What Are All the Types of Nurses?

Nurses are healthcare professionals who play a critical role in the healthcare system by providing various forms of patient care, promoting health, and assisting with the treatment and recovery of individuals with various medical conditions.

There are many different types of nurses, each with specific roles and responsibilities based on their education, training, and specialization. Here are some of the most common types of nurses:

◉ Registered Nurse (RN): RNs are the most common type of nurse and provide a wide range of healthcare services, including administering medication, performing assessments, and coordinating patient care.
◉ Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN): LPNs/LVNs provide basic nursing care under the supervision of RNs or doctors. They typically assist with tasks like taking vital signs and administering medications.
◉ Nurse Practitioner (NP): NPs are advanced practice nurses with graduate-level education. They can diagnose and treat medical conditions, prescribe medications, and provide a high level of patient care.
◉ Certified Nurse Midwife (CNM): CNMs specialize in women's health, particularly during pregnancy and childbirth. They provide prenatal care, assist with labor and delivery, and offer postpartum care.
◉ Clinical Nurse Specialist (CNS): CNSs are highly trained nurses who focus on a specific area of healthcare, such as diabetes management, critical care, or psychiatric nursing. They often work as consultants within healthcare teams.
◉ Nurse Anesthetist (CRNA): CRNAs are advanced practice nurses who administer anesthesia during surgical and medical procedures. They play a crucial role in ensuring patient comfort and safety during surgery.
◉ Nurse Educator: Nurse educators work in academic settings, such as nursing schools and colleges, to teach and train the next generation of nurses. They also provide continuing education for practicing nurses.
◉ Nurse Researcher: Nurse researchers conduct studies and research to advance the field of nursing and healthcare. They work in academia, healthcare institutions, and research organizations.
◉ Pediatric Nurse: Pediatric nurses specialize in caring for children and adolescents, addressing their unique healthcare needs and developmental stages.
◉ Geriatric Nurse: Geriatric nurses focus on the healthcare needs of older adults, addressing age-related conditions and promoting healthy aging.
◉ Psychiatric-Mental Health Nurse: Psychiatric nurses provide care and support to individuals with mental health disorders. They may work in inpatient or outpatient settings, including psychiatric hospitals and community mental health centers.
◉ Neonatal Nurse: Neonatal nurses care for newborn infants, particularly those born prematurely or with medical conditions that require specialized care.
◉ Oncology Nurse: Oncology nurses specialize in caring for cancer patients, providing treatment and support throughout the cancer care journey.
◉ Home Health Nurse: Home health nurses provide care to patients in their homes, often managing chronic conditions and helping with recovery from illness or surgery.
◉ Public Health Nurse: Public health nurses work to promote and protect community health, conducting outreach, immunization programs, and health education.
◉ School Nurse: School nurses work in educational settings to care for students' health needs, administer medications, and respond to health-related emergencies.
◉ Emergency Room (ER) Nurse: ER nurses work in hospital emergency departments, providing rapid assessment and care to patients with critical or acute medical conditions.
◉ Critical Care Nurse: Critical care nurses work in intensive care units (ICUs) and other high-acuity settings, caring for patients with life-threatening conditions.

These are just some of the many types of nurses, and the field of nursing continues to evolve with new specializations and roles as healthcare needs change. Nurses play a vital role in healthcare, and their expertise is crucial for patient care and well-being.

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Leveling Up: Secrets of a Successful RN to NP Transition

In the dynamic world of healthcare, career progression is a vital aspect of professional growth. For registered nurses (RNs) aspiring to become nurse practitioners (NPs), the journey can be both challenging and rewarding. This transition, however, requires careful planning, dedication, and a solid strategy to ensure success. In this comprehensive guide, we will delve into the secrets of a successful RN to NP transition, providing valuable insights, tips, and resources for those looking to elevate their careers to the next level.

Understanding the RN to NP Transition

The Role of a Nurse Practitioner

Before we dive into the transition process, let's clarify the role of a nurse practitioner. NPs are advanced practice registered nurses who possess advanced clinical training and education, allowing them to provide a broader scope of healthcare services. They can diagnose, treat, and manage various medical conditions, making them a crucial component of modern healthcare teams.

Why Transition from RN to NP?

Many RNs decide to pursue the path of becoming an NP due to several compelling reasons. These include:

1. Career Advancement: NPs often enjoy increased responsibilities, leadership roles, and higher earning potential compared to RNs.

2. Expanded Scope of Practice: NPs have the authority to prescribe medication, order diagnostic tests, and offer a broader range of patient care services.

3. Greater Autonomy: NPs can work independently, making critical decisions about patient care.

4. Contributing to Healthcare Access: NPs address the growing need for accessible primary care, particularly in underserved communities.

The Path to Becoming a Nurse Practitioner

Education

To transition from an RN to an NP, you must pursue advanced education. This typically includes:

1. Bachelor of Science in Nursing (BSN): If you don't already have a BSN, this is the first step. Many NP programs require it as a prerequisite.

2. Master of Science in Nursing (MSN): After obtaining your BSN, enroll in an accredited MSN program. These programs offer specialized tracks for NP preparation.

3. Doctor of Nursing Practice (DNP): Some NPs opt for a DNP for the highest level of clinical preparation.

Certification and Licensure

Upon completing your education, you'll need to become certified and licensed as an NP. This typically involves passing a national certification exam and obtaining state licensure. The specific requirements vary by state and the type of NP you wish to become.

Gain Clinical Experience

Gaining clinical experience as an RN is invaluable for your transition. Working in areas relevant to your NP specialization is a wise move. It not only helps build practical skills but also strengthens your application for NP programs.

Secrets to a Successful Transition

Set Clear Goals

Define your career goals, whether it's working in primary care, pediatrics, family medicine, or another specialization. Having a clear vision will help you choose the right NP program and ensure a seamless transition.

Choose the Right NP Program

Selecting the appropriate NP program is pivotal. Consider factors like accreditation, program reputation, faculty expertise, clinical rotations, and location when making your decision.

Build a Strong Application

Craft a compelling application that highlights your experience, goals, and passion for becoming an NP. Showcase your commitment to the profession and your ability to excel in the program.

Network and Seek Mentorship

Connect with current NPs and NP students. Seek mentorship from experienced professionals who can guide you through the challenges and nuances of the transition.

Time Management and Study Skills

Balancing work, family, and education requires excellent time management. Develop strong study habits and organizational skills to excel in your NP program.

Resources for RN to NP Transitions

To support your journey, here are some valuable resources:

1. American Association of Nurse Practitioners (AANP): A professional organization that offers resources, advocacy, and networking opportunities for NPs.

2. National Council of State Boards of Nursing (NCSBN): Provides information on NP licensure and regulations.

3. Online NP Communities: Join online forums and communities where NPs share their experiences and offer advice.

4. NP Program Advisors: Consult with NP program advisors for guidance on curriculum and application requirements.

Conclusion

The transition from RN to NP is an exciting and transformative journey. It involves education, certification, and personal growth, but the rewards are immense. NPs play a crucial role in the evolving landscape of healthcare, contributing to better patient outcomes and increased access to quality care.

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Unveiling the Power of a Strong Nursing Career Objective

In the realm of healthcare, few professions are as noble and demanding as nursing. It's a field that requires a unique blend of compassion, competence, and commitment. To embark on a successful journey in the nursing profession, one must begin with a strong nursing career objective. In this article, we'll delve into the importance of a well-crafted nursing career objective, its key components, and how it can significantly impact your career trajectory.

