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acc1223

acc1223 BSN, RN

ICU
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acc1223 has 2 years experience as a BSN, RN and specializes in ICU.

acc1223's Latest Activity

  1. acc1223

    How I made $93,000 my first year of nursing

    That's okay my rent was 550 when I started. Bank bro!
  2. acc1223

    How I made $93,000 my first year of nursing

    Honestly is still haven't figured this out. It seemed my rate differed each time. I think differential pay a role but idk I just know my OT payrate was always more than what i calculated.
  3. acc1223

    How I made $93,000 my first year of nursing

    Yes! If you are a brand new nurse nd wanting to come to Texas, I would recommend a big hospital in Dallas to get a massive amount of skills. You will be running almost very night but you will he thankful if you ever decide to go to a smaller hospital.
  4. acc1223

    How I made $93,000 my first year of nursing

    It's me again, I live in Texas and when I started my rent was 550 a month. So for my region this is wicked great for a brand new nurse! If this gives anyone context, in California you can make a killing but the rent I heard is super high! I also paid off a significant amount of my debt and I know I cant keep this up forever so i started investing and my husband and I are going to start our own business soon! And hell yea your PTO adds up and my administration loves avoiding nurse burnout. At the very least I was given 15 days off in a row. My brother lives in Germany so I would work the first days of the pay period and the last last days of the next pay period take 72 hours of PTO and would have 22 days off at minimum. I would buy a 450 dollar round trip direct flight to Germany (I planned my time off months in advance so I could get thr cheapest tickets) and hop on a plain right after work and sleep on my flight. It also helps avoiding jet lag Haha. Spend two weeks with my brother and his wife and come home. One time I actually got off the plane and slept for a while and went to work that night! Remember I also have no kids so I can do stuff like this on the cheap.
  5. So a lot of you are wondering what your compensation will be following nursing school. I can't speak for each state but in Texas, nurses are paid very well, combine that with an unrelenting passion and proficient skills set, it's money in the bank. (BTW I didn't go to school for grammar and I'm notorious for extra commas) So, where I started working right out of school in July 2017 nurses are paid $24.25 an hour, I started in an ICU. I don't count the full year of 2017 since I was a tech making $11.70 an hour for more than half a year and by the end of the year without OT I made $45,000. In 2018 however, my first two checks were >$5,000 after taxes. How? Well, my base was $24.25, my hospital gives $1.00 raise every six months for the ~3 years for residents plus your annual increase. So after six months, I was making $26 something. I work nights so that is automatically and extra $3.25 per hour for the first four hours of your shift and then an extra $4 per hours for the next 8. So right off the bat, I was making at ~$30 an hours. I worked weekends so my job gives another $6.50 an hour for weekends, so guess what? I worked on weekends. So just for my differentials + base, I was averaging $36 an hour for 36 hours a week. There is always overtime and I only picked up when they offered $10 dollar bonus, which means they tack on another $10 an hour on top of my base, differentials and time and 1/2. I picked up an extra 1-3 shifts a week and for holidays they automatically pay time and 1/2. When you are in overtime and already getting paid time and a 1/2, plus holiday pay + base + differentials + bonus, that's money in the bank because you are getting double base pay plus everything else. Although, I will disclose I had no children and no pets so I was only obligated to myself and my bills lmao. If you have a family or other familial responsibilities it can be difficult unless you have a dedicated partner or support system whom/who are sympathetic to your financial goals. Also, some people love nursing and some people find out it is not for them, I am definitely one of those people who absolutely love my team (physicians, RTs, fellow nurses, social workers, administration, NPs, just everyone) and my profession. I had people who were willing to teach (nurses who were/are 30+ years in the game) as well as a younger nurse who knew the new tricks of the trade. I was never unsafe, for instance, I inquired with my manager about all my OT shifts and she agreed to cancel me if I didn't feel rested enough to work because I was doing the hospital a favor. Your environment has a lot to do with your work satisfaction. I don't mean to rant BTW I'm just telling you all my truth. I never felt burned out and took a 2 1/2 to almost full month vacation every 3 months. I've been to Germany twice, Hawaii, traveled to various parts of the country. Now that I have an extensive skill set, I travel but I still keep my job at my first hospital. I probably will never leave haha I never imagined making almost 6 figures as a brand new nurse and if I can do it, so can you!
  6. acc1223

    If I hate my CNA job should I still pursue nursing?

