Nurse SMS

I have used ChatGPT to ask AI about the impacts of AI and the potential benefits and downsides. Ethical questions abound. Yes, it definitely has the potential to keep patients safer, to improve documentation (especially for physicians) and to level the playing field for best practices. It also has the potential to make grave, grave errors, to be a huge question mark for patient privacy and to negatively impact marginalized populations and reduce access to quality care.

That's impossible to answer, but if you do get an attorney it needs to be one familiar with how to deal with the BON. Of course any restrictions on your current license are going to carry over. They will also carry from state to state if you move. I can't comment whether the restrictions were warranted or not, but they don't have anything to do with you "paying your dues" from a criminal standpoint. The BON is a separate entity and makes separate judgements, much of which isn't subject to law, such as moral turpitude. You will have to deal with this independently. I suspect you won't be able to do anything about this. How long are the restrictions in place?

The problem with this is that those can get lost, they don't represent anything in terms of protecting you should you be dinged for failing to report and, most of all, the patient themselves are at risk without closed loop communication. I really discourage you from reporting on normals, especially in this fashion, simply because it will then become like alarm fatigue. If the sticky notes contain normal information 9 times out of 10, the nurse will not prioritize them, and understandably so.

With the exception of sim and lab, to be fair, the classroom environment was never intended to simulate a hospital, clinic or any other actual nursing environment.

Many people have said this over the years and I tend to agree; however, nobody has come up yet with a viable alternative. As far as failing HESI and passing NCLEX, of course there are exceptions. They track the data over time and the schools hedge their bets on the data. I'm not personally arguing it one way or the other, simply conveying neutral information.

A lot of schools have an exit exam. The reasoning for this is that if you cannot pass the exit exam while the information is still fresh in your mind, you are unlikely to pass the NCLEX. Students that graduate and go on to take the NCLEX and fail reflect badly on the success rate of the school and its ranking. This has gone on for a very long time. I honestly doubt there is anything you can do to fight it. Honestly, even if you were to win, the NCLEX would still be the deciding factor and failing HESI is a good indicator of how you would probably do. Rather than going to war against your school, consider going in to chat with them about what you need to do to graduate and move on.

Follow that dream! I hope you find some others, but I suspect you are a bit of a unicorn my dear. Enjoy the journey and I hope you get to do the things that fill you up!

I have called it PCU (Progressive Care Unit) and ICU Stepdown. I have not heard the term "intermediate care", but a quick Internet search states it is a unit that is not as acute as ICU but more acute than the general Med-Surg population. From that definition, then yes. Intermediate Care and PCU/ICU Stepdown are likely very similar.

Generally that isn't how hiring in hospitals work. Most hospitals put new grads through an internship or residency program and do not hire new grads direct to the floor. Some will hire you before you have passed NCLEX on the understanding that if you do not pass, you don't get to keep that position. Others want you to have your RN license ready to go. You will have to spend time investigating what hospitals in your area require. If you are hoping to get hired prior to being licensed then you will need to look at hospitals that are independent, not part of a major hospital system or extremely rural and hurting for help. Good luck.

Exactly. The other part is to be likable in your interview. A new grad is a new grad is a new grad until they get to interact with you. The interview is a big inquiry into "Is this person likeable, teachable, intelligent, steady?" and "Do I want to work with him/her?"

What is an RNFA?

I don't know what a "limited permit" is. Not every state has them I suspect, but if it doesn't get in the way of you getting your NCLEX accomplished and if it allows you to get a foot in the door sooner, what is the down side to getting it?

Start by going to the websites of places you would like to work and look for new grad openings.

Get good grades. Work your connections. Apply to anything and everything rather than being hard and firm on your specialty of choice. If you are able to swing it, get a PRN position as a CNA/PCT in the hospital you hope to work for.

It sounds like you answered your own question in your last sentence. :) We can't give medical advice here. I have had an ACL tear and lived fine with it for a very long time. Nearly 20 years. I have struggled since having it fixed. Surgery is no guarantee of an improved outcome when it comes to nursing and knees. Best of luck, whatever you decide.