Rabu, 20 September 2006

Thank You Congressman Christopher Shays (CT)

Pictured: Congressman Christopher Shays

As a member of the House Nursing Caucus, I joined in support for the National Nurse Act because I am hopeful that creating a National Nurse Office within the Office of Public Health and Science will help encourage individuals to enter the nursing profession and improve the state of healthcare from the perspective of nurses.

A 2001 report by the General Accounting Office (GAO) found the recruitment and retention of nurses and nurses aides are major concerns for health care providers and this shortage is expected to become more serious as the population ages and the demand for nurses increases.

This is why I have consistently worked for increased federal funding for nurse education programs. A strong corps of qualified nurses is a critical part of quality healthcare and I am committed to improving the federal government's role in addressing the nursing shortages nationwide.

Senin, 18 September 2006

Family Support for Office of the National Nurse



Our family supports the creation of the Office of the National Nurse, to deliver the message of prevention to all Americans. We have three sons, ages 7, 4 and 3 months. All of them would benefit greatly in the future from the educational resources presented through such an office.



Each of our sons was delivered by an excellent physician, but it was the delivery nurse each time that impressed us the most. Thousands of women in this country benefit each day from the care given by their nurses during delivery, which makes the process of birth safer and more physically reasonable. The Office of the National Nurse will provide programs to address high-burnout in the nursing profession and also promote the status of these dedicated nurses everywhere.

Jenni Charrier
Orono, MN

Jumat, 15 September 2006

Jean Watson's theory selected as framework at St. Joseph Hospital, Orange, California

Saint Joseph Hospital in Orange, California has selected Jean Watson's Theory of Human Caring as the framework on which we base our nursing practice. Burlew Medical Library has prepared a selective bibliography of articles by or about Watson from 1996-. This list of articles is in part 1 (articles available to SJO/CHOC employees) and part 2 (articles which could be ordered for SJO/CHOC employees. SJO/CHOC employees need only contact Burlew Medical Library to request any of these articles. Individuals at other entities should contact their own medical libraries.

Additionally, we will be offering a special viewing of a moving and inspirational DVD on the "Theory of Human Caring" which was produced by SJH nurses.

One hour sessions are scheduled in the Zhoul auditorium on

Monday Sept 18 12:00 noon to 1:00 pm 2006
Tuesday Sept 19 7:30 am - 8:30 am
Tuesday Oct 3 7:30 - 8:30 am
Monday Oct 16 12:00 noon to 1:00 pm
Friday Nov 3 7:30 am - 8:30 am
Monday Nov 6 12:00 noon -1:00 pm

No registration is required and breakfast/lunch will be served to St. Joseph Hospital of Orange staff.

Along these same lines, there is a very cool Nursing Theory Link page out of Clayton State University Department of Nursing where you can read about many nursing theories.

Evidence Based Library Science Conference


Evidence Based Library & Information Practice4th International Conference"Transforming the Profession"May 6-11, 2007, Chapel Hill-Durham, North Carolina, USA http://www.eblip4.unc.edu/ The Evidence Based Library and Information Practice Conference(EBLIP4) is an exciting international event that has emerged inresponse to the growing interest among all types of libraries in usingthe best available evidence to improve information practice. The conference on May 6-9, 2007 in Chapel Hill, North Carolina will be followed by two days of continuing education. The conference provides a forum for the presentation of high quality papers and posters aswell as examples of how EBLIP is being implemented in library and information settings around the globe. EBLIP4 invites submissions for contributed papers and posters including both original research and innovative applications of EBLIP in library and information management. Papers that deal with library support of evidence-based practice in other fields such as health, social work and public policy are also welcome.

Full instructions to authors may be found at http://www.eblip4.unc.edu/ Chapel Hill-Durham is located in the middle of the Eastern United States close to the Raleigh-Durham international airport. This central location in the Research Triangle area is only a short drive from scenic locations in North Carolina. The beaches are approximately two hours to the east and the mountains are two hours to the west. Washington DC is a 4.5 hour drive or 30 minutes by air. Important Dates

December 1, 2006 Submission deadline for abstracts for papers and posters
February 11, 2007 Final decisions for accepted papers
February 15, 2007 Final decisions for accepted posters
March 15, 2007 Submission deadline for full papers

Carol Perryman MSLISTRLN Doctoral FellowSchool of Information & Library ScienceUniversity of North Carolina at Chapel Hill

Thank You Congresswoman Anna Eshoo

Pictured: Congresswoman Eshoo

"Nurses have been indispensable to the health and well-being of the American people throughout our history and they play an increasingly vital role in our modern health care system. Along with the high level of care they give individual patients, nurses provide critical leadership in educating people about the early warning signs of disease and the steps necessary to maintain a health lifestyle.

That's why I'm proud to cosponsor H.R. 4903, The National Nurse Act of 2006. The creation of a federal Office of the National Nurse would be an invaluable addition to our efforts to combat disease and improve public health awareness. As head of the office, the National Nurse would be able to help set national health priorities and implement a systematic education effort with media campaigns and coordinated community-based projects. Just as important, the initiative will help address our nation's critical nursing shortage by raising public consciousness about the benefits of joining the nursing profession.

For all these reasons, I heartily support The National Nurse Act."

Rabu, 13 September 2006

Advertise on this Blog

More than 200 nurses and prospective nurses visit this blog every day. If this is the market you would like to reach and you would like to advertise on my blog please contact me at nurseaim@hotmail.com for rates.

Thank you,

Amy Robbins

In Support of An Office of the National Nurse

Pictured: Dina Wolkoff with 8 year old niece Vivian

I'm honored to support the Office of National Nurse.
The National Nurse Team has taken leadership to fill a significant leadership gap in this nation. The Office of National Nurse will coordinate a nationwide network of skilled nurses across this country, at the local level. The Office of National Nurse will inform policy decisions on the health and well-being of all Americans, and carry out these policies.

With the complexity of our nation's infrastructure, the reliability and comfort of a National Nurse network will benefit our nation. I stand by the team and all of the other supporters of this bill.

Dina Wolkoff
Senior Special Gifts Officer
Middlebury College, Vermont

Senin, 11 September 2006

Back to School!

This semester is Peds and OB. I like my instructors sofar (though nobody will take the place of Instructor Fantastic in my heart).

I'm a little pissed off because I'm having to take a statistics class. It's not so bad by itself, but I already took Stat as a math class in Houston. But does the school want that credit? Noooo, they want Psychology Statistics. I've fought and pleaded. I've asked to take a test, but to no avail! Basically I'm paying them money to sit around and re-learn things I've already mastered. On top of that, I find that many nurses are none-to-bright about math, and the pace of study is agonizingly slow compared to the first go-round. Let's hope I don't go crazy. ^_^;;

I'm still working as a tech in the PCU. I'd never really considered PCU as a place to start a nursing career, but it's becoming more appealing all the time. First of all, the patient ratio is lower than Med-Surg, but the patients aren't quite as critical as in the ICU. Secondly, the hospital is interested in "cross-training" people in ICU and ER skills in order to provide more options for "floating" extra staff in times of low census. Thirdly, I like the floor I'm on, and wouldn't mind working with these people in a larger capacity.

I've always been far more interested in critical care than anything else, mostly because I'm not too fond of children or surgery or the like. And I want to be in a place that will challenge me and keep me on my toes. Still keeping my options open, but it looks like this hospital has accomplished it's own goals by recruiting me for this job: getting me comfortable with this facility and reeling me in for employment after graduation.

We'll see how things work out when I graduate. If I don't end up in Texas, I really hope I end up right where I am.

Tomorrow I'm going to spend clinicals in Labor and Delivery. I reaallly hope a baby is born in the time that I am there, because I feel like that would be much more exciting than just hanging out with a woman moaning in labor for 8 hours. o_O

Taken two tests sofar. I actually made an A on the second one! (I'd almost forgotten how it felt to make A's on big tests with this funky grading scale!) My extra preparation is paying off. I'm making time to read the chapters before lecture and staying at least 2 hours afterwards in the library for review. And that works. (Well... except when a question is vague or weird. But that's not my problem.)

