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Grande_latte04 has 2 years experience and specializes in Long term care.

Grande_latte04's Latest Activity

  1. Grande_latte04


    Try university of miami
  2. Grande_latte04

    Blood clot vs urinary retention priority?

    I would think blood clot because of potential for PE
  3. Grande_latte04

    Just lost and need career advice

    I guess I just need advice. I am lost. A little background: I have a year and few months experience in nursing. This is my second career. I use to be a scientist. Decide I had a passion for nursing and went back to school. I completed an ABSN- fished in the top of my class. When I finished school I was so burnt out. My mental health was suffering. I just needed a break. I moved out of the state I did nursing school to my partner's home town. I thought I would just maybe never become a nurse. I pursued other things- teaching, science, writing. But then, back in 2019 I got the bug in my ear telling me...you just got to try. So two years after nursing school I took my NCLEX and passed on the first try. I got a job a week after passing, in long term care and rehab. My thoughts were that I would put in a year then get a hospital acute job and then work towards my dream of becoming a CRNA. But, COVID happened. I worked for 7 months- watched everyone around me die. I was working 60-70 hours a week as a new nurse and a new parent. Last July, my family and I needed to move to california. Specifically southern california. I got a few job offers- mostly in long term care, but also in home health and outpatient. I took an outpatient job- worked in urgent care, adults and pediatrics. I had a rough start- didn't get along with the nurse who trained me "Judy". Judy criticized everything I did, berated me in front of everyone in the clinic pretty much daily. When my review came up with my boss, I had a panic attack in front of my boss. I had bottled it all up for months and it just exploded. Things got better, I found a place in urgent care, was learning great things, got along with coworkers... but then family stuff arose. We are expecting our second child and I could no longer work a day shift. I asked to go per diem- they said no. I left the company. I started an evening shift as an RN supervisor at the mental health facility. It isn't ideal, and to be honest I do not like it much. I find myself doing endless amounts of paper work, little patient interaction, as an RN with only a year experience, I do not have the respect of seasoned LVNs with 5-10 even 15 years of mental health experience. The RN who trained me did a spotty job and I am left with giant holes in my knowledge of what I should know for the job- like how the DON specifically wants orders to be put into the computer, how they specifically want a care plan to be written out, who to call when code happens, how to order labs. I am learning all of this but I feel slow and inadequate. I have thought about quitting. And that just makes me sad and angry. I feel like a crappy nurse. I just don't feel like I've done anything right. And I just don't feel like I belong. I think this is all compounded by the fact that this isn't where I want to be. I want to be in an acute care setting. I want to work in a hospital and I want to help people with their medical issues, not just their psych issues. I've applied and applied and applied to hospitals all over so cal. I even had an interview where I thought I was a shoe in, but never heard back. I just don't know where to go from here. Any words- of encouragment? Help?
  4. Grande_latte04

    Nursing technology invention - what should I do?!

