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If you made it this far--thanks for visiting. My name is Joe. I'm allnurses.com's Chief Information Officer. I'm the tech behind the scene. I'm in charge of everything that makes allnurses.com tick. Isn't she a beauty! I consider myself to be extremely fortunate, because I love what I do.

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  • Jan 19

    Four Authors Will Split a Total Cash Value of $600

    There were so many great articles submitted for the Fall contest in October, November, and December. A big thank you to all who submitted the articles as well al those who read, liked, and/or commented. Many of the articles were submitted by first-time writers. We look forward to reading more from you.

    Choosing the 10 top articles is a tough job. This time, the number of articles increased so the competition was even stiffer. You will find the top 10 articles listed below. Now it's your turn to help select the Top 4 Winners. Each winning author will receive $150, so please help us with your votes.

    Use the poll below to vote for you 4 favorite articles. You may select up to 4 articles. You must be a registered member to vote.

    The top articles in no particular order are:

    Mary's Gift

    When death was beautiful

    Through the Eyes of an ICU Nurse

    How I Got a 97.3% on My TEAS VI.

    I'm So Over Nursing. I would rather work at Costco!!

    If you could only give ONE piece of advice to new RNs...

    Coming Soon? Will Nurses be Taking Over the Lab?

    6 Tips For Nurses Working Through The Holidays

    Unsolicited advice from a preceptor

    Why I'm leaving nursing

    If you are reading this as a guest and would like to vote for your top four articles, Join Today.

    It just takes a few minutes to register and create a free account with allnurses.com. To register, click on Register Today - It's Free on the allnurses website.

  • Jan 18

    I waved at my young co-worker in the grocery store. She pushed her cart over my way, all loaded up with a baby in a car seat and a three year old riding up front in the grocery cart disguised as a car. The toddler pushed her wheel from side to side and the baby slept peacefully while we chatted a few minutes. Nelle, a nurse a local hospital, graduated from nursing school two years ago. After a few pleasantries,I asked her how things were going. She stopped, then said, “Do you really want to know?”

    I smiled and nodded. She said, “Honestly, things are rough. I love my job, but it’s insanely hard getting there, keeping my marriage going and taking care of these two. I’m not sure if I’m going to be able to stay with it.” I could see tears filling her dark eyes and threatening to spill over, so I put my hand on her arm, trying to offer some support.

    I listened a while longer before the toddler began to ask for a snack and the baby squirmed in her seat. We parted ways with a quick hug, and I said, “I’ll say a little prayer for you!” She moved on quickly, snatching up the few essentials in the minutes she had left.

    As I walked on, I contemplated times when I had been in her shoes. Nursing is a challenging profession for parents of young children because of the special circumstances that surround covering health care on a 24 hour basis: Early mornings, late nights, on call, continuing ed, community service, shift work, week-ends, emergencies… Nursing can be a challenging career for a person with no family responsibilities, but if we add to the list above a few more: babies, crying, fussing, coughing all night, diaper changes, car seat transfers, daycare, diaper supplies, bottles, pumping…or at a different stage in life: homework, baseball, gymnastics, PTA, church activities, back to school shopping. The life picture gets muddled and exhausting. Sometimes, we wonder: how does a nurse cope with being a parent? And continue to do the job well?

    Whether you are a mom, dad or a grandparent, being a professional and a parent is not for the faint of heart. As the great philosopher, Dr. Jeff McCord once said, “The devil is not in the details, he is in the distractions.” He makes a good point that often we get so sidetracked and “busy” that we forget to stop and focus to reorient our priorities.

    After our encounter, I wondered what I could have said to help her. What advice would have been helpful to me when I was in her position? While everyone’s situation is different and no counsel fits everyone, there might be a few things that could help. You may be able to add a few of your own to the list.

