hppygr8ful ASN, RN, EMT-I

Psych, Addictions, SOL (Student of Life)

allnurses Guide

All Content by hppygr8ful

  1. hppygr8ful

    This is a stretch to call HIPAA violation

    hppygr8ful replied to T-Bird78's topic in HIPAA Challenges

    I don't know about other states but in California Teens have all kinds of privacy protections. I have Kaiser insurance which offers all kinds of on-line info such as visit summaries and prescriptions...
  2. hppygr8ful

    Legal responsibility to perform CPR?

    hppygr8ful replied to smellslikesarah's topic in General Nursing

    What you don't know about this story is that the 87 year old woman had a POLST that clearly stated she did not want extraordinary measures performed in the event of an emergency. That is why the...
  3. hppygr8ful

    How to deal with an aggressive dementia patient

    hppygr8ful replied to Emily456's topic in LPN, LVN Corner

    Depakote and other anticonvulsants are considered psychiatric meds if they are being used for mood stability. So still considered a chemical restraint and need special psychotropic consent.
  4. hppygr8ful

    Need help with graduation gift idea for new RN grad

    hppygr8ful replied to Windynurse's topic in General Nursing

    When I graduated in 2002 my husband purchased a Littman stethoscope for me and had my name and title engraved on the headpiece. I still have it and use it everyday.
  5. hppygr8ful

    Staying late, not getting paid.

    hppygr8ful replied to ladylawless2317's topic in First Year After Licensure

    I refuse to work for free as well. I keep my overtime to a bare minimum and if I stay over I call my supervisor on her cel phone first and if I am asked to come in early to finish something from a...
  6. hppygr8ful

    Staying late, not getting paid.

    hppygr8ful replied to ladylawless2317's topic in First Year After Licensure

    Last year the company I worked for as an RN came under Federal Invesitigation for Medicare Fraud and resident abuse. When they asked me to commit fraudulent chartings and make fraudulent statements to...
  7. hppygr8ful

    How to deal with an aggressive dementia patient

    hppygr8ful replied to Emily456's topic in LPN, LVN Corner

    A resident like the one described here needs ro be on a locked memory care unit. They do not need a psych consult as behaviors associated with Alzheimer's and other dementias do not meet the criteria...
  8. hppygr8ful

    Staying late, not getting paid.

    hppygr8ful replied to ladylawless2317's topic in First Year After Licensure

    BTW - I didn't mean to suggest that acute care nurses don't work hard - I think all nurses generally work really hard in whatever area they are in. A new grad we are training told me she hadn't...
  9. hppygr8ful

    Staying late, not getting paid.

    hppygr8ful replied to ladylawless2317's topic in First Year After Licensure

    My typical day in the LTC goes like this. Arrive a work on time at 3 pm. Chase the day shift nurse around for 10 to 15 minutes trying to get report which is usually "Everybody is Fine!" Check on my 10...
  10. hppygr8ful

    Staying late, not getting paid.

    hppygr8ful replied to ladylawless2317's topic in First Year After Licensure

    At my last position I was salaried meaning I was paid a specific amount each week for the work I did not matter how many hours it tok me to do it. I was not reqired to punch a timeclock or account for...
  11. hppygr8ful

    RNs with a Bachelor's in another field

    hppygr8ful replied to TwistaKrista's topic in Activism, Healthcare

    Hi, in addition to my RN I have a Bachelors in Arts and Letters and a Minor in European history. I just got accepted to APU (Azusa Pacific University and they took all my old classes into account....
  12. hppygr8ful

    I'm being investigated by the BON!

    hppygr8ful replied to daisy_duke's topic in Patient Safety Issues

    I concur, I have had professional liability insurance since my nursing school days when it was suggested by our school that we purchase it. My premium is low about $100.00 a year for ! million dollars...
  13. hppygr8ful

    Nurse Abuse & What's the policy Kenneth?

    hppygr8ful replied to 3degreeRN's topic in General Nursing

    As for titles - I don't mind if my patients call me by my first name - When I worked in psych we were very informal because psych patient's can become really billigerant with authority figures. The...
  14. hppygr8ful

    DNR and Hospice

    hppygr8ful posted a topic in General Nursing

    Not so long ago someone here wrote asking what was the point of caring for a DNR/Hospice patient when there were people who wanted to live that needed caring for? It was quite a lively discussion....
  15. hppygr8ful

    Nurse Abuse & What's the policy Kenneth?

    hppygr8ful replied to 3degreeRN's topic in General Nursing

    Your facility should be teaching you MAB or CPI. There are relatively safe ways to handle assaultive patients that protect you and the patient from harm. In the case of the bite. If you push their...
  16. hppygr8ful

    Nurse questioning pain med

    hppygr8ful replied to RN_2012's topic in Patient Medications

    As chronic pain sufferer (ulcerative colitis and fobromyalgia) I like the way you think. I only use narcotics (norco) if absolutely necessary and never when working. When I have been in the hospital...
  17. hppygr8ful

    Coming out with mental health... or not?

    hppygr8ful replied to KatieMI's topic in Health, Stress Management

    I suffer from PTSD and anxiety disorder from events in my childhood. It's all pretty well controlled now but I have worked hard at it. We are not supposed to give medical advice here but if you are...
  18. hppygr8ful

    New Grad Entitlement

    hppygr8ful replied to SunshineAnytime's topic in First Year After Licensure

    I absolutely love your post - The 90's was the decade of "Self Esteem" and "Potential" two of the most misused words in the pyschobable language that attributes to the high number of people with...
  19. hppygr8ful

    Coming out with mental health... or not?

    hppygr8ful replied to KatieMI's topic in Health, Stress Management

    Does it have to be someone from work or is it just the phone ringing in the night that sets it off. I have free nights and weekends and am not a stalker or axe murderer but could ring you up a couple...
  20. hppygr8ful

    Not having a car during nursing school.

    hppygr8ful replied to PrettyNerd's topic in General Students

    You won't start clinicals right away so I would suggest you see if anyone in the program is willing to ride share to school and clinicals? Be prepared to chip in some money for gas. When I was in my...
  21. hppygr8ful

    Tylenol ordered for pain.

    hppygr8ful replied to gouranga's topic in Patient Medications

    I once had a psych doctor order a big dose of Thorazine for a 10 year old with out of control behavior. Mind you I overheard the psych tech taking the order and saying yes doctor. She hung up before I...
  22. hppygr8ful

    reimbursement for consults

    hppygr8ful replied to ginam.brenton's topic in General Nursing

    If you are being paid by Medicare the reimbusments are set depending on services provided. So look at the description of each code carefully to make sure what you are billing for.
  23. hppygr8ful

    How Important Is Money

    hppygr8ful replied to Reachgoals's topic in First Year After Licensure

    What state are you in? In California they are called ICF's and are centered around the care of person's with intellectual or physical disabilities. While some are quite good and take great care of...
  24. hppygr8ful

    I failed my preemployment drug test :/ what now...?

    hppygr8ful replied to Juankiters08's topic in Job Search, Interview, Resume

    Having work with lot's of recovering addicts I can tell you how they do it but I don't want to give anyone
  25. hppygr8ful

    Please Help, new Nurse, don't know what to do, transferred

    hppygr8ful replied to Michellelove's topic in First Year After Licensure

    I think you have recieved some very good advice but I do want to quote DR. Phil and say "Every pancake has two sides" It it possible (even remotely) that the person you reported had any legitimate...