Nurse Blake Magazine is a quarterly publication on a mission to create awareness, inspiration, and humor for the global nursing community. Each issue features articles from the Nurse Blake brand and stories from influential nurses in the field. The magazine also includes Q&As, nursing conference highlights and CNE opportunities, news from the profession, plus lighthearted sections such as nurse fashion and trends, life outside of work, and much more.
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COVER IMAGE
Photo courtesy of NurseCon at Sea
PUBLISHED BY Monarch Media & Consulting, Inc.
ISSUE CREDITS Flaticon.com, iStock.com
The Team
EDITOR IN CHIEF
Blake Lynch, BSN, RN nurseblake.com
LEAD EDITOR
Maggie Aime, MSN, RN thewritern.com
MANAGING EDITOR
April Rowe, BSN, RN rntopen.com
BRAND COORDINATOR
Mariana Garces nurseconatsea.com
MAGAZINE DESIGN
Andrea Exter monarchmediainc.com
ADVERTISING SALES
Chellie Thompson monarchmediainc.com
TIKTOK @nurseblake FACEBOOK nurseblake
INSTAGRAM nurse.blake YOUTUBE nurseblake
Contributors
Maggie Aime is a freelance health and medical personal finance writer. She’s the owner of TheWriteRN.com. When she’s not writing, she can be found relishing a breathtaking sunrise, making memories with her children, or rekindling her love of the piano.
April Rowe is a registered nurse, freelance writer, and owner of RNtoPen. She loves spending time with her family, is an avid traveler, and is passionate about learning Italian.
Sara Egnatz, BSN, RN-BC, is a seasoned registered nurse and freelance writer passionate about health literacy. She loves to read historical fiction and hike in the beautiful state parks in North Carolina.
MAGGIE AIME, MSN, RN
APRIL ROWE, BSN, RN
SARA EGNATZ, BSN, RN-BC
LEGACY IN ACTION
THE THEME FOR THIS ISSUE IS LEGACY IN ACTION and for me, legacy means what choices or actions we make that affect others around us. It can be from a small action of sitting with a patient and their family to creating a new policy on your floor that affects patient outcomes for years to come. Many people see legacy as one big action that lives on after one dies, but I see legacy differently in a way that has the potential to create multiple legacies from either small or large actions throughout our lives.
I hope that I'm creating multiple legacies throughout my life. While I was working bedside, I'd look for special moments to connect with my patients in a way that they would forget about the illness or tragedy they were facing just for a moment to smile or laugh. And I hope that when they look back on their hospital stay, they will remember that moment over the pain they felt or the sadness they were feeling. That is a legacy I hope I left them with.
And the same goes for my comedy shows. I hope to give the nurses who attend a special moment and a memory of laughter that makes them forget about the stress of nursing. With the NurseCon at Sea conferences, my goal is for the attendees to have the most epic balance of learning and fun in a way that makes them feel empowered and important. That is the legacy I hope to leave them with.
While you may not know what legacy you're leaving behind I want to tell you that you've already left little legacies with each patient you encounter. I hope you use the power of your legacy to get you through those tough shifts and hard days. And my goal for the magazine is to highlight all of the amazing nurses and their incredible stories and to bring a smile to your face. So sit back, put your aching feet up, and enjoy!
Many people see legacy as one big action that lives on after one dies, but I see legacy differently in a way that has the potential to create multiple legacies from either small or large actions throughout our lives.
Have you ever scrubbed a rectal tube? How about reused IV needles and Foley catheters? If you are a veteran nurse, then yes, you have! Sandra Benko, a nurse with over 60 years of experience, described how nursing has changed, and she gave us all the crazy details about bygone nursing duties! Read all about the evolution of nursing in the Nursing Then and Now article.
We chose Dr. Marie O. Etienne for this issue’s Nurse of the Quarter, and with her long list of accomplishments, you'll understand why. Originally from Haiti, Dr. Etienne persevered through many setbacks to become a nurse. But she didn’t stop there. She continued on to become a pediatric nurse practitioner and nursing professor. She has received multiple awards, including the prestigious Florence Nightingale Medal. She is the first Black president of the Florida Nurses Association. She has volunteered in Haiti and has led multiple medical missions. And she created a non-profit organization dedicated to helping survivors of crimes, human trafficking, and domestic violence. She is truly an inspiration!
Ever heard of a Drum Corps nurse? No? Well, imagine your typical work day: you're not in a hospital but traveling across the country with a bunch of talented musicians and performers. Your patients? Young adults pushing their bodies to the limit in the summer heat, all for the love of music and showmanship. This issue’s Unique Nursing Role is definitely not your average nursing gig. Check it out!