Crafting a Nursing Career Objective: The Foundation of Success

What Is a Nursing Career Objective?

A nursing career objective is not just a mere statement; it is the cornerstone upon which your nursing career is built. It's a concise, well-thought-out declaration of your professional goals and aspirations in the nursing field. Whether you're a seasoned nurse looking to advance your career or a nursing student just starting, a well-structured career objective can pave the way for your success.

The Power of Precision

When crafting your nursing career objective, precision is paramount. It should be clear, concise, and tailored to your unique career path. Avoid generic statements that could apply to any nurse; instead, focus on what sets you apart. Highlight your skills, passion, and what you hope to achieve within the nursing profession.

Components of a Strong Nursing Career Objective

1. Personal Statement

Begin your nursing career objective with a compelling personal statement. This is your opportunity to introduce yourself and convey your enthusiasm for nursing. Share your motivations, experiences, and the qualities that make you a valuable addition to the healthcare team.

2. Career Goals

Clearly outline your short-term and long-term career goals. Are you aiming to specialize in a specific area of nursing, such as pediatrics or critical care? Do you aspire to pursue advanced degrees or certifications? Defining your goals will give direction to your nursing career.

3. Skills and Qualifications

Incorporate your relevant skills and qualifications into your nursing career objective. Emphasize any certifications, training, or special skills that make you a standout candidate. This section showcases your competence and readiness for the challenges of nursing.

The Impact of a Strong Nursing Career Objective

1. Career Clarity

A well-defined nursing career objective provides you with a roadmap for your professional journey. It helps you stay focused on your goals and avoid career drift. With clarity comes purpose, and purpose drives success.

2. Resume Enhancement

Your nursing career objective is often the first thing potential employers or nursing school admission committees see. A compelling objective can make your application stand out, increasing your chances of landing your desired job or educational opportunity.

3. Confidence Booster

Knowing your career objectives and having them articulated in your nursing career objective can boost your confidence. It reminds you of your capabilities and the impact you aim to make in the healthcare field.

Tips for Writing an Outstanding Nursing Career Objective

◉ Be Specific: Avoid vague statements. Instead, focus on precise career goals and qualifications.
◉ Tailor for the Job: Customize your nursing career objective to align with the specific job or educational program you're applying for.
◉ Show Passion: Convey your passion for nursing and helping others. Let your enthusiasm shine through your words.
◉ Edit and Proofread: Ensure impeccable grammar and spelling. A well-polished career objective reflects professionalism.

Conclusion

In conclusion, a strong nursing career objective is not just a formality; it's a powerful tool that can shape your nursing career. It provides clarity, enhances your resume, and boosts your confidence as you embark on this rewarding journey of caring for others. Remember, your nursing career objective should be a reflection of your aspirations and the unique qualities that make you an exceptional nurse.

So, take a moment to craft your nursing career objective with care and precision. It's not just a statement; it's your declaration of intent to make a meaningful impact in the world of healthcare.

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What is a Nurse Anesthetist (CRNA)?

Nurse Anesthetists, also known as Certified Registered Nurse Anesthetists (CRNAs), play a crucial role in the field of healthcare. As highly skilled and qualified professionals, CRNAs possess the expertise to administer anesthesia and provide comprehensive care before, during, and after medical procedures. In this article, we will delve into the world of nurse anesthetists, exploring their role, responsibilities, training, and the invaluable contributions they make to patient care.

The Role of Nurse Anesthetists

Nurse anesthetists are advanced practice registered nurses (APRNs) who specialize in anesthesia care. They work closely with healthcare teams, including surgeons, anesthesiologists, and other medical professionals, to ensure the safe and effective administration of anesthesia. CRNAs are involved in a wide range of medical settings, such as hospitals, surgical centers, dental clinics, and even the military.

Responsibilities of a CRNA

As experts in anesthesia, CRNAs have a diverse range of responsibilities. Their primary role involves assessing patients' medical history, conducting physical examinations, and determining the most suitable anesthesia plan for each individual. Before any procedure, nurse anesthetists carefully explain the anesthesia process to patients, addressing any concerns and ensuring their comfort and well-being.

During surgery or medical procedures, CRNAs closely monitor patients' vital signs, administer the appropriate type and dosage of anesthesia, and make necessary adjustments to ensure the patient's safety and comfort. They remain vigilant throughout the entire procedure, ready to respond quickly and effectively to any unexpected changes or complications.

Post-procedure, nurse anesthetists continue to provide care by monitoring patients in recovery, managing pain relief, and offering support during the transition back to consciousness. Their expertise extends beyond anesthesia administration, as they are trained to handle emergency situations and provide life-saving interventions when required.

Education and Training

Becoming a CRNA requires extensive education and training. To embark on this career path, individuals must first obtain a Bachelor of Science in Nursing (BSN) degree. After completing their undergraduate studies, aspiring nurse anesthetists must gain clinical experience as registered nurses, typically in an acute care setting such as an intensive care unit (ICU).

Subsequently, individuals interested in pursuing a career as a CRNA must enroll in a Master's or Doctoral program specifically designed for nurse anesthesia. These programs equip students with the specialized knowledge and skills necessary to excel in this demanding field. The curriculum encompasses advanced courses in pharmacology, physiology, anatomy, pathophysiology, and principles of anesthesia, among others.

Upon graduation from the nurse anesthesia program, aspiring CRNAs must pass the National Certification Examination (NCE) administered by the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA). This rigorous examination ensures that nurse anesthetists meet the highest standards of competency and knowledge required for safe and effective practice.

The Value of CRNAs in Healthcare

The expertise and dedication of nurse anesthetists are invaluable to the healthcare industry. Their presence on the medical team enhances patient safety, as they are skilled in recognizing and responding to anesthesia-related complications. CRNAs provide continuous monitoring and ensure patients are comfortable throughout their medical procedures, promoting positive outcomes and faster recovery.

In addition to their technical skills, nurse anesthetists also excel in interpersonal communication and patient advocacy. They establish rapport with patients, easing anxiety and providing emotional support during what can be a challenging and uncertain time. CRNAs collaborate with other healthcare professionals, fostering a multidisciplinary approach to patient care and ensuring optimal outcomes.

Conclusion

Nurse anesthetists, or CRNAs, are indispensable members of the healthcare team. Through their advanced training, expertise in anesthesia care, and commitment to patient safety, they play a critical role in ensuring successful medical procedures and positive patient experiences. The dedication and skill of CRNAs make a significant impact on healthcare delivery, enabling patients to receive the highest quality care during surgical interventions.

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What is Certified Registered Nurse Anesthetist (CRNA)?

Certified Registered Nurse Anesthetists (CRNAs) are advanced practice nurses who specialize in administering anesthesia to patients. They are highly trained professionals who work collaboratively with physicians, surgeons, dentists, and other healthcare professionals to ensure safe and effective anesthesia delivery.

What Does a CRNA Do?

CRNAs provide anesthesia services in a variety of settings, including hospitals, surgical centers, dental offices, and pain management clinics. They work closely with other members of the healthcare team to develop an anesthesia plan that is tailored to each individual patient's needs.

Education and Training Requirements

To become a CRNA, a registered nurse must complete a master's degree or doctoral degree in nurse anesthesia from an accredited program. The program typically takes 2-3 years to complete and includes both classroom instruction and clinical training.

Certification and Licensure

After completing their education and training, CRNAs must pass a national certification exam administered by the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA). They must also be licensed by the state in which they practice.

Scope of Practice

CRNAs are authorized to administer all types of anesthesia, including general, regional, and local anesthesia. They also provide pre- and post-anesthesia care, including monitoring vital signs and managing pain.