I really really want to do well this semester so I can increase those decimals after the 3 in my nursing gpa. I want to be inducted into Sigma Theta Tau! They only take the upper percent of the class, so I don't know what my chances are. If I keep making As though, maybe they'll improve. ^_^

Thank You Congresswoman Lynn Woolsey (CA)

Pictured: Congresswoman Lynn Woolsey

The National Nurse team is grateful to Congresswoman Lynn Woolsey who became the 26th cosponsor of HR 4903.

Here is her statement:

H.R. 4903 will help to alleviate the nursing shortage in the United States and make a big difference in tackling our country's most pressing healthcare problems. As we strive to improve the quality of care of chronic illnesses such as diabetes and heart disease, an addition of well-trained nurses to the workforce will be welcome and necessary.

Sabtu, 09 September 2006

Nurse From Tennessee Supports HR 4903



My name is Wendy Vogel, MSN, FNP, AOCNP

I am a board certified oncology and family nurse practitioner, practicing in the state of Tennessee.

I support the National Nurse Act of 2006 because nurses need to have a legislative voice in the United States. We have much to contribute to America's healthcare. We have been "silent partners" for far too long. We are great advocates for preventive care. We now know that there are even ways to prevent cancer! An organized approach will offer thorough education to all Americans, families, and communities. This also will bring recognition to the role of nursing in healthcare.

Jumat, 08 September 2006

Study: Nurses Lack IT training


A new study in eWeek finds that most nurses receive minimal or no IT training. Information literacy is integral to an understanding of how to approach Evidence Based Nursing.

Please post your comments below if you have any great ideas/suggestions on this topic.

Resources for teaching EBM

David Rothman from Syracuse, NY, just posted on his blog a very comprehensive list of resources for teaching EBM/Evidence Based Medicine. Most of the resources were compiled by puting a call out to the MEDLIB-L for assistance.

Kamis, 07 September 2006

Travel Nurse: Earn Money While Visiting With Family


When my husband and I got married we decided we wanted to live near extended family so we (and our children) could remain close to them. The only problem was that my parents lived in Georgia, and his lived in Utah… so we had to pick. We chose Georgia.

After our son turned one, we decided we wanted to spend some time “out west” to let him get to know his grandparents, aunts, uncles, and cousins that live out there better, and to enjoy the sites. We didn’t have a whole lot of money with my husband in school so we knew that one of us would have to work if we wanted to stay for the whole summer.

That is where travel nursing helped out. My husband was not going to be in school for the summer, so we planned for him to stay home with our son while I worked. Most of the hospitals there wanted me to work three twelve hour shifts per week (which is what I preferred anyways). I had the choice of working either an 8 or 12 week assignment. We chose the 8 week one so we could have one month off to vacation. There were so many things to do out there that we enjoy (i.e. hiking, camping, rafting, and biking). All our travel (relocation) expenses were reimbursed (tax-free). We received a monthly housing stipend which was just an added bonus since we stayed with family. We ended-up making $12,080 in two months! Now try and beat that for a career! Now that my son is almost five, we often reflect back on that summer in Utah. What a great time we had, and how grateful I am that I chose nursing as a career.

Rabu, 06 September 2006

Pressure Ulcers among Eldery Patients Early in Hospital Stay: Abstract with commentary by Dana Rutledge, RN, PhD

Abstract: Pressure Ulcers among Elderly Patients Early in Hospital Stay

Background. Pressure ulcers among elderly hospital patients diminish quality of life and increase the cost of hospital care. Evidence suggests that pressure ulcers can arise after only a few hours of immobility. The goals of this study were to estimate the incidence of hospital-acquired pressure ulcers in the first 2 days of the hospital stay and to identify patient characteristics associated with higher incidence.
Methods. A prospective cohort study was performed between 1998 and 2001. A total of 3233 patients 65 years old or older admitted through the Emergency Department to the inpatient Medical Services at two study hospitals were examined by a research nurse on the third day of hospitalization. Pressure ulcers were ascertained using standard criteria and were classified a either preexisting, possibly hospital-acquired, or definitely hospital-acquired.
Results. There were 201 patients with one or more possibly or definitely hospital-acquired pressure ulcers for a cumulative incidence of 6.25 (95% confidence interval, 5.4% - 7.1%). Most of the pressure ulcers were stage 2, and the majority were in the sacral area or on the heels. In multivariable analysis, pressure ulcer incidence was significantly associated with increasing age, male gender, dry skin, urinary and fecal incontinence, difficulty turning in bed, nursing home residence prior to admission, recent hospitalization, and poor nutritional status.
Conclusions. A small but significant proportion of elderly emergently admitted hospital patients acquire pressure ulcers soon after their admission. New models of care may be required to ensure that preventive interventions are provided very early in the elderly person’s hospital stay.
Baumgarten, M. et al. (2006). Pressure ulcers among elderly patients early in hospital stay. Journal of Gerontology: MEDICAL SCIENCES, 61A, 749-754.

Commentary by Dana N. Rutledge, RN, PhD, Nursing Research Facilitator

Were you surprised at any of the predictors of pressure ulcers in this hospitalized elderly patients? You probably were not. Studies using the Braden Pressure Ulcer Risk Assessment Scale confirm that problems with moisture, mobility/activity, and nutrition are all predictors of pressure ulcer development. What is new about the Baumgarten et al. study is that in 6.2% of the patients, pressure ulcers developed within 3 days of hospital admission!! Earlier studies have not specifically looked at this time interval.
What were the strengths and limitations of the study. Strengths include the large sample size, use of 2 hospitals (one in Pennsylvania, one in Oregon), the large sample of African Americans, and use of trained research nurses to evaluate the study measures. Limitations are that the study involved only a brief one-time observation of the patients and that hospital-acquired and preexisting pressure ulcers may have been somewhat misclassified.
Taking these into account, what is the take home message for the practicing nurse? Elderly patients admitted to medical units may be prone to develop pressure ulcers within 3 days of admission. Thus, given recent trends towards shorter hospital stays, the potential for breakdown is high. Nurses MUST put preventive measures into place early!!

Senin, 04 September 2006

Thank You Congressman Tom Lantos (CA)

Pictured: Congressman Lantos

Congressman Tom Lantos, representing San Mateo and San Francisco, California and a strong supporter of the nursing profession, signed on to HR 4903 just prior to the August recess. Here is his statement about the National Nurse Act of 2006:

"The National Nurse Act of 2006 (H.R. 4903) establishes a new Office of the National Nurse to encourage people to enter tis vital profession, to encourage people to teach in our nursing schools and to promote public health. The shortage of crucially-needed nurses in our nation's healthcare system illustrates how important this legislation is. I am pleased to be a cosponsor of this bill introduced by my colleague Congresswoman Lois Capps. It will promote methods of achieving better health care and make grants for public education on health priorities."

Jumat, 01 September 2006

Trip database-- free access


Trip Database :Turning Research into Practice

For the last 4 years, the Trip database has been a subscription service, but as of Sept 2006, it is once again a free resource. TRIP describes itself as " the Internet's leading resource for Evidence-Based Medicine allowing users to easily and rapidly identify the highest quality evidence from a wide range of sources." This site has recently been evaluated by a team from the Centre for Evidence-Based Medicine. Although not nursing focused, this free resource is a great one-stop source for answering clinical questions. The site supports Boolean searching and returns results that you can then filter by such entities as : evidence based synopses, clinical questions, systematic reviews, guidelines, e-textbooks, clinical calculators and even by medical speciality. You can also sign up for the Trip Blog on their web site.

Evidence Based Nursing Blog "Down Under"

I have come across a blog devoted to "Evidence-Based Nursing & Midwifery" which is being published by Stephen Barnett Darwin from Northern Territory, Australia. This site does primarily emphasize evidence based nursing from a OB/midwifery perspective.

A Nursing Evidence Based Practice Tutorial

We previously blogged about "The Evidence Based Knowledge Portal which was developed by the Eskind Biomedical Library at Vanderbilt with grant funding and includes tutorials addressing facets of statistical analysis and critiquing the medical literature as well as virtual practice cases that allow users to explore principles of EBM. This is an amazing tutorial but its orientation is toward medicine rather than nursing. Dana Rutledge recently told me about a great Evidence Based Practice Tutorial from Penn State University Libraries that is very comprehensive and oriented towards nursing. This tutorial also offers audio and some video and details the four overall steps in Evidence Based Practice. Two clinical scenarios are offered and the user also has available to them a listing of appraisal tools and an extensive list of EBP terminology.

