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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

    Staying Honest...?

    Healthcare in America is riddled with lawsuits and companies are constantly trying to keep themselves covered and to track any perceived potential cases of litigation and the risk to the company. Most of the places I've worked at were pretty aggressive about reporting all incidents no matter how small.
  2. TheMoonisMyLantern

    Struggling on my new job

    That's just a poor method of precepting people. It maybe worth diplomatically explaining to her that you're not finding it helpful to be given such a heavy assignment. If she doesn't relent on this then I would really evaluate whether or not to continue in such an unsupportive environment. I can't imagine watching netflix while an orientee was drowning, WTH?
  3. TheMoonisMyLantern

    What Can We Do About a Negligent Doctor?

    I too have seen the teaching hospitals in my area giving residents in certain specialties a wide berth when it comes to supervision. I realize they have to learn to become independent practitioners but in July there really should be all hands on deck when it comes to monitoring the residents. There was an oncologist at one facility I worked where I had a theory that he was a serial killer because he was so overly aggressive with treatment in patients where treatment was futile. He was not a fan of palliative care and the running joke was that he'd order chemo for you even when you were on your way to the morgue. His patients were always so sick from all the chemo he ordered, multiple complaints and concerns were raised over the years but nothing ever happened to him. I knew a vascular surgeon that had a reputation for being over eager to amputate limbs, he was always talking about how that was his favorite type of surgery, and no lie, amputation always seemed to be his recommendation when he was consulted. Maybe he was just really good at spotting when it needed to be done? 🙄
  4. TheMoonisMyLantern

    Staying Honest...?

    I don't think you should be ashamed, the instinct for self preservation is a powerful thing to override. When it comes down to it, you did the right thing and your error had no negative consequences for the patient. I currently work in a culture where punitive measures are taken towards those reporting errors, so guess what, we have incredibly low rates of documented errors! Just two weeks ago I had an incident where a significant error was made by a staff member related to an ineffective system process and nothing was documented about this error due to the staff member fearing reprisal from management and even the immediate supervisor was complicit in not reporting it. The bad thing is that this error could have effected the way a test was interpreted by the provider and thus could have a negative impact on care but fear of punishment suppressed them from speaking up. I have always been told that in healthcare we have to speak up when we mess up so that's what I do, and I've made some really bone headed mistakes that I was embarrassed and ashamed of making but I've learned to put my ego aside and do what needs to be done. I do think it's only human nature to want to deny that something happened.
  5. TheMoonisMyLantern

    Patients Viewing Nursing Notes In Real Time

    Does this rule only apply to narrative notes? On the floors the bulk of charting occurs within various assessment tabs/screens, will those be made available as well? How are hospitals making this available in real time, are there monitors put up in each room that has the notes populated for the patient to see? I'm trying not to be negative or judgmental about this. Everyone better make sure their liability and malpractice premiums are paid up. I don't think I would want to read my nursing notes if I was a patient, I don't want to read about the episode of explosive diarrhea I had, etc. I think for a lot of patients it's just unnecessary. Now obviously for more complicated patients I could understand how it would be more appealing.
  6. TheMoonisMyLantern

    Looking for thoughts/opinions of experienced nurses

    Correct me if I'm wrong Davey, but isn't NMS most common on initiation of antipsychotic therapy? My understanding is that this is a chronic patient in a residential setting and is likely to have been managed on clozapine for a while. Can NMS develop at any time while using the drug?
  7. TheMoonisMyLantern

    System float?

