my job. How long have you been working. you might think about taking a daylong course in IV/venipuncture then practice practice practice. I actually let a...