Our blog discussed in Evidence Soup blog

Evidence Soup : show me the evidence : looking at uses and absues of evidence in everyday life is a very interesting blog put together by Tracy Allison Altman. This blog is not devoted exclusively to healthcare, but does concentrate on medical/nursing issues. It's interesting that both our blogs have subtitles along the lines of "show me the evidence"!!. On August 11, Evidence Soup gave our blog a nice plug. Thanks.

Julie's August picks from the literature


Some of these recent articles really intrigued me. Employees at St. Joseph Hospital, Orange or Children's Hospital of Orange County can access these online or request them through Burlew Medical Library. Others should consult medical libraries with whom they have privileges.

Accession Number 2009223633 NLM Unique Identifier: 16816597.Author Coopey M. Nix MP. Clancy CM.Title Translating research into evidence-based nursing practice and evaluating effectiveness.Source Journal of Nursing Care Quality. 2006 Jul; 21(3): 195-202. (9 ref)

Accession Number 2009232462 NLM Unique Identifier: 16767023.Author Giuliano KK.Title Continuous physiologic monitoring and the identification of sepsis: what is the evidence supporting current clinical practice?Source AACN Advanced Critical Care. 2006 Apr-Jun; 17(2): 215-23. (36 ref)

Accession Number 2009232451 NLM Unique Identifier: 16767019.Author Albert NM.Title Evidence-based nursing care for patients with heart failure.Source AACN Advanced Critical Care. 2006 Apr-Jun; 17(2): 170-85. (41 ref)

Accession Number 2009211028 NLM Unique Identifier: 16766627.Author Munro CL. Grap MJ. Jablonski R. Boyle A.Title Oral health measurement in nursing research: state of the science.Source Biological Research for Nursing. 2006 Jul; 8(1): 35-42. (47 ref)

Words of Support


Thank you to Kathy Quan who put a link to the online petition in support of an Office of the National Nurse on her website, About Nursing .

In Kathy's words:
If you are interested in seeing the Office of the National Nurse come to fruition, there is a petition you can sign to send your request to Congress.

While you are signing the petition, why not submit your email to receive the National Nurse weekly newsletter. It is free and has the very latest information about HR 4903, the National Nurse Act of 2006.

Selasa, 29 Agustus 2006

Travel Nurse: Four Reasons to Consider Travel Nursing

I found this picture of a lady lounging around in a hammock and decided to put it in a post because that is one of mis pasatiempos favoritos (to recall one of the only phrases I remember from Spanish I in high school). The main reason I decided to become a travel nurse was the opportunity to see new places and experience new things. But there are certainly other reasons to consider travel nursing.

Reason No. 2
Travel nursing has given me an opportunity to see how different facilities work in different parts of the United States. Most of the facilities I have worked in have been hospitals. I have noticed that many of the hospitals I have worked in are primarily about the "bottom line." How many patients can we put in how many beds to turn a profit? I would go to work like every other nurse, do my job and go home. Not much fun. However, I have worked in one hospital that was clearly more concerned about patient care and employee well being than turning a profit. At least that is how it seemed to me. Employees had access to onsite recreation facilities and patients had large, well furnished rooms and "gourmet" meals. If and when I decide to take another assignment in St. Louis that is the facility I would want to work in again.

Reason No. 3
Higher pay. I know that it is kinda' taboo to discuss pay at work, but everywhere I have worked it doesn't take long for me to find out how much everyone is making. Usually lunchtime conversation. It has been my experience that I make on average $10.00 to $20.00 more than regular nurses because I am a travel nurse.

Reason No. 4
If the job stinks, I usually only have to endure it for 3 months. And, if it is too bad, I just need to request that my agency find someone to replace me. I have not had to do this yet, but I have been told that it usually doesn't take very long.

Senin, 28 Agustus 2006

Former Governor Supports HR 4903

Pictured: Barbara Roberts, Governor of Oregon 1990-1994

I am proud to support the grassroots efforts of nurses who are working to establish an Office of the National Nurse and teams of dedicated nurses throughout the country who will deliver much needed educational programs to every community, including those who live in underserved areas.

Having a National Nurse address the nation each week on ways to live healthy will not only improve public health by using plain spoken language that every American can understand, but will also serve as a beacon of inspiration to attract others to the nursing profession at a time when our country is facing a critical shortage of nurses.

HR 4903, the National Nurse Act of 2006, introduced by the Honorable Lois Capps (CA) on March 8, 2006 into the 109th session of Congress, has the potential to save many lives, reduce needless suffering, and save dollars in a healthcare system that is already bursting at the seams. HR 4903 also encourages nurses to become educators in order to increase student enrollment in nursing programs and to help ease the shortage.

As former Governor of the state of Oregon, I know we are capable of working together in a bipartisan fashion to deliver health care to all Americans and to keep the nursing profession strong. All five members of the US Congressional delegation from Oregon have signed on to HR 4903 as cosponsors, and it is my hope that every US Representative will join them in this worthwhile effort.

Kamis, 24 Agustus 2006

Supporter Visits Congresswoman Loretta Sanchez (CA)

Pictured: Congresswoman Loretta Sanchez (CA) with Public Health Nurse Susan Sullivan

The National Nurse Team recently received a report from Susan Sullivan RN MSN, staff educator of the Public Health Nursing Division of Orange County. Susan has been an avid advocate for an Office of the National Nurse for over a year, so making an appointment to seek the support of her US Representative was a logical next step. Susan brought a packet of information with her, including recent articles about the National Nurse proposal, a copy of HR 4903, and a list of talking points.

The visit with Congresswoman Loretta Sanchez went very well and it seems certain that she will be signing on to the National Nurse Act of 2006 as a cosponsor once Congress resumes session in September.

Susan also learned that on May 10, 2006 Congresswoman Sanchz joined with Congressman Thomas G. Tancredo to introduce legislation for a nursing student loan forgiveness program. HR 5349 is presently in the Subcommittee On 21st Century Competitiveness.

Selasa, 22 Agustus 2006

Travel Nurse: Travel Nursing Career - A Dream Come True?

A number of my articles somehow got deleted. Once I get the chance to look through my backup files I will put them back up.

Senin, 21 Agustus 2006

Meet the Staff of Congresswoman Lois Capps (CA)

Pictured from left to right: Christine Elliott, District Representative; Marcos Lazaro, Caseworker; Sharon Seigel, District Director; Katie Miersemann, Caseworker; Karin Quimby, Scheduler; and Teri Mills, President of the National Nursing Network Organization

Pictured: Teri outside of Representative Capps San Luis Obispo office

As many of you know, The National Nurse Act of 2006 was introduced into the House of Representatives by the Honorable Lois Capps on March 8, 2006. Congresswoman Capps is also a registered nurse and she co-chairs the House Nursing Caucus.

While on vacation, Teri decided to stop by the offices of Congresswoman Capps located in San Luis Obispo and Santa Barbara to meet and greet her extraordinarily supportive and knowledgeable staff.

The National Nurse Act of 2006 is red, hot, and rolling and has seen remarkable progress in California. This past month the California School Nurses Organization endorsed the bill. Four US Representatives from the state have signed on to HR 4903 over the course of four weeks. Students from all corners of the state continue to inquire about the bill and to integrate it into their school projects and presentations.

Nursing Administration Quarterly issue devoted to Evidence-based Practice

Nursing Administration Quarterly v 30(3) July-Sept 2006 devotes the entire issue to Evidence-based Practice: impact on nursing administration. Saint Joseph Hospital of Orange,California and Children's Hospital of Orange can access this issue full text via Burlew Medical Library's website. Find out whether your library has access to this important issue.