    • Talking about it can help. Finding a few minutes while on lunch break to talk things over with a friend can help to restore some perspective. And sometimes by simply talking it out, you are able to find your own way to a resolution. As a supportive friend, you may not be able to actually “do” anything for your overwhelmed co-worker, but if you can take a moment to listen empathetically, it might just do wonders for his/her outlook.
    • Leave the guilt behind. Kids thrive when their parents are fulfilled and happy. Carrying guilt along with a full workload can sink even the most buoyant. If you have little ones, read them a book about what nurses do. If possible, show them. And be careful to clarify. I have a friend who told her grandson she was going to take him to see her workplace. He was all excited until they got to the hospital and asked when they were going to ride on the helicopter! The five year old then burst into tears of disappointment when he found out his grandma didn’t work on the helicopter. In his child’s mind, everyone there worked on the cool helicopter.
    • Find a family communication tool that works: schedule sharing apps, a simple dry erase board, refrigerator magnets—anything. It’s surprising how a basic tool like this can make sanity survive. It’s also handy for leaving early morning messages or quick reminders as you head out the door.
    • Prioritize, prioritize. If you are a working full time as a nurse and managing family duties, then it is personal critical care to decide what is important and what is not. Letting the urgent win over the important can make family life tilt dangerously off-kilter. A few basics of organization, coupled with a realization that you can’t do everything, will set things back to a steady place. Most of us can remember begging our parents or loved ones for stuff. But more than “stuff” we wanted them—their time and attention. When time is at a premium, then letting the excess go, can help fulfill the most basic need for love and security. Making reasonable goals for ourselves as working parents can lead to success all around.

    After I got home that evening, I sent off a quick text to Nelle, telling her how much I enjoyed running into her and wishing her well as she continued to juggle her career and her family.

  • Jan 18

    I overheard a disturbing conversation of nurses who were saying that overweight people should not be working in healthcare. They were basically saying that patients do not respect health advice or treatment from a worker who is unhealthy themselves. I am posting this topic because I wonder if this is a shared sentiment among the medical field? Or from patients? Or has anyone experienced anything related to this? Like getting fired, or discriminated by either pateints or a facility and such? Are there ever clauses in facility contracts that employees must maintain optimal heath to represent the industry's interest? (I am in Vegas & yes casinos do enforce waitresses/dealers with a +/- 5 lbs. original hiring weight monitoring weekly). I hope this is not what nursing school meant by "take care of ourselves before we can take care of others." Honestly, I dont think like this but wonder if others in healthcare do? Is this really a "thing?"

    BTW, they were referencing a theme of nurses who gained weight from emotional overeating. They were not referencing a physiological underlying condition. ~ Thank You ~

    Why Are So Many Nurses and Healthcare Workers Overweight and Unhealthy?

  • Jan 18

    Imagine a weigh in as part of your employment application… followed by a reassessment throughout the year. Could this be a reality in the future? Since hospitals stopped hiring smokers - it does bring up the question: How far could employment requirements go?

    Whilst hospital staff should be shining examples of health and happiness, the reality is, we are really just normal people; Some mothers and fathers, many of us struggling to manage long shifts combined with our other responsibilities.

    Nurses work long hours, and throughout the day must put their needs aside for their patients, making it especially hard to stay healthy. I do believe it is possible to stay healthy and fit on the job. However, it does take a tremendous amount of planning, focus and discipline.

    Some argue that patients will not accept our advice or education when they think we do not care for our own bodies as they think we should. In this situation, stick to the research and facts. Regardless of your own health issues, it does not have any effect on your patients.


  • Jan 18

    RSV. Those three little letters are enough to strike terror in the hearts of PICU nurses everywhere. It’s like a bad penny, turning up without fail every autumn; by mid-winter, virtually every PICU in the northern hemisphere has admitted at least one case. Some years are much worse than others and, at least in my part of the world, 2017 is shaping up to be one humdinger. What’s the big deal with this bug, anyway?

    Respiratory syncytial virus is the leading cause of lower respiratory tract infection in infants and small children in the world. Most children will have had at least one bout of it before their second birthday. For children older than 4 and for adults, it’s little more than a nasty cold, but for those people with tiny airways, it may cause severe bronchiolitis and pneumonia.

    A syncytium is, at its most basic, a multi-nucleated giant cell, often resulting from the fusion of several uni-nucleated cells. This virus, in creating syncytiae, essentially becomes self-replicating by transferring its fusion proteins to the surface of the host cell, which then allows the host cell to fuse with other cells around it. This single-stranded negative-sense RNA virus is medium-sized and has a lipoprotein coat; it was first isolated in chimpanzees in 1956, the same year it appeared in a human infant for the first time. In the last decade, reverse transcription polymerase chain reactive (RT-PCR) assays have transformed the diagnosis of RSV and allows for rapid isolation of the patient and appropriate treatment.

