HouTx BSN, MSN, EdD

Critical Care, Education

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All Content by HouTx

  1. Something that really stands out to me is OPs inability to cope with a normal patient load after 3 months of orientation. Simply put, lengthy orientations are just too expensive for hospitals today....
  2. HouTx

    Should I Even Try Becoming An RN?

    Is "move out asap" your choice? If so, you may want to re-think this because it will make everything much more difficult for you. Also, have you already explored all of the options for financial...
  3. HouTx

    Is it true Houston has highest pay?

    Salaries are contingent on the marketplace - in any location. Jobs that require qualifications that are in high demand but short supply, will command higher salaries. If you are chasing $, take a...
  4. HouTx

    A Call

    Wow. Whenever the "C Suite" (CEO, CFO, etc) make decisions without involving staff or at least ensuring that everyone is fully informed, it causes an enormous backlash...... the OP's rant is...
  5. HouTx

    Canceled up to 3-4 times a WEEK. What do?!

    That is HORRIBLE. Hospital census has taken a nosedive - all over the country & this has had a severe impact on staffing. There is a USA Today article (10-13) A job engine sputters as...
  6. Fraud is fraud, no matter what the setting. Falsification of documentation is grounds for loss of license in pretty much every state in the US. Nurses are mandatory reporters..... so, if you fail to...
  7. HouTx

    hemorrhage vitals signs

    Hmm - let's steer into some critical thinking. As intra-vascular volume drops, peripheral vessels squeeze down, shunting blood to central/larger vessels in an effort to preserve vital functions...
  8. HouTx

    Frustrating Last Semester

    ^^^^^^You Go John! ^^^^^^^^ You are OVERdue for a
  9. HouTx

    Difference between BSN and ADN

    This may be helpful. It was developed for Tx, but is pretty much applicable to anywhere.... http://www.bon.texas.gov/about/pdfs/delc-2010.pdf It defines the specific differences between ADN & BSN...
  10. HouTx

    How do I change my outlook?

    So - if thinking about future goals or "be the best that I can be" is not working for you, what about your sense of competitiveness? Does it chap your hide when you're not the best? That works for...
  11. HouTx

    DNR's that do not mean a thing!! Help...

    From a nursing standpoint, there are no real consequences for disregarding a DNR - but there ARE real consequences for disregarding a physician's order, even when he is acting in opposition to the...
  12. HouTx

    Feeling Overwhelmed

    Most of the schools you listed are commercial (investor owned) and therefore much more expensive than traditional (not for profit) programs. Is there a reason you are choosing the commercial schools?...
  13. I completely empathize. Over the years, I came to realize that there are just some types of clinical diagnoses that were on my "no fly zone". Oncology is on that list. My practice area is...
  14. HouTx

    new grad salary

    PPs are absolutely correct. SA has more nursing schools (in proportion to the population) than any other Tx city. They are churning out BSN & ADN grads on a continuous basis. Please do not risk...
  15. HouTx

    Are we being taken advantage of?

    FWIW, before entering into a PRN position as a 'second job', it's important to see whether it is actually going to work with your other obligations. The organization's first obligation is to their...
  16. HouTx

    HELP! I don't want to be a nurse! :0

    Agree with PPs - life is waaaay too short to deliberately make yourself miserable. You're young, obviously smart and independent. Pursue your dreams
  17. Failing to double check insulin is a not a "mistake", it was a deliberate choice to deviate from acceptable practice - maybe driven by time constraints, but still unacceptable. This is a risky...
  18. HouTx

    Nursing Job interview case scenarios

    I am assuming that the organization utilizes Behavioral Interviewing techniques since this is based on scenarios. Since you are a new grad, no one will expect you to have a ready answer for any...
  19. You may want to let the ACA dust settle first before making any sort of concrete moves. At this moment, hospitals all over the country are experiencing an unprecedented decrease in census.... large...
  20. There is no standard practice. You will need to get specifics from the hiring agency. "Temp" usually means that you are filling a vacant position according to the same schedule/hours that it a...
  21. HouTx

    my feet!!! :(

    Yes to Alegrias!!! My ortho doc clued me in to these after a knee injury. They're a bit pricey, but well worth it. Lots of support but much cushier than Danskos or Birkies. They have taken over...
  22. HouTx

    Newly Qualified RN - and already want out?

    Sounds as though OP is not in the US, right? But I have a question.... why did the OP pursue nursing if she only wants to work "office hours"? Healthcare is a 24X7X365 business. Nursing students in...
  23. HouTx

    Nursing beyond the bedside

    First of all, be sure to explore any 'disability' benefits that are open to you. This can vary by state. Bedside nursing is a very physical job which requires long hours of standing.... if you are no...
  24. HouTx

    Need advice on what my next step should be...

    I continue to be dismayed that we define nursing practice only by acute care. Each type of environment has its own set of skills but only acute care technical skills are valued... by employers also....
  25. HouTx

    Unsuccessful at nursing and not sure what to do

    Please, not again!!! STOP recommending "teach" as an alternative to anyone who is unable to become a proficient, competent clinical nurse or dislikes providing direct patient care. Teaching should...