Issue 5
Issue 5 April 2011
Fabulous
Nurse Educator
When Snacks
Attack!
&Prices
Clog Trends
&
Stress
Fertility
Handling
Patient Crushes Disaster Preparedness Kits!
Hospital Cost, Quality & The Nurse
5
Star Hospital Rating System 1
Fabulous Nurse Magazine
2
Issue 5
3
Writers Fabulous Nurse Magazine
Elsie Ekwa
Editor-in-Chief Founder of Lissie Harrington Publishers, Elsie, is the vision behind Fabulous Nurse Magazine. As a nurse, she saw the need for a lifestyle magazine that all at once serves as a celebration of nurses, a guide for better living, and a guilt-free escape from the sometimes grueling shifts nurses work. She is also the managing editor for the Pacific Writer’s Corner online magazine. Elsie writes as Sonya Justice and speaks on health and wellness issues, the business of writing, and entrepreneurship.
Zee Nickerson Writer
Zee Nickerson has a B. S. in Psychology and has owned several successful businesses. She is currently a writer, fashion consultant, and public speaker. Zee has taught English in Japan, China, and state side. As a thrifty world traveler, she can travel for as little as a $1.00 a mile. Along the way, she taught herself spoken and written French, German, and Japanese. You may contact Zee via email at zeechic2000@yahoo.com.
Olusegun Iselaiye Editor & Writer
Olusegun is a highly seasoned freelance writer and entrepreneur. He teaches nursing students Human Anatomy in his home country of Nigeria. Olusegun, whose mother happens to be a nurse, is also a huge fan of the nursing profession. His ambition is to offer a meaningful contribution to Africa and his home country. Contact Olusegun via email at isedot@yahoo.com.
Karen Kalis Writer
Karen Kalis has ten years of experience as a professional copywriter. She has worked in industries such as education, real estate, healthcare, technology, and with non-profit organizations. An entrepreneur at heart, Karen focuses on helping businesses communicate what they have to offer with precision.
Nichole Jones, RN Writer
Winner of our writing contest, Nichole Jones is a seasoned travel nurse. In this issue, Nichole shares her adventures and misadventures in the City of Bridges as she navigates a night out with friends. Her contest winning article is published in our Travel section. Nichole currently works as an EMS Coordinator. Congratulations on your win, Nichole!
Judy H. Wright Writer
Ms. Wright writes on subjects related to the journey of life, death, & grieving. For a full listing of books, articles, and classes, please go to: http://www.artichokepress.com. You may also contact Ms. Wright by calling 406-549-9813. For written inquiry, her email address is judywright@artichokepress.com. 4
Masthead/Contributor Publisher Lissie Harrington Publishers
Editorial Elsie Ekwa
Art & Graphic Design C/O Art Department Fabulous Nurse Magazine Lissie Harrington Publishers
Advertising & Marketing C/O Marketing Department Fabulous Nurse magazine Lissie Harrington Publishers
Writers C/O Editorial Department Fabulous Nurse magazine Lissie Harrington Publishers
How to reach us Lissie Harrington Publishers ATTN: Fabulous Nurse Magazine Department 29030 SW Town Center Loop E Ste. # 202-143 Wilsonville, OR 97070-9490 info@fabulousnurse.com www.fabulousnurse.com
Editorial Issue 5
Proud to be
a nurse… M
any people ask me if I am a publisher or a nurse. This question always baffles me. I really don’t see how one excludes the other. True, I started out in communications before becoming a nurse, and I primarily publish today. Still, everywhere I turn or look, I am surrounded by all things nursing. My friends are mostly nurses and other members of the healthcare industry. Nursing articles and research materials for nursing articles litter my home & work space. As I write this note, I am lounging in scrubs pant.
In good times and in bad times, nursing has been a constant in my adult life. Even as a publisher, I choose to publish a magazine for nurses. So, I say, “Isn’t it obvious? I am both a publisher and a nurse.” Nurses rock!
So, when did I transition completely from nurse to publisher? The short answer is, “I don’t want to.” I like being in this semi-permanent state of flux where I can claim both worlds. You see, that is the beauty and luck of being a nurse. I can be both. I am able to say that my scrubs are not enough to define me because I am a nurse. I am able to say that nurses are people first because I am a person, first and foremost. This is because being a nurse has allowed me to find my path and stand for the things I believe in. As a nurse, I have supported my family financially. As a nurse, I have embarked on business ventures. As a nurse, I learned to ride horses and play tennis. As a nurse, my horticultural skills are blooming. As a nurse, I have learned to appreciate the fact that I will not soon be returning to skydiving and I definitely will not go base jumping. LOL! As a nurse, I have travelled the continental US, worked in varying organizations both big and small providing in-patient & outpatient nursing care. As a nurse, I have taken non-traditional courses and tried many things that have enriched my outlook. As a nurse, I have cried myself to sleep on some nights believing there was no job more difficult than nursing. As a nurse, I have laughed so hard my sides ached from the things that my patients and co-workers have shared. As a nurse, I met my one true love. 5
Table of Fabulous Nurse Magazine
Contents
COVER ARTICLES
FEATURES
P.32
The Fabulous Nurse Educator
P.11
Scrubs Style Tips
P.26
When Snacks Attack!
P.41
My Exotic Adventures In Pittsburgh!
P.52
Handling Patient Crushes
P.58
A Travel Nurse’s Poem
P.9
Clog Trends & Prices For 2011
P.22
Balancing Kids & Marriage
P.20
Stress & Fertility
P.56
Accountant Appreciation Time
P.45
Hospital Cost, Quality & The Nurse
P.50
Career Coaches VS Self-Employment
P.17
Disaster Preparedness Kits!
P.38
Preparing For A Sibling
P.48
5 Star Hospital Rating System
P.57
Retirement Savings Calculation
CAREER COACHES
50
6
I
t has been a long journey which spanned ďŹ ve issues of Fabulous Nurse Magazine. It is time to conclude our series on landing your dream nursing job. This series has received a lot of feedbacks and accolades. Given that many nurses and student nurses have stated its impact in their lives, we are almost sorry to see the series come to an end. But, end it must.
Issue 5
April 2011
FINANCE P.54
Income Booster: Home Sewing Business
LAUGH OUT LOUD
EDITORIAL P.5
P.25
Nursing Humor
P.60
General Humor
RESOURCES
Proud To Be A Nurse ... P.62
April Nursing Conferences Around the World
Glowing Skin For Busy Nurses
P.64
National Nursing Organizations
FABULOUS FOODIE
P.69
International Nursing Organizations
BEAUTY SECRETS P.14
P.60
Fabulous Recipes
FABULOUS & FIT P.29
Running Races
PARENTING P.37
Childhood Obesity Myths
HOBBIES P.39
Rainy Day Arts & Crafts
7
Fabulous Nurse Magazine
FASHION Watch
8
&Prices
Clogs Trends
Issue 5
2011
D
efinition: What we put on our feet as we go about our daily duties. This year, clogs happen to be back in mainstream fashion but nurses have been wearing both male and female clogs since time memorial. From classic to modern, we showcase some of the 2011 clog trends that are making a splash in the nursing world.
Airwalk® Compel Clogs Its name makes perfect sense. Airwalk clogs have air vents for your feet. The result is comfort and a sensation of walking on air, or so we’ve been told. Priced under $20, they are worth trying out. Also try the Airwalk Clog Compel Garden ii.
Crocs Cayman Sandals A real treat for the feet. These clogs are unisex. Prices start at $29.99. You can buy them at your local scrubs store or department store. Try the many different colors!
Marcelle Cordovan Cabrio The clog shown here is from Dansko’s Stapled Clog Collection. Comfort and style define Dansko clogs. Availble in both men’s and women’s styles, these clogs are very durable and well worth the price of $100 – $150. Try the many different designs!
9
Fabulous Nurse Magazine
Easy Spirit Masterplan Mens Priced right at less than $40. Like most clogs for 2011, these clogs also come with well-cushioned soles. They are easy on the eyes, comfortable, and also wearable in the great outdoors. Find them anywhere Easy Spirit shoes are sold.
Nurse Mates Shanna II Nurse Mates clogs have transformed over the years. The Shanna II is white with stain resistant finish. It can be yours for $50 – $70. Nurse Mates clogs are designed to handle the wear and tear of nursing care, the nurse’s mate, so to speak. Great for wide feet!
Quark Quarky It is okay to “quark” about it. At 4.2 oz., these are the lightest clogs in the market! Quark claims that their patented technology makes it possible for their shoes to wrap around the nurse’s feet for maximum comfort. Let us know if you agree. Cost $35 - $50.
Sanita Clogs Bridge Priced between $100 - $150 and individually handcrafted, Sanita clogs are durable and wear well on nursing wards and in offices, alike. Try the many designs they offer!
Skechers Opal Clogs A modern twist on sneakers, Skechers Opal clogs D’Lites in providing comfort for your feet and wallet. Cost $52. Skechers mules are available for men and women, alike. Try the different versions of this delightful clog!
10
Look
Issue 5
r e m m i Sl rson
icke By Zee N
In Scrubs Proven Ways To Look Thinner In Scrubs
• Use vertical lines to lengthen and slim the figure. Such as wearing zippered nursing jackets, princess seams, and pin tucked scrub pants. • Match or blend colors from head to toe. Nothing shortens the figure like a white nursing skirt worn with any color other than white clogs. Match your shoes to your skirt and dress. Wearing scrubs in one color from head to toe will slim your figure. • Remember that bright colors advance
Scrubs Style Tools Although scrub style & sizing tools are fun to play with, they do not always work. You
W
may be able to wear large in one brand and
and enlarge while dark colors recede and reduce. • Accessorize with items that take the focal point away from your figure. Wear professional but conversational jewelry. Guys
ith so much chatter about
medium in another. The scrubs style changed
what is hot on the run way
but your body shape did not! Take advantage
and scrubs fashion trends for
of return policies and try on different brands
2011, we just had to write an article that
in-store and online. This will give you the
translates skinny runway models fashionable
very best idea of how you will look and feel
looks to fabulous & trendy scrub wear on the
in that particular brand. Find a brand you
rest of us. You can be average sized or over
like and use it as your “go to” brand. Then
weight and still capture the perfect look. The
try other brands to add variety to your closet.
• Sew in shoulder pads if your shoul-
greatest difficulty in shopping online or from
If you haven’t lost the weight you want yet
ders are narrow and your hips wide. Even
nursing catalogs is figuring out what the
or if you are in the process of losing weight,
wafer thin pads make a huge difference
scrubs will look like on your person.
here are some style tips for looking slimmer.
in appearance.
can wear a statement making watch. Ladies may wear a unique pair of earrings. Mascara or lash extensions will draw attention to your eyes, pearly white teeth will bring the focus up to your face, a head band or nursing pins on your badge will re-direct attention.
11
Fabulous Nurse Magazine
• If you have wide hips, wear tapered
guys, it is not for you ladies. Sorry gals,
• Avoid overly loose clothing. The over-
skirts and scrub pants to create a narrower
cargo scrub pants with stuffed pockets make
all effect is frumpy and unprofessional. Fit
silhouette. Instead of going to a tailor, buy
you look well, overly stuffed.
has a direct correlation to how well a woman
scrub pants and skirts that are tapered at the thighs and slightly wider at the bottom. Many nurses wear their scrubs pants puddled around the ankles. This adds weight. • Prints hide figure flaws. Large prints are great for larger sized nurses. Slender nurses will look like they have been swallowed by a rabid flower garden in large prints. Take advantage of all the versatility out there. • Wear V-neck scrubs to create the illusion of a longer, thinner, face and neck. • Tuck your scrub shirt into your pants if possible, then tug it out until it slightly folds over your waistband. The little bit of extra fabric creates the illusion that you have a waistline even if you don’t. • If it’s allowable, tasteful shortening of your top can improve one’s appearance. Stand in front of a full length mirror and fold your top to differing lengths until you see the one that looks right on you. For most people, this range is 2” to 5” below the waistband. Sometimes, all you might need is to taper the sides thus making you look slimmer and creating a feminine waistline. Granted, some of these tips will take extra effort but once the work is done, you will have a well fitted scrub look that also slims you down. Considering how much time nurses spend in their scrubs, it is well worth it. The psychological boost alone is tremendous.
A Few Things To Avoid • Avoid wearing styles that widen horizontally below the waist level. For example, tiered peasant skirts or tiered tops. • Avoid horizontal stripes especially if the top comes down over your hips. • Avoid big pockets on your hips, butts, and thigh. Whereas this look works for most 12
• Nothing too tight. Not on top and not on the bottom. No over stretched aching for release you-look-like-a-sausage leggings. • The biggest mistake women make is wearing dark pants, then adding a bright top which falls over the hips. This defeats the purpose of wearing black pants because the bright colored top makes the hips look twice as big for three reasons. Firstly, the tops are usually too bright. Secondly, the top creates stretch rolls across the butt, adding a second offense. Thirdly, if the shirt comes down to the bottom of the hip it effectively cuts the body in 2 equal halves thus shortening the body and making the body look squat. This
looks. Too much fabric can easily add 10 to 15 lbs extra pounds, visually. It just doesn’t make sense to hide under all that fabric when you are going for a slimmed down look. You’ll be amazed at how much slimmer you’ll look by wearing clothes that fit properly. People will ask you if you have lost weight. Guaranteed. The benefits of accomplishing the slimmed down look are abundant in every way. Clothes budget goes down when you find the right fit. Style options go up because you know what to buy. Brand options go up. Self-esteem goes up. Confidence goes up. Energy goes up. Health goes up. Motivation goes up. In the wonderful world of fashion your possibilities become endless.
is the single most frequent mistake women
Go on, try these tips. See what the right guid-
make.
ance can do for your scrubs selection and overall outlook.
