Registered Nurse


Have you been wondering what the perks of a career in nursing are? You may be surprised at the answers! Although it can vary from nurse to nurse, the answers are usually similar. If you think nursing is a field you are interested in, do not go in without all the information you can get! Here I have compiled a list of ten things you should know about nursing! Enjoy!

Number 10:  It Pays better than fast food! (though the hours aren’t as good)

Yes, the pay is what some may think is quite good! But if you take into account the long shifts and crazy hours you put in, it can be debated that it is not enough! Also, the worse the hours the better the pay! If you like working nights you can look forward to making a little more than the day shift!

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3 Sneaky, Wallet-Leeching Items and How to Eliminate Them

online-rn-to-bsn-programs2If you’re like me, then you’ve likely wondered what happened to all your money at the end of the month at least a time or two. Sure, times are hard and bills are always there demanding payment, but it seems like there should be more left over than there usually is.

At this moment I’m working towards my RN credential (I actually got my GED last year by following a free online GED course), and when I secure a good job I may change my mind, but for now I really have to think about how to keep my little money inside my wallet!

Here are a few tips that may appear to come in handy when it comes down to spending your hard-earned dollars not clumsily so you cam pay for you education and life costs easier without missing the essentials in life.

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Walt Disney Hospital

images-12Oh, if only! Right?  I’d definitely apply to work there!  The wage would barely cross my mind because I know it would be researched, fair, balanced and the job would come with unimaginable perks and benefits for me and my family.

The staff would be held accountable for the same level of service throughout the facility.  The management would be incredibly qualified and spectacular.  The workplace would be filled with safety and fun.  The colleagues would be genuine.

I would travel any distance whatsoever to receive medical treatment there.  The cost would not be an issue.  I would save, take a loan, purchase private insurance that only covered WDH inpatient care …whatever it took, I would do it.  Talk about Tourist Healthcare!  I’d be there.

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…No “I” in “Team”

images-13It is true.  There is no “I” in the word “Team”.

There is also no “Team” in the words “Responsibility”, “Lawsuit”, “Assignment”, “Medication Error”, “Patient Safety”, “Holiday Shifts”, “Experience”, “Benefits” and “Income”, “Patient Load”, “Professional”, “License” or “Certification.   – There are only “I”s.

All this to say, it is time we quit teaching our young that “We are a Team!”

We are not.

We are individually practicing professionals with our own patient assignments and patient care assistants (sometimes) to delegate and direct.  We ultimately carry the personal responsibility for each individual patient assignment we agree to take.

Additionally, while we are not “responsible” and therefore not “liable” for another practitioner’s care (unless we are assigned as their preceptor), we are quite willing to provide simple coverage when needed for a break, give and receive help in a crisis, and lend a hand when we are not busy with something else.

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…Hospitals Can Set Own Staffing Ratios?

download-16The hospitals back a proposal (S 876), filed by Sen. Richard Moore (D-Uxrbidge, Massachusetts) and co-sponsored by 20 lawmakers, that would establish committees of nurses and other staff at every Massachusetts hospital to develop individualized staffing plans. Such plans would govern “nurse-to-patient staffing guidelines” that take the acuteness of patient illness into account. (Read the full article here.)

Individual hospitals have proven themselves incapable across-the-board of implementing this type of control. This is a fluff-measure offered by the hospital interest groups and lobbyists on behalf of our employers and meant to appease the bureaucrats’ good, but misguided (sarcasm mine), intentions to help the clamoring staff nursing base.

Elected Official, please remember you are in office because of the clamoring and voting base. We are appealing to you for help, not because we are whiners or ignorant of the ways of business, but because we care deeply for our patients.

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Nurses Week. Change of Shift

images-16HAPPY NURSES WEEK! ! !

It is my extreme pleasure to bring you all this edition Change of Shift! My thanks and enduring gratitude to Nurse Kim @ Emergiblog…. beside whom, I just know, I’d love to work.

The theme – The Greatest Nurse… – was a flop. (Is it “themes” in general? or ‘this one’ in particular??) Whatever. Since I am a nurse through and through, I have found a way to get over it.