Table of Contents
Evidence-based Practice: Impact on Nursing Administration.
Brown, Barbara J. EdD, RN, CNAA, FAAN, FNAP, Editor-in-Chief[From the Editor]


2
pg. 191-192Evidencing the Value of Nursing Practice.
Porter-O'Grady, Tim EdD, APRN, FAAN[Guest Editorial]

3
pg. 193-202Quantifying Patient Care Intensity: An Evidence-based Approach to Determining Staffing Requirements.
Beglinger, Joan Ellis MSN, MBA, RN, FACHE, FAAN[Article]

4
pg. 203-210Using Diffusion of Innovation Concepts to Enhance Implementation of an Electronic Health Record to Support Evidence-based Practice.
Geibert, Robert C. EdD, RN[Article]

5
pg. 211-220Constructing a Team Model: Creating a Foundation for Evidence-based Teams.
Porter-O'Grady, Tim EdD, APRN, FAAN; Alexander, Daniel R. MS; Blaylock, Jo MS; Minkara, Nazem MS; Surel, Dominique MBA[Article]

6
pg. 221-227Patient Care Transformation: The Plan and the Reality.
Drexler, Diane RN, MBA, CNO; Malloch, Kathy PhD, MBA, RN, FAAN[Article]

7
pg. 228-235On the Scene at Banner Estrella Medical Center, the Hospital of the Future.
Dobson, Christina MSN, RN, FNP-C; Meythaler, Denise BSN, RN; Wong, Paul BSN, RN, CCRN, CEN, CPAN; Ramirez, Chuck BA, RRT[Article]

8
pg. 236-242Diffusion of Innovation: The Leaders' Role in Creating the Organizational Context for Evidence-based Practice.
Crow, Gregory EdD, RN[Article]

9
pg. 243-251What Goes Around Comes Around: Evidence-based Management.
Williams, Lauren L. EDM, RN[Article]

10
pg. 252-265Evidence-based Practice: How Nurse Leaders can Facilitate Innovation.
Shirey, Maria R. MS, MBA, RN, FACHE, CNAA, BC[Article]

11
pg. 266-272Perceptions and Characteristics of Registered Nurses' Involvement in Decision Making.
Mangold, Kara L. MS, RN; Pearson, Kristina K. MS, RN, OCN; Schmitz, Julie R. MS, RN; Scherb, Cindy A. PhD, RN; Specht, Janet P. PhD, RN, FAAN; Loes, Jean L. MS, RN[Article]

12
pg. 273-284Perceptions, Knowledge, and Commitment of Clinical Staff to Shared Governance.
Frith, Karen PhD, RN; Montgomery, Meryl MSN, RN[Article]

13
pg. 285-290Comparison of Native Versus Nonnative English-speaking Nurses on Critical Thinking Assessments at Entry and Exit.
Whitehead, Tanya D. PhD[Article]

14
pg. 291-294Evidence-based Practice: How Nursing Administration Makes IT Happen.
Simpson, Roy L. RN, C, CCMA, FNAP, FAAN[Nursing Informatics]

15
pg. 295-299SBAR and Nurse-Physician Communication: Pilot Testing an Educational Intervention.
Hamilton, Patti PhD, RN; Gemeinhardt, Gretchen PhD; Mancuso, Peggy PhD, RN, CNM; Sahlin, Claire L. PhD; Ivy, Lea MA, RN[Research Abstracts]

16
pg. 300Handbook of Diabetes Management.
Falter, Betty MS, RN, CNAA, BC[Book Review: Books
for Nursing Administrators]

Resources for Evidence-Based Nursing from McMaster University

McMaster University has created a terrific Resources for Evidence-Based Nursing which is based on the Haynes model.

Jumat, 18 Agustus 2006

The Only Ones Who Can

"I'll need help getting this one to take a bath. She swears and refuses every time I come in the room."

I agreed to help the other tech with her difficult patient.

The woman in question was slouched in her chair. When the other tech asked if she was ready to bathe yet, the woman swore and pleaded to be put back in bed. The tech looked at me with smug "I told you so" eyes.

The nurse came in and told the patient she had doctor orders to stay in the chair for another 3 hours. The woman yelled and demanded to be put back to bed.

I leaned down to look at the woman. "You look pretty uncomfortable. Here, why don't you let me put your feet up? Here, you dropped your PCA button. Why don't you give it a push? Your gown is all twisted. Why don't you let me put on a fresh one? While we're changing, why don't I wash up under your arms? I'll wash your legs too. We can save the rest for when you get back in bed."

The woman grasped my at arm and said "You're not made for this, honey."
"What do you mean?" I asked.
"You don't walk away."
"I can't walk away until I get you a little more comfortable, can I?"
The woman didn't swear the rest of the shift.

I'm not saying that all problems can be solved by a little extra attention. But if nothing else can be gained from my short little story, I want to impress upon anyone who reads the idea that anger and rudeness in patients is often misdirected pain. Humans aren't naturally mean-spirited; we care too much about what others think of us to be coarse. We want to be thought well of, so we treat people politely. A patient who is less than polite has either been treated poorly, or is hurting.

Spending a few minutes to make a person more comfortable can make all the difference. Sometimes all people need is a sympathetic ear. I have won over more disagreeable people than I can count simply by listening. It works with coworkers. It works with superiors. It works with perfect strangers. The key to solving the problem lies in not taking things personally. It is important--essential!--for nurses and techs to try to approach patients with a firm respect for their inherent worth as individuals. If we can't try to see where they're coming from, we are not fit to serve them.

It frightens me to think of how that woman's day would have gone if I'd not agreed to help bathe her. She was in absolute agony sitting the way she was, and the other tech was too insulted to see how it needed fixing. That's why I think nursing isn't only my calling, but my duty. If there aren't people like me out there to advocate the patient and listen carefully to their needs... who will?

Nothing is worse than a dismissive or judgemental caretaker.

Thank You Congressman Bernie Sanders (VT)

Pictured: Congressman Bernie Sanders (VT)

Congressman Sanders sent the National Nurse Team the following thank you note, but the real thanks go to him for signing on as a cosponsor to HR 4903.

"Thank you for contacting me about the National Nurse Act of 2006. I am proud to be a cosponsor of this bill.

The number of people diagnosed with heart disease, cancer and other potentially fatal illnesses continues to rise. People suffering from these illnesses need the best care available. Therefore, we must ensure that we not only have the best trained nurses in the world, but that our hospitals and other heath care providers have all of the qualified staff members they need to provide quality care. Unfortunately, in recent years, the number of people opting to enter the nursing profession has continuously declined and as a result fewer nurses must work longer hours, often under very stressful conditions.

The National Nurse Act of 2006 amends the Public Health Service Act to create an Office of the National Nurse, dedicated to providing support and encouragement for individuals entering the nursing profession. Additionally, it would make grants available to nonprofit groups devoted to educating the public on health priorities."

Kamis, 17 Agustus 2006

Housing Stipend: Buy an RV and Retire Early

One of my nursing assignments was at a hospital in Atlanta, Georgia. While there I met a travel nurse from New Jersey who's biggest goal was to retire by the time she was 40. She determined to begin by ridding herself of student loan and credit card debt and to pay off her vehicle. No easy task; especially considering her vehicle was a $90,000 RV.

One night after getting off work we rode out to a well lit staff parking lot where she showed me her RV. The hospital allowed her to park in their staff parking lot and use all their hook-ups for free. She told me her travel nursing agency had offered to either pay for her to live in an upscale apartment or receive a generous housing stipend of $1,000 per month. She chose the stipend and used it to purchase the RV.

Her RV was beautiful and, more importantly, nearly paid off. She liked being able to travel to her different assignments without having to pack up her things to move. No boxes, moving vans or damaged furniture.

Most of the travel nursing agencies I have used will pay a housing stipend like the one my friend received.

Rabu, 16 Agustus 2006

Registered Nurse Jobs

A number of my articles somehow got deleted. Once I get the chance to look through my backup files I will put them back up.

Senin, 14 Agustus 2006

Winter Travel Assignments Appeal to RN, Ski Bum

A number of my articles somehow got deleted. Once I get the chance to look through my backup files I will put them back up.

Jumat, 11 Agustus 2006

California School Nurses Organization Endorses HR 4903


The California School Nurses Organization voted at their executive board meeting last month to support HR 4903, the National Nurse Act of 2006. Representative Lois Capps who introduced the bill in Congress on March 8, 2006 is a former school nurse and a member of this organization.

