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

    Help, nurse in distress!

    I think you honestly cannot lose here. You request the transfer and hope for the best. If refused, you find a different job. I agree that it sounds like a very toxic environment on your floor. Before...
  2. Nurse SMS

    Staff Development/Nurse Educator

    I am in professional development but my facility is an acute care hospital. We do get asked to fill in with staffing during critical staff shortages, which is usually around December when surgeries...
  3. Nurse SMS

    Very Low Gpa...Is there still hope?

    Not too late. I flunked out of college the first time around. Had a great time. Didn't study much. Got back into school at my local community college years later. I majored in liberal arts and got...
  4. Nurse SMS

    Anyone had an experience like this??!!

    New jobs are like dating. The upfront part is as good as it is ever going to get. Start
  5. Nurse SMS

    Texas Health Resources(not new grad)

    THR pays well for this area, has good benefits, is not-for-profit and still cares about trying to do the right thing. I respect them a great deal as an
  6. Nurse SMS

    Bizarre Med Order

    Well done!
  7. Nurse SMS

    Accepting a position as an RN after being the CNA

    I did it but on a different unit from that which I worked during nursing school. Same hospital. It was
  8. Nurse SMS

    Student loans killing me!! stressed!

    Money stress sucks and living with poor (misguided, naïve) decisions is super hard. I just wanted to put on here that you can get out of this. Dave Ramsey is an excellent money management program....
  9. Nurse SMS

    New grad struggling to find jobs

    Many of the internships here in Texas hire prior to graduation on contingency of passing NCLEX by their start date. This is exactly when they should be applying in the DFW area. Other areas may...
  10. Nurse SMS

    Clinical documentation RN DMV

    The Department of Motor Vehicles employs nurses? I did not know this.
  11. Nurse SMS

    New grad struggling to find jobs

    1. Four apps is nothing. If you applied in Texas to major cities, they are flush with new grads and you will not be competitive compared to those actually living in the area. There are not enough...
  12. They are sure lucky then that their prayers were better than so many other people's who also prayed for God to
  13. Exactly. My son was not brain dead when we made the decision to withdraw futile care. I hate these sensationalized news stories of so called miraculous recoveries. Patients having this outcome aren't...
  14. Nurse SMS

    Verbal orders for narcotics

    If there is no way to reach the physician and that nurse is the one who spoke to him or her, then that nurse has to be the one to enter in the order, period. There is NO GRAY AREA regarding this in...
  15. Nurse SMS

    Verbal orders for narcotics

    Nope. I would call the physician myself to clarify the
  16. Nurse SMS

    Critical care research topic

    I find your generic request from Internet strangers to be rather odd, to be honest. Here is my advice. Look inside YOURSELF. Pick a topic you are passionate about. This is a difficult assignment and...
  17. Nurse SMS

    HELP

    Document, document, document. Document conversations, education, handouts. Document what is fed, how the patient tolerated it and what you did about it, who you notified, etc. Involve your manager and...
  18. Nurse SMS

    Legalities in Flight Emergencies

    The ones I handed off to were extremely dismissive of me. Oh well. That says more about them than about
  19. Nurse SMS

    Legalities in Flight Emergencies

    I do not know comprehensively. I gave diphenhydramine and had an epipen on
  20. Nurse SMS

    Legalities in Flight Emergencies

    I was the only medical person on a flight once recently when a call for a nurse or doctor was made overhead. I spoke to the physician on-call and shared my patient assessment with him along with...
  21. It sounds likely that they decided not to fill the position at all, to eliminate it or to give it to an internal
  22. Nurse SMS

    RN- BSN Can't Find a job w/ 6 months Ex.

    I do not know if this is pertinent and am not intending to come across as snarky, but there are a LOT of typos in your post above. Be sure you go over your resume with a fine tooth comb. It is likely...
  23. Nurse SMS

    Went Home Dilaudid in Pocket

    When I was a brand new grad I wound up at home with an unopened vial of Dilaudid. I brought it back to the hospital immediately and did a witnessed return. Nothing more was made of it. Didn't occur to...
  24. It happens all the time. Unprofessional yes. Unusual? no, unfortunately. You will become more savvy with time and learn to be wary of off-the-cuff job offers. They can work out, but generally tend to...
  25. Never think you have the job until you have an offer in writing with a firm start date and salary negotiated. Even then, it can still all fall apart through no fault of your own. I hope you find...