Here’s to all the Greatest Nurse Bloggers who submitted for this edition AND to their Blogrolls where I ‘discovered’ at least one additional blogger to showcase. (pssst – thanks for listing the nursing and medical blogs that you follow on your sites! Its a GREAT way to find each other.)

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Nursing Documentation is Stupid

The theft of approximately 3 hours of patient-focused nursing availability each shift is nursing documentation.  The culprit for this is the tired, old mantra … “If it is not charted, it was not done.”

Time for a paradigm change for Nurses’ Notes!  In the interest of direct patient care and in deference to the remarkable work we provide at the bedside – none of which is reflected in charting – STOP THE MADNESS!!

From now on, how about …

“If it was not charted, IT WASN’T BLOODY IMPORTANT!”

Ok, ok, how about some middle ground?  Introducing the Muse’s …

Nursing Documentation Theory


A comprehensive nursing physical assessment is completed and DICTATED.  An electronic copy is generated in the EMR and reviewed (revised, if necessary) and posted.

Each shift thereafter performs a comprehensive nursing physical assessment but *only* documents that “Yes” it was completed and the exceptions, if any, are checked in the appropriate corresponding boxes.

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“Nancy Nurse, RN, MD”


This weekend at work, I overheard a physician actually verbalize the following to a physician colleague in reference to an amazingly skilled bedside nurse :

If she’s so smart, why isn’t she a doctor?

Yes, Friends, that was a true statement spoken aloud in the United States of America by a real doctor in 2014.

My first thought was:

Duh-uhhh….BECAUSE she is so smart, Dip-wad.

My second through millionth thoughts centered around this:
the great majority of physician-think continues to be –

1) nurses are stupid – otherwise we’d be doctors

2) nurses are not independent practitioners of their own realms with patient responsibilities that contribute immensely to the whole of health maintenance and healing of the populace (without which the whole would be lacking) and

3) nurses remain substandard extensions of doctor’s leadership and authority.

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“The RN Manager Has No Clothes!”

images-19If you are one of the great many that work for and (therefore) have the opportunity to observe the antics of nursing management and sadly shake your head in dismay, you are not alone.  A million of us stand in hallways and nursing stations throughout the realm of healthcare as $300 suits/dresses and $150 pairs of shoes stroll through and share witty banter with us – the hired help.    We laugh with them even though we would rather tell them off.  How can someone with such an important and pivotal position be so righteous and out of touch? we wonder.  Where in the world did they step off the healthcare train that is today’s hospital and enter the Disneyland of their own minds?

Their salaries are in the high 5- and sometimes into the 6-figures. Their annual bonuses are a disgusting secret based on cost (read: labor) control. But make no mistake, getting a Registered Nurse degree is challenging, and see here what they need to go through to become a neonatal nurse.

And, yet their education is questionable – at best; their slips of professional ethics and their past moral goofs are well-discussed fodder in the hallowed halls of the hospital; and what they actually do with their days is so unknown to most all of us that we can never come to grips with the justifications for their selections to lead much less their continued employment in their current positions.

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RNs …Skilled or UNskilled

RNs have long been traversing the proverbial diverging path.  Ahead the sign reads: “Unskilled/Labor” with an arrow pointing down the left pathway and “Skilled/Professional” directing travelers to the other path.  The definition that actually applies to Nursing has far too long been left to the “beholder.” I recommend everybody to check what it takes to become a fully registered nurse. It’s not that easy!

I don’t know about you, but frankly, I’m a little tired of being escorted to the left path while being told the other is “still under construction” or “not available to staff.”

But here @ ideonautics, you get to choose a path for yourself!

UNskilled: punches time-clock
Professional: salaried or fee-for-service

UNskilled: no college degree needed
Professional: Bachelors degree required (soon), Masters preferred, Doctorate encouraged

UNskilled: collects and notes data
Professional: interprets data and chooses next action(s) based on that interpretation

UNskilled: changes a dressing
Professional: changes a dressing and notes the healing properties present or absent, determines educational status of patient regarding wound care, investigates the patient’s resources for home care, redresses the wound while providing happy banter that supports and educates the patient as well as the family

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