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

    Found a Knife, Scared

    You need to go to your union and HR. eta: I see you already did. If nothing is being done, I would find another job
  2. Nurse SMS

    Fentanyl shortages or DEA policing healthcare?

    We are also short, particularly in morphine, due to the situation in Puerto
  3. Nurse SMS

    PCU vs. Medsurg

    Everywhere I have worked the PCU is part of the critical care team. The patients in PCU would, just a few years ago, be in the ICU. Acuity is much higher than med-surg. Assignments are typically lower...
  4. Nurse SMS

    RN working as a CNA...

    Because it is in their scope of practice? Because they are liable for it getting done? Because short staffing is a fact of life? Because when it comes to patient care there is no "that's not my job"?...
  5. Usually when there is no description I assume it is a floor nursing position or that they are hiring internally but required to post
  6. Nurse SMS

    2 NICU Job offers, need opinions on offers

    I personally thought the first one, hands down. I do not care how much an employer promises you something. If you take a position contingent on them making up their mind to do what is right and keep a...
  7. Nurse SMS

    Areas of the country that hire new grad ADN's?

    There are still underserved areas of the country hiring ADNs. A few cities/companies aren't, but there are still acute care opportunities, though some now have the caveat that a BSN must be earned...
  8. MSNs in informatics, administration, education....in the world of health care, all of these require 2-5 years of acute care experience along with the advanced degree. I definitely do not recommend you...
  9. Nurse SMS

    Nurses cannot perform miracles

    I noticed a long time ago, particularly for those patients facing a lot of pain or a patient/family facing a life-altering diagnosis or outcome, that if you cannot cure them, in their mind you become...
  10. Nurse SMS

    How to begin working from home

    Have you looked into being a student mentor or course mentor at WGU or other online
  11. Nurse SMS

    Enrollment classes?

    Not unless you fail them or earn such a poor grade that it impacts your overall GPA. Take them. Make As. You will be
  12. Nurse SMS

    Advice for the young.

    And no. You do not need to self report to your new employer about this med
  13. Nurse SMS

    Advice for the young.

    I am going to say this as gently as I can because your concern does you credit. Listen to me. Your anxiety about this is officially at the point where it is going to screw you up more than the...
  14. Nurse SMS

    What do you do with your wedding ring?

    I didn't wear rings when working the floor. Brings home too many germs. As a newlywed it is understandable you probably want to have your ring(s) on, but it is healthier for you and your patients to...
  15. Nurse SMS

    Enrollment classes?

    All it does is make it take a little bit longer to get to nursing school. What you do in school prior to nursing school is all meant to prepare you for the rigors of nursing school. Therefore needing...
  16. Nurse SMS

    Advice for the young.

    I was not reported to the BON. Were you? Being reported to the BON is a whole different ball game, but most medical errors do not result in license discipline unless very egregious, deliberate and/or...
  17. Nurse SMS

    Advice for the young.

    Yep. My first med error was accidentally failing to give insulin after POC check indicated
  18. Nurse SMS

    Advice for the young.

    You will be okay. In fact, I wager you will be a better nurse for having made the error and learning from
  19. Nurse SMS

    Nurses Smoking: Compassion Instead of Judgement

    I graduated in 1988. There was a smoking area for the students at my school even
  20. Nurse SMS

    Nurses Smoking: Compassion Instead of Judgement

    It is interesting - I am both sympathetic and completely exasperated with smokers. I advocate for nicotine patches for my smoking patients and wish my smoking nurse compatriots would also use them....
  21. Nurse SMS

    Advice for the young.

    I made one in nursing school. I made another one the first month of practicing as an RN. Of course, these were not sentinel errors, but they were med errors and required documentation, assessment of...
  22. Nurse SMS

    Can't get reference in time?

    Good luck
  23. Nurse SMS

    New grad-which job is better

    Both are excellent places for a new nurse to start. You won't have just stroke patients on the stroke floor. You will have all sorts of things neuro related most likely, plus all the comorbidities...
  24. Yes you can. Will it be easy? No. But it wouldn't be easy if you weren't working either. Lots of people have done it. You can
  25. Nurse SMS

    Should I Go into Debt for Nursing School?

    $100K is an INSANE amount of debt for a nursing degree. Add to this that many to most "for profit" schools lack accreditation, have poor reputations and poor NCLEX pass rates. What if you cannot...