    You are a CNA and vital to helping the RNs complete their jobs. Most likely your first nursing job will be in a hospital and during your clinicals you will find your niche. Nursing home nursing vs. Hospital nursing is different in my opinion. There is more autonomy and resources available to you at most hospitals. I was the same way sans the nursing home position before nursing (I was basically a cna for nurses in the hospital environment) but I found the ICU was who I am. I absolutely love my job! Coworkers and resources are great and I NEVER regret my decision. Remember the end goal, dont be discouraged if caring is in your blood. Find a job on a unit in a hospital and get a feel for the job, (the nurses I worked for worked me but I got a great insight of what I was getting into) and I absolutely love it now! The key is to not pidgeon hole your perspective in one aspect of health care....research, experience and then thrive on your potential role as an RN health car provider and it will do loads for your confidence as a prospective nurse. Don't let one understaffed facility sway your decision. BEST OF LUCK! -ANDRO, BSN, RN
  7. acc1223

    Alcohol withdrawal unit?

    Precedex, haldol, ativan, restraints and bipap are your best friends. Sometimes you have to intubate. I had taken many alcohol withdrawals as a fresh nurse I'm the ICU. Remember, there are probably (more often than not) several underlying mental health and other physiological comorbidities. Like some other people have said, extra pair of scrubs, make sure VS are stable, communicate to family (if any) and you'll be fine. The biggest issue families have (from my own personal truth) is nurses just do what orders say and don't communicate with family on why/how/what you're doing. Trust me it goes light years of distance to just sit next to a family member and tell them (dont just talk to their face in nurse jargon) what is going on. Even when the patient/patient's family has had a bad last shift I always manage to calm their anxieties with explanation. They just want to know what is going on. ALWAYS respect your patients, talk to them/around them like they can hear you. Explain what is going on (even if they are intubated and sedated etc.....) No matter socioeconic or cognitive status these are still people and even if they are alone.
  8. Hmmmm..didn't use this last time I needed a catheter?
  9. acc1223

    NCLEX -Passed 1st time

    CORRECTION**** "Does not allow GNs to practice"
  10. acc1223

    New Grad feeling like I can't do anything right!

    I'm brand new too and being oriented to a surgical, med surg and cardiovascular ICU. So I know how you feel, my preceptor told me she is expecting me to make mistakes and I have. Although, she doesn't wait until the next day to tell me. She pulls me to the side and we talk it through. Just ask her/him to change her approach so you can have hands on rectification as opposed to a purely theoretical approach (can't do much about it the day after). I can speak from experience that any mistake I've made, I've never made again because she gives me the opportunity to fix it right then and there. I feel more confident everyday and I'm sure you do too!! It only gets better!
  11. acc1223

    NCLEX -Passed 1st time

    So, I'm 9 weeks into my ICU internship and absolutely love it. I received a job offer in February of this year which was contigent on me passing my NCLEX as the system I work for does allow GNs to practice. I graduated on May 11th 2017 and my NCLEX was taken and passed on the 21st of May. had so much anxiety and the good ol' "what if I don't pass?" question racing through my head every five seconds. I didn't think I prepared enough (lack of finances hindered my ability to purchase review courses like Kaplan or Hurst) so my broke ass bought the 30 day u-world question bank and I went through roughly 60-70% of questions in the bank starting on may 1st and passed in 85 questions. When my test shut down at 85 I did the trick and it was indicative of a passing score but I still didn't believe it until I paid for the quick results. So my advice is don't waste your money on review courses, u-world was literally the only thing I used and I passed. I guess that's it for my post :-). I'm happy to answer any questions.
  12. acc1223

    Declaratory Order - Texas

    So, I submitted a declaratory order last month under the advice of the nursing board after I explained to them the prior offense. So I called and after reviewing everything they said I needed to pay $150 to have it sent to their enforcement department and that it would take another 4 months. But I also received a blue fast pass in the mail saying my record is clear thank you for your cooperation with thr nursing board. So im assuming I didnt need to send a declaratory order in the first place since they cleared my fbi background check. Why would they tell me to send it and it end up not being necessary?
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