hppygr8ful ASN, RN, EMT-I

Psych, Addictions, SOL (Student of Life)

allnurses Guide

All Content by hppygr8ful

  1. hppygr8ful

    Reporting to BON

    hppygr8ful replied to Meq815's topic in Nurses Recovery

    I was more thinking abou a scenario where a nurse presents for out patient treatment and tells therapist that they take breaks in their car so they can have a quick drink or they frequently drive...
  2. hppygr8ful

    Reporting to BON

    hppygr8ful replied to Meq815's topic in Nurses Recovery

    There are also exclusions written into HIPAA that allow a medical/mental health provider to report a p[atient if they feel that the person's substance abuse poses a danger to others.
  3. hppygr8ful

    Mental Health NP clinicals

    hppygr8ful replied to Scarlet70's topic in Nurses Recovery

    I was in IOP when I was offered a full time job at a Psych facility. This was a long time ago but I basically did not have the time to do the full time job and go to treatment 4 nights a week. The CA...
  4. hppygr8ful

    Mental Health NP clinicals

    hppygr8ful replied to Scarlet70's topic in Nurses Recovery

    Leave nursing for now if you want to but whatever you do please do not surrender your license. You way want it later especially after all the work you put into an NP. You can use your license in a...
  5. hppygr8ful

    How Healthy Eating Can Help with Weight Loss

    hppygr8ful replied to Rmooney's topic in General Nursing

    Good pointds to consider. Proper hydration is a must but each individuals needs may vary due to over-all health, exercise and organ function. The formula given would leave me thirsty at my...
  6. hppygr8ful

    Join my journey

    hppygr8ful replied to hppygr8ful's topic in Exercise and Healthy Living's Exercise

    After weeks of physician ordered non activity we got away to the beach for a couple of days. Last night I sat in the yard and watched to kidsDogs) play. I tried to upload a video but ir was too
  7. hppygr8ful

    Surrendering a single state license- ramifications to keeping other licenses?

    hppygr8ful replied to PDRN's topic in Nurses Recovery

    With all due respect you are misinterpreting what I said. I have been in recovery for closes to 20 years after a 30 year love affair with alcohol. I did hit rock bottom while working but I never drank...
  8. hppygr8ful

    Emerging Ideas to Innovate Mental Health Awareness

    hppygr8ful replied to Nadia Mushtaq's topic in General Nursing

    They do all those things social workers and case managers try as much as possible to connect patients with out patient services. Housing assistance in a joke as most providers of housing are for...
  9. hppygr8ful

    Emerging Ideas to Innovate Mental Health Awareness

    hppygr8ful replied to Nadia Mushtaq's topic in General Nursing

    Mental health facilities, hospitals and clinics do exhist. But even in crises (United States) most insurers even medicare and medicaide only cover about three days worth of
  10. hppygr8ful

    Surrendering a single state license- ramifications to keeping other licenses?

    hppygr8ful replied to PDRN's topic in Nurses Recovery

    A surrendered license will not get you listed in the OIG database. As I stated what gets you in the database is being accused and found or pleaded guilty of are crimes of moral turpitude. The list of...
  11. hppygr8ful

    Surrendering a single state license- ramifications to keeping other licenses?

    hppygr8ful replied to PDRN's topic in Nurses Recovery

    Most employers don't just run you through the state BON in question. Wherever you apply you will be checked through NURSYS and the Office if the Inspector General (OIG). When your name is put into...
  12. hppygr8ful

    Advice for breaking nurse residency contract

    hppygr8ful replied to HayRayRN's topic in Nursing Career

    Consult a lawyer familiar with both nursing licensure and contract law. Some organizations with prorate the amount owed others will not. In some states these type of contracts have been found to be...
  13. hppygr8ful

    Want to quit and be a SAHM

    hppygr8ful replied to grobertson10's topic in Nursing Career

    You can keep your license active in most states by stying current with CEUs and paying all related licensing fees. Going back to work after a protracted abcense can be problematic as employers will...
  14. hppygr8ful

    Emerging Ideas to Innovate Mental Health Awareness

    hppygr8ful replied to Nadia Mushtaq's topic in General Nursing

    This is a nice article but falls short as it offers no plan for outreach to persons with chronic mental
  15. hppygr8ful

    What does this order permit? In terms of frequency?

    hppygr8ful replied to Della4's topic in Patient Medications

    It sounds as if you really do want to do right by your patient. In your original post you stated that the patient's pain was not being well controlled. Regardless of the patient's status in your...
  16. hppygr8ful

    What does this order permit? In terms of frequency?

    hppygr8ful replied to Della4's topic in Patient Medications

    As a chronic pain patient I was a one time taking norco 5/325 2 pills three times a day. At one point I inherited a new doctor who had this idea that I should not be taking it at all. A pain...
  17. hppygr8ful

    What does this order permit? In terms of frequency?

    hppygr8ful replied to Della4's topic in Patient Medications

    I might also since you mentioned Ativan that it can typically be given every 4 to six hours as needed. You might want to brush up on your medication knowledge with regard to efficacy and half-life so...
  18. hppygr8ful

    What does this order permit? In terms of frequency?

    hppygr8ful replied to Della4's topic in Patient Medications

    I get it but the way the order was written it clearly allows for more than 1 dose per
  19. hppygr8ful

    RN Jobs That Do Not Require Covid Vaccine

    hppygr8ful replied to TraumaRN52's topic in Disaster Preparation

    I doubt a hospital would close but even world class hospitals run the risk of financial demise and being swallowed up by for profit chains like HCA with subsequent reduction in patient services and...
  20. hppygr8ful

    I will be unavailable for A couple of days.

    hppygr8ful posted a topic in General Nursing

    .................................So if you are responding tro a topic I started or quoting me don't think I am ignoring you!
  21. hppygr8ful

    RN Jobs That Do Not Require Covid Vaccine

    hppygr8ful replied to TraumaRN52's topic in Disaster Preparation

    If we ever move this over to a breakrom topic (Which IMO it belongs) I have some interesting things to say about ny experience with evangelicas.
  22. hppygr8ful

    What does this order permit? In terms of frequency?

    hppygr8ful replied to Della4's topic in Patient Medications

    Well if the patient is managing their own meds where would you get the idea they only get 1 dose
  23. hppygr8ful

    What does this order permit? In terms of frequency?

    hppygr8ful replied to Della4's topic in Patient Medications

    In the scenario I posted you could give the Tylenol 3 every 4 hours around the clock and still have break through pain orders. You do have to do a strong assessment to prevent over sedation and...
  24. hppygr8ful

    What does this order permit? In terms of frequency?

    hppygr8ful replied to Della4's topic in Patient Medications

    Tylenol #3 typically contains 300mg Tylenol and 30mg codiene Maximum daily dose for tylenol is 3000 mg Maximum dose of codiene is 15 to 60 mg every 4 hours with a daily total not to exheed...
  25. hppygr8ful

    ATP and non nursing job

    hppygr8ful replied to Scarlet70's topic in Nurses Recovery

    Drug screen are not so much about where you workbut a measure of your compliance with total abstinance. You can always ask burt these programs generally don't care about your fiancial situation....