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Critical Care; Cardiac; Professional Development

You did what you knew how to do; when you knew better, you did better. - Maya Angelou

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Nurse SMS has 8 years experience as a MSN, RN and specializes in Critical Care; Cardiac; Professional Development.

All postings reflect thoughts and opinions of myself alone, not my employer.

Nurse SMS's Latest Activity

  1. Nurse SMS

    Confused with continuing nursing

    You do sound distressed and for that I am sorry. It really is impossible to answer your question without more details. What happened that made your instructor ask you that? Are you having issues staying off your phone, socializing too much, being indifferent to the patients, avoiding doing the work? Those are the things that, as an educator, would make me question why you are there. Can you give us more insight?
  2. Nurse SMS

    Stayed suspension

    Sounds to me like you needed a lawyer quite some time ago. Usually they don't get to the sentencing portion until there has been at least one hearing. I suggest you get legal advice from a lawyer well versed in BON matters.
  3. Nurse SMS

    Considering ICU.... among several other options

    This reminds me a lot of a previous poster with a different name.
  4. Nurse SMS

    Considering ICU.... among several other options

    1. This person isn't a new grad anymore. 2. They have been fired from three independent employers for the same issues. Yes, it is normal for a new grad to have some difficulty with time management, critical thinking, prioritization etc, but most of the time, they are able to improve enough to function during their orientation time. This leads me to believe, given three places have said the same things and terminated employment for the same reasons, that the OP has a struggle that is not typical in its scope.
  5. Nurse SMS

    Considering ICU.... among several other options

    The ICU isn't realistic for you at this point. There is definitely a difference between "book smart" and "street smart", so to speak. If you can't apply what you know but do well on paper, you are book smart but lack in your application abilities. It sounds like you already know this. I think pre-op may be a good fit, particularly in an ambulatory setting where all of the patients are elective day surgeries. However, I suspect you won't really be seen as hirable by most of those. I think a methadone clinic or other outpatient clinic may be realistic for you, depending on the specialty and job duties. An infusion clinic requires the ability to critically think in a very fast paced, often high stress environment and would not be a good fit. You aren't likely to get a position as a diabetes educator.
  6. Nurse SMS

    Home care vs Nursing home

    I would not recommend home care. Nursing home is also not ideal, but is closer than home care would be.
  7. Nurse SMS

    Quit my CNA Job ???!

    I personally would stick with it, but that's just me. Only you know whether you can replace $15/hr and if it would be too boring for you.
  8. Nurse SMS

    Ridiculous class schedule, please help

  9. Nurse SMS

    New Grad Trying to Make a Decision

    We have a robust fellowship program here at my hospital. Its so popular though that internal candidates take all the slots. You are right, direct entry MSN is at a huge disadvantage if they never worked in acute care. I can understand that one. They have no experience but want more money and its a given they will move on as soon as they possibly can. I don't fully understand why LTACH experience gets snubbed.
  10. Nurse SMS

    Feeling discouraged

    Let me put this in a story format: A packed bus is on the way to its destination. The bus driver yells at a handicapped kid in the front. Maybe even mocks the kid. Some other kid in the back dramatically jumps off the bus while it was still moving after seeing this because why would he/she stay on a bus where the driver mocks someone? Now the one that jumped is injured, far from their goal and with a much longer way to travel to get there and telling themselves "I had no choice but to abandon that bus!" Meanwhile, the bus kept on going, with the driver, with the handicapped kid, with everyone who did NOT jump.... and the jumper is alone on the highway, with no leverage with the bus company (they already got his money) and even less likelihood to make it to their destination. And this person has jumped off of buses four times now and still blames the driver for not getting them there. Say what? You aren't being honest with yourself. If this is about some misguided sense of social justice, you are definitely going about it with foolishly underdeveloped strategy that punishes you for their crimes. If it isn't that, then its you, quitting, because of reasons only you could know and trying somehow to spin it into righteousness that is so pristine that anyone who points out the flaws in your logic gets painted with the same brush you used on your instructors. Either way, it doesn't result in you becoming a nurse.
  11. Nurse SMS

    Not passing nursing fundamentals

    What you know at this moment in time is that your studying methods are not working. The definition of insanity is to keep doing the same thing over and over hoping to get a different result. With that in mind, you need to do something different. Join a study group. Learn to read NCLEX style questions (ie: Kaplan method) Listen to your lectures in the car. Get others to give you verbal quizzes. Be able to speak to the rationale of an answer. That matters more than the answer itself. Make yourself acronyms for important concepts to help trigger your memory. Mnemonics work too. Use flashcards. Try study apps like Quizlet. Study more if you aren't studying often. Study less if you aren't. Eat better. Sleep more (or less as the case may be). Get some exercise. Meditate. Stretch. Do yoga. Chew a particular kind of gum when you are studying. Chew the same kind when taking the test.
  12. Nurse SMS

    Depressed and Frustrated

    Technically yes. However, I have yet to work at an acute care facility/hospital that sees it that way. Volunteer experience, particularly volunteer experience in a clinic, isn't going to lead to a hospital position unfortunately. You need to get back into a job, almost any job as an RN that pays, and establish a stable work history for one to two years. Then you may be able to find a hospital position.
  13. Nurse SMS

    New Grad Trying to Make a Decision

    What is it about a hospital job that you want so badly? You will not be eligible for residencies at this point. Generally speaking those are open to individuals who are new grads with no experience. Some will take people who are in the first year after graduation, but after that it becomes pretty difficult to land a residency position. Being in both a residency and in school can be pretty difficult, but if you want to be in the hospital, you basically have until one year after your graduation with a nursing degree to secure one. If you are still in that time period, you should get as aggressive as you can about landing one, including being willing to move. Getting your BSN unfortunately will not reset the clock on this. Generally speaking, you have one shot at being eligible for residencies.
  14. Nurse SMS

    Depressed and Frustrated

    You say you quit a job at 9 months because that isn't what you wanted to do and that you were let go from a residency and now suspect that hospital is slandering you. You have been a nurse for 3 years but basically have about a year (or so) of actual nursing experience. All of this puts you between a rock and a hard place. The first question you have to ask yourself is if you have bills to pay and therefore need to work. If the answer is yes, you have to let that fact take precedence over what you do or don't want to do. If the answer is no, then you can take your time finding a job, understanding what you are looking for is pretty much a unicorn from what you have relayed above. You aren't very marketable to hospitals as you are right now, unemployed, with no acute care experience to speak of and significant gaps in your work history. If you want to get into acute care (hospital) nursing, you may need to consider moving to an area that needs nurses very badly - rural hospitals, Indian reservations, places along the Mexico border and the like. You may need to get good with taking the worst shifts on the worst units for the worst employers. Then you will need to stick with that job for one to two years. At that point, you will be able to get hired anywhere. If you are not willing to move for the job and/or taking the worst of the worst and making it work for you, then your best bet is going to be getting back into SNF or LTACH.
  15. Nurse SMS

    Pay update for newish NP

    I don't know if it is this way everywhere, but where I live, the entry level pay for an FNP is about 20K less than I make as a Masters prepared nurse educator with four years educator experience, eight in total as an RN. The market here for FNPs is completely saturated, driving down wages significantly for the few jobs that do come open.
  16. Nurse SMS

    Need Advice for Clinicals

    The best way to not slow down your nurse is to stay close, keep up, don't hover when he/she is charting and perform all the skills you are able to on all the patients he/she is assigned. In first semester, that means giving bed baths, toileting, vital signs, walking the patients who are able and doing other tasks. In first semester you will be entirely focused on these very basic nursing skills along with a head to toe assessment on one of those patients. Good luck!