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

    How to Prepare to Transfer to Step Down

    I suggest also getting very good at the ins and outs of renal care, diabetes as a comorbidity to other conditions, COPD and CHF as comorbidities as well as other acute cardiac conditions. A lot of...
  2. Nurse SMS

    Experienced Nurse - Career flow question

    You might consider something like case management, education or the like. I work in clinical education/professional development and love it. I am super busy, involved in every level of the...
  3. Nurse SMS

    Typical pay raises progression

    At my facility the career ladder for nurses does not equate to an increase in hourly wages. Its a one time per year bonus type of pay
  4. Nurse SMS

    Interview Question

    It doesn't have to be past work experience. It can be a life lesson answer as well. Its actually really okay to give an example where you didn't deal with it well, then go on to show how you think...
  5. Nurse SMS

    Bad orientation should I leave

    Yes, you should start looking for another
  6. Nurse SMS

    Big Decision Please HELP!!

    Jorge, they are night and day. OR is a tight-knit team, intense atmosphere and has a strong identity. Same with ER. OR, your patients are mostly asleep and your interaction is mostly with the team....
  7. Nurse SMS

    Where do patients go?

    The falling reimbursement rates for hospitals remain an issue. I am not excusing lying about patient conditions even remotely. I was fortunate to work somewhere that did not happen, or at least didn't...
  8. Nurse SMS

    What are my chances of being accepted?

    It depends on the school. All of them calculate things differently. Certainly your B- and your C aren't going to do you any favors. There are mixed reviews on retaking classes. My advice would be to...
  9. Without a doubt anxiety is impacting your test taking, but it also sounds like you are really struggling with critical thinking/application. Of course the exam isn't going to be exactly what is taught...
  10. Nurse SMS

    Where do patients go?

    LTACH when we can get them approved. Rehab when we can get them to accept the patient. SNF if it is known that neither rehab nor LTACH will cause any change in condition. Doesn't your facility have to...
  11. Nurse SMS

    Clinical Choices

    It depends on your school and a little bit of luck to be honest. I had a classmate that got L&D for their senior practicum. A couple got ER, a couple ICU. I got LTACH. Still went on to be an ICU...
  12. Nurse SMS

    Help, I Feel Like A Failure

    You are being super hard on yourself. I think somewhere you know this or you would not know to outline all the trauma you have been through. Girlfriend, get yourself healthy. Nursing will always be...
  13. Nurse SMS

    Advice for junior in BSN program

    Go to work at a hospital as a Patient Care Tech on a PRN basis and work your hind end off. Best thing you can do, hands
  14. Nurse SMS

    Texas fresh start program

    I got my ASN, BSN and MSN in Texas. I was in my late 30s when I started. I flunked out of college the first time around, fresh out of high school, after having a grand old time partying it up and...
  15. Nurse SMS

    Get your med surg experience early!

    Yup. Right wrong or sideways, this is the way all of them think - mainly because those coming into an acute care floor environment without having had acute care before are at a significant handicap if...
  16. Nurse SMS

    New grad RN with 3 months experience

    If you are relocating, focus on that and still talk about your 3 months of experience. In the meantime keep plugging away at the job you are in until you find something else. Good
  17. Float pool as a new grad? No wonder you hate it. Get OUT of that job and find a different one on a solid
  18. Nurse SMS

    Please Help

    It sounds like your daughter needs a therapist to be honest. Nobody should go into anything, career, marriage or anything else, under these kinds of false pretenses nor for these reasons. That she is...
  19. Nurse SMS

    Residency/ training

    You want a new nurse residency program with included housing and only want to consider ER positions? You are looking for a unicorn. It doesn't
  20. Nurse SMS

    Dismissed from a Nursing Program (Need Advice)

    ADN programs are more competitive than ABSN or BSN programs, not less, due to their reduced time to graduation and reduced cost without much, if any, reduction in expected pay. It is improbable the OP...
  21. Nurse SMS

    New Grad in TX

    The new grad market for acute care jobs in DFW is pretty fierce. There are not enough acute care jobs for every new grad that wants one. That you are having to endorse and have no connections here...
  22. Note that there are lots of other stable healthcare roles you could consider that would not involve as much exposure to bodily fluids. Radiology technician, sonogram technician, respiratory therapist...
  23. If you hate acute care then don't torture yourself. However..... If you have further plans in mind, such as becoming a nurse practitioner, educator, informatics nurse or other advanced roles, most...
  24. Nurse SMS

    Interview Follow Up

    It is neither. It is a polite response to let you know they got your thank you note. You are just going to have to wait and see. Good
  25. Nurse SMS

    New nurse looking for advice/feedback

    Have you approached her to discuss it with her? It is possible she is trying to be helpful but doesn't realize how demoralizing her tactics are. Tell her you learn a lot from her, but would appreciate...