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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  1. Nurse SMS

    How do you get out on time?????

    Are you clustering your care? If you have meds due at 8 and at 10, give them together at 9. If you have a patient with q4h blood sugar checks make sure you are giving meds or turning them or whatever...
  2. ICU step down here. Moderately stressful but not 100% of the time. We have good ratios and good team work and are respected by and supported by most of the doctors. I like my job a
  3. Nurse SMS

    Suggestions for when I am overwhelmed

    I have noticed at times I subconsciously try to project a message of " I am too busy, don't even think about engaging me let alone ask for something" demeanor. Obviously that does not go over well in...
  4. Nurse SMS

    Aggressive staffing person at LTC

    "No. See you
  5. Yup. Around month 8 I realized that I was no longer losing sleep over work. I still get a tad anxious when I have to work the next day but it is miniscule compared to the first few
  6. Nurse SMS

    My unit is desperate for nurses

    I too am on ICU stepdown. We have a couple of openings at night, but are not hiring new grads for them. We did hire a few in June and they are now starting to get their feet under them. Our unit is...
  7. I see more people who probably ought to be dead or look dead than actually are. In fact in nine months I have seen one dead
  8. Find a counselor that works on a sliding fee scale. Letters of recommendation are great but only if your issues are honestly under control. School nursing is a very different animal than acute...
  9. Nurse SMS

    Don't want to commit too soon...

    You accept it and if you get another offer you call back and state you got another offer that better suits your needs. Then you thank them profusely and leave it at
  10. Pretty sure the hospital would be saying something to the school if this were real. We floor nurses get pretty vocal when student nurses are committed to us and then just randomly disappear before...
  11. No promotion is automatic. You have to earn it by doing more than putting in your time. There are not enough RN jobs to go around even for those already in the
  12. Nurse SMS

    New Grad Pay in Texas?

    HCA has eliminated second shift diff (evening) for those on day
  13. Nurse SMS

    Newly Qualified and Disheartened Already!!!

    I do not know what to advise you to be honest. Your experiences to date have tainted your view of what is possible. I am "just" a 2 year RN. I work on a busy hospital floor, never have more than3- 4...
  14. Things going "fine" and yet needing improvement are not contradictory. There are few nurses who don't need improvement in one area or another. You can be doing just fine for where you are, which is a...
  15. Nurse SMS

    Please read, I need advice

    What the above poster said and keep applying
  16. Nurse SMS

    Subject that never seems to end.

    Worked at a plasma center. Capillary tube shattered with multiple puncture sites into my hand. Fortunately the blood was from a monogamous, married housewife looking for extra funds and not the hep C...
  17. Other majors are having just as much
  18. Nurse SMS

    Searching for the right fit

    I am a little baffled to be honest. You have a two year degree and are a new grad. The only job you are qualified to do in the hospital is to be a floor nurse. Some have internships, some simply...
  19. Nurse SMS

    Collin College Spring 2013 applicants

    All white shoes and have to go all the way around the foot with no openings. No clogs and no crocs. Stethoscope you can buy now. I recommend a Littman. Scrubs you are required to buy through the...
  20. Nurse SMS

    Things dying patients say

    I have so far only had one patient who was actively dying. Speech had left her and she was choking out bloody fluid from her lungs, death rattle, the works. She really didn't communicate at all for a...
  21. Nurse SMS

    Hourly wage with "normal" hours (South)

    No, it is not possible as a floor RN in the
  22. Nurse SMS

    Nursing Program, should I just not even try?

    Some programs only consider and weigh in the classes that actually pertain to the nursing degree. However, the state of Texas has a limit on how many times you can attempt a class for actual credit,...
  23. Honestly? I love teaching. But having a student puts a real wrench in my day and makes my time management a lot more difficult. I try to be welcoming but there are days when having a student is just...
  24. This has as many answers as there are types of families. What is right in one situation would not be right in another. Not my place to judge
  25. Nurse SMS

    Collin College Spring 2013 applicants

    It is more used as a tie breaker. If you and another individual were same/same everywhere else but they lived in Collin County and you did not, they would take the