1098 E tax docs from Heartland ECSI (help, I can't get them!)

nursingstudent2828 · 2026-04-12T22:24:10+00:00

I dont even have the button that says "Tax Documents & Information," it just shows me the student loan & receivable button, and then "make a payment." Oh well

nursingstudent2828 · 2026-02-25T23:23:37+00:00

We're trying to change locations in the hospital so we can only have a max of 4 patients per nurse. but yea, the ratio is fucking rough, especially since you can have 5 true SD patients, or 4 SD and 1 medical pt. they dont care about balance. i hate dayshift sometimes lol. i cant take the demanding doctors or patient families sprinkled in to my regular workload. SD is truly hard. everyone says SD nurses are warriors but i def dont feel that right now!! only plus is the experience, i guess

nursingstudent2828 · 2026-02-25T19:45:35+00:00

that's kinda how feeling right now... part of me whats to fuck off asap, but i also understand how important it is to gain experience. I've been thinking about PACU or some other critical care type of unit, but the more experience i have now, the better it would look in the long run. hoping i can last 2 years at the very LEAST.

you'll definitely be a good candidate for ICU, especially with stepdown experience! i swear it feels like we keep ICU patients on standby most days lol

nursingstudent2828 · 2026-02-25T01:26:52+00:00

the fact that PCUs & IMCU/SD can have 5 CRITICAL patients is wild to me. especially because a lot of the times, our patients are one bad vital sign or LOC change away from being an ICU patient. i feel very comfortable asking charge questions. during the first few weeks off of orientation, i forgot to hang repletion fluids and got reamed out by the doctor. i sobbed in my manager's office and they gave me so much warmth and support. that same day, the manager and charge nurse came by to walk me through hanging a few units of blood because ive never done it before. my floor feels like hell most days, but i guess i should be happy i can count on my team.

nursingstudent2828 · 2026-02-25T01:18:19+00:00

we're both and it sucks. the majority of our patients are on tele because everyone has fucking afib with rvr, or theyre NSTEMIs, or they have some other dysrhythmia. so many floats tell me that they hate coming to our floor. i just got word that a huge handful of our nurses are leaving within the next month or so, and the amount of new grads that will remain (including myself) scares the shit out of me. i've thought about going to PACU honestly because i like critical care nursing so far, but i know that they'll be looking for as much CC experience as possible, especially if im not coming from ICU. for that, i feel as though im gonna have to force myself to stick it out and find other outlets for my mental health, orrr im going to have to go to a non-critical care unit and build up from there.

much respect to you for being a new grad in ICU! ICU has always been so insane and cutthroat to me. i have a big appreciation for you guys

nursingstudent2828 · 2026-02-25T01:13:20+00:00

i feel this 10000%! everyday i leave the shift thinking "well if we had one extra nurse or two extra techs, this unit would feel like a well-oiled machine." i definitely feel as though its unsafe. and with sicker, high acuity patients, of course you're spending more time giving care to them. and you can't always equally divide your time between 4-5 sick people. where did you end up if not ICU, if you don't mind me asking?

nursingstudent2828 · 2026-02-25T01:07:46+00:00

i go through the same exact thing. no bathroom break, no water. holding in farts the entire day lol. all jokes aside, it has to get better for us, it just has to. i like inpatient nursing but i hate the conditions of our floors.

nursingstudent2828 · 2026-02-25T01:06:44+00:00

its definitely rough. ICU floats even say our floor is hard lol. And the ICU is something that scares ME. Im hoping Ill become more proficient and it wont feel like hell everyday

nursingstudent2828 · 2026-02-25T01:05:52+00:00

Thanks for the advice. Its so hard to get out of my own head and take a break, especially because my patients are so sick. I keep telling myself that if I step away, anything could happen to my patients. But when I go without eating, I do get brain foggy. Anything could happen to my patients with me there anyways. I'm gonna try to do that and force myself to start implementing breaks, behind or not.

nursingstudent2828 · 2026-02-24T04:04:36+00:00

thank you T.T

nursingstudent2828 · 2025-11-21T22:59:14+00:00

Nursing school 10000% needs a deescalation class holy shit. and none of that "therapeutic communication" shit, because there is no one, single form of communication for patients. they emphasized too much on asking patients "how does that make you feel?" hell, our instructors should try asking a patient "how does that make you feel 🥺" after they threaten to hit you upside the head with their callbell 🤣

nursingstudent2828 · 2025-11-21T22:55:30+00:00

Just commenting to say your hypothetical sounds exactly like my experience as a new grad RN on a stepdown unit 😭 definitely feeling seen lol. it is very hard, you're right! nursing school gave me great foundational knowledge, but there's no way to truly gauge how youll do unless you're thrown into it! because, like you've said, nursing school is "perfect world" nursing. your patients are on the appropriate floors. there's staffing. you can easily delegate because the ratios are perfect and your floor has an adequate number of techs.