SECRETS BEAUTY
Issue 5
13
Fabulous Nurse Magazine
A Busy Nurse’s Guide To
Glowing Skin N
urses spend a lot of time indoors, in care of others. The antiseptic soaps at work are hard on the skin.
Some nurses have naturally dry skin. Others don’t have the time to get beauty treatments. Moreover, in winter, many nurses are content to hibernate and hide within jeans, scrubs, sweat pants, and sweaters. But, come summertime, we’re ready to shed our winter woolens & long sleeved undershirts to enjoy the warm weather and sunshine. This article
The Truth about Skin Let’s face it. During the winter season, there are some things that you sort of let go. After all, you’re all covered up to stay warm so who sees you anyway, right? Do you shave your legs during the winter like you do during the summer? I know. But, one thing you don’t want to “let go” is your skin.
to wear & exhibit your best skin. The skin continually renews itself by shedding dead skin cells. This process is what gives your skin a nice, healthy glow. When those cells aren’t removed, moisturized, and protected, you can end up with dull, dry, flaky skin. If your skin is dull or dry, don’t despair, it is never too late to incorporate the ideas in this
is for busy nurses on the go. Will your skin
The skin is the largest organ in the body. Un-
article into your current skin care regimen.
be ready for the sun’s kiss whenever you are
like other organs, your skin happens to be on
Here’s the guide to your summer skin reju-
this summer?
display outside your body. As such, you want
venation. Keep reading and let’s get started!
14
Issue 5
Moisturize We lose moisture through our skin in several ways. Sweat removes water and salt from our skin. Harsh soaps, cosmetics, and other chemicals we use on our body can also rob our skin of moisture. After bathing, using baby oil or other light natural oil on the skin can help lock in moisture without clogging your pores. During the day use a light, non-greasy lotion with sun protection to guard your skin from harmful elements. Avoid heavy creams as they can clog pores and cause more problems.
Exfoliate When we wash our skin, we aren’t always removing all of the dead skin cells. Using a loafer, sponge, or washcloth routinely will get rid of those dry flakes of skin and encourage skin renewal. For deeper exfoliation, use a facial scrub or body scrub once a week, rubbing gently in a circular pattern.
Shave. Summer is the time to stop playing the part of the wooly mammoth from “Ice Age” and shed your fur coat. Be careful when using a razor and shave against the grain of the hair. This will help you quickly remove the hair without having to run the blade over
least a day before spending time outdoors in the sun. Do this while you shower to save on time. If you are rushing off to work, shave over several days; first do the arms, then the legs, and then the bikini area.
Foot care If you forget to take care of your feet, you won’t be the only one who notices. People who have to look at unkempt feet are oftentimes quite annoyed. Besides, our feet carry us through each nursing shift and they deserve the very best care. Invest in a monthly or quarterly pedicure to keep your feet looking and feeling great. In between pedicures, be sure to scrub your feet each morning and moisturize immediately. Then, again at night, moisture your feet and tuck them into socks when you head off to bed.
Hydrate To replenish your skin’s glow and elasticity, you need to put moisture back in your body. Our bodies are mostly water so it makes sense that we need to drink a lot of water to stay healthy. Drinking eight glasses of water or more each and every day will help restore your skin’s elasticity so your skin feels good and looks good, too.
your skin excessively. Using a moisturiz-
Want to charge head first to the beaches &
ing shave cream will also help the razor run
parks this summer with beautiful, radiant
smoothly over your skin. Always shave at
skin? Start taking care of your skin today!
15
Fabulous Nurse Magazine
Attitude
16
Re-defined
Issue 5
Disaster
Preparedness! Fact.
Disasters happen. On a
watch the movie 2012 or happen to watch a
search for you. This article will introduce
grand scale, too. Fact. Di-
documentary on Nostradamus and the Ma-
you to some of the steps you can take to be-
sasters come in many forms; mud-slides,
yans, you will finish each one acutely aware
come disaster & emergency ready.
landscape ravaging fires, near sub-zero
of your vulnerability to natural disasters and
wintry blast of snow from blizzards, exten-
end of world prophesies. However, if mov-
sive famine caused by a drying earth, life
ies, the History Channel or Discovery are not
submerging floods of biblical proportions,
your thing, chances are that you have read
earthquakes that turn the ground inside out,
Revelations. No, this is not an article about
tornadoes that carry everything we know out
the end of the world, although you can pre-
of safety with dizzying speed, volcanoes that
pare for that too, as you choose.
thrust hot lava which scorch the earth and everything in its path, and hail the size of tennis balls that wreak havoc on our homes & cars. The types of possible disasters we face are plentiful when one considers that we live in an ever changing natural environ. Fact. We are not all prepared to survive the next disaster that threatens our neighborhood. Fact. You can enhance your chances of survival.
In March, news and social media sites streamed the effects of the 9.0 earthquake
checklist? Have you checked off everything on your list? Does every member of your family comprehend your disaster plan? Your community preparedness checklist. 1.
on the Japanese coast in the Pacific Ocean.
likely to experience?
Watching such devastation, you cannot help but face your own mortality. Outside of the random chance of an asteroid wiping out your neck of the woods or the slim chance of a possible abduction by forces alien to us earthlings, are you prepared for the type of
which has a similar fault-line and subduction
disasters that can affect your town? Do you
zone as Japan, I never gave much thought to
have a disaster preparedness checklist? Do
tsunamis or disaster preparedness. It is not
you know what to put in a disaster prepared-
that I am not aware of the many reasons why
ness kit? Do you know the best routes to
we should prepare for disasters. I just never
evacuate your town or city?
scare that swept the world in 2000? If you
Do you have an emergency preparedness
that caused extensive damage & disruption
Until I moved to the great state of Oregon
made it a priority. Who can forget the Y2K
The Disaster Preparedness Checklist
Fabulous Nurse Magazine has done the re-
2.
What type of disaster(s) is your city
Know your community. Know your
city’s evacuation routes, know how your city alerts everyone of emergencies, and know the actions your city recommends in the event of a disaster. 3.
What is your employer’s disaster plan?
Are you expected to work in the event of a disaster? What will happen to your child if a disaster strikes while you are at work? Does your child’s school or care
17
Fabulous Nurse Magazine
center have a disaster plan? Your family preparedness checklist 1.
Teach your children when and how to
8.
disasters? What about insurance against radiation from a nuclear accident? It is worth giving your home insurance a second look.
contact the police, fire department, and call
The Disaster Preparedness Kit
911. 2.
Draw a plan of your home and mark out
two evacuation routes in red ink. 3.
Select a “safe” place in the home. This
can be a basement, if you live in a tornado prone area.
Is your home insured against all natural
sonal data in a water and fire resistant container. •
Place food items & information in a
fire & water resister containers. •
Place extra house and car keys in the
Automobile Preparedness Kit
safe place.
•
•
•
First aid kit & manual. Water bottles. One gallon per person
per day.
Include some prescription meds and
information on implanted devices/prosthetics, as well as, your PCP’s contact numbers/ email.
•
Battery powered flashlight.
•
Lots of extra batteries.
hundred USD) and credit cards.
the event that you are separated by a disaster.
•
Blankets and / or sleeping bags.
•
5.
•
Large quantities of non-perishable food
gency.
4.
Create two meeting points. One in front
of your home and another outside the city, in
Post emergency phone numbers on
your refrigerators. Include emergency phone numbers in your children’s phones and smart devices. These numbers should include your cell phone numbers, the numbers of all sib-
items. Preferably, high energy foods that use up less space like granola bars. Date each one and change when expired.
Place money in the form of cash (a few
Keep a whistle & phone in every room
of your home to alert others in case of emer-
•
Include all things from the prepared-
ness checklist that has not been mentioned on this list.
lings, the number of an in-city & out of city
•
emergency contact person, and the number
for all three types of fires.
Although thorough, this is by no means a
•
edge will save you and your loved ones in
of your physician or nurse practitioner. 6.
As a nurse, you already know CPR. Are
there others in your family who know CPR? Make sure every member of your family is
Fire extinguisher – one that can be used
•
Cables to jumpstart your car, if need be.
Make sure your spare tire is functional. Home Preparedness Kit
complete list. Seek out information. Knowlthe event of a crisis. For a more comprehensive disaster preparedness list, contact your local Red Cross or call FEMA at 1-800-480-
comfortably with CPR and basic first aid.
•
Same as automobile disaster kit above.
2520.Your local fire department may also
7.
•
Place all contact information and per-
paredness.
Does your child know what to do in
case of a fire, power outage, earthquake, flood, etc.?
18
offer courses on emergency & disaster pre-
Issue 5
Living
Well 19
Fabulous Nurse Magazine
&
Stress Fertility
S
tress is a normal part of everyday
Consider a career change if you currently
life for nurses. It can, however, have
have a high-stress position. It may be a dra-
detrimental effects on your chances
matic change or a lateral move within the
of getting pregnant. Eliminating stress from
same organization. If it lowers your stress
your life is beneficial, not only for your sani-
level, it is better for your body and mind, as
ty, but also to increase your odds of conceiv-
well as, your fertility. For example, you may
ing. To reduce stress, you can follow some
choose to switch from intensive care to am-
relaxation techniques or make a lifestyle
bulatory care or from bedside to education.
change that will help to avoid high amounts of stress.
Keep the intimacy in your relationship. It is so easy to get stressed out when you are
Stress affects the ovulation cycle much like
not able to conceive right away, but do not
it affects the menstrual cycle. Women who
lose sight of your partner. Your partner may
are constantly stressed out may not experi-
feel pressured which can also lead to per-
ence regularity in terms of a menstrual cycle.
formance problems as well as lack of a sex
If your menstrual cycle is not regular neither
drive.
is your ovulation cycle. This can make getting pregnant more difficult. Since ovulation is imperative for conception, lowering your stress levels should be a priority when trying to conceive. To lower your stress levels try the following techniques: Deep breathing techniques have been shown to reduce stress while also clearing the mind. It is very easy to let the pressures of life get to us, especially if you are having difficulty conceiving. Deep breathing exercises are also good for your mind and body as well as relieving any tension in the body.
The above tips hold true for both men and women. Men who experience high stress have been shown to have lower sperm counts and lower mobility in existing sperm. Maintaining a low-stress environment is beneficial for both of you. In conclusion, stress levels can affect your chances of getting pregnant by creating irregular menstrual and ovulation cycles making conception difficult. To decrease your stress level, learn how to relax by using deep breathing techniques, taking
A nice, warm bath can do wonders for the
a warm bath or consider a possible
soul and for your stress level. Fill a tub with
career change if your job is respon-
warm water, avoiding high temperatures,
sible for your high stress levels. De-
and surround yourself with soothing noise
creasing your stress levels now will
and scents. Baths are very effective for re-
help to increase your fertility and
lieving tension in the body, especially if
your quality of life.
combined with deep breathing exercises. 20
Marriage
&Dating
Issue 5
21
Balancing
Fabulous Nurse Magazine
Kids Marriage
&
T
he nurse’s work schedule can be very grueling. That aside, marriage happens and so do children. Busy
nurses now have to balance work, spouses, and children. When children play into a relationship, both male and female nurses have to reckon with the fact that familiar dynamics will change. This does not have to be a bad thing. The balance between children and married life is a constant struggle and requires delicate maneuvering to keep everyone happy. This article is about finding ways to spend time with your spouse even as your family size increases. Before we begin our discussion on the things that will help you attain that balance, it is good to know that you can never please everyone all of the time. The most that can be expected of you is your best effort. Do not feel guilty about the struggle to effectively balance your time between your children and your spouse. Many couples feel the same way you do. The most effective way you can reclaim the connection with your spouse is to get down to basics. What does this mean? Simplify your wants and desires. Focus more on the quality of the time spent together rather than on the quantity.
Date Nights. The reason for this is obvious. You and your spouse need time away from your home life and children. Plan to go out on a date at least once a month. Schedule a babysitter and a backup in case your first choice falls 22
Issue 5
through. Plan your dates so that you have time to get ready. Planning ahead allows you the luxury of anticipating the joy of spending time together. What will you wear? How will you style your hair? Where will you go? What will you do? Be sure to do something different each time. Change from the sweats wearing, homemaking nurse into a dashing debonair or vixen. Surprise your partner with your transformation.
Do lunch. When was the last time you and your spouse went out to lunch or brunch? Like date nights, meeting at a local café or favorite restaurant will give you something to look forward to. Take a moment and gaze into each other’s eyes. Lunch does not have to be expensive. You can fix sandwiches at home and take it to your spouse’s place of work. Perhaps you can plan to meet in the cafeteria or the park. Enjoy the time away from the bustle of home life and kids. Even if your lunch date lasts
less than an hour, savor every moment. Remember, “quality, not quantity.”
