hppygr8ful ASN, RN, EMT-I

Psych, Addictions, SOL (Student of Life)

allnurses Guide

All Content by hppygr8ful

  1. hppygr8ful

    Inpatient eval or 3 months IOP?

    First and foremost you have to humbly admit that you have a problem. Normal (people with drug and alcohol problems) don't use other people's urine for drug test. They also when their career and...
  2. hppygr8ful

    Inpatient eval or 3 months IOP?

    I don't understand what you mean by caught in IPN trap? Can you elaborate?
  3. I am not sure what you mean by "positive" comments. The first thing you need to do is figures out why you failed those two science courses. I am imagining that they were A&P, Chem or microbiology....
  4. hppygr8ful

    whats for lunch

    Presuming I get time to actually sit down and eat I do one or more of the following . I always pack an apple in my bag along with some MOJO bars. I have to get the most quality calories for my buck...
  5. hppygr8ful

    Why does the Patient know best?

    This really feels like a homework question. Part of the BSN process is doing your own research. If you are going to a decent school you should have access to a god on-line library with data bases...
  6. hppygr8ful

    Crusty Old Bat Society

    Considering I just wrote a check for my BSN program can I pay in
  7. hppygr8ful

    Fecal impaction treatment

    I did want to clarify that all these interventions do require a physician's order. However I would usually call the Doctorand say something like ' Yes I have Mrs. P here and she states she hasn't had...
  8. hppygr8ful

    Fecal impaction treatment

    Weather it's a homework question or not these would be my suggestions. Remember sometimes in advocating for your patient you have to lead Doctor's where you want them to go. For sever constipation...
  9. hppygr8ful

    its almost impossible

    Have you looked into doing telephone triage? Many nurse do this from home either for an urgent care, Insurance company or hospice home health. Other than hiring an attorney experienced in Social...
  10. hppygr8ful

    A smoking patient

    This is how we handled the smoker on our unit. Mind you he is quiet aggressive about going out to smoke - but he is a huge fall risk. Like you our SNF is understaffed and we simply do not have the...
  11. We get a lots of folks coming in from home or having been cared for by exausted elderly spouses who have some pretty ugly wounds. I love every aspect of the treatment process, Cleaning, measuring,...
  12. I think it's hard for new grads to find jobs in the metropolitan areas on the East and West coasts because everybody wants to live in those places. There are still nursing jobs to be had. if one is...
  13. hppygr8ful

    Positive alcohol test

    I don't know Nevada but I can tell you how this would be handled in California. You honesty admit to relapse and yes even one drink is considered relapse, you will likely have your contract extended....
  14. hppygr8ful

    Required to disclose hx of depression

    Even the BONs don't require you disclose all past history. What most require is self disclosure of any psychiatric condition that led to hospitalization in the past 4 years. Medical records are...
  15. I like the idea of a "Come to Jesus" meeting. It must be done away from other staff so they can't say you embarrassed them in front of their peers. I recently took a new grad who "Knew it all" into a...
  16. hppygr8ful

    Managing Bowel Incontinence

    Are you talking about home use or use in a facility? Facilitities that send their laundy out are charged by the pound. Our facility uses throw aways but I have seen what appear to be large cloth...
  17. hppygr8ful

    Annual Physical - Does Your Job Require This?

    My employer lets us get it at our PCP physician. My doctor does give me an exam that I get yearly anyway. Writes a ststment as to my general health and ability to perform all activities of the job....
  18. hppygr8ful

    Eliminating Seclusion/Restraint? Um, NO.

    The LTC I work in is a no restraint facility - we even have to justify use of and do periodic reduction trials of psychotropic medications. I worked acute psych for 6 years and while I agree total...
  19. hppygr8ful

    The Nightingale Pledge - Still relevant today?

    Did you know that many medical schools no longer require Physicians to recite the Hippocratic oath when conferring the MD for the same
  20. hppygr8ful

    Stethoscope Help!

    Get soft gell ear pieces - most uniform supply stores sell the for about $10 ro $20 dollars take yout old ear pieces off and put these on. They form a nice seal in your ear and you have less back...
  21. hppygr8ful

    Do patients know a "good nurse"?

    The problem is that the pulic perception of what makes a good nurse (someone who gives comprehensive, compassionate, patient centered care) and Hospital managements idea of a good nurse (reliable,...
  22. hppygr8ful

    Do patients know a "good nurse"?

    The problem is that the pulic perception of what makes a good nurse (someone who gives comprehensive, compassionate, patient centered care) and Hospital managements idea of a good nurse (reliable,...
  23. OK - here's the rub. Even if you get into a school, easy or not, Nursing school is physically and psychologically demanding. You mention an tafget salary of $50,000.00. I am not sure where as a new...
  24. What about physical therapy, Athletic trainer, Prosthetics specialist, I known people with the preteqs you have going into many areas incluing medical research and Pharmaceuticals. All of these...
  25. hppygr8ful

    People really need to stop coming into nursing

    I love Mike Rowe and my nephew is getting a training apprenticeship from his