    Every unit I've worked on float nurses were usually given less acute and more desirable assignments since they were a guest on our floor and were helping us out. I always want floaters to feel relief, not dread, when they get pulled to the unit that I work on. Travelers on the other hand, when they are new to the unit or the facility seem to get crappy assignments which I don't think is right, but it seems to be pretty widespread since a lot of the travelers I've spoken to have reported being treated that way. I hope you are treated well, I think it would be a pretty fun job getting to go to the different facilities within your hospital's system.
  8. TheMoonisMyLantern

    Back surgery during nursing school

    I think it really depends. Most schools are not really empathetic about medical problems that arise, your mileage may vary but I doubt they're going to be very accomodating. Recovering from back surgeries can be a bit more delicate than other types of surgeries, pushing yourself to the max or beyond what your physician or PT recommends can do serious long term damage and undermine the procedure you had. Because of this, I just don't see how you could participate in clinicals even if you were functioning in a "light duty" capacity without the potential of getting hurt there are simply too many variables and potential dangers in an acute care environment. A busted back can be career ending for a nurse. How urgent is this surgery? Are you in a great deal of pain? Do you have impairment in your mobility? What is the maximum amount of time you can post pone this surgery without risking further injury? A lot of back surgeries take a lot of time to even be approved by insurance so usually there's not a ton of urgency, but obviously this is between you and your surgeon. I honestly don't think there's a wrong or right decision here because either way you're going to face challenges! It's a really sucky situation, but I'm sure regardless of what you choose you will succeed! Good luck!
  9. TheMoonisMyLantern

    Coworkers Competing For Vending Machine Food And Drinks

    I think shaming can go both ways. I think it is commendable of those who work hard to eat a healthy diet and I actually really enjoy hearing their stories and perspectives as well as their habits. I have witnessed healthy people be insulted over their habits which is just crazy.
  10. TheMoonisMyLantern

    Filling in staffing holes?

    Wow, acuity is considered in addition to the census? Hundreds of flex nurses? Management that is able and willing to provide patient care? Ya'll hiring?
  11. TheMoonisMyLantern

    Coworkers Competing For Vending Machine Food And Drinks

    Uh, in my neck of the woods that would actually make you pretty popular! 😅
  12. TheMoonisMyLantern

    Does being a nurse make you feel like a good person?

    Lord knows we've probably ALL worked with a few nurses that despite being there to "help others" also presented as some pretty terrible people!
  13. TheMoonisMyLantern

    Coworkers Competing For Vending Machine Food And Drinks

    Sorry, I unleashed a little unflinching judgement myself! 😂 I think there's a difference between comments spoken out of concern versus comments meant to shame. There's nothing wrong with concern, but shaming just isn't an effective means of changing a point of view.
  14. TheMoonisMyLantern

    Does being a nurse make you feel like a good person?

    The more "functional" higher income non "underclass" have disgusting habits as well. Apathy, avarice, egomania. Except with their accumulated resources and influence their disgusting habits can effect all of society versus just one individual drown trodden person's health.
  15. TheMoonisMyLantern

    Does being a nurse make you feel like a good person?

    I don't think you should feel guilt for finding a job that doesn't wreak havoc on your mental health and personal life. I can relate to you in the sense that I've always enjoyed working with the less desirable patient populations homeless, mentally ill, substance users, elderly, ID/DD, forensics, etc., Mainly because I just felt like maybe that's where I could do the most good. Nursing is just an occupation, but the fact that it allows me to help make a person's life a little bit easier, comfortable, or better is very important to me. Realistically you can do this with any patient population regardless of their income or privilege , they still are deserving of high quality care and kindness.
  16. TheMoonisMyLantern

    Filling in staffing holes?

    A float pool or resource pool is very common in hospitals to help fill in staffing holes. In addition the person doing staffing for the shift will look at the census and staffing for each unit in the hospital and reallocate staff as needed if a unit has a surplus of staff and another has a shortage. Certain areas may be "closed" units and cover their own staffing, usually highly specialized units like mother/baby, nicu, peds, etc. it's not uncommon for closed units to have a scheduled "on call"" or mandatory overtime schedule to cover staffing holes. In larger areas agencies can send nurses to help with coverage, it's easier to get staff the more notice you give them. For chronic shortages travelers are utilized. Then of course there's the daily begging for permanent staff to pick up shifts. Oh and hiring PRN or Per diem staff to help fill in holes is common as well. Small hospitals seem to utilize mandatory overtime quite a bit because the census can be pretty turbulent.