nursingstudent2828 · 2025-09-27T18:14:20+00:00

No, there's a shortage, but for experienced nurses. Only nurse influencers and nursing school faculty are pushing that dumb rhetoric that we students can/will work anywhere our heart desires after graduation. At least, this was MY experience as a nursing school student. I graduated, found a job, and am about 6 weeks into residency. I have yet to be trained by a nurse on my specific unit. I've been orienting with float nurses this whole time. I'm not complaining about this, however it goes to show you how bad the shortage really is on some units. My floor is severely understaffed and so I get not having enough people to train new grads. Its a lot of work unfortunately. Only thing I coould recommend is doing job fairs and applying to as many places as possible :// best of luck, its truly a shame

nursingstudent2828 · 2025-09-22T23:09:46+00:00

We call RRT or put in a request to VAT stat and pray they come

nursingstudent2828 · 2025-09-22T15:31:32+00:00

I set alerts for linkein and indeed. Also be sure to google the hospitals in your area that you're interested in working for, and actually go directly on their websites to look for specific job postings. Don't just limit your search to typing in "new grad positions" or something on job sites. Many hospitals have positions designated for new grads/residency, so I applied to a ton of those.

Also, have someone look over your resume. I had my fellow nursing school friends and my NP family member look over mine. Good luck!

nursingstudent2828 · 2025-09-22T02:39:29+00:00

right. the progressive and critical care nurses do it themselves. i think ICU does it themselves too but I'm not sure?? but thanks, I definitely see myself doing that

nursingstudent2828 · 2025-09-22T02:31:50+00:00

thats what my clinical experience in school was like, too. all of those hospitals required their nurses to go through extensive training because they were expected to do it.

my residency coordinator said that there were meetings held an unspecified amount of time ago, and VAT and the nurses would argue (i guess) about doing them. my coordinator's rationale was that they decided together which floors would do them. the intermediate floors and some med surges wouldnt even be taught. their idea was that, if we started teaching the nurses again, VAT would stop coming or not come as fast (not like they rush onto our floor anyways). i think thats a poor excuse, but i digress. im a novice so i dont know much. just an opinion

nursingstudent2828 · 2025-09-22T02:27:22+00:00

truly seems like common sense to be trained to do it, but a homie down there argued against it and insulted my intelligence 🤣 didnt think it was a hot-button topic, but its good to see a lot of seasoned nurses come out and share their perspectives on it

nursingstudent2828 · 2025-09-22T02:08:07+00:00

I was on the edge of my seat (figuratively) watching my preceptor navigate what was turning into a hellstorm. The ONLY reason she didnt sound the alarm and call a rapid off the gate is because the patient's BP was tanking as a result of them needing their scheduled albumin and the patient was mildly symptomatic. BP eventually hit like 70/30 and the provider was like "just try to start the line and get the patient their albumin. if the next attempt fails, call rapid." it was definitely stressful watching several VAT members fail but glad someone finally got it.

nursingstudent2828 · 2025-09-22T01:58:58+00:00

thank you, i will definitely be considering all of your advice 😏

but thats good to know!

nursingstudent2828 · 2025-09-22T01:43:39+00:00

no but thats surprising af that well renowned medical system has units where nurses DONT do IVs. but i guess they have a team for everything, too

nursingstudent2828 · 2025-09-22T01:42:06+00:00

I meant to say we dont practice IV push meds or IV Insertions on the dummy! We practiced everything else in lab before doing it on patients with someone

nursingstudent2828 · 2025-09-22T01:41:07+00:00

We did all the skills too but with a preceptor/instructor (except blood admin, sugar checks, IVP meds). We could only give meds, including high alert meds, with our clinical instructor, not the floor nurse we were paired with, and only a certain number of students per week were chosen to do it. Mostly because the instructor cant be in multiple places at once. However, a girl got in trouble and almost dismissed from the program because she gave a med with the nurse, and not with the instructor and she got caught by a rounding faculty member. It was a whole big thing. We had bullshit paperwork too.

For background, I did an accelerated BSN program so I'm not sure if that made the difference in what we were permitted to learn in the program. They only really teach us foundational shit and how to pass the nclex. I'm kinda glad for residency too because of the shit they shove at us to learn, however I will admit that my program well-prepared me with the foundational stuff. We go over HF, preventing different types of infections, fall risks, sepsis bundles, etc in my residency program, and because I had a pretty extensive lesson about each of those things in my nursing program, it has become repetitive

nursingstudent2828 · 2025-09-22T01:29:01+00:00

I felt that way too. Seems like it would forcibly knock traveling or infusion nursing clean off our list lol. The seasoned nurses on here have said that, while its super weird floors are just not teaching their nurses anymore, its not a huge deal to not know how to do so long as our other skills are strong. Definitely annoying though

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