Travel. This can be a local getaway or an out of town trip. Check into a hotel for the weekend and act as though you are the only two people in the world. Your glow and renewed love for each other will create a wonderful home environment for your children. If you cannot leave, perhaps your kids can leave instead. Is there a summer camp coming up? Perhaps, they can sleepover at a friend’s place or spend the weekend with their grandparents. The options are only limited by your willingness to find time alone with your spouse.
Communicate. Set a bedtime schedule for your children so you can spend time together before bed. When your children have retired to bed, share your feelings about the day or the week. You
need to take advantage of this time to talk about the two of you. How do you both feel about the relationship? What can you do to make it better? Tell your spouse about the little things they can do to show love and attention. Discuss plans for your next date. Don’t hold grudges and try not to go to bed mad. You deserve to tell your spouse what they have done that made you feel hurt or slighted. You are well worth the effort. Don’t wait until things pile up so high that your love for each other becomes buried and hidden under a pile of crap. The point is that you should make a habit of interacting with your spouse every chance you get even if all you do is watch a funny movie together. Or something as simple as asking them to guess the name of a movie or song when you do an impression or sing a lyric. Laugh together, often. It is the little things that count.
23
Fabulous
Fabulous Nurse Magazine
oodie F
24
Fabulous Recipes
Issue 5
Vege Chili Ingredients:
Artichoke Stuffed Chicken
(Low Carb)
Ingredients:
8 ounces cream cheese (0 carbs) 1 cup mayonaise (0 carbs) 1 cup sour cream (0 carbs)
You’ll also need 4 to 6 average sized chicken breasts depending on how many people you are serving. Pound chicken breasts flat. Spread the artichoke filling on top of the flat-
1 cup parmesean cheese (0 carbs)
tened chicken. Roll up and secure in place
1 8.5 ounce can artichoke hearts sliced into
with a toothpick or skewer and put into bak-
small pieces (6 carbs) Several pieces of celery, chopped
Instructions: Mix the above together in a medium bowl. This will be our filling.
ing dish. After all rolls are in place, sprinkle with parm cheese. Bake for 375 degrees F for 45 minutes until chicken juices run clear. You will have likely left over filling, you can add this on top of the chicken or serve on the side at dinner time.
(Low Fat)
1 cup onions (chopped) 1/2 cup bell pepper (choppped) 1 tablespoon chili powder 1/2 teaspoon salt 1/2 teaspoon cumin 1/4 teaspoon garlic powder 2 cups tomato juice 16 ounces red kidney beans, cooked, drained, rinsed 15 ounces pinto beans, cooked, drained, rinsed 15 ounces great northern beans, cooked, drained, rinsed.
Instructions: Prepare dry beans the day before or buy canned beans and drain them. Coon onions and peppers in sauce pot until tender. Stir in seasonings. Add tomato juice. Bring everything to a boil then add beans. Reduce heat and allow to simmer on very low heat 20 minutes or until ready to serve. This recipe also lends well to crock pot cooking, 3 to 4 hours on high, or 6 to 8 on low. To make in the crock pot simply stir together all the ingredients and set crock pot to desired setting. Come home to a warm inviting chili on a cold fall evening. 25
Fabulous Nurse Magazine
Whole Wheat Apple Pancakes Ingredients:
(Low GI)
2 large cooking apples, such as Jonathan or Granny Smith, peeled, if desired, and finely chopped (about 1 1/2 cups) 2 teaspoons lemon juice 1 1/2 cups whole wheat flour 2 tablespoons sugar 2 teaspoons baking powder 1/2 teaspoon ground cinnamon 1/4 teaspoon salt 1 slightly beaten egg 1 1/2 cups milk
Attack! When Snacks
Getting started with Weight Watchers
M
any nurses struggle with their weight. Many more have tried a myriad of diet plans. Some may
have worked for you. However, if you are
3 tablespoons cooking oil or melted butter
still searching for the right diet plan or know
Cooking oil (optional)
Nurse Magazine provides monthly insights
Unsweetened applesauce (optional)
Instructions: Combine apples and lemon juice in one bowl. In another bowl mix the flour, sugar, baking powder, cinammon and salt. In a third bowl beat egg lightly with milk and oil. Add egg mixture to flour mixture and stir. You want the batter to be lumpy so be careful not to overmix. Fold in the apples. Heat griddle or skillet. Drop batter by spoonfuls and cook pancakes as you usually would. Watch for edges to be set and start to brown, then flip. Serve topped with apple sauce
someone who is still struggling, Fabulous into available dieting options. We also offer healthy recipes to assist you in keeping your weight goals. We care about your health and happiness. In this month’s issue, we’ll discuss the expected diet habits for nurses who have joined or hope to join the popular Weight Watchers diet program. This is the first of several articles on Weight Watchers, as we take a closer look at what the plan may offer you. Of course, you should consult with your dietician, physician or Nurse Practitioner before you begin this or any diet plans that we discuss in Fabulous Nurse Magazine.
or more apple slices instead of syrup.
While many people have grown up with the
Try swapping out the apples and using
concept of “three meals a day” as the ba-
pears instead for a different flavor!
sis for their eating habits, Weight Watchers provides a different take on when and how often meals should be eaten. The human body needs fuel not only to survive, but to thrive. When meals are eaten spaced far
26
Issue 5
apart, blood sugars drop, fatigue sets in, and en-
bad choices or no choices at all. When faced
ergy goes out the door. When meal time finally
with a mid-afternoon attack of hunger and pre-
does come around, sometimes 6 hours or more
sented with a candy machine in the office lunch
since the last meal, humans tend to over eat in
room, almost no one will choose to run out to
order to recover from the low point they have
the store and grab a slice of whole wheat toast
just experienced.
with peanut butter. By planning your meals and
One of the key concepts of Weight Watchers is to space meals out more evenly and to eat more frequently. By including healthy snacks into the diet or “lifestyle” as it is referred to by mem-
snacks each day and packing your food with you, when you are not home for the day, you can prevent those snack attacks that can lead down a bad path.
bers, humans reduce the starvation mode that
Snacks don’t have to be expensive either. In-
the body enters when it has not been nourished
stead of buying prepackaged snack packs of
for a long period of time. The snacks eaten be-
miniature versions of the same cookies that got
tween main meals provide the fuel necessary to
you here in the first place, buy larger sized pack-
prevent the drops in blood sugar that can trigger
ages of food items such as fruits and veggies that
an eating binge.
can be cut up and put in plastic zipper bags. This
Essentially, in an average day, 3 meals and 3 snacks are ideal. If the day begins at 7am with breakfast, a snack by 10am, lunch around
leaves you with no choice but to grab the healthy snacks instead of the high sodium, high fat, and low satisfaction snacks that are available.
12:30pm, a snack around 3:30pm and dinner at
Adding a protein to a snack, such as peanut
6pm, there is still one snack left to have while
butter or a glass of milk, increases the time the
watching TV or reading at night before bed. By
snack will keep you fulfilled. Empty calories
breaking up the eating from 3 to 6 “meals”, the
like cookies and chips will satisfy for only a
body never has a chance to starve.
short while before burning off, leaving you hun-
Snacking is not meant to be a free for all of sugary or salty foods, however. Planned snacks are always best, since on-the-fly eating can lead to
gry once again with hours to go before your next meal. Snacking smart will increase you success with Weight Watchers, and keep you satisfied for much longer.
27
Fabulous Nurse Magazine
&Fit
Fabulous
28
Issue 5
5
Nursing
W
Causes
Reasons to Run a Race
hether you’ve been running
Signing up for the next 5K however can light
may mean varying your route so you’re do-
for a long time or are brand
a fire under you. A 5K is 3.11 miles so in
ing more hills if the race you’re running has
new to the activity, there will
addition to adding a touch of distance you’ll
hills. It may mean running at intervals to in-
come a time when you consider running a
want to work on increasing your speed. Not
crease your speed, it may also mean length-
race. It’s easy to ignore the urge by telling
that you’re competitive and want to win the
ening your run so you know you can do the
yourself you’re not the competitive type,
race, for that you may have to run 5 minutes
3.11 miles with ease on race day.
however, there’s much more to gain from
for each mile. You do want to run your best
running a race than winning it. Here are 5
and finish at least in the middle of the pack.
great reasons to run a race.
Now you have motivation!
1. Running races is a spectacular motivator.
2. Running races mixes up your routine.
Even if you’re not competitive, running a
Continuing with the example above, if
ally get freebies like a t-shirt, some food, and
race gives you a goal. For example, let’s
you’re running 3 miles several times a week,
even a goodie bag. Some races ask you to get
say that you’ve been running for a while and
chances are you have a set path and routine
sponsors and their sponsorship is 100% de-
your typical distance is three miles. Perhaps,
you’re used to. If you sign up for a race
ductible. There are many charities to choose
you’re a bit of a slow runner and your pace is
you’re going to want to train for that race.
from. For example, Race for the Cure.
a ten minute mile. When you’re out on your
Now that doesn’t mean that every single
running path, it’s easy to become stuck in a rut. There’s nothing motivating you to run further or faster.
3. Running a race is a chance to give back. Many races are sponsored by local, regional, and national charities. Your entrance fee is often your donation and in return you usu-
time you head out the door for a run you
4. Running a race is social.
have to have that race in mind, however, you
There’s something almost magical about
will want to think about it sometimes. That
race day. Unless you’re in the elite crowd 29
Fabulous Nurse Magazine
and are vying for a top finish, the rest of the crowd is there to do their best and have fun. The excitement in the air is tangible. People are laughing and having fun. It’s a great way to meet other runners, to feel connected, and to feel supported by a like-minded community. Don’t just believe what I’ve said, try it for yourself.
5. Running races can help you learn more about yourself, your strengths, and your limitations. Running a race is unlike any other experience you will have and each race is different. Chances are if you’ve signed up for a race you’ve done so in part to give yourself a bit of a challenge. You’ll want to do your best which means running faster and perhaps farther than you have before. This will test you both mentally and physically. You may, in your mind, fail the test. You may not do as well as you hoped but you’ll learn something about yourself and your abilities. Use this information and this lesson to get better. That’s what competing is all about! There are so many benefits to running. The only way to truly understand them is to go ahead and dive right in. One suggestion though, train appropriately. This will prevent injury and ensure your race is an enjoyable one.
30
Issue 5
Walk inMy Clogs 31
Fabulous Nurse Magazine
By Sonya Justice
The Fabulous Nurse Educator I
saw her scuttling down the hall, a harried vision of be-spectacled face and sensible shoes that barely kept up the pace as she
rushed to her destination; navigating the meandering mass of IV poles, gurneys, nurses, physicians, therapists, peek-a-boo gown wearing patients, a housekeeper, and nutrition services in the warmly lit hallway of our unit. “Who is she?” I wondered. “Where is she going?” Curious, I followed her. My breaths taken in short bursts of involuntary action because like her spectacles and her sensible shoes, I, too, was barely keeping up with her pace. Abruptly, she stopped in front of a patient’s room and helped her spectacle off the side of her face to rest firmly back on her cheek once more. She straightened her skirt and cleared her throat. “Good morning,” she addressed the cap-
32
Issue 5
tive audience of one lying on the bed. “I
him to verbally express what tools he needed
this article is to explore the role of the nurse
am Jim’s nurse educator. My name is Sha-
and where he would find them. “We all make
educator by defining what it means to be a
ron…pause…You have a question for me?”
mistakes but as nurses we have to be very
nurse educator and examining the current
Her smile was engaging and disarming all
careful. Our mistakes can hurt someone. We
and future impact of this nursing choice.
at once. The patient looked up somewhat
must value life. Don’t be so eager to try a
sheepishly, “I am sorry I asked him to call
new task that you forget your role and skill
for you…but I…I...just wanted to make sure
level. There is plenty of help on the unit.
someone was here to watch him start my
Call the primary nurse if I am unavailable or
IV.” “Of, course. That’s why I am here,” a
wait.” Her manner was neither condescend-
quick glance at his arm band confirmed his
ing nor harsh but the emphasis she placed
name, “Mr. X.,” she added. Mr. X. leaned
on the nurses’ professional role in assuring
back in bed comforted by her presence and
patient safety at all times was sufficient. Jim
her assurance. “We’ll be a minute.” She ad-
got the point. Even more, he received in-
dressed Mr. X as she motioned to Jim. The
struction in an environment that encouraged
poor student looked like he would fall to the
competence, teamwork, and safety. I thought
ground if anyone opened the window and let
to myself, “What a fabulous teacher and role
the cool breeze in. He was sure he was going
model.” She is my inspiration for writing
to get a failed clinical grade for attempting to
this article.
start his first IV without supervision. “Come with me Jim. We should get the rest
The Nurse Educator
Description Definition The nurse educator plays a profound role in molding, educating, and challenging the
minds of nursing students. “Nurse educators plan, develop, implement, and evaluate educational programs and curricula for the professional development of student nurses and RNs” (BLS, 2010, para 9). These programs are used either in the classroom or in a clinical setting.
