HouTx BSN, MSN, EdD

Critical Care, Education

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All Content by HouTx

  1. HouTx

    In over my head

    If you truly believe that you're 'over your head' in your current position & you're facing a sink-or-swim deadline, it may be better to voluntarily make the switch if you're in danger of an...
  2. Keep trying! Although bedside nursing is a very physical job, the 50+ demographic is still alive and very much kicking. You may also want to explore LTAC opportunities - it's acute care, just like...
  3. HouTx

    Where Do I Go From Here?

    THANK YOU FOR YOUR SERVICE. From your description, you have already managed to overcome very significant obstacles just to get through school & obtain your license. Isn't it time to invest some...
  4. HouTx

    being forced to pick up extra shifts

    The rules about mandatory overtime vary from state to state. HERE is a summary. Familiarize yourself with your state's law & make sure that you advocate for your own
  5. HouTx

    When a patient complains

    A "good" manager will always investigate any type of complaints - obtaining first hand information rather than simply accepting hearsay. You'll be able to plead your case at this time. However, it is...
  6. HouTx

    How long should I stay at my job?

    Reality check - Behavioral Health is not included in the HITECH incentive payments for EHR adoption..... ergo, they are not participating because they cannot recoup the cost of implementation. They...
  7. HouTx

    Disloyal for looking for another job

    Huh. That's really an odd way to address a potential candidate. There is a finite number of experienced nurses in any area.... and experienced applicants will be moving from one facility to another....
  8. HouTx

    Will I be perceived as disloyal?

    The issues you've identified are common with many rural/critical access facilities. I urge you to put together a clear and concise 'project plan' to address them.... provide data about the lack of...
  9. HouTx

    Patient eduction liability?

    Check your organization's policy. It is highly likely to specify that you can only provide "approved" materials/resources for patient education. This is intended to reduce liability. If you go...
  10. Politics? Everything we have is a reflection of our current reimbursement system & Fed Gov is the largest
  11. HouTx

    Where is our "Safe Haven"

    Wow. Illustration of the immense power imbalance that cascades throughout US healthcare ... and the lack of an effective Nursing
  12. I highly recommend "Clinical Teaching Strategies for Nursing" by Gaberson & Oermann. I think the latest is the 4th ed. Oermann has several texts that are very valuable reference for any nurse...
  13. HouTx

    Hardest things we tell family

    Great thread. "Moral Distress" is very real for nurses and other clinicians. It's important to recognize it and seek/provide support for one another when it occurs. Although it is sometimes...
  14. PPs are correct. In the US, 'patient contact' is limited by regulatory & legal requirements. Volunteers are utilized in support roles such as gift shop, information desk, etc. where they won't...
  15. Are you eligible for licensure & work in the US? If not, neither route will be an option. I am not aware of Pell Grants covering 100% of any course of study, with the exception of some...
  16. HouTx

    New healthcare regulations?

    Is this a homework question? Can you tell us what you think about this issue? There is a constant barrage of information about 'losing the patient focus' in healthcare & too much attention to...
  17. HouTx

    Job Fair/Facility Culture

    Sounds kind of judgy. Maybe she was not feeling well or her feet hurt. It's always a mistake to judge based on superficial appearance. An organization's culture is more than any single
  18. HouTx

    New grad vs 6 months experience and laid off

    Since I assume that you were receiving a paycheck with FICA deductions during that period of employment, it WILL turn up on any future background checks. Do you know if you're categorized as eligible...
  19. HouTx

    Patient Assignments

    Wow - I've never heard of this before. I certainly understand why Preceptors with Orientees would get first choice for obvious reasons. But the rest of it just sounds like management has abandoned...
  20. HouTx

    How difficult is it to earn MSN in education?

    Yea! It's always great to encounter someone who is planning to join our team (nurse educators). There are actually two different pathways you can choose - academia or workplace education. Have you...
  21. HouTx

    Easy online statistics course?

    There is a growing body of evidence that there are some courses are not well suited to online delivery.... Statistics is one of those. Online stats is not the way to go unless you have a strong math...
  22. HouTx

    Last Day of Nursing School

    GO GET 'EM!!! Welcome to the
  23. You will have to obtain 'official' permission from the hospital in order to shadow anyone. Many organizations are very reluctant to do this for anyone who is not already formally enrolled in a...
  24. Yes - education should be listed just like your job history, with the most recent first. So, you can list your MSN with "anticipated graduation" date on top. Be sure to include your area (e.g., MSN...
  25. HouTx

    private duty nursing vs facility

    I'm assuming that the private duty would be through a home care agency... at least that's the way it work in my part of the world. There are those types of jobs, particularly for home-bound patients...