This is the kind of thing that wrecked my own nursing career. I had a high-level director of nursing job, but I loved hypo/mania so much that I let it run rampant...at one point I was so manic that I couldn't hide it anymore and had to take medical leave. Two days after I came back I was fired. The Americans with Disabilities Act didn't do anything to protect me; companies always have an office full of lawyers at their disposal who know how to work around the ADA.

I know how enticing hypomania can be---I've been wrestling with it a bit lately myself, but then I don't have a job to worry about. But you have to get that beast under control before you do something that makes you look reckless and foolish. Nurses unfortunately are held to a higher standard than most professions; and though we carry enormous responsibility we also have very little authority. That makes us vulnerable to judgment, not only by supervisors and administration but our own fellow nurses.

Please use your PRNs. You're hovering over the line between hypomania and mania, and it's going to affect you at work. Good luck to you!