Who’s part of the coochie crew? Where are my expert baby bundlers? Let's get real about Labor and Delivery vs. Postpartum nursing. Our contributing nurse writer, Sara, decided to cut through the fluff and go straight to the source. She interviewed nurses from both departments to give us an insider perspective about what it's really like on the front lines of the maternity departments.
Let’s face it: Drug diversion and substance use disorders among nurses are very real and won’t be going away any time soon. We need to have a candid conversation about the dark realities of this nursing crisis. We spoke with a nurse survivor who bravely shared her story of addiction, diversion, and recovery. She hopes her story will spread awareness and help others also dealing with this dangerous and destructive disorder.
Why can’t nurses bill for their services like every other healthcare profession? This issue’s Nursing News delves
into the problem of nursing care being lumped into a hospital room charge. If hospitals could bill for and get reimbursed for nursing services, they may finally decide to staff their units appropriately. Be sure to read the full article to learn more about the Commission for Nurse Reimbursement and why changing how nursing care is billed should be a top priority!
We wrapped up another mind-blowing, off-the-charts NurseCon at Sea cruise in April, and boy, did we make some waves in Mexico and The Bahamas. Here’s what you get when you combine a boatload of clocked-out nurses looking to soak up the sun and party until the wee hours of the morning, all while getting a bunch of sweet CEUs: an epic nursing conference cruise vacation that’s a trip of a lifetime! Don’t miss this fun-filled recap, and be sure to register for the cruise to The Bahamas in 2025 before it sells out!
Sandra Benko, RN and Nurse Blake hangin’ out by the pool on the NurseCon at Sea cruise to Mexico.
Nurses clocked out and ready to party onboard the NurseCon at Sea cruise.
PHOTOS
My goal for the magazine is to highlight all of the amazing nurses and their incredible stories and to bring a smile to your face.
Ask Nurse Blake is always a good conversation starter. I answered questions about JCAHO, the most stressful parts of nursing, why it’s so important to join nursing associations, and gave tips on how nursing units can help their staff bond as a team. Ask me anything, and I’ll give you my honest response.
For those lucky nurses who actually get to eat lunch (we see you, unicorns): Are you the type of nurse who sports a tiny but functional lunch box, or do you tote a giant ass bag that takes up most of the refrigerator?!?! Our Category Is section highlights all the best lunch boxes, so any nurse who has time to clock out and sit down to eat for 30 minutes, this one’s for you!
Meet Nurse Joelle, a kickass flight nurse who spends her time off the clock as a humanitarian worker abroad. Joelle has volunteered in Ukraine and is now part of a team developing a training program for nurse paramedics in conflict zones. The pilot program will begin in Kyiv, Ukraine, this October, followed by Somalia, Africa. Read her fascinating story in Off the Clock!
LEFT
It’s all smiles on the NurseCon at Sea cruise! Hilarious shows, engaging CEU courses & interactive games are just some of the entertaining activities you’ll experience!
BELOW
Cheers to Fairy Tale Night! Our nursing cruise conference to Mexico had 4 epic theme nights, and attendees went all out with their costumes!
I hope you enjoy this issue as much as I do! It’s loaded with inspirational nursing stories that will leave you in absolute awe. I’m so proud of all of the incredible nurses, nursing students, and healthcare professionals who make a difference in people’s lives every day—it’s our legacy in action that provides a profound impact in this world. So remember to make each day and every interaction count!
With love and laughter,
BLAKE LYNCH EDITOR + FOUNDER
FROM FIRST CONTRACTIONS TO FIRST DIAPER CHANGE
Labor and Delivery and Postpartum Nurses Find Joy in New Beginnings
By Sara Egnatz, BSN, RN-BC
POSTPARTUM
DO YOU LOVE BIRTHDAY BASHES? How about celebrating a birthday each time you work? When labor and delivery (L&D) and postpartum (PP) nurses clock into their shifts, they are invited to all the parties!
Both nursing specialties have a tremendous impact on a family when a new baby enters the world and celebrates that special birthday. L&D and PP nurses bring their critical thinking and astute communication skills to the family’s first days together.
THE LABOR WHISPERER
Julie Collier, BSN, RN, is a dedicated L&D nurse with 32 years of experience. She is not merely a caregiver during birth. She strives to be a guide, supporter, and gentle presence in the most transformative journey for a new family. Julie stated, “I am driven by the desire to empower mothers to recognize their innate strength in the birthing process.”