Here is their letter of endorsement:

The California School Nurses Organization is pleased to be able to take a support position on HR 4903. This very important federal legislation, authored by Representative Lois Capps, of California, will focus national attention on the importance of nursing; hopefully inspire entry into nursing careers, and enhance the value of practicing nurses.

The California School Nurses Organization is the professional organization for school nurses practicing in California. We represent over 1400 members, in both the public and private schools and serve children from birth through 22 years of age in all school settings, preschool through grade 12. Since the 1950's, CSNO has been promoting and strengthening the role of school nurses in the educational community. Today the organization's goals are professional development, legislative advocacy, and communication among school nurses, membership recruitment, public relations, governance, and leadership development. We have a vision: all children should be in school, healthy, ready, and able to learn.

If this legislation passes, and the Office of the National Nurse is established, it will help to prioritize and deliver the health agenda to the nation by complementing government services already in place, and will focus much needed attention to a health agenda that prioritizes wellness and prevention. We strongly support this legislation.

Sincerely,

Dee Apodaca
President

Nancy Spradling
Executive Director

Kamis, 10 Agustus 2006

Travel Nursing Jobs in California


Shortly after I graduated from nursing school my husband and I got married. After a three day stay at a southern plantation style bed and breakfast in south Georgia, we flew to California where we were to spend the next week in Lake Tahoe. It was then that I discovered my husband is "Geographically Challenged." He booked us a flight into Los Angeles thinking it was somewhat close to Lake Tahoe. It's not. We ended up driving all day from Los Angeles to San Francisco to Sacramento then to Lake Tahoe. The trip was draining, but beautiful.

After arriving in Los Angeles we rented a car and traveled up Pacific Coast Highway toward San Francisco. The highway runs alongside the ocean (as the name would imply) for hundreds of miles; sometimes high up on cliffs overlooking the ocean and sometimes almost right at sea level. We were particularly impressed by the contrast in topography from southern California to Lake Tahoe. From sandy beaches and desert (Los Angeles) to high cliffs and hills (San Francisco) to thick forest and mountains (Lake Tahoe).

We now have a chance to revisit California as I am considering taking an assignment there as a traveling nurse. I have checked with one of my travel nursing agencies and they have made all of the areas (Los Angeles, San Francisco, Sacramento and Lake Tahoe) very enticing. They have offered me a $1,500 bonus to relocate to any of the areas in California and to pay the cost of relocation. They have also offered to pay for our rent while we live there and to match any other agency's hourly rate. It could be a much a $55 dollars per hour. We will likely be making our decision on where to live in the next few weeks. I will let you know what we decide.

Selasa, 08 Agustus 2006

Travel Nursing Goes Rural


A number of my articles somehow got deleted. Once I get the chance to look through my backup files I will put them back up.

Senin, 07 Agustus 2006

Travel Nursing - Flexible And Diverse Opportunities

A number of my articles somehow got deleted. Once I get the chance to look through my backup files I will put them back up.

Sabtu, 05 Agustus 2006

How To Get An Exciting Career In International Travel Nursing

A number of my articles somehow got deleted. Once I get the chance to look through my backup files I will put them back up.

Jumat, 04 Agustus 2006

It's Unanimous-AFT National Endorses HR 4903!


July 20 to July 23 were exciting days in Boston for supporters of the Office of the National Nurse, as the nearly 4,000 delegates to the 2006 convention of the American Federation of Teachers voted unanimously to support HR 4903, the National Nurse Act of 2006.

The AFT represents 1.3 million teachers, professors, and other educational professionals, nurses and other healthcare professionals, and public employees. It is also home to some of the nursing educators leading the effort to create the Office of the National Nurse, which made the AFT approval particularly special. The resolution was in fact originally proposed by Local 2277 of the AFT, the Portland Community College Faculty Federation, of which Teri Mills and Alisa Schneider are proud members. It was approved at the AFT-Oregon state convention in April, then forwarded to the national AFT.

The resolution, Creating the Office of the National Nurse was number 18 of the more than 75 resolutions introduced at the convention. It was initially taken up by the Healthcare Committee, whose 100 members represented healthcare locals from all over the nation. Local 2277 President, Michael Dembrow, presented the resolution to the committee members, along with an amendment to include an explicit reference to HR 4903. The amendment passed without objection, and the resolution left the committee with a unanimous Do Pass recommendation. Even more important, it was ranked among the top three resolutions of the committee, which meant that it was guaranteed to be considered for action on the convention floor. Had it not made the top three, it would have been referred to the AFT Executive Council to be considered at some later date, as was the fate for the majority of resolutions.

Instead, on July 22nd, under the leadership of AFT Executive VP Toni Cortese, Resolution 18 was taken up by the delegates and passed unanimously, to considerable applause and roars of approval (most likely from healthcare locals!).

Below is a copy of the resolution.



Creating the Office of the National Nurse

WHEREAS, nurses are crucial to the promotion of preventive care and the caring of the whole person; and

WHEREAS, nurses are highly valued and trusted by the public, and are often in a position to deliver educational messages to the public about ways to improve their health and prevent disease; and

WHEREAS there is a serious effort to create an Office of the National Nurse; and

WHEREAS, the National Nurse would act to raise awareness of health issues and promote good health through education and community outreach; and

WHEREAS, the National Nurse would serve as an effective complement to the existing United States Office of the Surgeon-General; and

WHEREAS, the Office of the National Nurse would provide input at the public policy table on a number of valuable initiatives, such as

Providing weekly broadcasts for the media and the internet to promote health;
Increasing the number of nurse educators;
Facilitating the deployment of nurses to under-served areas;
Creating a National Nurse Corps to deliver nursing assistance and education to communities, particularly communities in crisis and

WHEREAS, the American Federation of Teachers represents many thousands of nurses and nurse educators across the United States; and

WHEREAS, this effort to create the Office of the National Nurse was initiated by nursing faculty who are members of AFT Local 2277, the Portland Community College Faculty Federation; and

WHEREAS, this effort is generating widespread support across the nation, with legislation to be introduced in Congress;

RESOLVED, that the American Federation of Teachers encourage the effort to create an Office of the National Nurse embodied in legislation such as HR 4903 and work to promote passage of legislation such as HR 4903; and

RESOLVED, that the AFT help to spread awareness of the effort to create an Office of the National Nurse among its members and partners. (2006)

Travel Nurse Employment: Tax Advantages of Per Diem Deductions

The way you report your per diem earnings as a travel nurse could save you thousands of dollars in taxes. Whether you are looking to maximize deductions, reduce taxes, or increase your returns, if you are a travel nurse you should take the time to learn as much as possible about per diem tax rules.  Most travel nursing agencies can explain how these rules work.

Kamis, 03 Agustus 2006

Finding the Right Travel Nursing Placement Agency

A number of my articles somehow got deleted. Once I get the chance to look through my backup files I will put them back up.

Advocate for Every Patient By Supporting HR 4903

Pictured: Heidi Madsen with client from her parish

My profession and ministry is to serve the underserved and link patients to community resources, provide education, referrals to counseling, patient advocate, support at the end of life. The list is endless. My blessing is to provide the emotional and spiritual support to my patients while we journey together on this earth.

Heidi Madsen, RN
Parish Nurse
Cleveland Clinic

Rabu, 02 Agustus 2006

Tips On How To Start A Career In International Travel Nursing

If you are a nurse who enjoys traveling, you may want to consider a travel nursing position. Many travel nurse placement agencies offer positions that range anywhere from four to thirteen weeks depending on the case. This type of position offers the opportunity to expand your horizons while obtaining more experience in your chosen field.

In terms of compensation, the traveling nurses tends to make anywhere between 10-15% more than the staff nurse with incentives and bonuses added to the package. For many nurses, being a travel nurse opens the opportunity to see parts of the country they would not ordinarily see in the course of normal employment. If you aren't able to travel because of children or financial obligations, you can still experience the thrill of being a travel nurse by accepting assignments closer to home. Of course, when you are able to do so, you can ask for assignments in other cities or states. That is one of the benefits of being a travel nurse with a placement agency: it leaves you in control of which assignments you accept. Unlike a staff position, you are not required to report to work every day as per a set schedule unless you are on an assignment. When you are in between assignments, the choice is yours to accept or decline, and often times with a travel nurse, bonuses are paid to those who complete assignments.