    RSV has an incubation period of 2-8 days, but typically takes only 4-6 days to present. It spreads easily by direct contact, remaining viable for 30 minutes or more on hands and up to 5 hours on hard surfaces. Active infection typically lasts 2-8 days, but effects may last up to 3 weeks. Infants present with cough, wheeze, tachypnea, retractions, poor feeding and perhaps cyanosis; fever is low-grade when present by very young infants may be hypothermic and experience intermittent apneas. Sepsis from concomitant bacterial pneumonia can be life-threatening. Based on the American Association of Pediatricians’ Bronchiolitis Algorithm sicker infants will be admitted. Those requiring more than a little supplemental oxygen and fluid will be admitted to the PICU. Children who were born prematurely, those with chronic pulmonary disease or cardiac compromise and those with immune system dysfunction are at higher risk for severe disease.

    On physical exam, the PICU-admitted child appears ill, with all the usual manifestations of increased work of breathing. They are often dehydrated and require aggressive fluid resuscitation. Chest auscultation reveals coarse crackles and wheezes throughout, with a gurgly, bubbly sounding cough. Secretions tend to be moderately thick, frothy and clear. Moderate-to-severe respiratory distress is accompanied by tracheal tug, head-bobbing, nasal flaring, intercostal, subcostal and substernal retractions and cyanosis. Inflammation and secretions reduce the luminal diameter of the bronchioles and cause atelectasis throughout the chest. If high-flow nasal oxygen is insufficient to maintain pulse oximetry at least 90%, the child will require intubation and mechanical ventilation. These are the infants you do not want to turn your back on… they tend to wake up with a bang, stimulate their vagus nerve with both coughing and ETT movement, desaturate and drop their heart rates to <60 in the time it takes to turn back around. Rapid deployment of generous hand-ventilation with 100% oxygen is literally life-saving for these peanuts. Actual treatment is usually supportive; supplemental oxygen +/- intubation, fluid, nutrition, antibiotics if bacterial infection is present and bronchodilators for some patients who have shown a response to them are the mainstay. Suctioning of intubated children should be accomplished in the most cautious and judicious manner, again to avoid that hair-raising vagal spiral. Most hospitalized children recover within a week or so and are home again in less than two.

    For those children falling in the premature/pulmonary/cardiac/immunosuppressed category, immune globulin prophylaxis has shown to prevent infection or reduce the severity of illness. Palivizumab (RespiGam or Synagis) given IM once monthly for the typical duration of RSV “season” is prescribed for these children:

    • Those under 24 months with hemodynamically-significant congenital heart disease or have chronic lung disease and are off oxygen and/or medications for less than 6 months at the start of RSV season
    • Infants born at <28 weeks gestation who are chronologically under 1 year at the start of RSV season, with prophylaxis to continue to the end of the season regardless of when the child turns 1
    • Infants born at 29-32 weeks gestation who are less than 6 months old at the beginning of the season, again with prophylaxis continuing to the end of the season and not when the child is 6 months old
    • Infants born at 32-35 weeks who are less than 3 months old at the beginning of the season and who either attend day care or have at least one sibling or other child under the age of 5 living in the same home who does

    These prescribed guidelines exclude older children who are immunosuppressed following organ transplantation or treatment of malignancy. This omission may have dire consequences, particularly in a child who becomes ill with more than one virus concurrently. While overall mortality for RSV in children is only about 1%, these children are at high risk of such severe disease as to need extracorporeal life support; they are the sickest of the sick and at dramatically increased risk for death, regardless of age.

    Long-term complications of RSV bronchiolitis in infants aren't common. Some children will go on to develop reactive airway disease but evidence of its association with a past RSV infection is weak. The combination of RSV and respiratory adenovirus has a higher rate of complications which can include bronchiolitis obliterans. Most children recover completely.

    RSV is SO much more than just a cold. Treat it with the respect it demands!

  • Jan 17

    Of course, this post will ruin it. But the last post I made before this one, I had 11,111 posts, and 26,666 likes.

    That's about as exciting as when you get to 100,000 on your car's odometer.

  • Jan 16

    At a healthcare conference earlier this year where I was reporting for a client, I met a few of the senior managers at Allina Health from Minneapolis. They were nice folks and were realizing some cutting-edge technology accomplishments. So, when they got into a protracted labor dispute with their nursing union later in 2016, I wondered: How does such a forward-thinking technology organization get into a nasty contract dispute that resulted in 4,000 nurses striking for a combined 44 days?