Background Thus far, we have identified the need for in-
of the supplies you are going to need.” Her
By the year 2020, the U.S. will have a short-
creased faculty in nursing programs to meet
tone was encouraging. With tact, she took
age of nurses in excess of one million (Bu-
demand and defined the nurse educator. The
the wayward student out of the patient’s
reau of Labor and Statistics [BLS], 2010).
following paragraphs will provide informa-
room and out of earshot. She then proceeded
Many see the growing shortage of nurses as
tion on the educational requirements or core
to caution him on his eagerness to perform a
foreboding and as such there is greater em-
competencies for becoming a nurse educator
skill without proper supervision. Using this
phasis placed on the recruitment and reten-
and the code of ethics expected of the mem-
as a teachable moment, she had him explain
tion of nurse educators to train new nurses
bers of this profession. The mechanisms for
the many things that can go wrong with an
which will bridge the gap between supply
compensation of the nurse educator will also
intravenous catheter. She also encouraged
and demand (BLS, 2010). The purpose of
be surveyed. 33
Fabulous Nurse Magazine
Educational requirements. In an
Compensation. A comparative look of
brooks (2005), in the clinical environment,
online article title, “Nurse Educator: Skills
the earnings of nurse educators was done
the nurse educator aims to facilitate the “pro-
Needed To Be A Nurse,” The University of
in 2007 by NLN/Carnegie National Survey.
fessional development of practicing nurses.
Nevada, Las Vegas (2010) stated that nurse
Kaufman (2007) wrote an analysis of this
Responsibilities include promoting best
educators may have a Bachelor’s degree,
study which showed that on the average
practice by mentoring others, acting as an
however, an advanced degree such as a
nurse educators earned $55,000 - $60,000
information source, and assisting in the de-
Master of Science in Nursing in Education
annually plus an additional $10,000 in in-
velopment of policies and procedures based
or higher is preferred. Karl (2008) enumer-
come from sources other than their faculty
on available research evidence” (p. 899).
ated a list of eight competencies that serve to
positions. The study also found that nurse
standardize basic expectations of the nurse
educators with an MSN degree or higher
The author believes that in academia, infor-
educator. These core competencies span
earned at least 20% more than their BSN
from the expected role in the classroom and
counterparts. It is important to note that the
clinical areas through life-long professional
earnings of nurse educators were compara-
role and development. The National League
ble to that of other registered nurses except
for Nursing credentials nurse educators who
advanced practice nurses and head nurses.
have demonstrated excellence in nursing
Interestingly, the earnings of nurse educators
education. Certification as a nurse educa-
are much lower than that of similarly edu-
tor, CNE, is not a requirement; although it is
cated faculty in other disciplines.
highly encouraged. Notably, it is the accepted symbol of eminence for nurse educators
Professional Implications
(National League for Nursing [NLN], 2010).
Scope of Role
Code of ethics. The Code of Ethics for
Thanks to nurse educators, in 2008 there
nurse educators, originally published in 1983, was revised in 2010. The revised code reflects the core competencies expected of today’s nurse educator. Nurse educators are held to a high standard of personal and professional integrity. They are expected to be accountable for their actions. They are also expected to advocate, teach, and model appropriate professional standards for their students (Rosenkoetter & Milstead, 2010).
were 2.6 million nurses actively working in America (BLS, 2010). Nurse educators work in binary environs in clinical and academic settings.
According to Milner and Esta-
mation is shared so that clinical education of the nursing student is enhanced and based on the latest research and developments for safe effective patient care. For example, Enlow, Shanks, Guhde, and Perkins (2010) created a task force to smooth out the variations found in the way SBAR (Situation, Background, Assessment, Recommendation) is currently being implemented in hospitals across the country. It is suggested that a new tool, an updated version of the SBAR, be incorporated into all baccalaureate nursing programs to improve communications between healthcare professionals. Enlow et al., 2010 refer to this new system as the ISBARR with the (I) standing for the nurse and the last (R) stands for, read back. The nurse educator guides students through their passage from students to graduate nurses. Without nurse educators, there will be no one to educate tomorrow’s nurses. Currently, many institutions of learning admit to rejecting the applications of qualified candidates because of a limited number of nurse educators. More than 75% of all nursing schools have found it exceeding hard to recruit more educators resulting in about 1, 900 vacant faculty positions in 2007 (NLN, 2010).
Future Implications Fewer nurses are choosing academia citing poor compensation and the burden of tuition for higher education. Moreover, nurse educators are also leaving academia for new opportunities because of low compensation and increased workload. The current faculty in most institutions is also nearing retirement. A study done by the American Association of Colleges of Nursing, (2005) to examine 34
Issue 5
for financial aid should be made highly visible to applicants. Nursing students should be provided with an advisor and given support through commencement (AACN, 2005). The transition from a clinical role to one in academia should be made seamless. Moreover, the author agrees that there should be the critical shortfall of nurse educators found that the average age of nurse educators in academia with a Masters degree is 49.2 and the
bridge programs to make the process of getting certified in education easier for nurses with advanced degrees.
cal and teaching experience. Cash, Daines, Doyle, von Tettenborn, and Reid (2009) added that an improved work environment through validation of excellence, leadership opportunities, support of the academic institution and a commitment to academic excellence are factors that also affect retention. Kaufman (2007) cited compensation as a very important factor in the retention of
average age of nursing faculty members with
Retention
PhD was noted to be 54.3. Hancock (2008)
The AACN’s study also proffered many
competitive and comparable to other faculty
tangible and measurable suggestions for the
members and advanced practice nurses will
retention of faculty. Some of these include
also make a career move to education more
institutions using faculty from other health
attractive to younger nurses.
adds that the migration of nurses from their countries of origin to regions that offer higher compensation is also to blame for the massive shortage of nurses and faculty in their homelands. It is imperative that members of the nursing profession should propose realistic solutions to the growing shortfall of nurse educators. This section will focus on suggested recruitment and retention steps that can mitigate the situation; the future of nursing depends on it.
Recruitment The AACN’s study on the limited number of nurse educators in BSN and MSN programs offered realistic and non-traditional ideas for the recruitment of more nurse educators. Nursing institutions are encouraged to devel-
related disciplines such as physicians and health policy studies to teach some courses in the nursing program or function in administrative roles that don’t require a nursing degree. Even more, nursing schools are urged to allow some retired faculty to come back and teach. Other ideas involve collaboration with healthcare facilities so that a nurse educator is not required to supervise clinical practice that can be supervised by staff nurses. To empower nurses and educators, more research opportunities should be included in nursing programs to make academia more attractive (AACN, 2005).
nursing faculty. Higher compensation that is
Conclusion To summarize, thus far, the definition, educational requirements, code of ethics, and scope of practice of the nurse educator have been examined; future implications for recruitment and retention have also been addressed. It has been shown that the nurse educator plays a vital role in educating tomorrow’s nurses. The future of nursing depends on it. The importance of nurse educators can, therefore, never be overemphasized. The current shortage of nursing faculty must be regarded as critical and
op messages that place the option of becom-
A one-time clinical educator, Beres (2006)
every reasonable step taken to mitigate the
ing a nurse educator as a favorable career
suggests that nursing institutions should
situation. The good news is that members of
move. Schools are also advised to recruit
make the transition seamless for nursing
the nursing profession and academic institu-
younger faculty members using incentives
staff educators who might be considering a
tions are aware of the situation and many
such as full graduate school scholarship in
career change into academia. It is also noted
are taking the necessary steps to bridge the
exchange for two or more years as a faculty
that this group of nurses can be targeted for
gap between faculty members and nursing
nurse educator upon graduation. Resources
recruitment as they already possess clini-
school applicants. 35
Fabulous Nurse Magazine
Life style 36
Childhood
Issue 5
Obesity Myths and Facts
C
hildhood obesity is a common problem. In fact, according to the Center for Disease Control, child-
hood obesity has more than tripled in the past 30 years. Approximately 15 to 20 percent of our children are overweight or obese. This epidemic has caused several myths to surface. Myths only distort understanding. Let’s clear some of these myths up so childhood obesity can be faced and dealt with.
Soda causes childhood obesity Soda alone doesn’t cause obesity. A child
to their children. Those two elements com-
However, they need the help of the adults in
who drinks a lot of soda and also has poor
bine to cause obesity. Eat a healthy diet and
their life. They need guidance, controls, and
eating habits may be obese. If that same
get active and obesity can be reversed, even
limits. They may also need motivation from
child is also living a sedentary life, then obe-
if the parents stay overweight.
time to time.
sity may be the result. However, soda alone
Obese children are just lazy
The Center for Childhood Obesity offers
does not cause obesity.
Obesity is inherited and you can’t do anything about it
Absolutely not. Obese children are the same
these simple recommendations:
as any other children. They love to play and
•
Five fruits and vegetables each day.
be active. However, it’s also very easy to be
•
2 hours of screen time, or less, each day.
•
1 hour of physical activity each day. 0 sugar sweetened beverages each day.
It’s true that you tend to see obesity run in
sedentary today. Video games, electronic
families. If a child is obese, chances are the
devices, and television all keep children in-
parents are also obese or overweight. How-
doors and on the couch. Children of all ages
•
ever, it is uncommon for genetics to cause
and sizes need to be motivated by the adults
obesity. Occasionally, a child may be born
in their life to get outside and to move their
Childhood obesity doesn’t have to be a life
with a hormonal imbalance that causes obe-
bodies.
sity, but that’s not the norm.
Obesity can be reversed. Children can learn
tive can turn it around. Learn the myths and
In most cases, a parent has simply passed on
to live a healthy and active lifestyle. They
uncover the facts about childhood obesity.
their poor eating habits and inactive lifestyle
can grow up into strong and healthy adults.
Help your child live a better life.
sentence. In the majority of cases, the simple act of eating healthier foods and getting ac-
37
Preparing Your Toddler For A New Sibling Fabulous Nurse Magazine
B
ecoming a big brother or sister is an exciting event in a child’s life. But for a toddler who has never had this
experience, it can also be pretty intimidating. Your toddler will have lots of concerns, but may have trouble voicing them. There are some things you can do to make the transition easier for them.
for. If you don’t know anyone who has a
When can you tell your toddler about the baby?
new baby, you can get out the photo albums
To a toddler, sitting in time out for a couple
as a baby.
of minutes seems like an eternity. So as you might imagine, 9 months is more than they can fathom. That’s why it’s important not to tell your toddler too early in the pregnancy.
and show your toddler what they looked like
Getting accustomed to the idea of a little brother or sister.
Giving your toddler’s things to the baby.
Once you have told your toddler that she will
If you are going to be giving your toddler’s
have a new brother or sister, she will prob-
crib to the new baby, it’s a good idea to go
In most cases, you can wait until 2 or 3
ably have lots of questions. Younger tod-
ahead and put her in a toddler bed well in ad-
months before the baby is due to tell your
dlers, however, will not know how to put all
vance. This will give her time to adjust and
toddler about it. And if they start asking
of those questions into words. You can help
keep her from having hard feelings toward
questions about your bulging belly, that’s a
by giving your toddler as much information
the baby about it. The same holds true if you
sign that it may be time to spill the beans.
as possible in terms that she can understand.
are moving her to another room.
If you have a friend or family member who
If you plan to let the baby use your toddler’s
has a newborn, taking your toddler to spend
old toys and outgrown clothes, asking your
some time with her is a great idea. Seeing a
toddler first will help avoid any ill will. Tell
baby live and in person will let your toddler
them what a great big sibling they are be-
see what it does and how it must be cared
ing and that their younger sibling could really use the clothes and toys that are packed away in the closet. Preparing your toddler for the arrival of their new brother or sister in advance will give them time to get used to the idea. By the time the baby gets here, they will be excited about its arrival. There may still be some sibling conflicts, but having most of their questions answered will make your toddler feel better about making room for one more in the family.
38
un F
Crafts
Rainy Day
I
Issue 5
more adept at handling items such as scissors and glue. Popsicle sticks are a great item to have on hand for rainy days. Popsicle sticks can be used to build houses, picture frames, and many other things. The possibilities are unlimited and your child’s creativity is the limit. Paints are also a good idea. Lay out some paint, brushes, paper, and some water and paper towels for cleanup. Let your kids paint the day away. If the children are in middle or high school,
t is that time of the year. Spring. The snow is melting and the ground is wet. Rainy days can be a drag for children and adults, alike. Despite the weather outside, there is fun to be had inside. Rainy days are the perfect time to break out arts and crafts that will drive away any rainy day dreariness. Crafts are perfect for all age groups and ensure that no one in your family is left out.
Crafts for Small Children Children age two and up can sit at the table with paper and crayons. While the younger children may not have a long attention span, coloring will help to keep a child entertained when it is not feasible to play outside. Cut out some shapes on paper and let the children decorate the shapes. For more fun, break out some glitter markers and some stickers. Foam is also a good option for younger chil-
dren. Foam does not tear easily and is very versatile which makes it a good material for young children to craft with.
Crafts for school aged children Children who are attending school are likely
they are adept at doing more than coloring or painting. Craft ideas for older children include puzzles, painting on a canvas, scrapbooking, and other paper crafts, as well as, building crafts out of wood and other items. Cross stitching and fabric arts are good deterrents from the weather outside as they are time consuming.
Crafts for adults There are many different crafts that adults can do. Jewelry making and scrapbooking are two of the most popular activities. Sewing, whether by hand or machine, is an activity that can take up a lot of time and therefore drive away the rainy day blues. Crafting does not have to be and is not age oriented. There are many different craft types, with different levels of difficulty available for pre-school age children all the way through adulthood. Keeping craft supplies on hand will make a rainy day easier on your entire family. 39
Fabulous Nurse Magazine
Travel 40
Issue 5
My
Exotic Adventures
In Pittsburgh!
