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

    Why the high turnover in behavioral health?

    I saw a fair number of psych patients due to exacerbated comorbid conditions when I worked ICU Stepdown. I burned out on them pretty fast, mostly due to the large number of them with substance abuse...
  2. What does "a bigger residency" mean? Other than the hospital having a famous name, you have not given one single reason that makes sense to jump ship from the enviably good situation you are in now to...
  3. Nurse SMS

    New Grad Orientation Contracts

    Texas,
  4. Nurse SMS

    Holiday proposal

    This is how it was on my last floor position too. It worked well. Probably wasn't popular when it first rolled out, but people learned to accept
  5. Nurse SMS

    New Grad Orientation Contracts

    New grad contracts are a human rights violation?? I think I have heard everything now. New grad contracts are the norm in my area. The extent to which they are enforced is pretty political from what...
  6. Nurse SMS

    New Grad Orientation Contracts

    This would hold weight except for the fact that even with these contracts, new grad positions remain difficult to obtain in many areas of the country. It isn't like they are swinging the doors wide...
  7. Nurse SMS

    Teaching with DNP and not a MSN

    If education is where you want to be, a postgrad program in Nursing Education would be worth your while, not too expensive and take about a year to
  8. Nurse SMS

    Difficulty finding jobs?

    I work in PD in a hospital setting. I had multiple job offers prior to completing my program, but I have since learned that there aren't nearly as many MSN prepared acute care educators available as...
  9. Nurse SMS

    Is this considered a restraint?

    Yes. That is a restraint and subject to all the laws surrounding
  10. Nurse SMS

    Feeling guilt over put unexpected death

    Had one almost freakishly similar a few years ago. It was a PE. Sending you comfort. Sometimes it is just their time and nothing we do can change that. Hang in
  11. I am glad you are feeling
  12. Nurse SMS

    Clinical Educator vs. Intructor

    I am also partial to the professional development side of things, in no small part due to far superior pay and benefits, but also because I truly enjoy patient care and seeing the impact of my...
  13. Nurse SMS

    Is Imposter Syndrome Holding You Back?

    I have struggled with exactly this since getting my MSN. I never saw myself getting a graduate degree - I didn't think I was smart enough or focused enough. There have been no women in my family to...
  14. Nurse SMS

    Should I feel bad for not picking up shifts?

    Oh...and no, you should not feel bad. Do they feel bad when they lay people off or send them home early for low census? Nope. You do not owe them anything. As mentioned above, it is
  15. Nurse SMS

    Should I feel bad for not picking up shifts?

    Personally I would bluntly tell them I am not willing to do any shifts at Location B and then let them react however they will. Sounds like you'd be better off finding a better employer
  16. Nurse SMS

    Raises?

    I have never not gotten a raise, but some have been pretty paltry. This year I have gotten two, adding up to a 4.5% increase over last year. That, however, is a rarity in my
  17. Nurse SMS

    Staff Development/Nurse Educator

    Yup. Hard limit for me. I personally would not take a position where I could be pulled into staffing for patient
  18. Nurse SMS

    Practicality or Passion?

    I don't get the "dream employer" thing. I have yet to hear of someone working at XYZ BigNameHospital and been impressed by it. That would not even figure in for
  19. Nurse SMS

    Forced to Flex Off

    The only part of this I have a huge problem with is the four hour increments nonsense. Either call me off or let me work. None of this "we'll call you in four hours if we need you" crap, and with no...
  20. Nurse SMS

    What's going on with this job?

    Don't bother calling. They aren't hiring. Keep looking
  21. Nurse SMS

    CA New Grad moving to CO

    I would not move to Colorado without a written job offer in hand that outlines starting date, details of your internship and your starting wages. Colorado is one of the toughest markets in the country...
  22. Nurse SMS

    What to do after nursing school???

    Pretty much all of the things you listed are NOT options to you right after nursing school. Travel nursing is not appropriate for a new grad with no experience. Education is not appropriate for a new...
  23. Nurse SMS

    Practicality or Passion?

    Neither of those would be my top priority. I would weigh out which has better leadership, which unit has better team work and a better culture and which am I caring for the types of patients I am best...
  24. Nurse SMS

    Help, nurse in distress!

    Just for the sake of clarity and interesting things I have learned recently, Safe Harbor in Texas does not allow you to refuse an assignment. It is a means to communicate "on the record" that the...