Are the assignments always in hospitals or nursing homes? That depends on the assignment, but the potential is also there for private duty. Some nurses prefer private duty cases, and in many cases, the pay is higher than it is in a facility-based assignment. Let the placement agency know if you prefer a particular kind of environment because they will try to accommodate you whenever possible. The key role is to meet the needs of both the patient or facility and the nurse. The more comfortable the nurse is with the position to which she has been assigned, the easier it will be for her to perform her job.

Travel nursing opens up many opportunities in the field, and for the nurse who is good at what she does, and not adverse to relocation, opportunities in other states as a staff nurse may be a thought to consider. This is a good way to feel the waters and see if you like different scenery before making the permanent decision to move to an unfamiliar place. This type of position is not for everyone, but if you like to travel and try different things, this is the kind of position you will love. Not only will you see other parts of the country, you will experience a completely different world of individuality in the new people you will meet.

Selasa, 01 Agustus 2006

Castro Valley Rotary Supports National Nurse Act

Pictured: Teri Mills and KJ Page
Thank you to the Castro Valley Rotary Club, President Bernie Kempen and past President KJ Page for inviting Teri to speak at their weekly meeting about the National Nurse Act of 2006. A reporter from the Castro Valley Forum wrote these comments:

By the very nature of their activities, Castro Valley Rotarians are used to hosting important guest speakers and supporting a good cause. Their weekly meeting yesterday, organized by the past president KJ Page, featured a speaker with a mission of national significance, Teri Mills, RN, MS, ANP, and a founder of the National Nurse Act of 2006, who was introduced by the CV Rotary president, Bernie Kempen.

The idea, initiated by Mills, was to establish an Office of the National Nurse within the national government, to be led by a registered nurse appointed by the Secretary of the Office of Public Health and Science.

As health care providers, we can do better, said Mills. It is our obligation to teach every American how to prevent diseases.

To read the article in its entirety, visit The Castro Valley Forum

Start Spreading the News! Nursing Jobs in New York

If someone would have told me ten years ago that I could get paid to move to New York City, have my rent paid for me, make almost double my hourly rate plus a several thousand dollar bonus for commiting to live there for three months I would have said they were crazy. But that is exactly the situation I now find myself in as I consider my next assignment as a traveling nurse in New York City. Wow! New York City!

Before I take any new assignment as a traveling nurse, I always write down the pros and cons of the new assignment. This one was easy. Yankee Stadium, The Empire State Building, Central Park (I hear A-Rod walks around with no shirt on), Lady Liberty, shopping, restaurants. The list is endless.

Senin, 31 Juli 2006

The Importance of Meaningful Work

I've been working as a Nurse Tech for the PCU for over a month now. And I must say that my impressions thusfar have been favorable, both of the hospital as well as the floor. Yet, before I go any further, I want to tell you something very important I have realized these last few weeks:

Working as a tech is an invaluable foundation for your nursing career!! I highly advise all nursing students to take on a part time job as a tech or aide!!

Make no mistake, tech work isn't easy. It's sweaty and gritty and filthy and exhausting. I often spend 10-12 hours a day on my feet (Which was quite an adjustment for me; I had to buy inserts for some new shoes just to keep from having muscle pain. I've lost a few pounds from the walking). But I feel like it is fundamentally important to nursing care. I feel like, if I can do this part, I can do anything.

And honestly, if you aren't prepared to do the "worst parts" of the job, how can you be expected to do a good job at the easier parts?

The thing I love most about my work is the people I get to talk to. Of my few gifts, I feel that reading people and ministering to their emotional hurt is the most important and relevant for my daily life. Sometimes healthcare workers forget to look at a patient holistically. While I am caring for the body, I also place great value on caring for the mind and spirit. It is SO easy to write people off because of their behavior. It's easy to forget that people are human beings, not just diseases. Every time I go in a room, I take time to hear the person's story (because everyone likes to talk about their health). I feel it is making me not only stronger, but kinder.

But beyond direct patient experience, this job has been good for learning more how the hospital works. I am sent from place to place on various errands, and am finding out where things are located and how to get things done. The nurses often pull me into a room to watch procedures, so I'm gaining extra "class time" of a sort. And, lastly, I am making connections that will prove valuable for my future preceptorships and job interviews.

The only real downside is that I wake up early and am often tired at the end of the day. But I'm a somewhat soft person, so I can't complain too much if my body hurts simply because I'm out of shape.

School starts in the middle of August, so I'll keep you updated on how this job works out for me during the new semester ^_^

Nursing Jobs - Insider Tips On Choosing the Best Employer

The Author: Scott Knutson is an entrepreneur and writer.
Nurses are in high demand and that demand has created an excellent opportunity for those in the health care field. It's not only a chance for better wages than ever before; it's also an opportunity to choose your benefits. That means that you'll look more closely at the individual companies and what they can offer. So what benefits can you expect as a nurse? Take a look at some options you'll find from the various nursing agencies and health care facilities.

Favorable working conditions and hours - While there's no doubt that more nurses and other health care professionals are constantly in demand, many companies and facilities are offering nurses and technicians time off as an incentive to work for them. These companies do whatever it takes to keep working hours to a reasonable level, including hiring temporary workers from other companies. This means that there's less demand to work overtime, leaving even nurses time for themselves and their families. The goal is two fold. Not only do these companies want to attract and retain quality employees, they also realize that nurses and others health care professionals are more likely to be at the top of their game when they're handling reasonable working hours with adequate backup staffing.

The tangibles - Not only are nurses demanding higher wages than ever before, they're also being offered other benefits that haven't been necessarily associated with professionals in this industry in the past. Most are small incentives that carry little importance to some people, but may become big issues. Direct deposit is one example. Seem like a minor point? Maybe, until you're getting your paycheck on Thursday night, are too tired after working overnight to make the trip to the bank Friday and wind up with a check that still hasn't been cashed the following week.

Part-time, temporary and situational jobs - There are companies out there that offer placement for nurses to meet situational requirements. You may not want the responsibility of a full-time position in a hospital, but want to work only a few weeks at a time. You have plenty of options. Choose travel nursing and spend a few days on the road each month, or a few months out at a time. Pick up part-time work or temporary positions. You have plenty of options without working full time and there are companies that do nothing but placements for people like you. Be careful to choose a reputable company and be wary of signing a long-term contract that limits your work with other companies, but this could be a viable option.

Education - There are some real options available if you want a career in nursing or want to advance your education to make yourself more attractive on the marketplace. Take a year off to get some additional training or take a night class. You can choose online courses or pick up classes at your community college or university. You have plenty of options if you want to advance your career with education.

Pay - Most nurses will tell you they choose their field because of the good they can do other people, but there's no doubt that the money is attractive. And pay for nurses in all walks of the health care industry have never been better.

Minggu, 30 Juli 2006

Preparing for the Future

Pictured: June Schulte

As the mother of five adult children, I have many reasons to support the National Nurse Act of 2006. Now that they have moved on from home, I am concerned that they have access to good, affordable health care. My reasons arise as questions: Will my children have a way to get their health related questions answered? Will my child with diabetes know enough about self care? Will our country ever get a national health focus that encompasses the needs of growing families?

My sister is a nurse, so I know nurses give a lot to their profession. When I served as a hospital chaplain intern, I quickly saw how vital our nurses are. They are on the front lines of care and most people trust their nurses to assist their care and to answer important questions about their care. When one patient with diabetes I was following complained of leg pain following surgery, it was a nurse who discovered the infection.

How will we cope with the evident nursing shortage that is looming? What if there is a national health emergency? How can we encourage nursing vocations? I am soon to become a grandmother; what does the future of health care in this country look like?

Isn't it about time that we take action for today and prepare for the future through the National Nurse Act, so that nursing in America can have a central focus? I say YES, and what took us so long?! Thank-you, nurses!!