By Nichole Jones
G
weekend to see a Steelers game. I am a huge Steelers fan and had never been to Pittsburgh, so I was totally excited about the
one is the image of a dirty steel
but none compares to what I experienced in
trip. We flew out of Chicago on a Saturday
town. With its old world charm
Pittsburgh, PA. Several weeks ago, I went to
afternoon and landed in Pittsburgh around
and many cathedrals, Pittsburgh
Pittsburgh with 3 fellow nurses that work in
4pm. By the time we got the rental car and
has grown into a modern day renaissance
a small town hospital in Illinois. I have only
checked in the hotel it was 6:30p. We decid-
city and the top 25 destination cities for the
laughed hard enough to make me pee my
ed to stay at the Doubletree hotel in down-
arts in America.
pants twice in my life, and this experience I
town. It seemed to us that downtown would
am writing about is one of those times.
be the ideal place to get a quick dinner and
Nichole’s Story
Day 1: Saturday 11/13/10
I was a travel nurse for 7 years and have tons stories from all the places I have worked,
check out the nightlife. As my story goes, we found a bar that had
3 RN’s and I went to Pittsburgh for the
good music so we stayed and had drinks. 41
Fabulous Nurse Magazine
Pittsburgh (Steeler Nation) Fun Facts • Home to 6 times Super Bowl champions, the Pittsburgh Steelers. • Birthplace of pop culture. • Only place in the world for a Robotics Doctorate degree. • Invention of the Big Mac, Polio vaccine, Jeep, 1st oil well. • City of Bridges. More than any city in the world. • More steps than San Francisco & Cincinnati combined. • Pittsburghese is the unofficial language of the ‘Burgh aka Pgh. • Pittsburghers eat 11 times more pierogies than other U.S cities. • The most misspelled city in the U.S. & only one of 2 cities to spell its name with an “H.”
Pretty soon we met some guys at the bar
not fall flat on his butt. This still baffles me.
and started partying with them. By last call
hook up with us. I told my friend, “H*LL no, don’t tell him what we are up to!” Thank
at 1am, I was ready to go back to the hotel,
As luck would have it, a cop came from
but the 3 “crazys” I was with wanted to party
around the street corner and blurts, “What
some more. So we let these guys talk us into
the F*** are you doing on my car?!!!” And
We enjoyed the attractions at different sports
going to an afterhours bar on the outskirts
yes, you guessed it. Our weight shifting, to-
bars until the Steelers game started. This
of Pittsburgh which closed at 3am. The biker
tally bereft of common sense drunken surfer
game turned out to be a loss for the Steel-
style bar was truly hardcore and totally not
was arrested for public intoxication. Our trip
ers. The Steelers were playing the Patriots.
what I would have chosen. Nonetheless, we
to Pittsburgh had started off with a bang!
They were definitely not on top of their
were there until 3 am. Just outside the bar at closing, one of the now drunk guys saw an
Day 2: Sunday 11/14/10
goodness she didn’t.
game. It was pretty painful to watch at times. To make up for the painful game, the divas started planning our activities for the rest of
abandoned cop car. I’ll preface what he said with this, “No good or legal ideas happen at
After a long and eventful night, we barely
the night. How this happened I cannot tell
3am in the morning when one is sleep de-
got out of bed at 11am. A lunch destination
you but they thought it might be fun to check
prived and completely inebriated.” He points
was decided and then we decide to hit one
out a male strip club.
to the cop car and says, “Look, I am going
of the many the sports bars to watch football
to go cop surfing.” He then proceeded to
before our Steelers game, which was sched-
I told them there is no such thing, but they
jump on top of this cop car and pretended he
uled to begin at 8:20pm. Around 2pm, my
decided to ask some Steeler fan chicks that
was surfing. However, being so completely
friend Lydia gets a text message from drunk
were sitting on the next table. One chick had
drunk, he could barely handle the swaying
boy, the cop surfer, (who must have gotten
a phone number for male exotic dancers that
of his own body weight, yet somehow he did
out of jail). He was wondering if he could
she uses for Bachelorette parties. Well the
42
Issue 5
and continued dancing. Suddenly, the other guy fell on the floor, right on top of the other guy and kicking him in the process, one awkward strip dancer on top of the other. It was too darn funny! I laughed so hard I peed my pants! The only thing I could think of at that moment was what I would have to say if I called 911. I would simply yell out, “A stripper is down! A stripper is down!” But that was not necessary. They both got back up and started dancing again. I decided to go to my hotel room and change. When I got back they had rolled out the damn twister mat on the bed! I decided against staying for this next development and regame ended around midnight (Steelers lost)
members of the Village People with makeup
and my buddies call the stripper’s number.
and mascara!!!!!!!! They brought with them
Of course I thought the guys were not going
a backpack, boombox/CD player, and a
to answer, but NOPE, I was wrong!! They
damn twister mat!!!!!!!!!!!!! Since the room
agreed to come to one of our hotel rooms. I
wasn’t a suite, there wasn’t much floor space
said no way were they coming to mine since
for them to dance, so instead they turned on
I had a 6 am flight the next day, plus I wasn’t
the music and started dancing on the 2 beds!
paying $200 for 2 guys to dance and strip for
Every other song was a Beyonce’ song. I
an hour and half.
swear these guys had to be gay. Worse, they had no rhythm at all. I was laughing at the
Well when they showed up, it was the craziest
absurdity of it the entire time.
thing I ever saw. I thought they would have
turned to bed. I had a 6am flight after all. Once I got home I called Lydia to see how the night had ended. Well, their adventures with the strippers had gotten a little too wild and she was now in an ankle brace!!! Needless to say, I loved Pittsburgh but do not like strippers and would do without the cop surfer next time. Still, I had such a rollicking good time that I cannot wait to go back next year!!! The End.
Hospitals In Pittsburgh
on like normal clothes. Heck no! One had on
Meanwhile, those nuts I traveled with were
a policeman costume and the other had on a
just eating it up “Shake it Daddy. Shake it!!”
• Children’s Hospital Of Pittsburgh
fireman’s costume. I swear they looked like
Too funny. Then one guy moved to the floor
• Allegheny General Hospital • University of Pittsburgh Medical Center • Magee-Womens Hospital – UPMC • St. Clair Hospital • Kindred Hospitals of Pittsburgh • Mercy Hospital of Pittsburgh • West Penn Hospital • VA Pittsburgh Healthcare System
Pennsylvania State Board of Nursing 2601 N 3rd St., Harrisburg, PA 17110 http:// www.portal.state.pa.us/portal/server.pt/ community/state_board_of_nursing/12515 Phone: (717) 783-7142 43
Fabulous Nurse Magazine
The
Nurse’s tation S
44
Issue 5
How nurses affect cost and impact quality
H
istorically, a hospital was seen as a place where hospitality was provided. Back then, hospitals were typically funded through
private donations and run by charitable organizations; primarily, religious bodies. Today, however, hospitals are largely funded by the government and few can afford to depend solely on the private sector. As the modern healthcare sector becomes more competitive, there is a direct impact on the solvency
Hospital Cost,
of hospitals. The cost of running hospitals have in-
Quality,
By Olusegun
&The
Iselaiye
creased exponentially over the years, leading to a rising concern about the future of medicine. This is ex-pressed in a piece titled, “Cost/Benefit Analysis Of Hospital Operations: Reducing Length Of Stay� which can be found in the U. S. National Library of Medicine National Institutes of Health.
Nurse
45
Fabulous Nurse Magazine
Hospital Costs Growth Drivers Studies have shown that the cost of running a hospital has been on the increase for the past 2 to 3 decades especially with modernization and limited funding. A study by the Greater Milwaukee Business Foundation on Health found that operating costs for area hospitals in Milwaukee increased about 10% from 2003-2006, roughly 4 to 5 percentage points below America’s national average. Four fundamental factors are responsible for high hospital costs. The study and the institution credited with identifying each factor are listed below: 1.
Technology and Prescription Drug. U.S. Congregational Budget Office.
2.
Chronic Disease. Studies by the Centers for Disease Control and Prevention.
3.
An Aging Population. Orszag, P. Congressional Budget Office Testimony, “Growth in Health Care Costs.” Delivered before the Committee on the Budget, United States Senate. January 31, 2008.
4.
Health Administrative Cost. Health Affairs Web Exclu-
Amid concerns about hospital closures, the New America Media re-
sive (Sad History of Health Care Cost Containment As Told
ports: “A 2005 report by the State University of New York Down-
in One Chart).
state Medical Center on hospital care in the 100 largest U.S. cities
Some Hospitals are Giving-in to High Healthcare Costs A news release by the New Hampshire Hospital Association (NHHA) shows that the global financial disaster is still having a negative impact on hospitals in the state of New Hampshire. It appears that this is a similar occurrence across the America and in other nations around the globe.
The Australian Dilemma The closure Blackwood Hospital in Adelaide Hills as reported by The Australian and The Hills and Valley Messenger was mainly due to lack of funding. Other factors included a lack of referrals, competition, and insufficient number of patients.
and their suburbs determined that from 1996-2002, public hospitals closed at a far greater rate than for-profit or private nonprofit hospitals.” The report also found that underserved low to high poverty suburbs brim with hospital closures. In tough economic times, many hospitals struggle to stay afloat. It has proven to be a very daunting task.
What Hospitals Do To Cut Cost Data obtained from the National Health Statistics Group show that America’s expenditures on health care exceeded $2.3 trillion in 2008, over 3 times the $714 billion spent in 1990, and over 8 times the $253 billion spent in 1980. Hospitals are taking creative and sometimes drastic measures to mitigate cost.
The United States
1.
Some examples of hospitals that have closed their doors:
the number of its employees. The Faculty of Nursing, University of
1. As reported by WTAE.Com, the closure of Braddock Hospital, Pittsburgh came as a shock to the community it served. 2. According to ABSCBNnews.com, the last Roman Catholic hospital still standing in New York, St. Vincent’s Hospital of Manhattan, is now closed. 46
Like most businesses, one of the first major steps taken by hos-
pitals to fix the imbalance in profit and loss statements is to reduce Alberta’s study on this indicated that a reduction in the nursing staff more often than not led to a reduction in registered nurses. 2. Investment in information technology and adherence to government regulations are also among other steps hospitals are taking to lessen the impact of cost on business profits. The details of these
and other steps hospitals take to safeguard themselves are further discussed at www.
Conclusion
Issue 5
kaiseredu.org (Health Policy Explained).
Finally, given the extensive amount of evi-
How Adequate Nursing Staff Impacts The Quality Of Patient Care
adversely affects patient care, it would nei-
A Journal of Health Care Finance study found that while an increase in the number of registered nurses was positively related to rising hospital overhead costs, no significant impact was seen in the hospital’s overall profit. On the flip-side, higher numbers of non-registered nurse hours resulted in both
dence showing that less qualified personnel ther be coercive nor demanding to expect healthcare organizations to channel more efforts into hiring more qualified nurses. The verdict is out. Although more qualified nurses greatly impact cost, the benefit outweighs the extra expense. Adequate nursing staff remains a win-win situation for both nurses and the hospitals that employ them.
higher hospital expenditures and accounted for a reduction in profits. In fact, it is not surprising to learn that in the last two decades, many hospitals that have resorted to overhauling their costs by reducing their labor pool especially registered nurses have had to deal with the increasing negative impact on patient care. More examples of the impact of reduced registered nurses on patient care are highlighted: •
Significant negative effect on nursing employee’s health.
•
Negative impact on nurses’ overall quality of life and well-being.
•
Reduced ability to provide quality nursing care (operational inefficiency).
•
Increased patient mortality rates.
•
Increased length of patients’ stay.
Certainly, if we included the overall impact on society, the lack of adequate qualified nursing care will ultimately lead to a total loss of confidence in the health sector. 47
Fabulous Nurse Magazine
Fabulous Nurse’s ten-point rating system for hospitals:
1.
Quality of Nursing Care
2.
Nurse-Patient Ratio
3. Accessibility
4.
Staff Quality & Welfare
5.
Mortality Rate
6.
Financial Base
7.
Patient Volume
8.
‘Green’ Factor
9.
Academic Activity
10. Management Style
The 5 Star Hospital Rating System From Fabulous Nurse Magazine
F
abulous Nurse Magazine wishes to continue its contribution to nursing in yet another direction. Hospitals will be rated and awarded stars with five stars being the maximum number of stars any institution can receive. A hospital’s ability to offer quality
patient care will be determined by a set of readily identifiable variables. These variables will then serve as a yard stick against which all hospitals are rated. It is not our intent to judge.
Once all these indices are added up, they will give a fair picture of the quality of nursing care given to the patients. It must be stressed again that these are simply sub-points for Quality of Nursing Care, which will tally up to 10 points.
However, as a magazine that champions the welfare & well-being of nurses, we will highlight the best performing hospitals &
•
Patients’ Testimonials.
•
Reports of Independent Bodies and/or Agencies.
flush out the worst through our rating system. In the spirit of transparency, our newly developed Five Star hospital rating system is explained in this article.
•
Peer Review (by other hospitals).
•
Federal Health Records (sourced from government agencies such as the National Institutes of Health).