Benefits of Choosing a CRNA

There are many benefits to choosing a CRNA for your anesthesia care. CRNAs are highly trained professionals who provide safe and effective anesthesia services. They work collaboratively with other members of the healthcare team to ensure that your anesthesia plan is tailored to your individual needs. In addition, CRNAs are often more cost-effective than other anesthesia providers.

Challenges Facing CRNAs

Despite their extensive education and training, CRNAs face several challenges in their practice. These challenges include:

◉ Resistance from other healthcare professionals who may not understand the scope of CRNA practice

◉ Limited practice authority in some states

◉ Ongoing challenges with reimbursement for their services

Conclusion

Certified Registered Nurse Anesthetists are highly trained professionals who provide safe and effective anesthesia services. They work collaboratively with other members of the healthcare team to ensure that each patient receives individualized care. Despite facing challenges in their practice, CRNAs remain an important part of the healthcare system.

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15 Highest Paying Nursing Jobs in 2023

If you are considering a career in nursing, you may want to know which nursing jobs offer the highest salaries. The healthcare industry is growing at a rapid pace, and the demand for qualified nurses is increasing. As a result, the salaries for nursing jobs are expected to rise in the coming years. In this article, we will discuss the 15 highest paying nursing jobs in 2023.

1. Nurse Anesthetist

A Nurse Anesthetist is a highly skilled nurse who administers anesthesia to patients. They work closely with anesthesiologists to provide safe and effective anesthesia during surgery. Nurse Anesthetists are one of the highest paid nursing professions, with an average salary of $174,790 per year.

2. Nurse Researcher

Nurse Researchers conduct research on healthcare issues to improve patient care. They design and conduct studies, analyze data, and publish their findings. Nurse Researchers typically have a Ph.D. or a Doctor of Nursing Practice (DNP) degree. The average salary for Nurse Researchers is $105,267 per year.

3. Psychiatric Nurse Practitioner

A Psychiatric Nurse Practitioner is a nurse who specializes in the treatment of mental health disorders. They assess, diagnose, and treat patients with mental health issues. Psychiatric Nurse Practitioners can work in a variety of settings, including hospitals, clinics, and private practices. The average salary for a Psychiatric Nurse Practitioner is $114,939 per year.

4. Pediatric Endocrinology Nurse

A Pediatric Endocrinology Nurse specializes in the treatment of children with endocrine disorders. They work closely with pediatric endocrinologists to provide care to patients with conditions such as diabetes, growth disorders, and thyroid disorders. The average salary for a Pediatric Endocrinology Nurse is $81,000 per year.

5. Gerontological Nurse Practitioner

A Gerontological Nurse Practitioner is a nurse who specializes in the care of elderly patients. They assess, diagnose, and treat medical conditions in older adults. Gerontological Nurse Practitioners can work in a variety of settings, including hospitals, nursing homes, and home health agencies. The average salary for a Gerontological Nurse Practitioner is $101,022 per year.

6. Neonatal Nurse Practitioner

A Neonatal Nurse Practitioner is a nurse who specializes in the care of newborn infants. They work closely with neonatologists to provide care to premature or sick infants. Neonatal Nurse Practitioners can work in a variety of settings, including hospitals, clinics, and neonatal intensive care units. The average salary for a Neonatal Nurse Practitioner is $111,810 per year.

7. Nurse Practitioner

A Nurse Practitioner is a nurse who is authorized to provide primary and specialty healthcare services. They can diagnose and treat medical conditions, prescribe medications, and order diagnostic tests. Nurse Practitioners can work in a variety of settings, including hospitals, clinics, and private practices. The average salary for a Nurse Practitioner is $111,840 per year.

8. Clinical Nurse Specialist

A Clinical Nurse Specialist is a nurse who specializes in a particular area of healthcare, such as oncology or cardiology. They provide advanced nursing care and expertise to patients and healthcare providers. Clinical Nurse Specialists can work in a variety of settings, including hospitals, clinics, and long-term care facilities. The average salary for a Clinical Nurse Specialist is $91,204 per year.

9. Orthopedic Nurse

An Orthopedic Nurse is a nurse who specializes in the care of patients with musculoskeletal conditions, such as broken bones or joint replacements. They work with orthopedic surgeons to provide pre-operative and post-operative care to patients. The average salary for an Orthopedic Nurse is $79,344 per year.

10. Nurse Administrator

A Nurse Administrator is a nurse who manages healthcare facilities and departments. They oversee budgets, personnel, and operations to ensure quality patient care. Nurse Administrators can work in a variety of settings, including hospitals, clinics, and long-term care facilities. The average salary for a Nurse Administrator is $88,363 per year.

11. Oncology Nurse

An Oncology Nurse is a nurse who specializes in the care of patients with cancer. They provide supportive care and education to patients and their families throughout the cancer treatment process. Oncology Nurses can work in a variety of settings, including hospitals, clinics, and private practices. The average salary for an Oncology Nurse is $80,042 per year.

12. Cardiovascular Nurse

A Cardiovascular Nurse is a nurse who specializes in the care of patients with heart and vascular conditions. They provide care to patients before and after procedures such as heart surgeries or angioplasties. Cardiovascular Nurses can work in a variety of settings, including hospitals, clinics, and cardiac rehabilitation centers. The average salary for a Cardiovascular Nurse is $86,798 per year.

13. Emergency Room Nurse

An Emergency Room Nurse is a nurse who provides care to patients in emergency situations. They assess patients' conditions, provide treatments, and communicate with other healthcare providers. Emergency Room Nurses can work in a variety of settings, including hospitals and urgent care centers. The average salary for an Emergency Room Nurse is $75,273 per year.

14. Nurse Educator

A Nurse Educator is a nurse who teaches nursing students or other healthcare professionals. They develop and implement educational programs to improve the knowledge and skills of healthcare providers. Nurse Educators can work in a variety of settings, including nursing schools, hospitals, and healthcare organizations. The average salary for a Nurse Educator is $82,255 per year.

15. Home Health Nurse

A Home Health Nurse is a nurse who provides care to patients in their homes. They assess patients' conditions, provide treatments, and educate patients and their families on self-care. Home Health Nurses can work in a variety of settings, including home health agencies and hospice organizations. The average salary for a Home Health Nurse is $66,620 per year.

Conclusion

In conclusion, nursing is a rewarding career with many opportunities for growth and advancement. The demand for qualified nurses is expected to increase in the coming years, and with it, the salaries for nursing jobs are expected to rise as well. The 15 highest paying nursing jobs in 2023 offer a wide range of specialties and settings, allowing nurses to find a job that fits their interests and career goals.

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10 Smart Money Moves Nurses Should Make in a Recession

As a nurse, you play a crucial role in society. During a recession, however, your finances may be affected, leaving you feeling stressed and uncertain about your future. This article provides you with 10 smart money moves to make during a recession, ensuring you remain financially stable.

1. Create a Budget

During a recession, it's essential to create a budget to manage your finances effectively. By tracking your expenses and income, you can identify areas where you can cut back and save more money.

2. Build an Emergency Fund

An emergency fund is crucial during a recession, as it can help you cover unexpected expenses or loss of income. As a nurse, it's recommended to have at least six months' worth of expenses saved in an emergency fund.

3. Pay off Debt

Paying off debt during a recession can help you save money in the long run. Prioritize paying off high-interest debt, such as credit card debt, as it can quickly accumulate and become unmanageable.