    In the end, Allina agreed to one of the key demands of the nurses: to provide around-the-clock security in their five ER locations. As one nurse said in a StarTribune article:

    Announcing the vote results at 9:45 p.m. Thursday, nurse Angela Becchetti said she wished Allina would have arrived at concessions in this contract, such as 24-hour security in all five emergency rooms, earlier.

    “This never should have happened — the hard feelings, the strike, none of it,” said Becchetti, a member of the bargaining team for the Minnesota Nurses Association."


    As a former hospital administrator who negotiated several times with both nurses and other unions, I learned this truth: there is never enough money to fix a problem until something goes wrong. Then money cannot be spent fast enough.

    I used to make rounds in the hospital (including ER) on second and third shifts at least a few times a month. I know hospitals can be dangerous to staff and patients at night after administrators have gone home.

    I've had to respond to everything from a gun-wielding intruder forcing the night supervisor to unload the pain meds out of the Pyxis machines, to a multiple shooting in the ER, to a crazy, wandering ER patient placing occult symbols on sleeping inpatients, to public urination in the parking lot.

    Some of these incidents happened with good security in place. In some hospitals, I put off-duty police officers in place to provide security in the ER where there was none. What I eventually learned that prevention is not only good for safety, but it conveyed to staff that I cared about them.

    Then, when it came time to negotiate a new contract and I needed something from the unions as the administrator, they were more likely to give me the benefit of the doubt. This was especially true if I presented my problem and asked the union what their suggestions were for solving my problem.

    This is an age-old negotiating truth: before you ask someone for anything, you must first establish a relationship based on mutual trust and appreciation.

    Something I learned from the nursing and professional union reps where I worked for nearly five years at Washington hospital is that union members want the same thing that hospital administrators want: a safe, well-run hospital staffed by caring and competent staff who are fairly treated. On my last day in that position when I walked two rows of employees who lined up to wish me goodbye, the last person to shake my hand was one of those union leaders.

    He and the nursing union leader had worked with me over the past four years to redesign the hospital culture from the bottom, up. The results were the hospital achieved patient satisfaction, medical staff satisfaction, quality and outcomes success never before achieved. Not surprisingly, the payor mix and finances also improved significantly.

    That handshake represented an important lesson for me: be fair and take care of your staff.

    ServantLeader is a retired hospital administrator who now works as a freelance reporter on healthcare and healthcare policy for several publications and sites. He is also published widely on several sites and in publications about craft beer. He is the author of the hospital novel "Medical Necessity".

  • Jan 16

    Have you never seen this before?

  • Jan 16

    Born with a cardiac anomaly, the family immediately noticed something was “wrong” with their child, but they did not know what. Thus began their journey to another country - our country - our state and our hospital - desperately seeking help.

    During the course of the stay in the PICU, this baby boy coded 9 times, and each time we were relieved (if not surprised) to bring him back. Each time, the parents stood at the bedside as the crash cart was rushed to the room yet again, as chest compressions were initiated, as drugs were pushed into his IV. The parents were on the rollercoaster ride of their life. Watching the color on his face as much as the numbers on the monitor, each minute of their precious baby’s life hanging in the balance. One minute he was being held in the arms of his mother and the next we were pumping on his chest to bring him back. Over and over again.

    He endured cardiac surgeries, g-tube placement, interventions for intussusception, and eventually a trach placed when we were unable to extubate successfully. Every day, nurses would work with the parents to educate them on the care the child needed. They learned how to do G tube feedings, suction the trach, clean and change the trach and holders, how to work a ventilator, learned CPR, and learned how to care for a child with special needs.

    The baby was delayed in physical and mental growth, yet we were still surprised at how well he was able to interact with his parents and the staff. At nine months of age, this baby had never had the opportunity to try to sit up. The nurses pooled their money together and purchased a walker for the baby. The move from the crib to a walker involved a nurse, a respiratory therapist, and at least one of the parents. We padded the baby in the seat so he would not fall over. The expression on his face was priceless - and the parents had tears of joy. It may not seem like much to many people, but this was an achieved “milestone” no one ever dared thought would happen. We took many pictures for the parents that day and surprised them with the photos framed as a gifted memory.

    As days grew into months, this baby was ready to be discharged (if we could get extensive home health services). However, there was no place to discharge this baby to.

    In this particular case, the family came from an area in another country where there is no electricity or running water, much less home health services. Additionally, since this family was not from America, they did not have Medicaid, or insurance, or money. They had no family to call on for help. They did not have citizenship. This case seemed as if we would send the child home to die should they go back to where they came from. We would not do that. This child needed a ventilator and a feeding pump. This child needed access to medical care at the drop of a hat.