    you need to talk to a patent attorney
  5. I am a relatively new nurse. A little over a year of experience at this point. I am one of those people that needs direction/ needs to work towards a goal. That being said I think I want to become an NP. Not necessarily today or tomorrow, but I would like to start this in the next 5 years. The idea of commitment to a specialty right now is a bit terrifying. A little background: I have worked in long term care for 6 months- I actually loved LTC/rehab and memory care. I love bedside nursing/ I love the actual job of taking care of people. I left this job because my family needed to move across the country. Currently in California, and am working in primary care as a float nurse. I initially didn't love my job- but it has grown on me. I do adult primary care, pediatric primary care and would love to get into urgent care. I have spoken to my boss, and with the pandemic, there will be furloughs, and honestly, as the bread winner, the idea of losing income scares me. I found another job- super stable, better pay, better benefits working in mental health. I think I will like mental health- I enjoyed my nursing rotation in mental health and I have worked with psych patients in LTC. But when I think about what I want to do, what I enjoy I just circle back I don't really know. I think about what is it that makes me excited/ what do I envision and how do I realistically get there (while also caring for a very young family) and I just get lost. Here are just some thoughts I had (maybe they are idealist or ridiculous or dumb.. but this is why I am asking input from more experienced and wise nurses). 1) I enjoy working with children. I always have. I have at times imagined myself being a pediatric nurse. I have tried to get into pediatric hospitals to no end. Pediatric psych seems like something I could enjoy. I was once a teacher in a residential treatment facility for kids with behavior and emotional issues. I enjoyed it for the most part (company was pretty corrupt, but the population was enjoyable). I have thought about eventually PMHNP or possibly a PNP? I'm not necessarily asking the difference between the two, but maybe if someone has experiences with pediatrics in psych-mental health or is a PNP? And how those two might intersect? 2) My other thought(s) were to pursue a PMHNP and attempt to work in an emergency room? Does that happen? I don't even know? I have also had interest in becoming a SANE? Anyone w/ experience with that? Could I be a SANE nurse and pursue a PMHNP? Or could I become a PNP and do pediatric SANE (the idea that this has to exist is tragic and awful). 3) I am a bit of an adrenaline junkie. The idea of working in a more acute setting than a doctor's office is kind of where I'm at- I am excited to make a switch to a mental health facility- even with higher acuity. Maybe I would enjoy working in a crisis unit? Anyone with experience there? 4) I like the idea of being in charge/responsible for someone's care- be in mental or physical. I think I could be quite good at it with the right guidance/mentorship/opportunity. 5) My other thought is the money aspect. In my new position, I will be doing very well for myself- as an evening/NOC nurse I make >93k. As an NP I could possibly make another 35-40k a year... maybe an additional 50k. But to be entirely honest, the money is not that important to me. What is really more important is having some job flexibility- the ability to set my schedule or at least to have some control over my schedule. If that makes sense. Sometimes I feel like I know exactly what I want to do- other times I feel like I need to be an RN and just get experience before I commit to something else. Maybe I should do travel nursing? or bungee jumping.. I just don't know. Any life guidance any of you all might have would greatly be appreciated. Additionally, I apologize for the manifesto.
  6. Grande_latte04

    Anyone HATE nursing school but LOVE being a Nurse?

    I hated a lot about nursing school. I hated putting on the fake smile for the teachers, pretending to care about stuff that I was obviously never going to need to know, getting along with some of the idiots in my class that were super bigoted and mysoginistic. I thought some of the teachers were stupid and shouldn't ever be teaching. I also loved the learning process- especially the hands on learning times, I loved pscyh and adult health. I loved some of my clinical professors. Just find what you love and thrive on it. Bite your tongue and bear the BS. That is also good advice for life too.
  7. So I have an interesting predicament I am hoping someone can provide some insight on. I have been a nurse for about a year. Prior to nursing I had a first career as a researcher and a scientist. I have a phd in psychology and was a professor/researcher for many years. I am a new nurse, still learning lots, and greatful for every opportunity that has been thrown my way. I am currently working a job I dislike and am looking to change. I had an interview at a mental health facility for an RN position. I felt the interview went well and they told me they were interested. After a second interview they told me to think about it and get back to them the next day with salary requirements. I did that. They said they would get into contact with HR and get back to me. I spoke to HR today and she came back with this: after reviewing your credentials we want to interview you for the assistant director of nursing position. I said I was interested, that I needed a job description and I was looking forward to this meeting. I feel a bit strange about this. Administration has never been an aspiration of mine. I love nursing because I love interacting with patients. I love hands on nursing. I even love floor nursing, although I don't imagine I will love floor nursing forever. But I don't know, maybe I will. The ADA seems like a lot to chew off, and I still feel like a new nurse. I would also be new to mental health. Other than my rotation and a brief time I was a sub teacher in a special needs facility, I actually have very little experience with mental health- especially mental health nursing. I just don't really know what to think about all this. Anyone with any insight? I mean ADN not ADA... apologies
  8. Grande_latte04

    New to psych

    Hi, I am currently working in outpatient and for many reasons, it is not a good fit. I have recently had the chance to interview at an inpatient psych facility. I am a relatively new nurse. I received my license last November. My interview for this new position was via zoom and it seems like an interesting job. I will be the lead, as I am an RN, and will be lead to LPNs and CNAs. LPNs would be med administrators and CNAs would be doing mouth checks and any type of care related things. I got somewhat of a sense of the job- what day to day will look like and what expectations of me will be. It seems like it may be a better fit than my current situation. Currently, I'm working in outpatient and I am bored. As a clinic we are not seeing many patients, and the services we provide are repetitive and unchallenging. I feel super undervalued at my current job, and I really started off on the wrong foot with one of my supervisors (I really get the sense she does not like me). For reference, my job before that was great. I worked in long term care and rehab and I loved it. I had to switch because my family and I moved across the country and my current position was the best offer I could find. So I asked if I could tour the facility before any additional steps were made in the hiring process. My question is: what should I be looking for as red flags that this might not be a good place to work? I want this to be a good career move, and I would like this to be a job I stay at for 2y + at least. I know there is no perfect job- I am mostly looking for something where I can be busy, continue to learn, develop more nursing leadership skills and feel as if am meaningfully contributing to the care of my patients. I am also entertaining the idea of potentially becoming a PMHNP in the future... like maybe in the next 5 years going back to school (so a more distant possibility). Thanks for any guidance, this forum has really been a great place for me to get advice and run through ideas.
  9. Grande_latte04

    Is it normal to hate my job this much?