4. Invest in Your Retirement

Investing in your retirement during a recession may seem counterintuitive, but it's essential to ensure your financial stability in the long run. Consider contributing to a 401(k) or IRA to take advantage of tax benefits and employer matching contributions.

5. Live Within Your Means

Living within your means is essential during a recession. Avoid overspending and focus on necessities such as food, housing, and healthcare. Look for ways to cut back on expenses, such as eating out less frequently or canceling subscriptions.

6. Look for Additional Income Streams

During a recession, additional income streams can provide financial stability. Consider picking up extra shifts at work, selling unused items online, or freelancing in your spare time.

7. Invest in Yourself

Investing in yourself can increase your earning potential and financial stability. Consider taking continuing education courses or pursuing additional certifications in your field to increase your marketability and earning potential.

8. Review Insurance Coverage

Reviewing your insurance coverage during a recession is crucial to ensure you're adequately protected. Consider increasing your life or disability insurance coverage to provide financial protection in case of unexpected events.

9. Seek Professional Financial Advice

Seeking professional financial advice during a recession can help you make informed decisions about your finances. Consider consulting with a financial advisor to create a financial plan tailored to your unique situation.

10. Stay Positive and Motivated

During a recession, it's essential to remain positive and motivated. Focus on your goals and take proactive steps to achieve them. By remaining positive, you can overcome financial setbacks and achieve financial stability.

In conclusion, a recession can be a challenging time for nurses and their finances. By following these 10 smart money moves, you can ensure financial stability and overcome financial setbacks. Remember to stay positive and motivated, seek professional financial advice, and invest in yourself to increase your earning potential and financial stability.

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How to Prepare for Daylight Saving Time as a Nurse

As daylight saving time (DST) approaches, nurses need to prepare themselves and their patients for the shift in time. DST affects everyone, and healthcare workers need to be alert and attentive at all times to provide the best care for their patients. This article provides practical tips on how nurses can prepare themselves and their patients for DST.

1. Introduction

Daylight Saving Time (DST) is a seasonal practice in which clocks are set forward by one hour during the spring and set back by one hour during the fall. The practice of DST is common in many countries around the world. It was initially introduced as a way to save energy and to make better use of the daylight hours during the summer months. However, DST has been linked to several health issues, including sleep disturbances, fatigue, and increased risk of accidents.

Nurses are an essential part of the healthcare system and play a critical role in ensuring that patients receive the best care possible. As DST approaches, nurses need to take proactive steps to prepare themselves and their patients for the shift in time.

2. What is Daylight Saving Time?

Daylight Saving Time is a seasonal practice that involves adjusting the clock forward by one hour during the spring and backward by one hour during the fall. The practice is common in many countries around the world and was initially introduced as a way to save energy and make better use of the daylight hours during the summer months.

3. History of Daylight Saving Time

The idea of DST was first proposed by Benjamin Franklin in 1784. However, it was not until World War I that DST was first implemented as a way to conserve energy. The practice was abandoned after the war but was reintroduced during World War II. Since then, DST has been a common practice in many countries around the world.

4. The Effects of Daylight Saving Time on Health

DST has been linked to several health issues, including sleep disturbances, fatigue, and increased risk of accidents. The shift in time can disrupt the body's internal clock, making it difficult to fall asleep and wake up at the appropriate times. This can lead to a feeling of grogginess and fatigue during the day, which can affect job performance and increase the risk of accidents.

5. How to Prepare Yourself for Daylight Saving Time as a Nurse

As a nurse, it is essential to prepare yourself for DST to ensure that you are alert and attentive at all times. Here are some practical tips to help you prepare for DST:

5.1. Adjust Your Sleep Schedule

Start adjusting your sleep schedule a few days before the shift in time. Go to bed and wake up 15-30 minutes earlier each day until you have adjusted to the new time. This will help your body adjust to the shift in time, and you will feel more alert and awake during your shift.

5.2. Stay Hydrated and Nourished

Proper hydration and nutrition are essential for maintaining your energy levels and focus during your shift. Make sure to drink plenty of water and eat a balanced diet that includes whole foods, fruits, and vegetables.

5.3. Plan Your Commute

The shift in time can also affect your commute to work. Make sure to plan your commute accordingly and leave early if necessary. Check the traffic and weather conditions before leaving home to avoid any delays.

5.4. Prepare Your Uniform and Equipment

Make sure your uniform and equipment are ready before your shift. This includes checking your stethoscope, thermometer, and other essential equipment to ensure they are working correctly. You should also ensure your uniform is clean and pressed to give you a professional appearance.

6. How to Prepare Your Patients for Daylight Saving Time as a Nurse

As a nurse, you have a responsibility to ensure your patients are well-informed and prepared for DST. Here are some practical tips to help you prepare your patients for DST:

6.1. Inform Your Patients about the Time Change

Inform your patients about the upcoming shift in time and how it may affect their sleep patterns and daily routines. Encourage them to adjust their sleep schedules a few days before the shift in time to help their bodies adjust.

6.2. Make Sure Your Patients Get Enough Sleep

Ensure that your patients are getting enough sleep by advising them to avoid caffeine and alcohol before bedtime. You can also suggest relaxation techniques such as meditation or deep breathing exercises to help them fall asleep faster.

6.3. Adjust Medication Schedules

Some medications may need to be adjusted during the shift in time. Make sure to review your patients' medication schedules and make any necessary adjustments to avoid any adverse effects.

6.4. Monitor Your Patients' Health Closely

Be extra vigilant in monitoring your patients' health during the first few days after the shift in time. The change in time can affect their overall well-being and may cause them to experience fatigue or other health issues.

7. Conclusion

Preparing for DST as a nurse requires a proactive approach to ensure that you and your patients are well-prepared for the shift in time. By following the tips outlined in this article, you can minimize the impact of DST and maintain a high level of alertness and focus during your shift.

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The Secret to Avoiding Nurse Burnout as a People Pleaser

What I am about to say will set you free. If I had known what I know now I would never have burned out to the extent that I did.  

I remember it vividly: I was a new grad so cue the imposter syndrome and people-pleasing.  I was a “yes person” to the extreme. I remember working 12 shifts in a row and at one point remember thinking to myself, “what am I doing? I am so miserable.” I didn’t know how to set a limit and I sure as heck didn’t feel confident enough to say anything other than “sure, sounds good!” 

I wanted to be respected, be viewed as a team player, and for people to be like, “wow she’s such a great NP! Look at her!” I was looking to others to determine my worth…something I now know is a slippery slope that leads to to being overwhelmed, overworked, overcommitmented, and most importantly guilt. 

So here’s the deal: I’m not going to hold you on the edge of your seat for too long.  I am going to tell you the secret and then give you the scoop on how to implement the tools that will legitimately change your life when keeping burnout at bay.  

The secret is BOUNDARIES. 

BOUNDARIES will set you free. I honestly wish they taught this in nursing school because it would have saved me a lot of time, energy, and therapy. 

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I know, we hear the word boundaries and we immediately feel uncomfortable. We all hate having those difficult conversations, but at the end of the day which would you prefer -  a hard conversation or a hard life? 

At this point in my career, I will take the hard conversation 100% of the time. But it’s because I have unlearned all the things that kept me in people-pleasing mode. I now understand that even though boundary setting feels incredibly socially threatening, my own peace, time, and energy are far more important. People that have issues with your boundaries are simply the people that are looking to exploit your kindness and willingness to sacrifice your own needs. 