Some factors have been split into parts. The Quality of Nursing Care provided by a hospital will be sub-divided into five areas. Add-
Public Opinion (as gleaned from bodies such as the National Opinion Research
ed up, this will total 10 points for the quality
Center at the University of Chicago).
of nursing care: 48
•
Points for the Nurse-Patient Ratio (NPR) are awarded in relation to the national average. A hospital with a low nurse-to-patient ratio will receive high marks and vice versa. Accessibility will be determined by the distance a given hospital is to a major settlement like a city or urban center. This is explained thus: Less than 5 miles (8 km) radius –Excellent - 10 points
Issue 5
Within 10 miles (16 km) radius = Very Good
number of points if they provide a learning
– 8 points
environment for nursing students.
Within 15 miles (24 km) radius = Good - 6
The ‘Green’ Factor is a measure of a hos-
points Within 20 miles (32 km) radius = Fair – 4 points Over 20 miles (> 32 km) radius = 2 points In short, the closer and more accessible the
pital’s consciousness of its environmental impact. The total score will be 100 points, which will be reduced to a 10 points scale. Poor ………………………………0-1
hospital is to the patient population and ma-
Fair ……………………………….2-3
jor institutions that can provide higher care,
Good ……………………………..4-6
the higher the score.
Very Good ……………………….7-8
Staff Welfare & Quality - 5 (Good) Mortality Rate
- 7 (Good)
Financial Base
- 3 (Fair)
Patient Volume
- 3 (Fair)
Green Factor
- 1 (Poor)
Academic Activity
- 8 (Excellent)
Management Style
- 6 (Good)
That makes a total of 54 points, which will be divided by 10 to give a final point of 5.4.
Staff Quality & Welfare. Proper remunera-
Excellent …………………………9-10
And since 2 points = 1 star, Cross Hill Medi-
tion, skills, experience, and constant training
Case Study:
(digits will be approximated to the nearest
of nursing staff will be considered. A hospital that encourages nurses to go for certi-
Assume that a fictional hospital, Cross Hill
fication or further training while buffering
Medical Center, has the following scores:
the costs will definitely score high on Staff Quality & Welfare. Academic Activity. A large urban or small community hospital will be given the same
Quality of Nursing Care - 6 (Good) Nurse-to-Patient Ratio
- 7 (Very Good)
Accessibility
- 8 (Very Good)
cal Center will be rated as a 2 Stars Hospital whole number to get the diamond score). The highest ranking hospitals get all 5 Stars! Join us monthly as we begin rating healthcare institutions that impact nurse’s lives in the U.S. and around the world. What rating do you think your hospital will receive?
49
Fabulous Nurse Magazine
Career Part 5 of 5 Coaches VS Employment SelfI Dream Job Series
t has been a long journey which spanned five issues of Fabulous Nurse Magazine. It is time to conclude our series on land-
ing your dream nursing job. This series has
received a lot of feedbacks and accolades. Given that many nurses and student nurses have stated its impact in their lives, we are almost sorry to see the series come to an end. But, end it must.
If this happens to be your story, have no
help you navigate the job market to find a job
worries. All is not lost. Chances are that you
that matches your skills, interests, and needs.
need a fresh set of eyes to review your job
They can help an inexperienced person find
search efforts. Choose someone who does
a new job or help someone with experience
hiring, preferably, someone with a basic
change careers, which is often a challenging
knowledge of the healthcare system to re-
thing to accomplish.
Concluding Thoughts
view your efforts. This person will serve as
The road to your dream job may still be a
of you may network with an educator, man-
particularly difficult one even after you have
ager or another person who is willing to as-
Not all career coaches are created equally.
tried all the techniques shared in this series.
sist you for free. Others may need to hire a
Today, many people are coaches and there
coach. Either way, the process of finding this
really isn’t any qualifying agency or board
your advisor, mentor or career coach. Some
person is the same.
How To Hire A Career Coach
to certify them uniformly. This means that when hiring a career coach, it is important
Employing A Career Coach
to ask the right questions. You want to hire someone that has the skills and experience to
Definition: A career coach is someone
help you accomplish your goals.
who can help people reinvent their
50
current career into a new job role,
1. What are the coach’s credentials? If
company or industry. They can also
paying for a career coach, look for a coach
who belongs to the International Coach Federation (ICF) and/or the Worldwide Association of Business Coaches (WABC).
If All Else Fails, Create Your Own Work
Issue 5
skills into cash.
If you’re offering a service or freelancing,
If you become tired of struggling and look-
consider joining a number of freelance web-
2. What is their experience? How long
ing for a job that just doesn’t seem to exist,
sites and outsourcing your other skills. This
have they been coaching and how do they
why not create your own work. Fabulous
will help you build a portfolio and can fill in
help? Do they specialize? Make sure you’re
Nurse Magazine offers ideas to boost your
your free hours until your schedule is full.
hiring someone who has proven experience
income with every issue. You can turn one of
If you’re selling products, you may want
as a career coach.
those ideas into a lucrative business which
to check out websites like eBay, Etsy, and
can carry you over financially until you land
Foodzie depending on what you’re selling.
3. Do they have references and past clients you can contact? This is important. References and testimonials can say a lot about a career coach. Not only their skills and qualifications but their personality and style. It can help you find a coach that matches your needs.
your dream nursing job. Here are the necessary steps on how to capitalize on skills you
Additionally, you can sign up for advertising
already have:
programs, write content to market your business, and of course, network both online and
Step One
off to help spread the word.
Make a list of the skills you have. For ex-
Step Four
ample, are you a good writer? Can you type 4. Guarantees. Some coaches offer guar-
quickly? Are you artistic? Do you have spe-
antees. These can be helpful if you’re unsure
cialized knowledge on a certain topic? You
about hiring someone to help you out.
can freelance or work as a contractor for just about any specialized skill. You can also cre-
Make it official. Depending on your goals you may want to register your business with the local authorities. And depending on the service or products you’re offering, you may
ate products and sell them online.
need to look into licensing, as well. For ex-
Step Two
then your community may require licensing
Some coaches provide you with materials
Create a business plan. Will you sell infor-
up a bank account for cash management and
like workbooks. Others simply coach you
mation? Services? Products? Decide how
tax purposes.
over the phone or online. Find out what the
much you’re going to charge, what your
fees are and what the coaching process en-
business model is, who your customer is,
You can also find health insurance and retire-
tails.
and how you are going to market your busi-
ment plans for the self-employed.
5. Fees and how fees are charged vary widely. Some coaches charge by the hour and require a certain number of hours, some charge based on a workshop or a package.
Making The Decision To Hire A Career Coach It’s tough sometimes to hire someone to help. However, if you’re struggling to make a change or you just want to make the transi-
ness. It’s also important at this point to set goals. You may use this opportunity to fill in the gaps while you continue to job hunt or you may turn this business into your full time career. Decide what you want to do and how you want to approach this in advance so you set yourself up correctly and maximize
ample, if you’re offering massage services and insurance. You may also want to open
Step Five Once you’re up and running, keep track of everything. Track your income and expenses. Track which marketing efforts are working so you put your money in the most
your energy and input.
successful tactics. And track and treat your
Step Three
source of income, right now.
not only a waste of your time, it’s a waste
Market your business and what you have
Congratulations!
of your money. Spend time researching the
to offer. Creating a website and marketing
This may be a path you’ve always sought
right one for you and your needs. Look for
yourself online is often the simplest and
or it may be a passing phase until you find
someone you like, can easily communicate
most effective way to share your services or
that dream job. Until then, enjoy the process
with, and whose knowledge and experience
products. It is a cost effective way to market
and take pride in the fact that you’re making
you respect.
your business and a great way to turn your
money on your skills. Write and let us know
tion process as simple and direct as possible, a career coach may be the perfect answer. Hiring the right coach can make all the difference. If you hire the wrong person, it’s
customers like gold. They’re your primary
You’re
self-employed!
you have fared. Good luck! 51
W
Fabulous Nurse Magazine
hen people are in the hospital,
When boundaries are challenged, how do
Haven’t had a male patient try to flirt with
it is natural for them to feel
you respond to an overly flirtatious patient?
one of the guys yet.”
Commonsense Advice From Real Life
Crushes Are Nothing New
When this question was posted on www.all-
Intimate relationships between patients and
nurses.com, one post had this suggestion:
nurses have been going on since the begin-
more vulnerable than usual.
But, what can you do when the patient you are treating develops romantic feelings for you, their nurse? Imagine this…you are minding your own
ning of time. Whether the relationship starts
business, perusing the chart of one of your
“Look them directly in the eyes and tell
patients when a family member comes to you
them, “I appreciate you may think you
into something more serious, nurses have a
and says, “Listen, you’ve done a great job. I
are complimenting me, but that comment
right to work without the hassle of unwanted
just wanted to see if I could get your phone
is inappropriate and has nothing to do
attention.
number for my (brother/sister)? You’d be
with your care. Please refrain from such
great together.” Shocking? Maybe. This
comments; they interfere with my ability
As one writer commented, “Throughout
to care for you the best I can.
the long history of our profession, these
happens so often that www.impactnurse. com has reported on a decision by Australian nursing regulators to place new standards on how nurses should deal with this issue. They report, “The Australian Health Practitioner Regulation Agency recently published some guidelines to assist nurses identify the boundaries between professional and personal relationships. They state that the aim of the guidelines is ‘to protect the community by helping to prevent distress, confusion,
and ends with innocent flirting or evolves
relationships have evolved and devolved Set limits very clearly, firmly--- but non-
into, unforgettable memories, toxic in-
defensively. Watch your body language.
teractions, lifelong friendships, sustained
Stand straight up, looking them in the
marriages, catastrophic affairs and (by far
eye. No giggling nervously or laughing it
the majority of times) bland professional
off, or looking at the floor. Don’t get an-
encounters quickly forgotten. I suspect in
gry, either. Any of these are perceived as a loss of your control by such people. Be firm but be professional.
the scheme of things, they are no more or no less boundary crossing that any other relationship between two unique people
Dealing With
harm or abuse of people being cared for by nurses.’”
Patient Crushes By Karen Kalis If it persists, you do have recourse. You can elevate the problem to your charge nurse or house supervisor if it gets aggressive. You have the right NOT to be sexually-harassed by anyone, patients included. But most of the time, if you are firm and very clear, it will stop after you correct them.” Other nurses employ more creative tactics. For instance, another post to the same question answered, “If any of our patients become a problem for the female personnel (inappropriate language/behavior), the guys on the unit will do most of the interaction/ provide care with the patient (if possible).
52
who happen to bump up against each other. Such is life.” Whether wanted or unwanted, flirtatious behavior is part and parcel of dealing with people who are in vulnerable positions while they are healing. Though you have many options in dealing with it – whether asking another nurse to take over, reporting the incident to the charge nurse, or simply ignoring it, dealing with a crush can range across the board from funny all the way to life threatening, if care is compromised. The best advice is to remain professional, think clearly, and do what you do best – care for others.
Issue 5
Finance
53
Fabulous Nurse Magazine
Business Home Sewing
Ideas To Boost Your Income
S
tarting a home sewing business can be very lucrative. It’s not easy and it will require work to significantly
boost your income. However, if you are dili-
gent & talented, sewing can provide a very
1. Dresses Dresses are in high demand. Wedding dresses in particular can have extremely good profit margins. While you consider sewing
profitable boost to your nursing income.
wedding dresses, come up with a plan on
There are a number of different types of sew-
partment stores.
ing out there. Some have more income potential than others, so you need to determine what your focus will be. Here are four popular skills you might want to hone: 54
how you will compete against the large de-
would order a unique, custom-made wedding dress. In other words, if you have good skills and are priced right, you can easily carve out a profitable niche for yourself.
2. Clothes repair Fixing damaged clothes is also big business. Dry cleaners are really your only competi-
This is a nice focus for your side income be-
tion in this arena, as most shops no longer
cause when offered a choice of tailored vs
perform this service.
mass-produced bridal gowns, most brides
Issue 5
So you might want to check with your local
of start-up costs. Obviously the equipment
cleaner and see if they offer this service. If
is going to be pricey. Don’t forget advertis-
not, they may be willing to recommend their
ing expenses as well. Will you have a broad
customers to you.
advertising campaign or a narrower, more
Keep in mind that the profit margin is not as good as designing dresses. However, you can still make serious side money, if your volume is high enough.
3. Soft furnishings
focused one? Don’t forget to factor this in when doing your research and figuring out your profit margins. You also have to be a good marketer. This will make or break your company. Like any business, if you can’t market, you probably
This is another excellent income source.
won’t make money. So you need to define
Cushions, covers, and curtains in particular
exactly what customers you are going to tar-
are great money makers.
get and then figure out how to reach them.
There are tons of different designs you can
Where should you advertise? You can start
utilize for these items. Many people want
with the standard places, like the phone book
custom-made furnishings, and are willing
and your local newspaper. However, you
to pay a lot for them. Therefore, if you are
might want to take it one step further and
creative, you can make a lot of money in this
have your own website. This will enable cus-
field.
tomers around the world to find you. While
4. Unique clothes In addition to the above fields, you can also focus on specific markets. For instance, you can specialize on designing baseball uniforms, scrubs, rock-climbing clothes, etc. “There are riches in niches.” Designing clothes for a specific sub-set of the population can pay off.
it will require shipping, it can dramatically increase your orders and profits.