    Case managers, social workers, clergy, surgeons, cardiologists, pulmonologists, GI docs, therapists, and nurses were all working together to ensure the life, health, and safety of this child and family. Letters were written, federal agencies contacted, court appearances were made. Someone donated a small home, a surgeon brought them an AC/heater unit, the father was granted work privileges. Doctors and pediatricians donated follow up appointments for free for the child’s checkups. A home health service offered a month of free care. The mother and father were trained and “specialists” in all aspects of the baby’s care.

    ...and we sent them ‘home’, not sure if the baby would survive the month.

    On Thanksgiving Day, the parents came to the hospital, to the PICU. To visit. To say thank you. In their stroller, they toted this beautiful baby boy and his vent. He started crying when he saw us. And we all laughed. He knew where he did NOT want to be! I knew at that moment that this baby boy had a chance. A chance at life.

    December came around and we were talking about him in the breakroom at lunch. We knew this family did not have money for Christmas and would not be able to be with their family who they sorely missed. The situation seemed so sad to us, and we wanted to make Baby’s First Christmas as special as possible. Our unit decided to “adopt” the family. We took up a collection, someone had an artificial Christmas tree to donate, others had extra decorations. People brought gifts - not only for the baby - but for the parents.

    We asked the social worker to contact the parents to inform them we had some items for them, and set up a time for delivery. We went to their tiny home (cozy home), and with much laughter and festivities, we set up the Christmas tree while Baby Boy sat in his walker chewing on a teething ring. As the clergyman who went with us said a blessing over the parents, the baby, and the food we brought to eat, the joy and gratitude shone in the eyes of the humble parents.

    And as for the baby who played happily in the walker - Merry Christmas Little Angel, Merry Christmas!

  • Jan 16

    I didn't become a nurse because I had a calling or anything. I was one of those few idiots in high school who had no dreams or aspiration, so my dad said "hey nursing sounds good" and I said "okay"...... mistake. Now, I am no Trevor the psychopath or Mary the maniac, but certainly not a bleeder of heart. I just did my job well and went home.

    I got sick of humanity at ER, so now work at insurance donig medical reviews.

    As I am at that weird age where people around you either make mediocre money vs tons of money, it's hard not to notice those that make a ton, and what irks me is that none of them work at healthcare field.

    My brother who's been in workforce only few years already makes well over 120k, not mentioning bonuses, incentives, 5 star hotels and lux meals, my friend at airline industry living a nice, rich life, a regular marketer at company owning two expensive sports cars...

    Where do these people get these jobs? It seems like unless you're running the corporate side of healthcare, you work your butt off and get few change and a key chain for Christmas.

  • Jan 16

    One of my most memorable patients was Pete*. 85 year old Pete had come from a nursing home with significant abdominal pain and vomiting. After a quick trip through the ED, he got himself a CT of the belly, a NG tube, some IV fluids and some pain and nausea meds. Admitted to the 4th floor, he quickly started going downhill. The ICU nurses at the hospital where I worked served as resources for floor nurses if they thought a patient looked like they were declining…a measure put in place in hopes to avoid a code. His floor nurse had called ICU asking for help, so I headed on up to see Pete. Running into his surgeon in the hallway, we spoke briefly before going in to see Pete. It wasn’t good…at all.

    Now Pete was a tiny thing, probably 90 pounds soaking wet. It was obvious his appetite had waned significantly the last few months as he literally was skin and bones…except for the biggest brown eyes you could imagine. Eyes that mirrored his fatigue, anxiety and pain. So much was out of his control and he appeared a helpless victim in the war of disease. He was on a 100% nonrebreather mask when I first met him. His respirations were labored as he struggled to catch his breath. Yet, he clung to every word the surgeon told him…words such as small bowel obstruction, sepsis, cancer everywhere, poor surgical candidate, probably won’t make it off the table. Powerful words. His sister beside him openly wept while receiving the news. Afterwards, the surgeon headed out and told the patient and his sister to let me know what they decided, for they needed to decide soon before it was decided for Pete (via a code).