Maybe you fear that you will sound lazy, that you will let someone down or that you will appear unreliable. But the fact is we can unlearn the idea that we have to be 100% available 100% of the time. As people pleasers we often feel that our availability and willingness to help equals love, respect, and praise. But here’s the thing…you MUST be self-protective. Because at the end of the day others will exploit that and ask more and more from you. You aren’t a robot. You are a human being.

Boundaries are just a limit. 

We have limits because we have limited resources. Boundaries are  just a line in the sand, an allocation of your resources. They are not an emotional exchange.  You are allowed to recognize where your limits are, and use your voice to deploy them and it’s 100% healthy to enforce them and stand firm. You get to decide.

So here are a few things to remember as you flex your boundary-setting muscle.

1. It’s not all or nothing. Boundaries can evolve just like your needs and desires evolve.  It doesn’t always mean “no.” A boundary could be a “yes, but” or a “yes, and”

2. It’s better not to wait until your breaking point to set a boundary. Be self-protective!

3. Boundaries are not a threat! It is just a clear expression about what your limits are.

4. Don’t get paralyzed by the “what ifs.” Don’t try to predict how it’s going to go. Be clear on what you are protecting and be willing to be disliked in order to represent yourself.

5. Saying “no” doesn’t mean you are a bad person or a bad nurse.

6. Boundaries are not always with other people. It could be with yourself or even your phone! 

7. It is NOT better to suffer silently and rage quit three months later than to just have a hard possibly uncomfortable conversation now.

Boundaries will set you free and you are worthy of them. You’ve got this! 

Source: nurse.org

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Hospitals are Turning to Foreign-Educated Nurses Fix The U.S. Staffing Crisis

As the United States continues to deal with staffing shortages in hospitals and nursing homes, some administrators are turning to hire foreign-educated nurses to fill those critical roles. According to ABC News, there are twice as many green cards this year than last year for foreign professionals working in the U.S., including, of course, nurses. 

In fact, one immigration attorney told the news outlet that she has seen more demand for foreign nurses over the course of the past two years than in the entirety of her 18-year career. And she doesn’t expect it to slow down anytime soon. 

With staff nurses leaving their positions because of burnout, childcare issues, or to the allure of the lucrative travel nursing industry, more positions are left unfilled—meaning someone is needed to fill those gaps. 

And with a push towards capping travel nurse pay, there may be even less opportunity for travel nurses to help with staffing issues, meaning foreign-educated nurses could have more opportunities than ever. 

What’s Behind More Foreign-Educated Nurses

The reason that there are more foreign-educated nurses vying for nursing positions this year is that, because of the pandemic, visas that normally would have been issued to relatives of American citizens went unused, freeing up a total of 280,000 visas that can be given to professionals looking to work in the U.S. That includes other professionals besides nurses, of course, but with the staffing crisis a priority, many slots will go to nurses who can help alleviate the strain hospitals (and thus, patients) are feeling right now. 

In fact, the Biden administration instructed that any applications from nurses willing to work in hard-hit areas should be prioritized. New applicants have until September 2022 to apply before the fiscal year ends, so many foreign-educated nurses are rushing to get in before the deadline ends. 

According to the American Association of International Healthcare Recruitment (AAIHR), 5,000 international nurse visas were waiting to be approved as of September 2021. Back in August of 2021, when COVID numbers began creeping up again, the American Hospital Association (AHA), the American Association of International Healthcare Recruitment (AAIHR), and healthcare staffing firm Avant Healthcare Professionals also pushed for more action from the government to help speed up the process of getting more international nurses to work, reported MedPage Today. 

The pushes have seemed to work. According to the Institute for Nursing, there are about 1,000 nurses currently being hired each month, with 10,000 more on waiting lists. 

According to AAIHR, New York Governor Cathy Hochul said the state was looking to recruit qualified foreign nurses to backfill its shortage. “This is something we have to work with the Department of State on first,” the governor said. “This is a conversation we have already been having to talk about the opportunity we might have in freeing up the visa system.”

Additionally, the CEO of Michigan’s Henry Ford Health, which recently closed beds over an inability to staff them, said the system is working to hire hundreds of nurses from the Philippines.

The president of Nurse Staffing Solutions for AMN Healthcare Sinead Carbery told ABC News that demand for international nurses is as high as 400% more than it was at the beginning of the pandemic and even with the increase of available visas, there still won’t be enough nurses to fill all of the available slots. But nursing recruiters are actively seeking to hire more nurses from overseas due to both demand and eagerness of those nurses to come to the US for work. The BLS reports that it’s projected that there will be 194,500 nurse positions open every year on average.

Furthermore, Sinead Carbery said about 1,000 nurses are arriving in the United States each month from African nations, the Philippines and the Caribbean. Currently, there are an estimated 10,000 foreign nurses with U.S. job offers on waiting lists for interviews at American embassies around the world for the required visas. The reality is - that other “wealthy” countries, including Canada and Great Britain, are also attracting foreign-educated nurses. 

What are the Impacts of Foreign-Educated Nurses Working in the U.S.?

While we can all certainly agree that more nurses are always a good thing, there is some concern that in pushing to hire more foreign-educated nurses—who may be hired in at lower rates—ignores the systemic issues facing staff nurses at hospitals across the country. It may be a band-aid solution when the real issues at hand plaguing staff nurses, including patient-nurse ratios, better wages, safety in the workplace, and mental health crises, are being ignored. 

Additionally, there is the very real fact that the nursing shortage doesn’t just exist here in the U.S., so international nurses leaving their homes to work in the U.S. could have an impact on healthcare internationally as well. For instance, a January 2022 report by the International Centre for Nurse Migration (ICNM) in partnership with CGFNS International, Inc. (CGFNS) and ICN, warned of the importance of addressing nursing shortages worldwide. 

CGFNS President and Chief Executive Officer Dr. Franklin A. Shaffer, a co-author of the report, stated: 

“We can anticipate that there will be a migration tsunami as more than ever before, countries around the world turn to the international nursing supply to meet their workforce needs. The pre-existing unequal distribution of nurses around the world will be exacerbated by large-scale international recruitment to high-income countries as they look for a ‘quick fix’ solution to solving their nursing shortages, which will only widen inequalities in access to healthcare globally.”

There are also hurdles to consider when relying on foreign-born nurses. For one, the process of applying and getting a visa accepted can be a time-consuming one, even when expedited. Additionally, there can be huge cultural components to nurses coming to the U.S. to work. One nurse described it as coming to work on a “different planet,” and staffing agencies must not only help place nurses in positions but help them navigate cultural training as well. 

Still, one survey by a staffing agency for international nurses found that hospitals that sponsor international nurses actually report less turnover and higher rates of patient satisfaction and safety. The National Council of State Boards of Nursing, Inc. also states that “it has been noted there is no comparative outcomes research on FENs and U.S.-educated nurses.” Leading nursing organizations haven’t formally issued statements regarding the employment of foreign-educated nurses, but the ANA did release an ethical code of conduct for foreign-educated nurses back in 2009. 

How Do U.S. Trained Nurses Feel? 

The reaction among nurses may be best described as cautious. The very real opportunities for help on the floor, for individuals who desire to come to the U.S. for personal and/or professional reasons, and the diversity that can only strengthen the nursing industry, can’t be understated. 

But there are some who worry that the push to flood the workforce with foreign-educated nurses is another attempt to “solve” the nursing staffing shortage crisis without real and systematic change—and that it may take advantage of international nurses who may be using U.S. visas to leave less-than-desirable conditions in their home countries, along with leaving dire shortages in international areas too.