How will you handle the demand? If your business grows beyond what you can manage yourself, you might bring in others to do the sewing for you. This will make your business scalable and will help your company grow. After all, there’s only so much money you can make if you are doing
CAUTION: Don’t forget to figure out your
all the sewing yourself. A home sewing busi-
expenses. There are going to be a number
ness is one more way.
55
Fabulous Nurse Magazine
Accountant Appreciation
Time
Recommend your accountant to others. Letting your friends and family know about what a good job your CPA does, not only helps their business out, it also shows that you think highly of them and appreciate their
A
pril 16th is National Accountant Appreciation Day. After months of hard work, it is time to give back to the
person who waded through the raging river of your tax return. Imagine if you had to prepare your taxes yourself. How much would you tip yourself if you had to put everything together and cer-
tify that it all was correct and accurate to the best of your ability? Take that idea and triple it and you’ll have an idea about the actual worth of your CPA. Here are some ideas for things you can do to
good work. Helping grow their business will
Donations to charities. Making donations in your accountant’s name, or the name of their business, will also go a long way to show your appreciation. While they are focusing on your taxes and how to maximize your deductions, they may miss out on some of their own donations, and thusly, their own
pay off dividends because you become a personal marketing team and your accountant will go the extra mile to help you wherever he or she can.
When all else fails, ask. If you still have no idea what to get your CPA for all their hard work, just ask them what you can do for them. Tell him or her that you
business deductions.
sincerely wish to appreciate their hard work
Gift certificates.
they will enjoy and use. Just make sure that
After spending so much time away from
with something tangible, a token, something you follow through with their request.
their family, your CPA deserves a family
No matter what you decide to do, make it
night out. Why not get together with some
a point, on April 16th, to do something to
of the other clients on your CPA’s roster that
show your accountant you appreciate them.
you know and all chip in for a nice meal at
Bring them food, buy them something nice,
Pens and pencil sets.
that fancy new restaurant in town. Or how
treat them to a meal, or help them build
about a weekend getaway for your accoun-
their business by spreading the word about
A nice pen set will always go a long way
tant and his family. Showing your accoun-
their services. If you don’t have any ideas,
with professionals. There is just something
tant that you are aware they have a family
make it a point to ask your accountant
about feeling the weight of a well-balanced
and that they often put their family on hold
what they would like. Then follow through
pen or nice mechanical pencil in your hand.
during tax time for you, lets them know
to make Accountant Appreciation Day a
Adding engraving or a special holder will
that you really care about them and their
very good day for you and the accountant
personalize the, “Thank you,” even more.
personal life.
you appreciate.
show your tax accountant that you truly appreciate their time and energy spent in keeping the IRS satisfied:
56
Issue 5
Retirement Savings
Calculation
Go ahead and fill in the blank: When I have ________ I will be able to retire comfortably. My guess is that blank was filled in with a dollar sign and some numbers behind it.
How Often? How much you save, or plan on saving, also deals with how often you plan to put money aside. Fewer deposits mean each one needs to be bigger to hit your retirement goal. If you have more deposits, you can afford to keep each deposit smaller in size. This can sometimes hurt a bit less. Keeping in mind how much you want to save and how often you can invest in your retirement can help you to figure out how much you should put away each payday. Many people have funds automatically with-
R
etirement is becoming less and less about age and more about a dollar figure. Think about it, when some nurses retire from a full time job, they find that living on social security & their 401K is not nearly enough. They have to take a
travel assignment or pick up agency shifts to supplement their income. It is not impossible to save for retirement. The most import thing one should know when planning for retirement is how much one should save, accounting for inflation over the years.
How Much? While no one can tell you exactly how much you need to have put away before you retire, there are some basic things to consider in order to help you plan for the future. If you are starting late in life, your best bet will be to max out all of your retirement accounts as quickly as possible. Doing so will ensure that you get the most compounding interest every day, week, and year until you retire.
where. Even a small amount in your account today can make a big impact in twenty to thirty years from now. Take a look at one of the many retirement calculators online. These devices can take an estimated amount from the date of your retirement and backcalculate how much you should put into your retirement account each month to hit your goal. It doesn’t matter if you are young or old, put as much away each month as you can. If this amount can max your account out, perfect,
As a younger investor, it is also wise to max
but if not, don’t fret, just continue to put
out your retirement accounts, but if you do
money away each month. Every dollar that
not have that much money to put into your
you put away will ultimately compound it-
retirement at the present date, start some-
self for your retirement.
drawn from their paychecks, which could be weekly, bi-weekly, or monthly. Others use their first paychecks to pay all of their bills and deposit a larger lump sum in their retirement fund on the last paycheck of the month when they have more wiggle room.
Where? While we cannot tell you which bank to do your investing with, it is a wise idea to look around, especially focusing on percentage rates. While percentages don’t look huge, they can make a big difference. At $1,000 per month for 35 years, a 0.5% difference in interest rates can add up to an additional $150,000. Take your time and find out which bank has the best interest rates and also ask about their interest rate history to see if it was continually higher than other banks. Interview your bank like you are hiring a Chief Financial Officer. After all, they will be in charge of your finances leading up to and during your retirement years. 57
Fabulous Nurse Magazine
A Travel Nurse’s Poem By E. Laureate
Recipe for an ideal assignment. Ingredients: Pour into a healthcare cauldron, A packet of charm, for good measure. One teaspoon full of luck Home tastes far in the distant past. Stir in a modicum of social graces; A slight of politic on the side. Mix in two helpings of jovial spirit, A dash of medically sound treatments. Adventure beckons and delights. Add in meds to accent the stew. Deign to ponder on a diagnosis or two. A breathing machine, a centrally located access Delight in this delicious fare, Served with little politic on the side. Life’s an adventure… You are born to blaze the trail!
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Laugh Out
Loud
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Fabulous Nurse Magazine
General Humor Want a day off work? Employee: I will like to place a request for time off.
Employer: So you want a day off? Let’s take a look at what you are asking for. There are 365 days per year available for work. There are 52 weeks per year in which you already have 2 days off per week, leaving 261 days available for work. Since you spend 16 hours each day away from work, you have used up 170 days, leaving only 91 days available. You spend 30 minutes each day on coffee break which counts for 23 days each year, leaving only 68 days available. With a 1 hour lunch each day, you used up another 46 days, leaving only 22 days available for work. You normally spend 2 days per year on sick leave. This leaves you only 20 days per year available for work. We are off 5 holidays per year, so your available working time is down to 15 days. We generously give 14 days vacation per year which leaves only 1 day available for work and I’ll be darned if you are going to take that day off!
Nursing Humor Quote
A hospital bed is a parked taxi with the meter running. By Groucho Marx
Nurses in Heaven
Three nurses die and go to Heaven. They’re met at the Pearly Gates by St. Peter, who questions each of them. “What did you do back on Earth?” he asked the first nurse. “Why do you think you should be allowed into Heaven?” “I was a nurse at an inner city hospital,” she tells him. “I worked to bring healing and peace to many sufferers, especially poor children.” “Very noble. You may enter.” He ushers her through the gates and asks the same questions of the next nurse. “I was a missionary nurse in the Amazon,” the second nurse replies. “For many years I worked with a small group of doctors and nurses to help heal people in isolated tribes.” “Excellent!” St. Peter exclaims and allows her to pass through the gates as well. Finally he poses his questions to the third nurse. She hesitates, then explains, “Well, I was just a nurse at an HMO.” St. Peter considers her answer for a moment, then tells her, “OK, I guess you can enter, too.” “Whew!” the nurse exclaims. “I almost thought you weren’t going to let me in.” “Oh, you can come in,” St. Peter tells her. “But you can only stay for three days.”
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Issue 5
Resources
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Fabulous Nurse Magazine
April Nursing Conferences Around The World
1-2 April 2011 Amsterdam, Netherlands.
6-8 April 2011 Montreal, Canada.
7 - 8 April 2011 Falls Church, Virginia. USA.
Leadership Summit Europe. Nurse lead-
1st International Nursing Intervention Re-
“The Role of Nursing Research in Symptom
ers from around the world meet in Amster-
search Symposium. A symposium
Management and Palliative Care.”
dam for the global world leadership summit
provides an environment for world renown
hosted by Honor Society of Nursing, Sigma
experts and researchers to share the scien-
Theta Tau International (STTI). Experts will
tific vision and research ideas. The scientific
present topics on leadership.
event is hosted by the GRIISIQ (Quebec In-
Phone: 1-888-634-7575 (US & Canada toll free) or +1-317-917-4913.
teruniversity Nursing Intervention Research
E-mail: LSEurope@stti.org. Web:http://www.nursingsociety.org/STTIEvents/ LeadershipSummit/Pages/LSEurope_2011_home. aspx.
4-5 April 2011 Galway, Ireland.
which
Web: http://www.symposium2011.org.
6-9 April 2011 San Antonio, TX. USA. American Academy of Ambulatory Care Nursing (AAACN) Annual Conference.
ing and Midwifery, Building and Promoting
A major focus of this year’s conference is
Excellence in Practice. This conference will
health care reform and its impact on ambula-
provide an opportunity for researchers, prac-
tory care nursing. Pre-conference workshops
titioners and policy makers to get together to
include the U.S. Air Force Ambulatory Care
learn, debate and share methods of building
Nurses Pre-Conference & the Tri-Service
and promoting excellence in practice.
Military Pre-Conference. The Telehealth
Email: info@nursingmidwifery.ie.
Nursing Practice Core Course and the Ambulatory Care Nursing Certification Review Course are also offered as Post-Conference workshops. Email: aaacn@ajj.com. Web: www.aaacn.org.
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13 - 16 April 2011 San Diego, CA. USA.
Group).
The 3rd International Conference on Nurs-
Web:www.nursingmidwifery.ie.
Contact Candice Sullivan via email: Candice. sullivan@inova.org.
The American Organization of Nurse Executives 44th Annual Meeting Exposition, “Shifting Sands: Charting the Course.” Web: http://www.aone.org/aone/conference2011/ generalinformation.html.
19 - 22 April, 2011 Orlando, FL. USA. ATI National Nurse Educator Summit. Nursing professionals from across the country attend a three days info-packed summit designed to help the nurse educator grow and excel in their role, while earning Continuing Education Units. Web: http://www.cvent.com/EVENTS/Info/ Summary.aspx?e=84634882-d328-4c85-a516ab42ff838fc5.
National Nursing Issue 5
26 - 27 April 2011 Cebu City, Philppines.
Organizations From A - Z
1st Cebu International Nursing Conference. This conference shall serve as a venue for nurses to disseminate and utilize research findings with other co-nurses, thereby attaining excellence and quality in practice.
Academy of Medical-Surgical Nurses East Holly Avenue Box 56, Pitman NJ 08071 http://www.amsn.org 1-866-877-2676
Web: http://www.cebuinternationalnursingconference.org.
Academy of Neonatal Nursing
28 April - 1 May 2011 Boston, MA. USA.
1425 N McDowell Blvd Suite 105 Petaluma CA 94954
Oncology Nursing Society 36th Annual Congress. Congress is ONS’s primary annu-
http://www.academyonline.org 1-707-795-2168
Air & Surface Transport Nurses Association
al conference. Congress offers CNE contact
7995 East Prentice Avenue, Suite 100, Greenwood Village CO 80111
hours, a popular exhibit hall, SIG meetings,
http://www.astna.org/ 1-800-897-NFNA (6362), Fax: 303-770-1614
optional education and many other events. It oncology nurses an interactive learning experience and networking opportunities to
Alliance for Psychosocial Nursing
encourage excellence in oncology nursing
6900 Grove Road, Thorofare, NJ 08086-9447 USA
and quality cancer care. Phone: 1-866-257-4ONS (1-866-257-4667).
http://jpnonline.com/contact.asp + (856) 848-1000
Email: customer.service@ons.org. Web: www.ons.org.
30 April - 5 May 2011 Chicago, IL. USA. National Teaching Institute & Critical Care Exposition (NTI). Attendees will have the unique opportunity to renew their practice and accelerate their professional growth
American Academy of Ambulatory Care Nursing 200 East Holly Avenue, Sewell, NJ 08080-2641 http://www.aaacn.org 1-800-262-6877; (856) 256-2350
American Academy of Nursing 8515 Georgia Avenue Suite 400 Silver Spring, MD 20910-3492 http://www.nursingworld.org 1-301-628-5000 or 1-800-284-CERT (2378)
with new knowledge from experts in acute and critical care. Phone: 1-800-899-2226. Email: ntimail@aacn.org. Web: www.aacn.org/nti.
