Jump to content


Critical Care; Cardiac; Professional Development

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

Guide Guide Educator Expert Nurse
  • Joined:
  • Last Visited:
  • 6,550


  • 2


  • 50,590


  • 11


  • 0


Nurse SMS has 9 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

    Night shift

    I got blackout drapes and good sleep masks. I treated my days exactly how I used to treat my nights. I came home, ate dinner with a glass of wine, watched trash TV or read until around 10. Had my wind-down routine, shower, skin care, brush teeth, whatever, made sure the room was dark and cool, changed into PJs. Snuggled in. Frequently used melatonin or other sleep aids OTC. Biggest barrier was my cat, who was so excited that I was in bed in the middle of the day she would tromp all over me purring. I kept the same schedule on my days off as I did on my work days, because going back and forth threw me into PVCs. Congratulations on your new job!
  2. There is no choice. Nurses are being called to be patient care nurses in Texas right now. The shortage is acute.
  3. Nurse SMS

    Nurse externship or CNA?

    I did an externship. It allowed me to practice physical skills with a nurse on hand directly supervising, such as IV insertion, catheter insertion, sterile dressing changes. I could do more than a CNA could do.
  4. Right now in the current COVID environment, our managers are working 3 12 hour shifts a week, mostly on night shift, with a patient assignment at the bedside AND are required to work one 8-10 hour shift in their office. Ain't nobody having fun right now, so to speak.
  5. Nurse SMS

    License application concern

    I know that a lot of BONs are operating at super slow speed due to Covid and that these things take quite a while to go through all the steps even in the best of times. I am so sorry for your stress and I hope you get resolution soon.
  6. I find this weird, as I have literally never heard anyone look down on OR nurses. They seem to be a tight squad and to have their own clout as a specialty. Either way, what you do for a living impacts you, not them. Do what you want.
  7. Why Literacy Matters Healthcare literacy goes far beyond the ability of a patient to read or write. In fact, patients who have advanced degrees in other areas often are found to have low healthcare literacy! When a patient is able to understand the key points of information and assimilate those concepts into their own perceptions of themselves and their health, they are better able to choose treatment options that match their own values, lifestyle and preferences. This, in turn, fosters greater trust in the medical system as a whole and can dramatically improve a patient’s sense of satisfaction with the care received. A reduction in the number of inpatient stays, length of hospitalizations and overall healthcare costs have been linked to patient education provided utilizing best practices for addressing potential healthcare literacy issues. Barriers Like most issues in medicine and nursing care, the issue of healthcare literacy can be fraught with challenges. These include: English as a second language (in countries with English as a primary language Nonnative English speakers, regardless of fluency, tend to revert to their native language when stressed. Often the subtleties of options and cultural differences in practice and verbiage fail to cross over. Socioeconomic challenges Those individuals who do not read or write well or who suffer from poverty are more likely to have greater needs from a healthcare literacy perspective. Often the patient’s healthcare problems cannot be successfully addressed until needs lower on Maslow’s hierarchy are taken care of. Access to and ability to use technology Computerized charting and apps that permit patients access to their own medical records are not useful for those who lack access to the Internet or who are uncomfortable using it. Numeracy skills Added to these issues are variations in patient numeracy skills. The interpretation of graphs and statistics can be confusing. Utilizing that information and applying it to self is noted to be ineffective in a healthcare literacy challenged population. Bias Finally, bias remains a heavy player in the realm of Internet information sharing. Web-based sources tend to market particular treatments or specific treatment centers, offering information more as an advertisement than true patient education. Particularly for health care systems and specialty pages, risk is often downplayed and benefits emphasized. This can be understandably misleading to a patient seeking information. Best Practices As nurses, our goals should align with known best practices. The extra time it takes to educate a patient adequately can be immensely fulfilling, both for the patient and for your own nursing practice. Here are some tips on best practices for educating patients with low healthcare literacy. First, patients need assistance in identifying and communicating their core values, their tolerance for risk, and their own goals for their health and standard of living. Content shared with them should be varied and accessible, consisting of more than written handouts. In fact, most patients relate to never reading handouts that are provided. Many patients, however, report a greater understanding and satisfaction with teaching when utilizing modalities such as videos or interactive modules. Plain Language remains best practice, with elimination of terms greater than two syllables whenever possible and complete eradication of medical jargon from any written text. Keep content to 10 words or less per sentence and three to four sentences per paragraph. Watch for and utilize the “golden moment”. This is defined as a time when a patient asks you a question about their care. Their questioning indicates a readiness in the brain to take on new information. Expound upon your answer and provide a bit more information beyond what the patient directly asked for. And, lastly, be sure to utilize teach back. Teach Back remains the most reliable way to assess your patient’s understanding of the information that has been provided. As you provide patient education, give the patient time to rest and ponder, then circle back to approach the topic again, perhaps from a different direction or using a different mode. Conclusion Healthcare literacy remains one of the greatest barriers to addressing recurring medical issues, particularly those which are chronic and ongoing. Diabetes, COPD, CHF, and renal failure remain repetitive causes of patient readmission; this subject has been better addressed at home with adequate patient teaching and at-home involvement by social service agencies. The increase in well days, patient satisfaction, and a decrease in healthcare spending make this a win/win situation for medical providers, our healthcare systems, and the patients themselves. I have attached some links for your perusal as you contemplate current patient education practices where you work. FACT: An increased focus on healthcare literacy benefits everyone. Resources PlainLanguage.gov Centers for Disease Control and Prevention (CDC): Health Literacy Centers for Medicare & Medicaid Services+: Toolkit for Making Written Material Clear and Effective
  8. Please don't categorize those of us with ASD and make nurses afraid of us. As a NURSE  with Asperger's ( LPN License Louisiana ) why not ASK US?  I am fully employed do same job as any other nurse. I will leave you email address if you're interested in speaking with someone WHO ACTUALLY HAS THE DISORDER.


