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TheMoonisMyLantern ADN, LPN, RN

Mental health, substance abuse, geriatrics, PCU
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TheMoonisMyLantern has 14 years experience as a ADN, LPN, RN and specializes in Mental health, substance abuse, geriatrics, PCU.

TheMoonisMyLantern's Latest Activity

  1. TheMoonisMyLantern

    Ready to leave bedside after only 1 year?

    Thanks for the info. It's obvious you have a lot of experience with this. It would make for an awesome article or thread discussion if you have the time and desire to share your wisdom.
  2. TheMoonisMyLantern

    Ready to leave bedside after only 1 year?

    Have these court cases been federal or state based? Where I live antiunion propaganda videos are shown during system orientation and company statements posted in breakrooms that under no uncertain terms threatens separation of employment if unionization attempts are made. There are no nursing unions statewide where I live, and what little union presence there is in other occupations boast an anemic influence at best. I say all this just because I just don't have confidence that us peons can make meaningful change without jeopardizing employment.
  3. What you described with q 15 minute rounds is painfully common both the complacency and the consequences when they're not done appropriately. It's so important that staff are educated on hire and periodically after the importance of safety rounds. I also think that having only one person or tech be responsible for rounds is a common practice and contributes to complacency. I've had to do 12 hours of q 15 minute rounds by myself and although it isn't rocket science, it is mind numbing. I think rotating staff q 2 hours is ideal or at least providing the option of a break. Sadly I worked with nurses who "didn't do rounds" because that was "tech work" ??
  4. TheMoonisMyLantern

    We Must Demolish Traditional Universities

    That's the problem though, it's not the same education. Yes online education can be very effective and has its place, but the content delivery has to be up to par. There are people who say they finished their NP Program and only spoke to their "Professors" when they recieved feedback on their papers that focused primarily on grammar, structure, and APA formatting than the actual subject matter. When "didactic" material is reading the chapter and writer a paper, that's a joke. And as I've said in almost every flipping thread that this topic comes in not all online schools are bad and not all b+m schools are good. And yes if the barriers to licensure are too few due to having an easy licensing exam then that needs to be addressed. BUT academia should have the ethical wherewithal to know they providing a substandard product. I found your post very insightful. I'm glad the discussion threads have been an engaging and informative experience.
  5. TheMoonisMyLantern

    Mr. Potato Head, a Mister no more.

    There's nothing wrong with identifying as a Mrs. or Mr. and there's nothing wrong with not identifying as either! I don't see how inclusive language or language that is respectful to the person's identity is disintegrating the institution of marriage. I always though divorce was the main driver of that. When gays wanted to marry we were told for years that our hellfire fueled weddings would forever taint the institution of marriage and ruin it for the men and women already married. Well, that didn't happen. And I don't think anyone's marriage is gonna be ruined because Potato Head is gonna be gender neutral so that kids can make it what they want.
  6. TheMoonisMyLantern

    Mr. Potato Head, a Mister no more.

    It's not categorizing, it's identity. Gender is a complex part of one's identity, it always has been, and it's simply not cut and dry. LGBT folks, we've been here in the shadows for a very long time and society is finally allowing us to step out and actually be identified. People are finally expressing their sexuality and gender in ways they haven't been able to because of society's attitude. Education on being trans is an imposition? Are you afraid you're going to catch something and start wearing dresses? I'm sure non binary and gender fluid folks are a real big imposition as well. It is completely fine to not understand and even not agree, but to not even want to try to understand, that wreaks of phobia. After all of your posts that I've read from you, I sincerely doubt that you are truly transphobic.
  7. TheMoonisMyLantern

    Distance Learning Systems.

    Never heard of it. However, usually credible schools don't have to send out text messages to get people to apply.
  8. TheMoonisMyLantern

    Pay rate different for training period?

    Normal? No. However, not unheard of, I have read accounts of nurses who had a lower rate of pay during their orientation which I think is a terrible practice. If you like this job and it's your first LPN job then I wouldn't quit over this, however I would be very mindful of the fact that they swindled you and go over your checks with a fine toothed comb. I would also require that they put in writing the date you will start earning your full pay.
  9. TheMoonisMyLantern

    Looking for thoughts/opinions of experienced nurses

    Whenever you get a wonky reading with a machine always obtain the data manually to confirm it's accurate. As others have said, a bp or pulse that low will not sustain life for very long so if those were accurate 911 should be called immediately unless the patient is comfort. I'd much rather be in trouble for not obtaining permission to call 911 than to fail to rescue someone in distress.
  10. TheMoonisMyLantern

    Ready to leave bedside after only 1 year?

    Hey now it had to be suggested. Every burn out thread requires us suggesting the poster should either take a vacation or quit their jobs. Just doing my due diligence ??
  11. TheMoonisMyLantern

    Mr. Potato Head, a Mister no more.

