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TheMoonisMyLantern ADN, LPN, RN

Mental health, substance abuse, geriatrics, PCU
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TheMoonisMyLantern has 12 years experience as a ADN, LPN, RN and specializes in Mental health, substance abuse, geriatrics, PCU.

TheMoonisMyLantern's Latest Activity

  1. TheMoonisMyLantern

    Unruly CNAs, how to get them moving?

    I think managing CNA's is different in LTC than it is in Acute care. In acute setting most of the care is delivered by the nurse as the CNA usually will have 1/2 the floor or the whole floor. In LTC most of the care is given by the CNA's because the nurse has 1/2 the floor or the whole floor. LTC management typically has the assigned nurse working as the immediate supervisor of the CNA's and holds the nurse responsible for any lack of care or mistakes that the CNA's may make. Because of this when you have a CNA that is unmotivated it can and does come back on the supervising nurse (been there done that). And while getting in the trenches to do the dirty work is good for morale and important for nurses to do, when you have 30-60 patients AND you're a new grad it is very difficult to manage one's time well enough to be able to do that. Please know I'm not trying to be diminutive to acute care folks, just having worked both there is a different mindset in LTC when it comes to working with CNA's.
  2. TheMoonisMyLantern

    Is this a Med Error?

    I don't think you were wrong for helping the CNA with the eloping patient. Patients that attempt to escape are often impulsive and unpredictable, had the CNA been by themselves and the patient became violent (which nowadays is not uncommon) no one wants to be in that situation by themselves, there is safety in numbers.
  3. TheMoonisMyLantern

    Nursing Smells You Love?

    I love the smell of liquid carafate and I absolutely love the scent of oral liquid Nystatin. Mmmmm.
  4. TheMoonisMyLantern

    Webcams in Nursing Homes?

    My issue is that this would be used as a tool to scrutinize the nursing staff even farther than they currently are. Instead of surveillance, I think providing enough workers to get the job done would be a higher priority, otherwise the staff are being set up to fail. Imagine the resident's daughter accusing you of elder abuse because it took you ten minutes to get a fresh water pitcher.
  5. TheMoonisMyLantern

    Bedside Nurses: Undervalued, Poorly Retained and What Experts Say

    Poor staffing, inconsiderate management, unrealistic demands, ever growing list of tasks (mostly documentation), increased verbal/physical abuse from patients and families, minimal pay raises, poor retirement, expensive insurance, denied vacations, 3 sick days a year, who wouldn't want to get away from that?
  6. TheMoonisMyLantern

    Social Media and Doxxing - Your Thoughts???

    Yes, they went to far. There was nothing illegal in his post, nothing that was a breach of ethics and yet someone still went after him. Yet another example of how nurses are their own worst enemy, we will never advance our profession until we retract our claws out of eachother's flesh.
  7. TheMoonisMyLantern

    Social Media and Doxxing - Your Thoughts???

    I think taking pictures at work should be avoided in order to avoid these types of situations. Even when no patient information is revealed most places have policies prohibiting photography while working. That said I think it was pretty trite of someone to go through the effort to report him and essentially cause him to lose is job, to me that's incredibly petty.
  8. TheMoonisMyLantern

    Questionable actions that make you go hmm?

    When I first started in nursing, the hospital I worked at had Patient Registration type in the admitting diagnosis which would then appear on the Kardex we printed out. There were some pretty interesting dx but my favorite was "Uterine Thyroid" instead of fibroid. That one still tickles me, I can practically see it in my mind haha.
  9. TheMoonisMyLantern

    Should you report it if you have a disability?

    I would encourage you to seek counseling to help manage your anxiety. Fear of public speaking is incredibly common and I'm sure you can get some good help for it. I would be wary of seeking a waiver as group projects are simply a part of college and it would probably be in your best interest to defeat this fear and anxiety as opposed to trying to avoid it, you'll feel much better about yourself if you persevere through this. Best of luck to you.
  10. TheMoonisMyLantern

    Patient Rituals

    Not a patient ritual but a ritual of a nurse I used to work with. She was a very strange lady, heart of gold though, I only worked briefly with her before she retired. Anyway, every time she would pull up an IV med when she was finished she'd lick the top of the vial, didn't matter if it was solu-medrol, lasix, or morphine. It was very... odd. Another former co-worker would join in conversations by grabbing the trash can and straddle it while talking instead of pulling up a chair it was ALWAYS a trash can and the way she straddled was more rated R versus PG. Once again, very odd. Have had several patients over the years that everytime they went to the bathroom after finishing they'd grab some toilet paper and start digging around to see if they had any more stool "up there", and the clincher is that I'd have to remind them to wash their nasty hands afterwards
  11. TheMoonisMyLantern

    Legal obligation for disaster relief

    I hear what you're saying, but we go into this field knowing that we provide an essential service. It can suck working during a disaster but it's not really a big secret that it's expected of you when you enter the profession.
  12. TheMoonisMyLantern

    Legal obligation for disaster relief

    OP, what research have you done to find the answer to your question? I'm not an expert on legal matters, but you certainly have the right to refuse reporting to work during a disaster, it will however more than likely cost you your job which can be a heavy price to pay. If you leave work without relief then yes you could face heavier penalties since that would be abandonment. Oh, and it might behoove you to remember that ethics are important in medicine and nursing, they help to guide our decisions for the greater good. In healthcare it's not about "us" it's about the patients , "them" right or wrong that's the reality of it. If your own ethics don't align with this, that's okay and there's nothing wrong with that but there are certain situations where it can be incompatible with nursing or medicine such as during a disaster. Good luck to you in whatever you decide and I hope you find the answer you're looking for.
  13. TheMoonisMyLantern

    Frustrated trying to get a hospital job!

    I think you should consider taking the job in order to get the experience. A commute sucks but honestly if you just accept it for what it is and get used to it you'll find a rhythm and routine. I know the pay they are offering isn't great, but the experience could prove to be very valuable especially since they're giving you a full residency. On the other hand, if the commute and contract are just too much I would advise getting into a good SNF. It's not acute care but it will expand your skill set that will cross over with acute care. I would encourage you to do some research and see if there are any chronic vent facilities in your area as you can learn and do a lot in those types of facilities. I would also encourage you to try to enjoy wherever you decide to work. Remember acute care isn't the end all be all and there are many lucrative, satisfying, and challenging jobs outside of the hospital. Good Luck!
  14. TheMoonisMyLantern

    On Call versus Case manager

    So, I do not yet know what the census or how large the service area is yet, I'll definitely ask though if I get asked to an interview. Thanks for your input!
  15. TheMoonisMyLantern

    If I say "how stupid are you" will they take it as a challenge??

    Sometimes people don't realize how good they have it. I think every nurse at some point should work in an utter hell hole for a while so that they can appreciate the good jobs when they get them. Ironically some of the worst jobs I had were also some of the ones I learned the most from.
  16. TheMoonisMyLantern

    On Call versus Case manager

    Hi folks, So, I'm curious what your thoughts are on a on call weekend position (4pm Friday to 8am Monday) versus a case manager position (M-F 8am-4:30pm) in regards to work/life balance and overall job satisfaction. I know case management can be all consuming but my worry with the on call position would be that you could get swamped with calls requiring urgent attention and be pulled in a thousand directions. Is this the case? Thanks for any insights you can provide!