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

    Everything went crazy

    Removal of a central line is a somewhat risky procedure, so there is definitely a difference in the process of removal, as it needs to be done in a way that prevents an air embolism. Get with your...
  2. Nurse SMS

    New grad no preceptor.

    I want to commend you for this response. You have been tossed into the deep end of nursing right out of the gate, and by that I am not only referring to your current situation, but to the fact that...
  3. Nurse SMS

    Resign first or wait until I find out if I'm fired?

    The last time I saw this done with someone it was due to their showing up on a report run on a high profile patient. Everyone who accessed the chart that wasn't part of the care team was canned and...
  4. Nurse SMS

    Over my head Update Help Pls!!

    No, you probably are not going to love it. Don't go in expecting to and you will be far more likely to be happy. Med-surg is a tough job that teaches you a lot of things that will serve you over your...
  5. Nurse SMS

    Black woman wearing puff pigtails to work

    Not only is it unprofessional, its gross. The messy bun isn't the issue. The unwashed hair
  6. Nurse SMS

    Feedback appreciated

    I have not read through all the replies, but my first thought is "There needs to be a safety post on this". Risk management should be informed there was a med error. Hopefully you documented that you...
  7. Nurse SMS

    New grad no preceptor.

    While your insecurities and fears are natural, you MUST move past them. If you don't advocate for safe practice, who is going to? This is an unsafe situation. You are definitely not qualified to...
  8. Nurse SMS

    Black woman wearing puff pigtails to work

    I am so glad you feel empowered and I am so sorry you have to worry about it. I personally would be in vocal favor of you wearing your hair any way that is tidy, professional and meets your personal...
  9. Nurse SMS

    manager proposed promotion

    Interesting and a little bit sorrowful. You worked HARD for those degrees. They are indeed three separate degrees with advancing knowledge in the same line of education, diversifying your specialized...
  10. Nurse SMS

    Disappointing Interview

    I agree that I would under no circumstances interview with the psych people unless you actually want that job. Coming into it from a bait and switch format, for me, would mean I could never, ever...
  11. Nurse SMS

    I want to quit during SICU orientation

    Any time you change specialties you can expect to feel a lot like a new grad again. There's a steep learning curve and all the competency you felt in your previous specialty will feel very precarious...
  12. Nurse SMS

    New grad icu position or residency program?

    You have one life. There is absolutely nothing to feel guilty about. Congratulations on your new
  13. Nurse SMS

    Disappointing Interview

    Write them, thank them for the interview and use the opportunity to underline your desire to change specialties. If you didn't stress that during your interview, now you know that you need
  14. Nurse SMS

    manager proposed promotion

    The only pertinent question is "Do you want to move into management?". Nothing else matters. You get ONE LIFE. Live
  15. Nurse SMS

    Parkland Dallas Residency Spring 2019

    It's
  16. Nurse SMS

    Parkland Summer 2019

    A general surgery floor will be med-surg. You will see everything and anything. Its a great area to get your feet wet as a new
  17. Nurse SMS

    The College of Healthcare Professions

    Never heard of them. The cost should be on their website. If the cost per credit hour isn't there, that's a red flag. You want to know how many are admitted to each cohort and of those, how many...
  18. Hi all. I am up for a promotion that will move me into a position of having 5-10 direct reports, all new grads. This will be my first position in which I have direct reports. I was asked by my...
  19. Nurse SMS

    MSN Preceptorship

    What kind of preceptor? FNP? ACNP? MSN-Ed? Informatics? Too much unsaid here. Have you explored this with your employer? We have a whole system built around providing preceptors for nurses advancing...
  20. Nurse SMS

    Scared to leave nursing

    It has been my personal experience that every single good career move I have made has both excited and terrified me to some degree. I am of the opinion that if a goal/dream doesn't scare you a bit, it...
  21. Nurse SMS

    What is it like to work in a good hospital?

    I feel I work for a VERY good hospital. Is there a glow around it at the end of the day, like a halo gift-from-God? Of course not. Are there problems? Hoo-boy. Girl, yes. Here's the thing. We are...
  22. Nurse SMS

    I just failed the CPNRE! :(

    I am not familiar with the CPNRE, but I want to tell you right off the bat that looking at those scores, coming here, admitting it, asking for help and having already researched the best way to help...
  23. Did they change her clock-out times or just deduct the standard 30 minutes that almost all hospitals do for
  24. The only thing not brought up that I can see might impact this is whether you are considered a contract employee until you are done with your orientation period. I have seen some hospitals do this;...
  25. It depends on the hospital. The one I am at now does written offers only, sent via email. Others do a phone call followed by the written offer. If you are interviewing for a new grad residency they...