“Big medicine and the politicians they pay for are pushing to flood the U. S. with foreign nurses,” wrote one commenter on MedPage Today. “They know that foreign nurses are desperate to escape their own lousy countries and poor living conditions. They will labor longer hours, with more patients, and for less money than American nurses, who want to improve their profession's work conditions and compensation here at home….A sadly fitting article so close to Labor Day, showing that U.S. capitalists are still happily, greedily finding innovative ways to oppress America's core Healthcare workers - its nurses - of which there is no true numerical shortage, just a shortage of those willing to work for the hours, pay, staffing, and equipment offered.”

Source: nurse.org

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8 Money-Saving Tips for Busy Nurses

Who isn’t trying to save money right now?

With gas prices up this year over 8% and rent costs up from last year as much as 26%, finding ways to save your money is more important than ever. Maybe you still have some student loans or other debt you are trying to payoff, or just keep up with the rising costs of necessities. 

For nurses working long, 12-hour shifts, saving money can come with specific, unique challenges. Nurses don’t always have set or predictable schedules, and can work many weekends, holidays, or even night hours. It can be hard to find time in your busy schedule to write out a budget, and it can be easier to make quick, last-minute purchases when you are driving home exhausted after those long shifts. 

I have been a nurse for over 11 years and paid off over $48,000 in debt as a single parent working 12-hour shifts in the hospital. I contribute much of my success in paying off my debts to consistent budgeting and putting in extra effort finding ways to save money as much as possible. 

Here are 8 tips to help you save money as a busy nurse.

1. Take advantage of discounts offered to nurses

Many products and services offer discounts to nurses year-round outside of nurses’ week. It can never hurt to ask for and take advantage of these healthcare worker discounts. Some cell phone carriers, such as Verizon and AT&T, offer exclusive discounts for nurses and their families. Scrub stores will often-times offer discounts for nurses as well. 

Nurses can try searching on Healthjob.org for a list of 2022 Discounts for Nurses. Many companies listed on this site offer special deals for nurses, such as sunglasses, shoes, mattresses, and more. GovX.com is another website offering exclusive discounts for health care personnel, including nurses, on over 700 brands.

Check For Nurse Discounts on Common Expenses

◉ I am currently saving 10% per month ($100) on my son’s daycare costs because I am a nurse.

◉ I have also saved money on my monthly rent in the past with a special nurse’s discount. 

Bottom line, always ask for and search for healthcare worker discounts before making any purchase. You would be surprised how much you can save by trying this tip alone. If not, the worst that could happen is you are told no. But you won’t know unless you ask. 

2. Skip or limit the fancy coffee purchases

Yes, we are busy nurses who run on caffeine. It might as well be part of the food pyramid specific for healthcare workers! We all know that Starbucks coffee just hits different (their cold brew iced coffee has a special place in my heart) but indulging every shift can really impact your wallet and overall budget.

For nurses who are trying to find a place in their budget to save money, this can be a great place to start. You don’t have to eliminate the Starbucks runs altogether. Try limiting them to once a week, or twice a month; whatever you think is achievable for you. 

You can also try bringing your own coffee maker, coffee, and sweetener to keep on your unit to eliminate those last-minute expensive coffee purchases on the way to work. If you know you are always in a rush in the mornings and just NEED to stop somewhere for coffee, try Circle K’s Sip and Save monthly subscription. For just $5.99 a month you can get one free coffee per day. If you stop for your morning coffee there 3 days per week, that comes out to only 49 cents per coffee.

This won’t save you hundreds of dollars by any means; but it’s a solid option if you are needing to find a place in your budget to cut back on some expenses.

3. Carpool to Work

With the cost of gas nowadays, depending on the distance of your work commute and your schedule, carpooling to work could truly make a difference in decreasing your monthly gas costs.

Some facilities may even offer an incentive for staff members to consistently carpool to work. If you have a work buddy that you know you vibe with, this can be a great way to save you both some money each month on fuel costs.

4. Keep a stash of snacks and essentials in your locker

I am embarrassed to admit, I have spent my fair share of money on vending machine snacks during my hospital shifts. Many times, I just forgot to bring snacks to work. I also loved to pack myself some healthy celery and carrot sticks, and then change my mind last minute and decide that I NEEDED to have a salty bag of potato chips STAT. Vending machine snacks can be as much as $4 per item!

Snack items will ALWAYS be cheaper when bought in bulk at grocery stores. Try making a snack run at the grocery store before your shift and keep your locker full of items such as chips, trail mix, gum, candy, or instant coffee packets. Basically, anything you know you might have a sudden craving for during a stressful shift.

5. Plan your big work purchases around prime discount seasons

Nurses know that good shoes, scrubs, and compression socks can get pricy. Nursing is a very physically demanding job, and these items are essential for nurses to their job well. Nurses spend a LOT of time on their feet and can do a lot of squatting and heavy lifting at work. 

I once ended up with a bad case of plantar fasciitis because I tried to “save money” on buying cheap, off branded shoes to wear to work. The medical bills treating this ended up costing WAY more than an excellent new pair of shoes would have cost me! Also, you do not want to be working a 12-hour shift in scrubs that are poorly made and uncomfortable. I learned that shoes and scrubs, while expensive, are essential for me to spend money on as a nurse.

Try to save on these larger, essential purchases, by trying to plan them around key discount times. I would typically buy new scrubs and new work shoes twice per year. I would always try to buy them during Nurses’ week in May, and again on Black Friday in November when discounts may be larger and more readily available. By planning these essential purchases this way, you can still save yourself some money without sacrificing the quality of the items you need to purchase.

6. Buy nursing supplies gently used

If you know that buying brand new nursing gear is just completely out of your budget right now, buying some gently used nursing gear can be a great option when trying to cut costs.

A quick search on Facebook marketplace shows that you can potentially find gently used Littman Stethoscopes going from as little as $12 up to $50. These stethoscopes can be hundreds of dollars brand new. You do not need a shiny, new stethoscope to do your job effectively. If your nursing gear is clean, and in good working condition, it does not really matter if it was purchased gently used or new.

For the nurse just starting out, or looking to temporarily cut costs, buying some of your supplies used can be a great option until you can save up for a more expensive item on your wish list in the future.

7. Plan your meals and pack your lunches

I know from experience, that when working 12-hour shifts this can be VERY hard to do, especially if your shifts are back to back. I struggled with meal-planning and STILL do. For nurses working irregular schedules and 12-hour shifts, it can be challenging to plan meals and consistently pack lunches. Going to the grocery store was the LAST thing I wanted to do on my days off work.

But packing food can be a great way for nurses to save money. Planning your meals and buying your food at the grocery store will be less expensive than buying your meals at the cafeteria. Especially for night-shifters when the cafeteria may be closed, if you don’t have food packed from home, your only option might be to order from Doordash or Grubhub which comes with a lot of extra fees.

Nurses can save on meal costs by investing in some meal prep containers, and plan dinners that will make great lunch leftovers the next day. If this seems WAY too difficult and unachievable, try doing it once per week to start off, and see how it goes. Even eliminating just one big meal purchase at the cafeteria per week can make a huge difference in your budget.

8. Buy your wine in bulk

This final tip speaks for itself. You may think you don’t need this tip, but maybe just keep it in the back of your mind for later. A 750 mL bottle of wine costs at least $10 or more. A 5 Liter box of wine costs as little as $17; and stays fresh in the fridge for over a month. 

Save a little money by keeping that bulk wine ready for when it’s needed after those rough shifts. While you’re at it, might as well stock up on chocolate as well. I got this tip from a friend, of course!