    1. Nurse SMS

      Nurse SMS, MSN, RN

      My son actually had the disorder and died from AML complicated by the disorder. I have an in-depth understanding of ASD linked to closely to my personal experience as the parent of a child with it. I do not understand your statement that I am making nurses "afraid" of you. What exactly did I say that would imply such a thing?

  9. Nurse SMS

    License application concern

    You might. It's hard to say. If you answered "no" to a question about arrests and then this turned up, that is what they will be most concerned about.
  10. Nurse SMS

    Need an Advice

    Some community colleges offer refresher courses and you may wish to look into one of those. You can also look on the Board of Nursing website for the state you are licensed in and see if they have any resources for a nurse returning to the bedside. Good luck!
  11. Nurse SMS

    How to be a marketable nurse?

    I am not familiar with KSA. From the hospital perspective, you are a wild card. You don't have US experience and now have a 2 year gap. You will want to apply for the jobs others tend not to want. Night shift. SNF. LTACH. Jails. Rural hospitals. Your primary goal should be to get some experience under your belt.
  12. The one where you can secure an offer of employment. New grads are not in high demand right now and haven't been in quite a while. Finding a hospital position as a new grad can be extremely hard. It's super competitive. I would not make plans based on working for a certain employer. Apply to all of them. Hope one chooses to interview you.
  13. Nurse SMS

    Expected wait times?

    There isn't an answer to this. Each individual institution is handling these applications differently. No matter what, keep applying anywhere and everywhere. Even if you get an interview - keep applying. Even if you get a job offer - keep applying. You keep applying until you have a firm start date with wages worked out and orientation set up.
  14. Nurse SMS

    New Grad-Hate job-Need advice

    You aren't likely to find a new grad job in a hospital now. Keep the job you have, do the best you can. It is a different kind of nursing than acute care. Ask for help when you need it and accept that you will be learning a lot under very stressful circumstances. Keep applying elsewhere but don't quit without another one lined up. You don't want that kind of gap in your resume so early in your career.
  15. Nurse SMS

    Covid and family

    This is a very good question to ask and you will swiftly get your routine down to decontaminate before rejoining your family. The providers I know change out of their scrubs and into street clothes prior to going to their car. They bag up their scrubs, wash their hands, use sanitizer prior to getting into their car. Drive home. Wipe down the car before getting out. Enter through the same door, clothes right into wash, no hugs or kisses yet, go shower, then come out, see family, hugs and kisses. Or something similar.
  16. Nurse SMS

    Favoritism, Senority, ADA? COVID-19

    I suspect there is more to the situation than you are privy to.

This site uses cookies. By using this site, you consent to the placement of these cookies. Read our Privacy, Cookies, and Terms of Service Policies to learn more.