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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New Nurse, Med Error = Lost Job

Nurse SMS replied to NewRN9423's topic in General Nursing

I like the suggestion above about shadowing on a unit. It will help with your confidence a LOT if you are able to see the work environment prior to starting. I would encourage you to not shy away from...
Wearing Scrubs to an Interview...?

Nurse SMS replied to nursechilespice's topic in Nursing Career

Make the effort. Think about it from this perspective - you will never not get the job because you dressed for business, but you may very well not get the job because you didn't. The only exception is...
I Was Fired...for Being Abrasive and Having Attitude

Nurse SMS replied to Nurse Beth's topic in Career Advice Column

This I absolutely agree
How to improve metrics with low employee engagement

Nurse SMS replied to HShearerRN2011's topic in Nurse Management

I second the above advice. Don't confuse the two issues. If increasing scanning supply rates is the goal, stick with that goal. Low engagement/morale is a separate
Constant Complaining

Nurse SMS replied to special1rn's topic in Nurse Management

I have had tremendous success with this using the techniques I found in a book called No Ego by Cy Wakeman. It gives good tips in helping people move beyond complaining and into a higher level of...
I Was Fired...for Being Abrasive and Having Attitude

Nurse SMS replied to Nurse Beth's topic in Career Advice Column

Of course in an RCA people are going to be asked why they did not say anything. This is part of fixing institutional issues that lead to patient harm. I am sorry you saw my reply as nitpicking. I saw...
PTO not in the budget for remainder of year

Nurse SMS replied to galaxygirl17's topic in General Nursing

It is common to not allow PTO through the holidays. I suspect this isn't a budget issue but just a policy issue and your manager didn't want to flat out say that nobody gets to take time
Would you do that? New grad dilemma

Nurse SMS replied to Twinkle007's topic in General Nursing

I second the comment that recommends you consider moving to a less saturated
I Was Fired...for Being Abrasive and Having Attitude

Nurse SMS replied to Nurse Beth's topic in Career Advice Column

The Board does not go after new grads for "not speaking up". This is a red herring. If you are unsure about what the BON considers fault-worthy, go to your state's BON website and take a gander at the...
Is it Worth it?

Nurse SMS replied to Nursetravel246's topic in Nursing Educators, Faculty

For me it has been VERY worth it. However, I do not work in academia, but rather am in education in an acute care setting. I make six figures and have wonderful work/life balance. Four day work week,...
Best experience for a new grad?

Nurse SMS replied to Patty0102's topic in Nursing Career

It certainly would be more pertinent than
I think I'm going to be let go from Orientation :((

Nurse SMS replied to iconicqueen's topic in Nursing Career

It absolutely will. You need to seek out help for this before you start working
Recent Grad: So Many Feelings...

Nurse SMS replied to SunshineNRainbows's topic in First Year After Licensure

Their annoyance isn't about you and isn't your problem. Don't let it deter you from clarifying or requesting orders. This is where you begin to develop a thick skin. Practice using SBAR to communicate...
New Grad learning how to deal with manipulative parents/families

Nurse SMS replied to atxgirly's topic in Patient, Colleague Relations

My tactic in these situations was to always do what was right for the patient and escalate anything else to people with more authority than me. Wanting more/different pain meds? Doc involved. Family...
How to "calm" down autistic pediatric patient?

Nurse SMS replied to carti's topic in General Nursing

I second all of the above. Talk to the parents about putting away the expensive breakable things or providing some other safe space to hang out with her. If she is like a two year old then the house...
First Major Mistake, Patient Didn't Get Blood, I'm Afraid

Nurse SMS replied to ICURNVUS's topic in General Specialties

I have never worked anywhere that allowed a hemodialysis patient to get blood outside of dialysis due to the huge risk of fluid overload. I am, frankly, surprised they would expect you to give blood...
HELP I don’t know what I’m doing

Nurse SMS replied to ddsnnurse98's topic in General Students

Whatever you are doing, it isn't working. This means you need to do something differently. If you have been doing all those things, maybe cut down to just one or two of them. If you have been studying...
Need help with Nurse Practice Act assignment regarding Competency

Nurse SMS replied to Katykaty's topic in General Students

Okay. This looks like a "don't overthink it" assignment. For #1 - What would you do to know what your patient needs from you during your shift? Those are your nursing actions to be listed. You are...
Sitter to escort patient during smoke breaks.

Nurse SMS replied to cna1234's topic in General Nursing

If our patient is 1:1 obs, they cannot leave their room. 1:1 obs for the sake of getting to go smoke is blatant abuse of the system and absolutely ridiculous. Refuse the nicotine patch? No problem,...
How to "calm" down autistic pediatric patient?

Nurse SMS replied to carti's topic in General Nursing

Autism is both sensory seeking and sensory avoiding. You will need to spend time with her without the iPad to get to know her. Then you will begin to find the things she enjoys doing, those which...
Help!!! New grad military spouse

Nurse SMS replied to Valley_girl1021's topic in General Nursing

Even nurses can't find work on base in Germany. My husband and I would very much like to leave the US. I have been a military spouse and our son is a warrant officer in the Army. I have done my...
Help!!! New grad military spouse

Nurse SMS replied to Valley_girl1021's topic in General Nursing

There really isn't such a thing for Germany. Now and then you can find it for England I believe, but I have researched both Germany and Italy heavily. Its a unicorn. What adventure_rn was suggesting...
Help!!! New grad military spouse

Nurse SMS replied to Valley_girl1021's topic in General Nursing

Yep, that is what you should do. But even once you have experience you will be unlikely to find work in Germany as a nurse. Just kind of something to be aware of as you plan your future. There isn't a...
Recent Grad: So Many Feelings...

Nurse SMS replied to SunshineNRainbows's topic in First Year After Licensure

This is a very common feeling! Definitely take time to review what you already know, but don't hesitate to ask questions. I worry about the ones who don't. As you get to know the people on your shift...
New grad leaving job after 9 months for NP school

Nurse SMS replied to tothepointe's topic in Nursing Career

What are your goals? Can you afford not to work? Do you hope this employer will hire you after getting your NP

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