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TEXASWAG's Latest Activity


    New Ways To Engage Students

    Hello everyone! I'm currently working adjunct as a clinical instructor with ADN students. Saw an OT who works as an educator who told me that her students once had a rap battle. I really want to do things that are fun and engaging. So, I thought about having my next clinical group do a rap intro. Instead of standing in front of the students and introducing myself, I would instead introduce my self in a short rap: "My name is Ms. Mahoney. I have my MSN. I want all students to get their learning in." Something like that. Does it sound doable or just silly?

    Why such a push to get more men into nursing?

    This is just my opinion but more men in nursing has increased the overall pay....and that is just one reason why I appreciate men in nursing.

    A day in dialysis

    Acute dialysis? Loved it because with all the overtime I made good money. Loved the autonomy. Loved only dealing with one physician...the nephrologist. Now there's a catch though. It's called "being on call". A question I suggest you ask during your interview is what's their call schedule. Is it going to be 1 day a week? Are you expected to work your dayshift schedule then be on call afterwards? Is there a night shift nurse to help alleviate being on call during the week? A couple of ICU nurses who switched to acute dialysis couldn't handle being on call and not knowing what time they would be getting off. For example, one of the nurses told me that one time she did not finish her day until 2 a.m. She had clocked in at 7 a.m. that day. Eventually, both of those nurses went back to the ICU. I'm not trying to scare you but that is the reality of acute dialysis, and sometimes nurses have to float to other hospitals to do the treatments.

    Breaking into Dialysis

    No, here in Texas it depends on the city. Fresenius lost a bunch of contracts in San Antonio but in Austin they are thriving. To see if a hospital has its own dialysis unit check their careers page for inpatient dialysis positions. But if you’re just interested in outpatient chronic then the only companies I’m familiar with are Davita, Fresenius, and US Renal. In general they do outpatient dialysis and hospitals do inpatient. Some hospitals do contract out to Fresenius, davita or Satellite for inpatient dialysis.

    Anyone else been turned off to academia?

    Yes, same here. I'm turned off by the low pay and the poor quality of students so I took a break from the academic setting. For right now I'm just working extra hours at the bedside. At the moment I'm trying to figure out how to make money off of nursing students because plenty of them have Androids, I-phones, apple watches, Littmann stethoscopes, etc. I've been really thinking about making teaching videos on YouTube or developing a teaching pod-cast.

    Online Instructor with MSN

    I've been looking as well and I've seen the same requirement either DNP or PHD for online instructors.

    Breaking into Dialysis

    I'm in Texas but a friend of mine just happened to call a Fresenius clinic and the person who picked up the phone told her that they were hiring. I don't know why she chose that particular clinic but it's one that's always short staffed. Just by luck she got hired. She has her BSN.

    Opening a Residential Assisted Living

    My best friend and I bought a home and set it up as a personal care home here in TX. We still have the home, but we're renting it out to a married couple. When our last client passed away, my best friend decided to go back to nursing school. Here are just a few things we learned along the way: 1. Contact whatever regulatory agency you have in your state and know the rules. We could only have 3 people as residents because we were considered a "personal care home", and we did not have a sprinkler system in the home . 2. We priced sprinkler systems after we had bought the home. We were getting quotes up to $30,000 to have a sprinkler system installed from the "installers". 3. We had a website. 4. We set up the company as an LLC. 5. If one of our caregivers called in, we had to cover. One time I was in the home with the client for 48 hours. Cooking, cleaning, dressing, turning him every 2 hours during the day and night. 6. Be prepared for when your client goes from walking to wheelchair to being bed bound. Anyway, I say go for it but do your research first and always check out the competition in your city.

    Advice for first time traveler

    Keep your head down and do your job. Meaning, do patient care and stay out of the staff politics. You'll be paid more than the staff nurses so some will be angry about that. You will be coming into work happy because the contract will only be for 13 weeks, and some will be angry at that. Remember that you are there for patient care and not if the staff like you or not. I was a staff nurse for 2 years before I took on a travel assignment. I learned a different computer system and adapted to unit protocols. Just go for it and ask plenty of questions once you get an interview.

    Racist surgeon?

    I appreciate you sharing this here on Allnurses. His behavior is obviously tolerated by many at this hospital. It's horrible and disgusting that he uses such hurtful racial slurs. It's disturbing that he feels so comfortable openly saying racist descriptions. Eventually, karma will come around and bite him in the rear. If he has kids maybe they'll marry someone black, hispanic, asian, or even Jewish. He sounds old..."buckwheat"....LOL. Noone under the age of 35 knows who buckwheat is.

    Crusty old bat in new RN role..

    I don't believe in having to swallow emotions in order to put up with bad behavior, especially if it's exacerbating your chronic illness. Sometimes it's just not a good fit with a preceptor and a preceptee. So, as my best friend would say, "Don't get angry. Get strategic". Have a discussion with her and just ask her what can you do to help make it a better shift for the both of you. Also, don't take it too personal. She's young and silly and probably has had no preceptor training. Who knows because after a few months she may even come to you for advice. Good luck.

    Should I continue with nursing?

    I agree with Lisa.fnp about not stopping at a BSN. If you continue on for an MSN with a focus in either education, informatics or nurse practioner then it will mean less lifting very heavy patients, less bending over, less worn out knees, less worn out shoulders, less working long hours during the day, less back pain.....basically less wear and tear on your body. This is just my opinion but nursing at the bedside may be too much of a physical hardship for you. I've worked in the ICU, PACU, and the ER. If you still have an interest in nursing at the bedside, then maybe the PACU would be the right fit for you. I've known quite a few ICU nurses who love working in the PACU...not that it's not work but when patients come from the OR they already have an IV, foley, etc. Less stuff that you have to do as a nurse. The patient recovers and moves on either being discharged home or to a room. I wish you all the best.

    Houston job market & pay for experienced nurses

    Hello, I don't live in Houston but there are no unions here in Texas for nurses. I've heard that Houston pays more. If you read some old posts, you'll find some that state what the pay is in Houston.

    San Antonio

    You're welcome. University is a massive system. I've worked for other hospital systems here in San Antonio, and I prefer this one hands down.

    Texas A&M HSC MSN Education

    I have 2 more semesters left and will be graduating next year. I've never been in an online program before, but I have gained an immense amount of knowledge in their program. You as the student must always put in the effort. The program is excellent and I feel very prepared.

    San Antonio

    Check out University Health System. Careers | University Health System

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