~ June M. Schulte, Jericho, Vermont

Sabtu, 29 Juli 2006

Top Ten Travel Nursing "Hot Spots"

Janet Fikany works with HealthCare Staffing Network.
If you want to find a specific job as a traveling nurse just click on the links below the pictures at the top of this page.The great thing about being a traveling nurse boils down to one key component – it’s about the travel! For those of us who love moving around and seeing the world, travel nursing is the profession of our dreams. There are many travel destinations available, based on weather, activities, cost of living, and salary. Therefore, I have gathered a list of my “Top Ten” destinations that nurses choose, based on the number of travelers who inquire about each location every month. Are you a travel RN scouting a new assignment? Then I’d like to suggest the following ten “Hot Spots”:
HAWAII – It’s no shock that Hawaii generates over 500 travel nursing inquiries per month. The wide range of outdoor activities from snow-capped mountains to snow-white sandy beaches elevates Hawaii to one of those meccas where you can build a snowman or a sand castle all in one day. Nurses tell me that you’ll discover virtually every type of outdoor activity imaginable—hiking trails that wind through erupting volcanoes, secret beaches, and lush green ranchlands. Many travelers also hunt, mountain bike, go rafting, and golf on some of the world’s most extravagant courses.



ALASKA – Travel nurses are intrigued by the possibilities of Alaska’s rugged mystery. Alaska is a huge wilderness with beautiful scenery, and travel nursing assignments offer plenty of time to see and do everything you want, whether in winter’s darkness under northern lights, or the glorious spring and summer where it’s light most of the time. Outdoor enthusiasts enjoy Alaska for its’ wildlife, spectacular natural landscape, and fishing expeditions where the fish really are as big as the stories about which they’re told. Countless day cruises and sightseeing expeditions abound, as well as opportunities to hike, kayak, canoe, ski… Need we say more?

MONTANA – Whether photographer, adventurer, or both, Montana is truly a state that beckons with open arms. River trips, fishing and camping, history, snowy mountain ranges, and waterfalls are what you’ll encounter, along with plenty of open space to explore. Assignments in Montana appeal to those travel nurses who just need some time to break away from their city grind to enjoy marching to the beat of an entirely different drummer. The Big Sky Country boasts some of America’s most famous mountains, canyons, river valleys, forests, grassy plains, badlands, and caverns, and many travelers find it just irresistible enough to keep coming back.
MAINE – Maine’s splendor has inspired artists like Georgia O’Keefe and three generations of the Wyeth family, since the mid-nineteenth century. Travel nurses can’t resist at least one adventure in this charming getaway. Whether you embark on outdoor adventures like skiing and snowmobiling, or if you prefer the cozy ambience of antiquing through charming villages or just strolling or riding horseback on miles of sandy beaches in the smell of salt air, Maine is legendary and offers some wonderful travel nursing experiences. Its’ unique culture is outdoorsy and quaint, and of course you get to enjoy lobster as the locals do—fresh from the ocean!
CALIFORNIA – Warm weather and world-famous beaches make California a favorite choice for traveling nurses. Nine-hundred miles of coastline gives nurses in all locations the chance to spend many hours near the waves; and for nature lovers, California is home to many wildlife parks, remote wilderness areas, and safe-havens for endangered animals. If you’re an excitement junkie, you can scout out a wide selection of theme parks; and no matter what your taste in music, concerts abound in every type of venue. Historic sites and museums invite, as do five-star restaurants and clubs in which to see and be seen. The shopping is unparalleled, whether it’s trendy Melrose Place, La Jolla, or the strand in Venice Beach; and of course it’s home to Hollywood, and, yes, movie stars. Whether northern, southern, or coastal locations, traveling nurses return to California time and again.
WASHINGTON – The Evergreen State boasts the gorgeous Pacific Ocean, the Cascade Mountains, desert experiences, rain forests, towering volcanoes, glaciers, and lush wine country. Washington State rates high on the list of many nurse travelers. Must-sees are the Space Needle and Coulee Dam. The culture here is incredibly diverse; sophisticated, outdoorsy, and loaded with resorts, history, parks, museums, and botanical gardens. Whether touring downtown Seattle for cozy antique and book stores, exploring ancient Indian grounds, or hiking and biking mountains or trails, Washington holds a strong allure for many nurse travelers.
SOUTH CAROLINA – Endless adventure, excitement, fun and exploration represent why South Carolina is always a favorite destination for travel nurses. America’s oldest landscaped gardens frame mansions rife with historical heritage, in addition to pristine beaches and legendary marshy wetlands. For all you golfers, with over 330 golf courses, there’s always a new place to swing your clubs. But what fascinates many traveling nurses is the rich heritage in which South Carolina has paved the roads of culture, art, and folklore in our past. You can visit several historical areas and discovery centers of American history, including the American Revolution and the Civil War.
COLORADO – World-class winter skiing and summer music festivals in the mountains are just two reasons that nurses love traveling to Colorado. Boasting four spectacular seasons, Colorado is where travel nurses get to explore the state’s 18 million acres of state and national parks, forests, and monuments for biking, hiking, fishing, mountain climbing, and kayaking, to name a few. Colorado has many cultural treasures, including ancient Native American sites and dinosaur fossil exhibits, historic ghost towns, and even award-winning vineyards in Grand Junction. And for those who enjoy city life, amid all this natural beauty lie wonderful metropolitan areas like Denver and Boulder, full of shopping, performing arts, and professional sports.
TENNESSEE – From energetic nights of blues on Beale Street, to gorgeous rolling acres of Tennessee Walker horse country, to peaceful Smoky Mountain sunsets, Tennessee is a vacation that offers many world-renowned attractions. Nurse travelers who visit Tennessee will find that they’re within a day’s drive of 75-percent of the U.S. population via quality interstates and highways. Attractions in Tennessee include the Jack Daniels’ distillery, Elvis’s Graceland, the Grand Ole Opry in Nashville, and lots of southern hospitality. And don’t forget the crown jewel of the southern Appalachians, the Great Smoky Mountains National Park.
ARIZONA – If you adore the outdoors, then the Grand Canyon State might just be for you. The nurses who go there just rave about Arizona’s landscape which takes in tall mountain ranges, swift rivers, grasslands, sand dunes, and cactus forests all set against a beautiful sky that glows pink in the sunset. The traveler nurses who enjoy history will find plenty of it here, including Old West reformations, Native American nations, and Spanish-influenced areas all in one state. Arizona is also home to the nation’s greatest golf courses, resorts, spas, cabins, and ranches.
As you can see, limitless possibilities exist for those nurses who want travel, fun, and adventure to be part of their daily lives. If you’re a nurse who travels and it's time for you to move on to a new location, try one of these top travel nursing destinations and see what new experiences lie ahead.

Jumat, 28 Juli 2006

Travel Nursing - The Best Of Both Worlds. Find out how travel nursing can help your career and your life today.

Because of severe shortages of nurses across the country, travel nursing has become "big business" If you're one of the nurses not familiar with travel nursing you owe it to yourself, and your bank account to investigate further.

Family Keeping You At Home?
Many nurses with children have the idea that travel nursing is off limits. Not necessarily true. There are advantages of travel nursing that can benefit you as well as your children. For example, as a travel nurse many recruiting companies will provide you with free housing. This provides you a place for your family without all the hassles of finding it on your own and moving your household items.
Another benefit to the children is the fact they have the chance to see other parts of the country and a variety of lifestyles. It's almost like vacationing while you're working. You and your family get to see the places you've always dreamed about visiting... yet you're still earning a regular salary.
You can also choose travel nursing and work within areas close to home. You'll be working in familiar areas, keeping the family in one location and earning more. That's right most travel nursing pay scales are anywhere from ten to fifteen percent higher than the pay of a regular staff nurse.


Pick and Choose
Another advantage of travel nursing is you'll get to choose the area you work as well as the type of nursing. If you're feeling a bit stagnant in your career, travel nursing is a great way to pursue other specialty areas of nursing without being locked in as a staff nurse. You'll get to try whatever you choose without being stuck if you find you don't care for that particular nursing specialty.
Most travel nursing companies assign you a recruiter. Your recruiter will work to find out exactly what you're looking for and find it for you. This includes salary, type of nursing, and geographical location. You can write your own ticket to wherever and however you choose to work.

Increase Your Skills
Travel nursing offers you the opportunity to increase your knowledge base. By choosing to work in a variety of settings and nursing areas, you'll build a long list of experiences that will make you in high demand. Travel nursing skills gives you unlimited opportunities and puts you in great demand. Investigate today for your future.

