Nurse SMS MSN, RN

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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All Content by Nurse SMS

  1. Nurse SMS

    Accident

    I would imagine the nurse's history is going to play a heavy role here. If this is a nurse known to be excellent in practice, to have few to no other problems, such as tardiness, absenteeism, med...
  2. Nurse SMS

    Most common (+ overlooked) reasons for abnormal vitals?

    Low BP, increased respirations, lowering temperature, climbing WBCs, increasing HR....suspect sepsis, particularly if patient is there for any kind of infection. Low BP, increased respirations,...
  3. Work ethic seems to carry across regardless of pay rate. I know techs who bust their butt every single shift and those who don't. I know nurses who are the same. That being said, as mentioned above,...
  4. Yup. It works. I have had to do this a time or two. "No Dr. Soandso....I didn't recheck their blood pressure in 15 minutes. It was xx/xx and the patient is unresponsive. We are in a Rapid Response...
  5. I think "evil" is probably a little bit harsh. It may be more reflective on how they are coping with what is happening to them in a lot of cases. Yes, there are people who are just plain mean, but...
  6. Changed my mind about posting it
  7. I only had this happen to me once...when my patient was very sick, obviously going to pass away soon and all the patient wanted was to go home, but spouse was refusing to take this individual even...
  8. That would have been a Code Stroke in my
  9. I agree with HouTex. Are you going to get fired? Honestly if your post isn't exaggerating things I think yes, you are. You sound dangerous in that setting, to be honest. However.... I think a one to...
  10. I couldn't hack it on nights. Does that make ME lazy, because I can't work the night through without consequences? I don't think it does. I don't think so for others who prefer to work nights over...
  11. Nurse SMS

    irregular sleep and seizures

    Nope, but I believe it. I had to go to days because I began throwing PVCs that turned into trigeminy. Doc said it was interrupted sleep and screwed up circadian rhythm. It went away within a week of...
  12. Nurse SMS

    Work in pajamas!

    Nope. I love bedside nursing. As mentioned above, scrubs pretty much ARE pajamas
  13. Nurse SMS

    New Grad Job

    I was hired onto a PCU floor, a bit higher acuity than Med-Surg (some call it ICU Stepdown). I had an eight week internship that combined both classroom learning and being on the floor with a...
  14. Nurse SMS

    I Just Need To Vent A Bit... Or A Lot.

    Big warm hugs to you. It DOES suck. I hope something pans out very
  15. Nope. Never. I have only ever received respect, admiration, appreciation or simple indifference. We have several nurses in our family, four physicians and a couple of physical therapists as well as...
  16. Nurse SMS

    I'm not answering call lights

    Ahhh, but now patient satisfaction is also tied to reimbursement! In my hospital not answering call lights is grounds for disciplinary action and termination. All we get lectured about these days is...
  17. Nurse SMS

    Where are all of the jobs hiding?

    Iowa is beautiful in many places (lush is the word that comes to mind. it is SO fertile. if you are into the organic craze you would have fun gardening and composting) and in general the people are...
  18. Nurse SMS

    Has anyone taken care of a celeb?

    A golf professional and a very famous politician, not at my current job. Their charts were locked down tight with emails reminding people that any nosey noses accessing their EMR would be fired and...
  19. Nurse SMS

    Hallway beds on the floor/overcrowding

    My hospital doesn't do this. I am glad we don't. It sounds like a HIPAA and infection prevention
  20. Nurse SMS

    What do Nurses think about CNA's

    The CNA has the power to make or break my shift. I feel collegial and professionally satisfied with those who value themselves and their role in what we do. I would bend over backward for them and...
  21. Nurse SMS

    PSB for Collin College

    The questions you don't get to are not considered when calculating the grade. The entire thing is graded on a percentile. This means how many questions you answer correctly are compared to the...
  22. Nurse SMS

    Don't People Have Bills To Pay?

    I don't disagree with ANY of what you said
  23. Nurse SMS

    Wage Increases

    Been working as an RN for two years. Have had two raises, one of which was quite significant
  24. Nurse SMS

    Don't People Have Bills To Pay?

    I am not a fan of this thread. It is pretty cranky to be honest. Youngsters these days aren't in the same place we were (I am Gen X.) at their same age. Their childhoods were spent during an economic...
  25. You definitely can not and will not "win" in this situation. Pursuing this can only harm you and your career. If she has been there decades her reputation and trustworthiness is well established. You...