American Assembly for Men in Nursing 6700 Oporto-Madrid Blvd.., Birmingham, AL 35206 http://www.aamn.org 205-956-0146
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Fabulous Nurse Magazine
American Assisted Living Nurses Association 2265 Big Ranch Rd Napa, CA 94558 94581
American Association of Occupational Health Nurses
http://www.alnursing.org/ 1-707.253.7299
7794 Grow Drive Pensacola, FL 32514 https://www.aaohn.org (850) 474-6963 ∙ (800) 241-8014
American Association for the History of Nursing 10200 W. 44th Avenue, Suite 304 Wheat Ridge, CO 80033
American Association of Spinal Cord Injury Nurses
http://www.aahn.org (303) 422-2685
801 Eighteenth Street, NW, Washington, DC 20006-3517 (202)
American Association of Colleges of Nursing One Dupont Circle, NW Suite 530 Washington, DC 20036 http://www.aacn.nche.edu (202) 463-6930
American Association of Critical Care Nurses 101 Columbia Aliso Viejo, CA 92656-4109 http://www.aacn.org 1-800-899-AACN (2226), 800-809-CARE (2273)
American Association of Legal Nurse Consultants 401 N. Michigan Avenue Chicago, IL 60611 http://www.aalnc.org Toll free: 877/402-2562
American Association of Managed Care Nurses
872-1300
American College Health Association 891 Elkridge Landing Road, Suite 100, Linthicum, MD 21090 http://www.acha.org/ (410) 859-1500
American Forensic Nurses 255 North El Cielo Road, Suite # 140-195 Palm Springs, CA 92262 http://amrn.com 1-760-322-9925
American Heart Association: Council on Cardiovascular Nursing 7272 Greenville Ave. Dallas, TX 75231 http://www.heart.org/HEARTORG/ 1-800-AHA-USA-1; 1-800242-8721
4435 Waterfront Drive, Suite 101, Glen Allen, VA http://www.aamcn.org/ +1 804-747-9698
American Holistic Nurses Association 323 N. San Francisco St. Suite 201 Flagstaff, AZ 86001
American Association of Neuroscience Nurses
http://www.ahna.org/ (800) 278-2462; (928) 526-2196
4700 W. Lake Avenue Glenview IL 60025 http://www.aann.org 1-888/557-2266 (US only); 847/375-4733 847-692-7050
American Association of Nurse Attorneys PO Box 14218 Lenexa, KS 66285-4218 http://www.taana.org (877) 538-2262
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American Long Term & Sub Acute Nurses Association 11427 Reed Hartman Highway. Cincinnati, OH 45241 http://www.ltcnursing.org 1-513-618-6530
Issue 5
American Medical Informatics Association/Nursing Informatics Working Group
American Society of Ophthalmic Registered Nurses, Inc.
4915 St. Elmo Avenue, Suite 401, Bethesda, MD 20814
http://webeye.ophth.uiowa.edu/asorn/ 1-415-561-8513
P. O. Box 193030 San Francisco, CA 94119-3030 USA
https://www.amia.org/ni-wg 1-301-657-1291
American Society for Pain Management Nursing American Nephrology Nurses Association
18000 W 105th St. Olathe, KS 66061-7543
200 East Holly Avenue, Sewell, NJ 08080
http://www.aspmn.org/ Toll Free: (888) 34ASPMN; or (913) 895-
http://www.annanurse.org/ 1-888-600-2662; 856-256-2320
4606
American Nurses Association
American Society of Peri-Anesthesia Nurses
8515 Georgia Avenue - Suite 400 - Silver Spring, MD 20910
90 Frontage Road, Cherry Hill, NJ 08034-1424
http://www.nursingworld.org/ 1-800-274-4ANA
http://www.aspan.org/ Toll-Free: 877.737.9696 - Telephone: 856.616.9600
American Nursing Informatics Association 1908 S El Camino Real, Ste. H San Clemente, CA 92672 USA http://www.ania-caring.org 1-866-552-6404
American Organization of Nurse Executives 155 N. Wacker Drive, Suite 400, Chicago, IL 60606 http://www.aone.org/ 1-312-422-2800
American Public Health Association - Public Health Nursing Section 800 I Street, NW, Washington, DC 20001 http://www.apha.org (202) 777-2742 (APHA)
American Society of Plastic & Reconstructive Surgical Nurses, Inc. 7794 Grow Drive, Pensacola, FL 32514 https://www.aspsn.org (850) 473-2443 ∙ (800) 272-0136
American Thoracic Society: Nurses Section 61 Broadway New York, NY 10006-2755 http://www.thoracic.org/ +1 (212) 315-8600
Association of Camp Nurses 8630 Thorsonveien NE Bemidji, MN 56601 http://www.acn.org/ 218-586-2633
American Radiological Nurses Association 820 Jorie Blvd, Oak Brook, IL 60523-2251 http://www.rsna.org 1-630-571-2670
Association of Child Neurology Nurses http://www.acnn.org/
American Society for Parenteral and Enteral Nutrition: Nurses Section
Association of Nurses in AIDS Care
8630 Fenton Street, Suite 412, Silver Spring, MD 20910
3538 Ridgewood Road, Akron, Ohio 44333-3122
http://www.nutritioncare.org/ 301-587-6315
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Fabulous Nurse Magazine
http://www.nursesinaidscare.org 800.260.6780 (toll free) 330.670.0101 (phone)
Commission on Graduates of Foreign Nursing Schools 3600 Market Street, Suite 400 Philadelphia, PA 19104-2651 USA http://www.cgfns.org/
Association of Pediatric Oncology Nurses
+1 (215) 222 8454
4700 W. Lake Avenue Glenview, IL 60025-1485 http://www.aphon.org/ 847.375.4724
Dermatology Nurses’ Association 15000 Commerce Parkway, Suite C, Mt. Laurel, NJ 08054,
Association of periOperative Registered Nurses
http://www.dnanurse.org 1-800-454-4362
2170 South Parker Road, Suite 400 Denver, CO 80231 http://www.aorn.org/ Toll Free: 800-755-2676; Local: 303-7556304
Association of Rehabilitation Nurses 4700 W. Lake Avenue, Glenview, IL 60025 http://www.rehabnurse.org/ 1-800-229-7530
Association of Women’s Health, Obstetric and Neonatal 2000 L Street, NW, Suite 740, Washington, DC 20036 http://www.awhonn.org 1-202-261-2400; Toll free US: 800-673-8499; Toll free Canada: 800-245-0231
Baromedical Nurses Association 5004 Sea Drift Way, San Diego CA 92154 http://www.hyperbaricnurses.org/ 303-918-9686
Chi Eta Phi Sorority, Inc. 3029 13th Street, N. W. —Washington, DC 20009 http://www.chietaphi.com 202-232-3858
Developmental Disabilities Nurses Association PO Box 536489 Orlando, FL 32853-6489 http://ddna.org/ (800) 888-6733 toll-free; (407) 835-0642 phone
Emergency Care Connection No available url and contact information
Emergency Nurses Association 915 Lee Street / Des Plaines, IL 60016-6569 http://www.ena.org 1-800-243-8362
Hospice and Palliative Nurses Association One Penn Center West · Suite 229 · Pittsburgh, PA · 15276 http://www.hpna.org/ 1-412.787.9301
Infusion Nurses Society (see intravenous) 315 Norwood Park South • Norwood, MA 02062 http://www.ins1.org (781) 440-9408
National Association for Practical Nurse Education and Service, Inc. 1940 Duke Street, Suite 200; Alexandria, VA 22314 http://www.napnes.org 1-703-933-1003
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Issue 5
National Association of Clinical Nurse Specialists
National Association of Rural Health Clinics
100 North 20th Street, 4th Floor, Philadelphia, PA 19103
2 East Main Street, Fremont, MI 49412
http://www.nacns.org/ 1-215-320-3881
http://www.narhc.org 1-866-306-1961
National Association of Directors of Nursing Administration in Long Term Care
National Black Nurses Association, Inc.
Reed Hartman Tower, 11353 Reed Hartman Highway, Suite 210, Cincinnati OH 45241 http://www.nadona.org/ Toll free: 1-800-222-0539; local phone: 513-791-3679
8630 Fenton Street, Suite 330 Silver Spring, MD 20910-3803 http://www.nbna.org/ (301) 589-3200
National Council of State Boards of Nursing 111 East Wacker Drive, Suite 2900 Chicago, IL 60601-4277
National Association of Hispanic Nurses
https://www.ncsbn.org/ 1.312.525.3600
1455 Pennsylvania Ave, NW, Suite 400 Washington, DC 20004 http://www.thehispanicnurses.org/ 1-202-387-2477
National Gerontological Nurses Association 1020 Monarch Street Suite 300 Lexington Kentucky 40513
National Association of Neonatal Nurses
http://www.ngna.org/ 1-800-723-0560
NANN National Office 4700 W. Lake Avenue Glenview, IL 60025 http://www.nann.org/ 1-800-451-3795; 847-375-3660
National Hospice & Palliative Care Organization 1731 King Street, Suite 100 Alexandria, Virginia 22314
National Association of Orthopaedic Nurses 401 N. Michigan Avenue, Suite 2200 路 Chicago, IL 60611
http://www.nhpco.org 703/837-1500
http://www.orthonurse.org/ 1-800-289-NAON (6266)
National League for Nursing National Association of School Nurses 8484 Georgia Avenue, Suite 420, Silver Spring, MD 20910 http://www.nasn.org/ 1-240-821-1130
National Association of School Nurses for the Deaf 309 W. Walworth Delevan, Wisconsin 53115 http://www.nasnd.net/
61 Broadway, 33rd Floor, New York, NY 10006 http://www.nln. org/ 1-212-363-5555
National Nurses in Business Association P. O. Box 561081, Rockledge, FL 32956-1081 https://www.nnba.net/ 1-321-633-4610
National Nursing Centers Consortium 260 S Broad St # 18, Philadelphia, PA 19102-5000 http://nncc.us/ (215) 731-7140
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Fabulous Nurse Magazine
National Student Nurses Association
Society for Vascular Nursing
45 Main Street, Suite 606, Brooklyn, NY 11201
100 Cummings Center, Suite 124 A, Beverly, MA 01915
http://www.nsna.org/ 1-718-210-0705
http://svnnet.org/ Toll Free: 888-536-4786; Phone: 978-927-7800
Navy Nurse Corps Association
Society of Gastroenterology Nurses and Associates, Inc.
585 Bethel Avenue, Port Orchard, WA 98366-4501
401 North Michigan Avenue - Chicago, IL 60611-4267
http://www.nnca.org/ (360) 876-8311
http://www.sgna.org/ 1-800-245-7462
North American Nursing Diagnosis Association
Society of Otorhinolaryngology and Head/Neck Nurses
1211 Locust Street, Philadelphia, PA 19107-5409
207 Downing Street, New Smyrna Beach, FL 32168
http://www.nanda.org/ (215) 545-8105
http://www.sohnnurse.com/ 1-386-428-1695
Nurses Christian Fellowship
Society of Pediatric Nurses
P. O. Box 7895, Madison, WI 53707-7895 http://www.ncf-jcn.org/
7794 Grow Drive ∙ Pensacola, FL 32514
608-274-4823
https://www.pedsnurses.org/ 1-850-494-9467; 800-723-2902
Nurses Organization of Veterans Affairs
Space Nursing Society
47595 Watkins Island Square, Sterling, VA 20165 US
3053 Rancho Vista Blvd., Ste H377, Palmdale, CA 93551
http://www.vanurse.org/
http://www.spacenursingsociety.net/ 1-661-949-6780
703-444-5587
Society of Urologic Nurses and Associates Nursing Network on Violence Against Women International
East Holly Avenue Box 56 Pitman, NJ 08071-0056 http://www.suna.org/ 1-888-827-7862
1801 H Street B5, Modesto, CA 95354-1215 http://www.nnvawi.org/
Transcultural Nursing Society/College of Nursing Health Madonna University, 36600 Schoolcraft Rd. Livonia, MI 48150
Oncology Nurses Society
http://www.tcns.org/ 1-888-432-5470
125 Enterprise Drive Pittsburgh, PA15275 http://www.ons.org/
Wound. Ostomy, and Continence Nurses Society
866-257-4ONS (866-257-4667); 412-859-6100; 877-369-5497
15000 Commerce Parkway, Suite C, Mt. Laurel, NJ 08054
(toll free fax)
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http://www.wocn.org/ Toll Free: 888-224-WOCN (9626)
International Nursing
Issue 5
Organizations
International Association of Forensic Nurses
International Society of Nurses in Genetics
1517 Ritchie Hwy, Ste 208 Arnold, MD 21012-2323
461 Cochran Road, Box 246 Pittsburgh, PA 15228
http://www.iafn.org/
http://www.isong.org/
+1-410-626-7805
412-344-1414
International Association for Human Caring
International Society of Psychiatric Mental Health
801 East Park Drive, Suite 100, Harrisburg, PA 17111 USA
2424 American Lane, Madison, WI 53704-3102 USA
http://www.humancaring.org/ (717) 703-0033
http://www.ispn-psych.org 1-608-443-2463
International Council of Nurses 3, Place Jean Marteau 1201 - Geneva, Switzerland
Nursing Network on Violence Against Women International
http://www.icn.ch
1801 H Street B5, Modesto, CA 95354-1215
+41-22-908-01-00
http://www.nnvawi.org/
International Organization of Multiple Sclerosis Nurses
Nurses of Emergency (Italian)
359 Main St. Suite A, Hackensack, NJ 07601 USA
+39 348 3245441
http://www.nursesofemergency.org/
http://www.iomsn.org/ (201) 487 - 1050
Sigma Theta Tau, International Honor Society of Nursing
International Society of Nurses in Cancer Care
550 W. North Street – Indianapolis, IN 46202 USA
375 West 5th Avenue Suite 201 Vancouver, BC V5Y 1J6
888-634-7575 (TOLL FREE - US/CANADA only);
http://www.isncc.org/
+1-317-634-8171 (INTNL)
http://www.nursingsociety.org/
+1.604.630.5516
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