Promote Health Education Through A National Nurse

Pictured: Donna Jagger

As a women's health nurse for over 25 years working in Labor and Delivery, teaching childbirth classes and helping Moms learn how to breastfeed their babies, I am sure that the office of a National Nurse would be a fantastic way to promote health education with our present and next generation!

As a Lactation Consultant, I know we have lots of work to do to influence our culture and see that breastfeeding should be
the normal behavior for mothers and babies. When we support the breastfeeding dyad we not only help to reduce the risk of middle ear and respiratory infections, allergies, childhood obesity and type 2 diabetes, but we also lessen the risks for mom to develop breast cancer, ovarian cancer, uterine cancer and osteoporosis.

But most significant is that we reduce health care costs and create a healthier society! The miracles of childbirth and the natural system of infant nutrition (AKA breastfeeding) should be well explored with health care providers on a regular basis, as part of our educational and health care system.

An adoption of the National Nurse Act would certainly afford nurses like myself to engage in the education of preventive health practices for all Americans! The vast knowledge of the nursing profession, can offer a world of good to every American, strengthening the core of America, the family.

Donna Jagger , RNC IBCLC CCE
Lactation Consultant
Community Medical Center
New Jersey

Kamis, 27 Juli 2006

How to Maximize Your Potential as a Traveling Nurse

The Author:Janet Fikany is a "Senior Placements Specialist" for HealthCare Staffing Network.
It never fails to surprise me how many nurses express their frustration with the world of travel employment. Most often, they wonder why they aren’t finding the assignments they want and deserve; they wonder why placements can take so long; and they wonder why their agencies aren’t doing more to help. It’s understandable nurses feel like this. Finding the right opportunity can be a timely, stressful, or ultimately unfulfilling process, especially if their placement agency isn’t putting in a lot of time on their behalf. However, what many nurses fail to realize is that to be successful as a travel nurse, there’s some work that should be done on their part, too! As with any job, you will get out what you put in -- your potential is directly related to your involvement in the placement process. In light of all this, here are some tips to help guide nurses in being proactive during a job search to help find the best possible assignment each time.

BE PREPARED
First, always be prepared to demonstrate your qualifications at any time. Nursing placement agencies will need copies of your current Nursing, Operating-Room Technician, or Allied Health Professional licenses. You will need to show experience in your specialized field. And you will need to verify all of your certification, education, and experience. Candidates who are not prepared to verify their qualifications often end up with the less-desired positions.

BE AWARE
Second, know what types of facilities are most desirable to you, and make your placement agency aware of this too. For instance, do you like teaching or non-teaching facilities? Large metro facilities or small rural hospitals? High or low volume staffs? If you make clear your preferences from the beginning, you are more likely to find placement in the type of work environment that best suits you.

BE TIME CONSCIOUS
Third, do your best to have a grasp of the time frame you are planning to remain. Although the industry standard for nursing assignments is a thirteen week period, many assignments may be shorter or longer. Know when you plan to leave, or if you’d like to apply for one or more extensions. When you give your placement agency this type of information, you give them the time they need to find you a position that fits your future and moving schedule.


BE REALISTIC
Fourth, understand the concept of pay rates in the travel nursing business. In many cases, the higher paying positions offer more money for a reason. Before you accept a big pay position, make an attempt to understand why it is big pay. For some nurses, a pay increase is not worth working at hospitals with low nurse-to-patient ratios, extended emergency hours or extremely needy facilities. If you do this research before you accept an available position, you are less likely to step into something unexpected.

BE INFORMED
Fifth and finally, read the entire contents of your contract. Although, in the past, many travel nurses often worked around verbal agreements, contracts are absolutely necessary. Read over yours carefully. Contact your recruiter with any questions or concerns before signing. If anything is not specific enough, ask for changes. The more specific you are on contract details, the more control you have over your job assignment.

If you supply all this information, you will give your placement agency the tools to be able to effectively go to work for you and be there every step of the way. They will have everything they need to ensure you the best travel nursing experience possible. Most importantly, you will be satisfied to know that your extra commitment to your job future did indeed help you to maximize your potential as a successful travel nurse.

Rabu, 26 Juli 2006

Not Happy With Your Nursing Career Or Need To Start One? Travel Nurses Are In Great Demand!

When I was in nursing school the thought of graduating and and starting work as a nurse was exciting.  I watched my parents (small business owners) spend years working days and nights to make a living for our family.  They worked 60-70 hours every week.  The thought of working three days a week (12 hour shifts) and getting full time benefits (especially vacation!) seemed almost too good to be true.

After working at the same hospital for a half dozen years another job opportunity came along that also sounded too good to be true: Travel Nursing!  I spoke to several travel nurses and even more travel nurse agencies.  I learned that most travel agencies would assist with moving expenses and help find a suitable lodging for me and my family.  I also learned that many of them provided free dental, health and life insurance, 401K's, licensing and NCLEX reimbursements and more pay than I was then making

As someone who loves adventure, I decided the 8 to 13 week travel nursing assignments would allow me to discover the United States and still earn a living.  It has.

In Full Support of A National Nurse

Pictured: Elaine Williams

I am in full support of HR 4903 because the American public deserves to know and understand what we do. People desperately need education in health maintenance and even more importantly in understanding their own disease processes, medications and care. I have practiced nursing for the past 32 years and worriedly watch as more and more physicians have decided that "patient teaching" is no longer part of their job, in part, due to time constraints and low or no reimbursement for their time. Nursing has always found the time to "patient teach" but it is becoming increasingly more difficult due to poor staffing and the nursing shortage.

We need an organized approach and good leadership. We need the recognition to attract fresh new recruits to this wonderful and rewarding profession. We need a voice...one loud, educated, credible voice.

Elaine S. Williams RN, BSN, CGRN
Pennsylvania

Selasa, 25 Juli 2006

Promote Visibility-Buy A Button or A Bumper Sticker


Support the National Nurse Campaign! Visit Cafe Press and purchase a button or bumper sticker to let others know about HR 4903. Thanks to those of you who have already done so.

Senin, 24 Juli 2006

Words of Support From Oregonian

Pictured: Mac Prichard

One of the key jobs of the proposed Office of the National Nurse is providing practical, preventative health care information through presentations at schools, libraries and other public places. By educating the public about the consequences of alcohol and drug use and the importance of making healthy life choices, America's 2.9 million nurses in the country could make an important difference in reducing drug and alcohol abuse.

Mac Prichard is communications director for Reclaiming Futures, a national initiative of The Robert Wood Johnson Foundation that helps teenagers caught in the cycle of drugs, alcohol and crime.

Jumat, 21 Juli 2006

Spreading the News About HR 4903 in New York

Pictured: Edie Brous

Today's newsletter asked supporters of HR 4903 to submit a statement along with a picture to the National Nurse Team. Here is one we received from New York.

The National Nurse Act is a critical step in addressing the public health crisis of an escalating nursing shortage. Utilization of nursing expertise at the federal level will allow for appropriate and effective resource allocation. Health care safety must be a priority of our government.

Edie Brous, RN, BSN, MS, MPH, JD

Kamis, 20 Juli 2006

Maryland Supporter Speaks Out

Pictured: Dr. Joachim Voss

I am a strong supporter of the proposed National Nurse Office. Nurses are the largest workforce amongst all health professions and our demands grow weekly with new discoveries in technology, research and clinical practice. For example, recent health policy legislation adds tremendous pressure to fulfill the mandatory nurse ratios. Therefore, we need more support from Congress and the House to educate a substantial workforce to staff our hospitals and nursing homes adequately. In order to change the current situation, nurses need to educate and represent their members of Congress, the House. Funding is needed to develop "Principles of Sustainability for the Nursing Profession" to lead us successfully through the 21st century.

Focused health campaigns could guide training efforts and health programs to improve the poor health of many Americans. Prevention and health education in kindergartens, schools, universities, churches and community centers have the potential to reverse a national obesity epidemic that will decrease the live expectancy of Americans by 2020. Nurses can and will have a major impact and the National Nurses Office would provide a platform to plan, design, and execute these tasks.

In September 2006, I will become assistant professor at the University of Washington in the Department of Biobehavioral Nursing & Health Systems.

Joachim Voss, PhD, RN
NIH Research Fellow
Maryland