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.