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TexasmedicRN has 1 years experience.

TexasmedicRN's Latest Activity

  1. TexasmedicRN

    Always feeling rushed/stressed!

    How do you approach busy shifts? All my day shifts are super busy every morning till about mid to late morning. Some taper off and I just maintain based off the assignment. While the majority I don’t get caught up (finished assess/meds/charting ) till early to late afternoon. I feel a lot of anxiety if I am not caught up or finished with the essentials. Is there any advice on mentally how to approach your day when something monkey wrenches you’re morning and it puts you behind? A lot of times there isn’t really an issue with a sick or crashing pt, I just feel very stressed when everything is not done and perfect. I had one nurse tell me to just take care of the pt and don’t worry about documentation until all your pt’s are good. Then just catch up as you can.
  2. TexasmedicRN

    Maintain paramedic NREMT?

    Any medic RN's out there? I am working ICU, and plan to stay doing that while I get my ACNP. Really struggling with letting my medic go. Its hard to justify 72 hours of CE, many in person, and hundreds of dollars to maintain a cert I am not going to use. I have no desire to fly, or go back to the truck. I would not mind doing a ground critical care transport, but don't really see to many opportunities for that. Have y'all found anything that helps to maintain NREMT for a low $ and time requirement?
  3. TexasmedicRN

    Too old to pursue ACNP?

    Currently 38, working on BSN after working CVICU for a year. Looking at 5-6 years to complete, while working full time. Just curious if time and money is worth it, plus if it’s risky with a lot moving in the same direction.
  4. TexasmedicRN

    How to stay up to date as an ICU RN?

    How do you study and stay up to date as an RN? Certain books, websites, or other reading materials? Do you just read up on things you run into that you are unfamiliar with? Sorry if dumb question, just wanting to learn and grow.
  5. TexasmedicRN

    How long can you work as an ACNP?

    38 now. Starting on my BSN, and then thinking about ACNP. Will probably finish, if going straight through around 42-43. I have seen many bedside nurses into their 60’s. Do you feel like you could continue as an ACNP into your 60’s? I imagine it depends a lot on your roll and specific field.
  6. TexasmedicRN

    Thoughts on ADN to MSN then NP?

    I had someone mention it to me. I do believe a few places offer ADN to MSN finishing with an ACNP. I know of a few that offer ADN to MSN FNP. Just curious. Will probably go do BSN for flexibility and the chance to take a break or deal with any life situations that might arise.
  7. TexasmedicRN

    Thoughts on ADN to MSN then NP?

    If NP is the end goal, is there a difference between going from ADN to MSN? As compared to going ADN-> BSN -> NP?
  8. TexasmedicRN

    Best in Texas ADN to BSN?

    Best overall cost, flexible, and easily to get into full online ADN to BSN program.
  9. Always trying to improve. What in your eyes is the difference between a decent nurse and a great ICU nurse. Obviously experience teaches us all, but is there a specific knowledge that is really needed in the ICU? I am not talking about general stuff work ethic, laziness, a drive to learn, eye for detail, etc. Mainly what knowlegde separates the great from good nurse. I have heard medication knowledge is huge.
  10. TexasmedicRN

    Struggling, am I a crappy nurse?

    Thank you so much for the positivity. Was a very bright white cloud while on the ambulance. Working ICU has been such and incredible learning experience. Have such a long ways to go. This help tremendously!
  11. TexasmedicRN

    Struggling, am I a crappy nurse?

    Two shifts, two codes, both my pt. One as soon as I got there. The other as my shift was ending (back to back shifts). Looking to see if anyone had any experience with pt's dying close together under their care. Wondering if I am turning into a black cloud. Busted my jump all day with this pt and another. Pt stable most of the day. Then he went south quickly.
  12. TexasmedicRN

    Anyone PRN travel?

    Have a great primary job, approaching 1 yr RN experience, but have a few years medic. Was wondering if anyone does one day a week or every other week travel. Working CVICU right now and looking for an opportunity to travel either in the ICU or ER. Just curious if it's possible.
  13. TexasmedicRN


    Wanted to ask for a while. A nurse has been arrested and charged with murder. All the staff are leaving and think the nurse is being set up to take the fall for bad outcomes. Management and above say the RN is absolutely guilty. Would you be worrying about staying there? Think it's possible for an RN to be framed for murder?
  14. TexasmedicRN

    False acusations?

    Has anyone ever heard of a nurse being set up, or blamed for a crime to cover up bad patient outcomes? Have you ever seen nurses as scape goats? just wondering if anyone has had issues with this before or seen it first hand.
  15. TexasmedicRN

    Trying to ensure success!

    Thanks. Just finished ordering the cardiac surgery book. Came highly recommended.
  16. TexasmedicRN

    Trying to ensure success!

    Recent grad entering the CVICU, nursing, and critical care nursing for the first time. 1) any recommendations on how to be successful? 2) any recommended resources to pass the CCRN. I will not be even considering taking until at least a year or two in. Just wanted good reading/learning material for the job as well. 3) how to get past the intimidation of taking care of really sick patients, while juggling another, monitoring the proper lab values, administering the correct fluids/medications, all while not killing someone. Any help would be greatly appreciated,