    I feel the opposite. I love bedside nursing. I hate administrative work. I am in outpatient right now and I am bored senseless.
  10. Grande_latte04

    Thinking of NP

    I am thinking about NP school. Specifically, PMHNP. I have been a nurse for a year- I've worked in long term care (rehab and memory care) and am currently working in outpatient pediatrics. I am currently not crazy about my job- it's okay, no major issues. I'm just bored. I really enjoy the population- mostly low income families without insurance/ we mostly do well patient visits. But I have in the past couple weeks been looking elsewhere. I have interviewed at inpatient psych and corrections and think I will probably transition into inpatient psych (won't be my first go at a psych type job- I use to be a teacher in a psychiatric facility). I just need something that is a little more hands on and slightly faster paced. So I have also been thinking about a master's degree. And a psych NP has crossed my mind more than once. I like the idea of having more autonomy over my career and more leadership abilities when it comes to patient care. I know I can do it- I'm decently smart and a pretty good student (completed an accelerated BSN with a 3.8, passed my NCLEX on first go). I'm getting excited about school, but I just don't know if a PMHNP is right for me- or maybe a FNP. The cost of NP school is also killer as well. I have one small child and one on the way, a spouse who works part time, and we live in a city that is probably one of the most expensive in the country. Does anyone know of online programs that are affordable and good quality. I would need to do online as I can not uproot my family. I imagine my ideal job would be in pediatric psych. I do enjoy working with kids. I just am so uncertain if this is the right step for me.
  11. I think they have an extremely valid case. Also 180k for nursing education is ridiculous. We want to encourage people to go into nursing, not dissuade them.
  12. Grande_latte04

    Help with new job

    So I have been a nurse for a whole 8 months. I know this makes me a newbie to the field. Before I was a nurse, I was a researcher and professor. I got my PhD in biology and taught at various universities for 5 years before I ultimately decided I was unhappy and needed a change. I am still pretty young (30's) so am not considering retirement anytime soon. For the past 8 months, I've been working in a relatively large rehab facility. I love my job: I enjoy the patients, the people I work with, my day to day routine. Especially now since we have beat covid-19 in our facility (at least for now) . We got hit very hard and had many deaths. I moved to Southern California about a month ago and got what I thought was a pretty sweet deal at a non-profit hospital system. On the surface, this job seemed awesome: more money, day shift, different variety of patients. I was really stoked. I completed the first week of classroom training that was super non-applicable and nothing I didn't already know. To explain, they grouped the nurses with the MAs and the entire training was focused on the MAs. The next week I moved to a clinic. The first day went okay. The next couple days, the nurse training me decided she didn't like how I did wound care, or how I gave IM injections or wrote notes or charted. At the end of week 1 she told me she didn't trust me to do anything without her. Im also super limited by a huge language barrier. I don't speak any spanish and 50% of the patients we see are spanish only. The nurse said she would help translate for me, but so far it has been her having a conversation with patients and me doing her charting. The second week (this week) has actually gotten worse. We are only seeing maybe 3 patients a day. She does all the nursing care and leaves me to chart for her. For example, she removed stitches today and had me do the charting. Today was exceptionally bad, because not only did I not really get to do any nursing care, but the MAs and the nurse had a conversation in front of me how they dislike it when people come to work at their clinic who don't speak spanish, and that they should just send english only speakers up North (note: super far from where I live). I was super hurt, because I am already feeling insecure about not speaking spanish, but it just confirms that they don't want me there. The nurse and MAs also spend a great deal of time making dispariging comments about the cleaning staff and other MAs who are not at the front desk. I don't know what to do. Im only at this location for another week and a half. But that will be the end of my training and Im expected to have learned everything I am suppose to know. Part of me wants to quit and find something else because I am so discouraged. Help? words of encouragement?
  13. So I got a job offer. It is definitely not the job of my dreams, but hey its a job and I have been thinking about taking it while looking for something more desirable. And since I am moving to a new area of the country, I thought okay this makes things easy. So I get a hold of the benefits package after fighting with HR (already not a good sign), and I get a list of the health insurance policies my new employer will offer. I glanced at it and on first impression was like "yes! kaiser, such a good plan". But then, upon reading the fine print, realize how expensive this plan actually was.. Im talking 1100-1800 a month for a family plan. So I do some research. And I go on Kaiser's website to see how much this plan might cost me if I went to Kaiser directly. All of kaisers plans were cheaper. EVERY SINGLE ONE. So basically this new job offers no benefits. Nothing. No health insurance, no dental, no vision, no 401K match, no paid holidays, no overtime, no life insurance, no pay differential, no PT.... NOTHING. I am so discouraged, and have even considered scrapping nursing all together. This was the only job offer I had. I had a couple other interviews, all of which have lead to nothing. I'm in a weird place, I have 7 months of experience, and have to move across the country to be closer to family. Am I wrong to feel this way? To feel super wronged and deceived by this potential employer?
  14. Grande_latte04