It can be difficult and overwhelming to think about how to find extra money in your budget and save money as a nurse. Our irregular, inconsistent, and long hours can make planning our purchases and tracking expenses a challenge. Try even just a couple of these tips this month and see how much money you can save. Saving money on everyday purchases can really contribute to you staying on budget and getting closer to your financial goals. As nurses we spend hours on our feet saving lives every day at work. Don’t forget to ask for those discounts and take care of yourself too.

Source: nurse.org

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Top 5 Tips to Stay Organized as a New Nurse

Being a new nurse may feel overwhelming no matter how much you have prepared yourself. There are approximately 2,400,000 registered nurses in the United States, and around 155,000 new nurses graduate every year. Nurses are in high demand, and patient ratios can range anywhere between 1:1 in critical care to 60:1 in long-term care.

Your shift can move quickly and be interrupted and changed throughout the day. This is why it is essential to stay organized as a new nurse and be ahead of the game.

Tip #1 - Start Your Shift with a Chart Review 

One of the most important things you can do to stay organized as a new nurse working at the bedside is to start your shift by reviewing the patient's chart before seeing them. This is crucial as you can find laboratory results, medication times, and doctors' notes to give you a clear picture of what is happening with your patient.  

Tip #2 - Use Report Sheets

Also known as a "brain" for some nurses, report sheets are paper notes you have that describe your objectives for the day for each patient. Use your report sheet to make notes from the nurse you are taking over.

Write down what you learned from your chart review by making notes of the medications, a list of doctors, laboratory results, pertinent history, and exam information. Keeping this report sheet with you will help you stay organized as a new nurse.

Tip #3 - Plan Out Your Day

Planning out your day by the hour will help you really help you stay on top of things. Write down your patient's medication times, assessment times, laboratory times, and anything due at a particular time. This could even include meals, glucose checks, Foley care, PIV hourly checks, and other  ADLs. Make a list of hourly times and in each time slot, write down what needs to be done in that hour. This will keep you on task so nothing will be forgotten. Helpful hint: Some report sheets will even have these!

Tip #4 - Prioritize Your Shift

No matter how hard you try, something will happen in your day to cause your plan to be disrupted. Prioritizing tasks is one of the things that new grads struggle with the most. When something changes your plan for the day, try to reorganize to accommodate. 

Hopefully, you have already planned out your day and need to rearrange to make room for something else. Look at your list and see where is the best time to perform the task. How important is this task, is it an emergency, or can it wait? Can you bundle care and include it during another assessment or medication time?

Tip #5 - Stay on Top of Things

Staying organized will help you succeed as a new grad nurse. Organize times for yourself to chart if you cannot chart as you go. Make sure to stock your pockets with all the essentials you need throughout your day and keep items in the same pockets. It can be stressful to find your pens in one of six pockets when trying to take an order or write down useful information. 

It will also be helpful to use check boxes on your report sheet to mark tasks off as you go. This will keep you on track and able to navigate your day efficiently.  

These tips will help you stay organized as a new grad nurse when working in a bedside environment. There are several different ways to organize your day and manage your time efficiently. It can take time to figure out what works best for you and that may even change every shift. Consider speaking to your preceptor or senior staff nurses to find out how they keep their shifts organized. It might help you figure out a way to be even more efficient at the bedside.

Source: nurse.org

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Nurse Substance Abuse, How Alternative to Discipline Programs Can Help

“It’s weird to say I’m an IV drug user but I am,” says Leslie L., a Registered Nurse in Georgia.  Leslie says her addiction began when she was working as a surgical nurse at a hospital in Georgia. She accidentally took Dilaudid home in her pocket she had meant to waste. She called her employer who told her to throw the drug away and not to worry. But Leslie says she had seen the effects narcotic drugs had on her patients, and she wanted to get a good night’s sleep and to “…. stop the world for a minute….” Within the week Leslie says she was addicted to narcotic drugs and regularly diverting from her employer, taking narcotics meant to be wasted by the end of her shift. “If you told me I was going to try heroin I would have recoiled. ‘Oh my God are you crazy,’” she says. Leslie diverted narcotics for about a year before her employer intervened.

Alternative To Discipline Programs (ATD)

Leslie is not the only Registered Nurse to confront addiction. The number of nurses struggling with addiction is an estimated ten percent and is on par with the rates of addiction in the general public. And with the pandemic raging, the number of nurses facing addiction battles may be rising too.  Alternative to Discipline (ATD) programs began in the 1980s when state boards of nursing began to see addiction as a disease and offer help to addicted nurses instead of automatically removing them from practice. Today there are ATD programs in 40 states across the country, and length and requirements vary among the programs. What’s more, ATD programs are underutilized, with low enrollment numbers compared to the population of nurses in most states.  The National Council of State Boards of Nursing (NCSBN) conducted an analysis of ATD programs and found that successful programs last at least 3 years and include frequent check-ins and random drug testing using different methods, including hair, and nails, and urine. Additionally, NCSBN found program completion rates for ATD programs to be between 52%-72%. This year NCSBN plans to conduct a pilot study this year to measure program outcomes beyond ATD programs.

Ridgeview Institute: A Successful Program

Leslie L. is currently under a 5- year consent order from the Georgia State Board of Nursing and enrolled in a treatment program at Ridgeview Institute in Smyrna, Georgia. Ridgeview Institute offers a comprehensive treatment program for nurses struggling with addiction. “Ridgeview offers 5 years of monitoring, and that monitoring is a nurses’ group and generally a therapy group,…The nurses have to call in every day and see if they have a drug screen, “ says Donna McGrane, RN Community Liaison at  Ridgeview.

According to McGrane, the state writes up the requirements for the diverting nurse. After an investigation, the Georgia State Board of Nursing issues a consent order and a formal mental evaluation. A nurse’s treatment experience is based on the results of that mental evaluation and recommendations of a treatment team. Ridgeview then monitors the results of the drug screens and makes sure nurses are in compliance with state requirements.

McGrane says the nurses in the program get close because of their shared experience and have an intimate bond that is special to see. “They know what it's like to be the patient now,” McGrane says. According to McGrane a program with support is huge. Ridgeview also offers a mixed professionals group made up of addicts from a variety of professions including nurses, doctors, pilots, and pharmacists. There is a common thread that runs through these professions, says McGrane.

The Coming Addiction Crisis?

McGrane says she has seen firsthand the negative effects the stress of the pandemic has placed on the nursing profession. According to McGrane, she has seen more nurses entering the program with depression and drug and alcohol relapses since the start of the pandemic. “Nurses come to our program saying ‘I can’t watch another person die,’” she says. According to McGrane, nurses who did not have a problem with alcohol or drugs before the pandemic is at risk when they turn to addictive substances as stress relief. “Definitely in the recovering community there have been more relapses,” McGrane says.

Paying the Piper

Leslie L. credits Ridgeview with saving her life, but she says the corporate nature of treatment is a drawback to the treatment model. “They may admit you for a few days without payment but you can’t enter into the program without substantial financial resources. If you don’t have the financial resources, you may be out of luck,’ Leslie says. Donna McGrane agrees. “The challenge is the hospital fires them and then the nurse doesn’t have the health insurance and they don’t get the help,” McGrane says. Leslie L. was one of the lucky ones. “I was fortunate enough I did not lose my job,” says Leslie. “I was asked to resign, but not before I went on medical leave and FMLA. I had insurance to get me through it,” she says. Ridgeview gave her a safe comfortable place to begin to recover, Leslie says. 

