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. I'd like to see schools doing a better job of coaching students that once they graduate, they will no longer be a high achieving student, they will be a novice nurse. Learning to accept the humility...
  2. Nurse SMS

    Transition from LTC to hospital

    The key to any new grad's success lies in time management, learning to delegate and managing anxiety. In most hospitals actually the hospitalist/attending does NOT know the patient very well. Usually...
  3. THR is pretty strict now about only hiring BSN prepared nurses into new grad residencies, as are the vast majority of DFW hospitals. You have an uphill climb before you, unfortunately. This is a tough...
  4. Nurse SMS

    CAN I GET AN ER JOB AFTER URGENT CARE??

    It depends on the urgent care. My hospital has an urgent care clinic, open 6 AM to midnight. They are kind of like "ER Stepdown". Patients who aren't obvious traumas or actively in a code or psych...
  5. The things I see most lacking in new nurses these days are: 1. Resiliency 2. Realistic expectations 3. Grit (close relative of resiliency) 4. Interpersonal skills and ability to have face to face...
  6. Nurse SMS

    ADN to FNP Texas

    I am sure there are. This isn't one of your questions, but since you are in Texas and new to nursing, I wanted to tell you that Texas is oversaturated in FNPs. The market for them is very tight and...
  7. Nurse SMS

    Can nurses help uninsured patients ?

    There are ample opportunities as a nurse, including as a nurse practitioner, to help marginalized, underserved populations - some for pay, some by
  8. There is no reason why you should not dip your toe into other pools after one year. If you are this miserable there isn't really a need to stick it out.. If you love your other job, why NOT just go FT...
  9. Nurse SMS

    I Caught the IV Yips

    It isn't uncommon for ED techs/EMTs to start IV lines. ? OP, you are in a dry spell if you previously had been doing them well. Sadly, the more you miss, the more your confidence in shaken and the...
  10. Nurse SMS

    License Revoked for Ethical Reason

    I had a terminal patient absolutely insistent that he wanted to leave me his coin collection. I refused it and encouraged him to leave it to his grandchildren. He was adamant. I was sad when he died,...
  11. Nurse SMS

    Atlanta vs Dallas opportunities

    Texas Health Resources pays an extra $10/hr on the weekends. I forget what they pay for evenings and nights. I do know it all stacked. Not sure about
  12. Nurse SMS

    School Nurse Can't Get Bandaids

    Why not get let into the nurses office and fill up a portable container with standard supplies you might need on any given day? Then you aren't using your own funds AND you aren't having to run down...
  13. Nurse SMS

    License Revoked for Ethical Reason

    You are going to have to find a way to show you have better judgment now than you did then. Your letter, though, doesn't sound like that is the
  14. Nurse SMS

    Nurse as a Patient?

    Oh heck no. My first thought was that I would refuse to be assigned to her after one shift. Glad you didn't have to go back in there and glad that management is recognizing this strange
  15. Your title says "new grad" but your post says you worked for 1.5 years as an RN.... If you have 1.5 years of experience, regardless of where that experience happened, you aren't considered a new grad...
  16. My interpretation of that order would be to start the 1L immediately (in the ER) knowing the patient was to be transferred to the floor - and that the total of 3L was still to be given. That, however,...
  17. Nurse SMS

    staffing policies

    Is it bad enough that you are willing to risk potentially worse conditions elsewhere and to make a longer drive in order to do so? Not saying that would be a wrong choice - just thinking that is the...
  18. Nurse SMS

    Feedback appreciated

    You are likely correct, JK, but then why the refusal to document and the overdose? Is that also just part of things in the ED now? And what would make someone jump in out of the hallway to give Haldol...
  19. I attended WGU. When I was there, there were no discussion boards and no group assignments. The RN to BSN program was a mix of papers and proctored exams. The MSN portion was 100% research
  20. Nurse SMS

    Career after termination?

    "It wasn't a good learning situation" or "It wasn't a good fit" are the old standards. You will probably need to apply at places like jail, LTACH and SNF to get a foot in the
  21. Nurse SMS

    Atlanta vs Dallas opportunities

    That is the first time in the history of ever I have seen someone state HCA pays the best in this area.
  22. Nurse SMS

    Feedback appreciated

    This reminds me of a nurse in trouble here in Texas for murdering patients by injecting air into their art lines. He would go into the rooms of patients not assigned to him, inject and then respond to...
  23. Nurse SMS

    Feedback appreciated

    Wow. Popping some popcorn and waiting with baited breath to see how all this is going to shake out. Just when I think I have heard it all. We are rooting for you
  24. Nurse SMS

    NICU or Med-Surg

    What are your long-term goals? Most people who go into NICU REALLY want to go to NICU and usually are very focused about that. If you are wanting to be a CRNA, then NICU isn't going to get you there....
  25. It will probably be more like 3-5 people in most places. ? Read up on the organization. Find out what their philosophies are. Prepare questions having to do with the patient population, the hardest...