    Oh gosh those candy cigarettes were so nasty but I felt like hot crap when I had them haha
  12. TheMoonisMyLantern

    When Willpower Isn’t Enough

    I think we are learning that obesity is actually a complex condition. It's not as simple as just don't eat so much and exercise a few times a week. Certainly that is the ideal solution for people but a lot of people are unsuccessful with this for multiple reasons. I think these new medications are tools that can ease a little bit of the burden of trying to achieve a healthy weight. Long term side effects are always a concern, however I doubt they can compare to the risks of obesity related illnesses such as diabetes or heart disease.
  13. TheMoonisMyLantern

    Another one wanting to bite the dust.

    The worst assignment I ever got was 9 patients on a med oncology floor with no tech or secretary. Worst assignment I had on PCU was 6 patients one of which was a chronic vent. Recently had 16 sub acute covid positive patients by myself with no cnas we only sent our covid patients out if they required bipap so care was pretty acute, it was really hard. I would still take all of the above before I would accept working at a place that felt 10 pcu patients for one nurse is acceptable. If you guys are this short they need to be pulling administrative nurses to the floor and get some travelers in.
  14. TheMoonisMyLantern

    Patient abandonment/Professional Boundaries??

    I agree with what JKL said. It sounds like this nurse is crossing boundaries, it happens, we all have patients that we either identify with or connect with and it can be easy to get swept up in that and not think and behave as clearly as we should. I think a friendly conversation and bringing to her attention that she has gotten too involved with this patient at least gives her the chance to self reflect and modify her behavior accordingly. That being said, I have worked with people that would not take this kind of conversation well, in which case you should get your immediate manager to address the situation. As far as the BON, unless her behavior has led to verified sexual or financial exchanges or her excessive attention to this patient has resulted in harm or death of one of her other patients, then this really is better managed by her employer versus the board. You mentioned in one post she was doing the bare minimum for her other patients and in the other post that she was neglecting them. If she is truly neglecting them then your supervisor needs to be notified immediately so they can receive the care they need.
  15. TheMoonisMyLantern

    Anyone get anxiety prior to their shift?

    Anxiety in nursing? HA. There have been times in my career that I have been absolutely paralyzed by it before a shift. It is a horrible feeling and there were literally moments where I thought not being alive would be better than the feelings I was experiencing. For years it was before almost every shift that I would feel this way. My anxiety stemmed from the fear of "What if I can't handle what happens?", "What if I harm someone?", "What if I make the wrong decisions?", These uncertainties plagued me to no end and the intensity of these fears were nightmarish for me. I realized that some anxiety is normal but what I was experiencing was pathological, I got treatment that unfortunately for several years was not effective. My attendance became a problem, I developed profound depression and eventually I had a psychotic break and was unable to work for close to a year. Eventually I received treatment that was helpful and with time I was able to get back to work. I don't know if the stress and anxiety I had caused my decompensation but it certainly contributed to it. Nursing is just flat out hard, the responsibility we have is enormous and the support we are given to carry out our responsibilities is usually inadequate. I can honestly say that I no longer stress out about work. I finally accepted the fact that I have survived every shift I've clocked into and short of being struck down by God in the middle of my shift I'm going to survive that one too. It's normal to have a little anxiety or even a mild sense of dread, but if it starts to impair your ability to function, decrease your quality of life, or even starts to consume you than you definitely need to get treated by a mental health professional. Life is too short, and too precious to live in that state of anxiety. Good luck to you.
  16. TheMoonisMyLantern

    What if I'm not meant to be a bedside nurse?

    I don't think you should feel stupid or feel like a failure. This is a bump, a hurdle, something you can learn from. Some jobs are not good fits and not being a good fit on one unit of the hospital doesn't mean you won't be a good fit on another unit of the hospital. I will say that a 6:1 ratio on a tele floor sounds about right unless you're in one of the few states with a strong union presence or in California with mandated ratios. One think that jumped out at me was your preceptor saying you lacked a sense of urgency. I think you should really reflect on that because that can be an important issue to address. Was it a problem of prioritization or a problem with attending to issues that needed to be addressed? Sometimes it can be difficult for new grads to transition from the mindset of "I need to tell someone this" to "I need to deal with this." As others have said, inpatient environments are very stressful especially right now for the obvious reasons, many would be envious of your clinic position as those type of positions for RN's are becoming rarer. If you really feel it tugging at your soul to try a more acute environment then you ought to go ahead and apply for other hospital jobs in your area. I would also encourage you to consider SNF/LTC, a lot of new grads snurl their nose at the thought but it can be a great place to learn how to be a nurse with patients are typically more stable than hospital patients but still require management of acute illnesses. It is fast pace and the ratio often sounds impossible, but it's pretty task oriented and might be a good fit for your personality. I think the biggest challenge you'll have isn't that your tele job didn't work out, but that you are unable to do night shift. It can be really hard to nab a dayshift job as a new grad depending on where you are. You have a bigger chance of being able to get a dayshift or evening shift position with LTC/SNF. Good luck to you.