Leslie works in case management now, and although she misses bedside nursing, she is in a good place in her life and career now. She will be at the end of her 5-year consent order this coming August and she feels ready to manage sobriety on her own. Leslie says, “Between Ridgeview and the Georgia Board of Nursing I don’t know if I would be here.”

Getting Help Now

If you are facing mental or substance abuse struggles SAMHSA’s National Helpline, 1-800-662-HELP (4357) (also known as the Treatment Referral Routing Service), or TTY: 1-800-487-4889 is a confidential, free, 24-hour-a-day, 365-day-a-year, information service, in English and Spanish, for individuals and family members facing mental and/or substance use disorders. This service provides referrals to local treatment facilities, support groups, and community-based organizations.

Source: nurse.org

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How Nurses Can Prevent Career-Ending Back Injuries, Practice Good Body Mechanics

I want you to think back to nursing school. Remember all the sacrifices you and your family made to get to the end goal of becoming a nurse. Remember all the grueling hours you put into making the grade? Now, what if I told you all that hard work could be erased with one wrong move? Well, it can be!

Incorporating good body mechanics into your daily work routine is vital to ensuring you can continue to physically keep up with the everyday demands of nursing. It could mean the difference between longevity in your nursing career versus retiring early due to a likely preventable injury.

What Is Proper Body Mechanics

Proper body mechanics in healthcare can be defined as using specific techniques and muscles to carry out high-risk tasks without causing strain or injury to the body.

We have all sat through boring lectures and in-services on proper body mechanics. How much thought do we give it when we are performing our job duties though? Is it really that important?

How Important Is Proper Body Mechanics

We are taught proper techniques for lifting and performing other high-risk duties as nurses, but how important is proper body mechanics?

◉ Musculoskeletal disorders (MSDs) are a major cause of injury in healthcare workers, according to OSHA.  The lower back is one of the most affected areas. Often, this is attributed to poor body mechanics.

◉ 38% of nurses are affected by a disabling back injury or back pain, the American Journal of Critical Care found. Staggeringly, 9,000 healthcare workers are injured every day while performing work-related tasks!

◉ 78,740 nonfatal injury and illness cases involving registered nurses (RNs) in the private industry alone were documented by the  US Bureau of Labor Statistics in 2020. Of those cases, five thousand eight hundred and fifty involved a back injury. These statistics only include RNs! The numbers are even higher when you factor other healthcare workers into the equation.

◉ Newer studies are now finding a link between work-related low back injuries and higher mortality rates. Further studies are needed to substantiate this claim and nail down the specifics. Nonetheless, research is suggesting a link between the two.

Do you think those numbers are scary? Now that is something to think about!

Understanding The “Why” Factor

It is so important to understand the “why” factor as opposed to just being told we need to do something. When we understand why something is important, we are much more apt to follow through with it. 

These statistics shine some much-needed light on the “why” factor and strengthen the importance of following proper body mechanics guidelines.

How To Prevent Back Injuries as a Nurse

The good news is by practicing good body mechanics you can markedly reduce your risk of becoming a part of these statistics.

Some basic techniques you can use to prevent injury when lifting include the following:

◉ Stand with your feet shoulder-width apart to provide a good base for support

◉ Get as close to the patient as possible

◉ Face the patient when lifting

◉ Don’t bend or twist at the waist

◉ Bend with your knees

◉ Lift with your legs and not your back

◉ Use a mechanical lift when available and not contraindicated for the patient

Practice Makes Perfect

It is so easy in a fast-paced environment like nursing to forget about good body mechanics. However, it is an absolute necessity to remember it. 

Practice brushing up on your body mechanics, so it becomes a habit.

The more you practice, the better you will become, and the less likely you will be to sustain a work-related injury due to poor body mechanics.

Protect the investment you made in yourself when you started your nursing journey. Don’t become another statistic!

Source: nurse.org

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As a Nurse It's Hard To Move On From Some Patients, You're Not Alone If You Struggle Too

A few weeks ago I heard a doctor tell me, “That is a five-shower case.” My mind automatically started to think about what physiologic cascading effect he might be referring to. After witnessing my perplexed face, he gently responded by saying “after five showers, I might be able to stop thinking about that one constantly.” There was something so comforting in hearing that I would not be alone in my confusion, sadness, or insufficiency towards the events that had transpired during that shift.

I had a small degree of peace that occurred thinking of the visual of showers clearing out my headspace from thinking and dreaming about work. I think so often we forget to allow ourselves the space to acknowledge that our work can be emotionally draining and difficult to process through and that we are not the only ones processing this response.

It has always been interesting to me which cases stir up an emotional rise, and which horrific stories turned out to be unpredictably easy to move on from. Sometimes the sad cases for other people make me question whether or not I have the capacity for an emotional response anymore. Then a seemingly standard patient will cross my path and something about their story makes it hard to shower off.

After working in a critical care setting for multiple years, most nurses carry at least one or two patient stories near to their hearts for years to come. However, our nursing culture has taught us to normalize the unthinkable, and quickly pick up the pieces and move on to the next patient. Most call it compartmentalizing. The longer you do this - the easier (at times) it becomes and it even becomes our norm. Spilling over into our personal lives more often than not.  Or, maybe a more likely scenario is that many nurses don’t talk about these stories because it feels too personal. After seeing and witnessing some of the most gut-wrenching and raw moments, it almost feels insincere to share their stories with complete strangers of the patient.  After all, how can you put into words the gravity of watching air leave someone’s lungs forever, and see it strip part of the life away from their family while watching it happen?

I have come to realize that I get to participate in some of the most sacred and horrifyingly tender moments in some people’s lives. They are the moments that movies layer with soft music and a dramatic crescendo to help produce an emotional reaction for the audience. Unfortunately, when you are in the room with the patient and watching the scene unfold before your own eyes, it doesn’t need music to cause the feelings to swell inside of you. They are the moments that have small details that will be etched into your mind for weeks to come. The sound of a cry, the position of the hands, the words families choose to speak during the remaining few moments with a loved one, or the lingering eye contact that you had with the patient right before they lost consciousness.

These images have woven their way into my dreams and my subconscious thinking for short periods after caring for the patient, and so often they are moments I don’t want to share with anyone else, because although I don’t see it as a burden to carry, it feels like I witness such an intimate moment of closeness with that family, that it isn’t my story to share.

The moment on replay for this five-shower case occurred when the patient ripped off her BiPAP, grasped at my arms, and looked me directly in the eyes saying “what you are doing isn’t working. Change something.” And I couldn’t.

We were doing everything we could at that moment to help her, but it just wasn’t enough. We debriefed everything that had occurred later that night, and the “what if” questions began flowing. What if we could have gotten better IV access a few minutes sooner? What if we could have given more fluids and meds seconds earlier? What if the family had called 9-1-1 twenty minutes quicker? A lot of the five shower stories make you question your competency as a provider when you become fixated on these questions. Did I do enough? Could another nurse have kept the patient alive?

Five showers. Sometimes time and leaning against a wall with hot water pouring over the body can wash off more than just small dirt particles. I hope we get to a point as collective healthcare providers that we allow for a space to process and grieve the intense interactions we often witness and stop downplaying the notion that the “strong ones” don’t need to pause and reflect. Each individual absorbs emotional reactions and attachments to very different stories, and we need to have empathy for allowing them the ability to feel whatever reactions it might stir. Sometimes it is sadness, other times anger, but I have also seen some nurses completely shut down in a response to a positive emotion that they might not have received in their own walk of life. Maybe they just need five showers to process through it and come out on the other side as a more whole, and complete human.

Source: nurse.org

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