    Not sure where to go from here

    So I have been a nurse for a whole 8 months. I know this makes me a newbie to the field. Before I was a nurse, I was a researcher and professor. I got my PhD in biology and taught at various universities for 5 years before I ultimately decided I was unhappy and needed a change. I am still pretty young (30's) so am not considering retirement anytime soon. For the past 8 months, I've been working in a relatively large rehab facility. I love my job: I enjoy the patients, the people I work with, my day to day routine. Especially now since we have beat covid-19 in our facility (at least for now) . We got hit very hard and had many deaths. I am moving next month to southern California. I went through the hoops of getting my CA RN. And have actively been applying to jobs for a month or so. I have had a few interviews so far and one solid offer. I am just not sure where I should work or what I should do. I am acutely aware that my limited experience limits me in many ways. One thought was to apply to a nurse residency program at the local children's hospital. There is a great residency program and Rady Children hospital in San Diego, that I would think I might really enjoy. And it would give me a lot of experience. I enjoyed my peds rotation and have worked with kids in the past. Problem is, its super competitive. I've logged quite a chunk of time with volunteering at chidren's hospitals prior to becoming an actual nurse, have decent grades (3.6) and pretty positive recs from my current job. Plus I guess a PhD doesn't hurt. But it is super competitive, so I'm not putting all my eggs in that basket. I have a job offer in LTC- wages are lower than I would like, and benefits really suck. But it's a job offer. I know I do NOT want to work in LTC for my entire career. I don't hate it, I am just hoping for a little more excitement and variety. I've had an interview with the Veterans Hospital as a research nurse. Sounds cool, but I don't know if that's necessarily a path I want to take. I was a researcher for 6 years and I am not sure if I wouldnt grow tired of it as I have in the past. I had another interview at a non-profit and the wages and benefits sounded great and the position sounded exciting. It's working in outpatient, which could be cool. I had another interview with a detention center by the boarder. That sparked my interest. But I haven't yet to hear back. There are just lots of options, and I'm just not sure where to go and what to do. I love working with kids and younger populations. I enjoy mental health. Part of my current job is working in memory care and with patients with some pretty sever mental issues. I imagined myself really wanting to work in an ER or pedi ER or ICU, but all of those things require critical care experience, and I don't have that at all. Sorry for the long rant. I just was wondering if anyone was in a similar place, or have been in a similar place and could offer insight/ wisdom/encouragment.
  15. I will out myself as a nurse. I can't help myself. I am also a really good patient. I try to be polite and grateful for the services provided to me. I always thank my nurses and doctors and LNAs... that is until I go under anesthesia. But knowing this, I warn all healthcare providers that I become a nightmare when I am going under and coming out and to prepare yourself. I think healthcare worker to healthcare worker, those type of conversations are important. But luckily, all procedures I have had the warrant anesthesia were quick. I have never had cancer or anything that has threatened my life. I imagine it must be so scary, as a healthcare worker who has seen how cancer can destroy the body and the mind, to know it's coming. Or to see your parent or child go through something like cancer. I have no answers here. I guess I am just babbling my thoughts.
  16. Grande_latte04

    Lithium and Dehydration

    This is interesting. I never really thought about this super critically. I looked it up and lithium inhibits the function of voltage gated sodium channels in adrenal chromaffin cells. If those channels can not become activated Na+ can not be released from the cells (I guess reiterating what someone said above) and then cathecholamines but also would prevent blood sodium levels from rising (I guess.. that's how it works)