    I sat next to Pete and held his hand. I told him that I would support him in whatever he chose. If he wanted to fight, we would take him to surgery and afterwards to ICU if he made it. That we would do everything we could to save him and would try to minimize his distress. Yet, I made sure I explained to him and his sister what “do everything" entails. It’s not pretty…and it’s not easy. It’s certainly not like on TV! He needed to know that it would be an uphill battle, probably for weeks. I covered being on the vent and having multiple lines and tubes. He most likely would have to be restrained at times. The “do everything” was option #1. I also told him about option #2: comfort care.

    His doctor and I were recommending comfort care because we felt that Pete’s body was dying. With the poor odds of him surviving surgery and recovery, we felt like it was more humane to just make him comfortable. Yes, the doctor and I knew it would result in his death, but we also felt that aggressive measures would still result in his death, yet with the addition of much suffering. But, ultimately the choice was up to him and his sister. You see Pete had never married…nor his sister…they had been best friends their whole lives. Pete didn’t take long to decide…he revealed that he was so tired of hurting and struggling to live. He said, “I just don’t have any more fight in me. I know I’m dying. I’m fine with it. ” I updated the surgeon and called his hospitalist.

    A DNR (do not resuscitate) was signed and hospice consulted. A morphine drip was started with prn Ativan orders for any restlessness. The morphine did wonders. It truly is the drug of choice for air hunger. We were able to change his oxygen mask to nasal cannula for comfort. His respirations settled down, he was able to relax and go to sleep. As the evening passed, Pete’s coloring changed: his hands and feet became mottled, reflecting his lowered blood pressure as the sepsis progressed. He started having periods of apnea…5 seconds…then 10 second stretches…yet he slept peacefully on. His sister sat beside him, having said her goodbyes as the morphine was started. By midnight, Pete slipped away, peacefully and in the presence of the one who loved him the most: his sister.

    Many folks would ask, “How could you give up and do NOTHING?” Yet, there was much we did do: we gave a kind and gentle man rest, a peaceful passing in the presence of someone who loved him dearly. We gave his sister support during his transition and the chance for hospice to follow HER for 14 months after his death. Hospice is not only for the patient, but very importantly for the family, especially that first year after their death. Believe me, it IS something!


    *Name changed to protect patient

  • Jan 16

    So they just put one of these things on our unit. It's like a stoplight that goes yellow to red when there is too much noise. We are a small NICU unit. Seriously? I'm pretty insulted to be treated like a child. I tend to pick my battles wisely but this is just too much.

    What do you think about the Yacker Tracker?

  • Jan 16

    I’m getting tired of floor nursing. And I’m getting burnt out on night shift.

    I’ve only been nursing for a year and a half. We’re always told that med-surg is where you should start to get your experience. I just don’t know where to go from here. What do you do when you don’t WANT to advance to another area (within the hospital)? I don’t want ICU/ED/L&D/Mother/baby/PACU/OR/Charge nursing/Case management.

    I love everything about the job of night shift, but it’s killing my body. I miss sleeping normal human hours, and being awake for the day. I miss the sun. However, it’s not as simple as “switch to days”. No way in HELL I would work dayshift on the floor. Less pay, more stress, more families and doctors and discharges. No thanks.

    The only non-hospital options I can come up with are all ones that include a paycut, but I’m seriously at the point to where the money isn’t worth the physical and mental exhaustion anymore. I’m considering home care, clinics, doctors offices, or one of those work from home insurance approval positions.

    I don’t need the excitement or challenge that drive some people. I like stable, steady, routine. I want to do my job, know that I helped someone in some way, and go home. I don’t want to feel like I’m spread so thin that I barely get the tasks done, not able to give a patient quality care because I have to rush off to another, walking on eggshells, and sit here on my days off dreading the next day.

    I feel stuck.

    I would appreciate advice from those like me who have made the change from floor nursing to other positions, and how it turned out for you.

  • Jan 13

    Hello!! I'm looking forward to starting nursing school this Fall and have worked hard to be awarded a technology grant from the Choctaw Nation! But my question is, what should I get? Are you a Surface Pro 4 fan or an ipad fan? I've been more interested in the Surface but I want to hear from you!! What do you like and dislike about your tablet/laptop??

  • Jan 13

    Ditto on the Surface. A few of years ago, I got the second Surface model & immediately stopped doing anything on my iPad. I got a new Surface last year & fell in love all over again. There's nothing it can't do. Love the pen/stylus for taking notes on PP slides. I also agree with the advantage of using OneNote. It's a digital 'Trapper Keeper' (anyone remember those?) that aggregates all your info in any sort of format.


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