Julie tells her laboring moms to stay calm and focused during labor. She coaches patients to understand that labor is a journey, not a destination. She was awarded the “Most Likely to Bond with Your Patients”
Emily’s one word to describe her job?
“Joy!”
award. Her team recognized her immense skill in caring for patients and families. Establishing trust is her secret sauce.
ORGANIZED CHAOS: Julie functions in various clinical highpaced birthing scenarios, from routine deliveries to emergencies. L&D nurses must be ready for anything, including critically ill patients who present with emergency symptoms like placental abruptions, pre-eclampsia, and postpartum hemorrhage. The L&D nurse must also assist with surgical interventions, such as cesarean sections and forceps deliveries. These surgeries require high skill and precision.
Julie stresses that practicing emergency drills is critical in dealing with any potential difficulty. She also notes that detecting issues early improves patient outcomes. With her experience, she has an eagle eye for anything not going according to plan.
DELIVERY SUPPORT: Managing initial newborn care and providing psychological support during this high-stress time are also significant parts of her nursing practice. When Julie arrives for her day, she is never sure what to expect. “I have the privilege of watching this remarkable process of life unfold, and I am enamored with this beautiful, organized chaos,” she said.
Julie’s advice to nurses? Find a mentor who can guide and inspire you in your nursing specialty. “My mentor’s excellent guidance, inspiration, and challenges have played a pivotal role in my career.”
After the little bundle of joy changes from their birthday suit into the standard hospital pink and blue swaddling blanket, the PP nurse enters the chat. The L&D nurses give the PP nurse a short report about the birth and other relevant facts about the new mom and baby. In this next phase of care, the PP nurse focuses on the mom’s recovery after delivery and the baby’s immediate needs.
MAMA MENTOR
Emily Taylor, BSN, RN, works in Vermont as a PP nurse. She brings her experience working in pediatric home care and on several medical-surgical units as a new graduate. Her background makes her an exceptional guide for new families.
“My favorite aspects of postpartum nursing are educating and seeing new families created. This is true even for parents with their fourth or fifth baby! Since it is a new addition, it becomes a new family, and I love seeing them get to know their new little kiddo,” Emily enthused.
Postpartum nurse Emily Taylor, BSN, RN
Labor & delivery nurse Julie Collier, BSN, RN
EDUCATION AND SUPPORT: Emily’s best shifts involve staying in the patients' rooms as long as needed. She provides the education and emotional support new caregivers need with a brand-new infant. Her favorite part is helping parents breastfeed, which can involve over 45 minutes of one-on-one teaching. Providing practical guidance and patient support is where a PP nurse excels.
She guides parents from barely feeling comfortable holding a new baby to independently bathing and feeding the baby. When this happens, Emily knows she has hit her nurse’s sweet spot. Her goal is to help the new parents gain confidence and grow.
SAGE ADVICE: Emily tells her patients that there will come a point in every new parent’s life when they may be at their wits end due to lack of sleep and increased stress. Parents need to feel allowed to take a quick moment to regroup. Emily advises that sometimes, the best thing for a baby is for their parent to take a short break. They should feel confident putting their baby down in a safe and secure place for a few minutes. The baby will be okay, and they need their parent to be, too. Parents appreciate this honest support. Emily’s priority is to give her patients tools for success when they get home.
Emily and Julie agree that it’s an honor to be part of this pivotal day in a family’s life. They bring their nursing excellence and generous compassion as gifts for the baby’s birthday celebration.
The Shift to Hospital Care
According to the International Journal of Nursing Studies Advances, before the mid-19th century, mothers gave birth at home. Female friends, neighbors, or midwives managed the births.
Sterile delivery methods and new anesthesia caused a shift to hospital care. This trend gave “birth” to the labor and delivery/postpartum nurse specialty.
REFERENCES
Nelson, A. M. (2020). The evolution of professional obstetric nursing in the United States (1880s-present): Qualitative content analysis of specialty nursing textbooks. International Journal of Nursing Studies Advances.
SARA EGNATZ, BSN, RN-BC, is a seasoned registered nurse and freelance writer passionate about health literacy. She loves to read historical fiction and hike in the beautiful state parks in North Carolina.
UNLEASH YOUR POTENTIAL
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Nurse Blake
GROWTH OF THE PROFESSION
First, let me say that you've done more for nursing since you started than Joint Commission on Accreditation of Healthcare Organizations (JCAHO) has done for them since they started. Question: How can you help JCAHO become a more relevant organization in the growth of nursing as a profession? Thanks — Steve H.
Hey Steve, thanks! I appreciate that. As for JCAHO, I put a lot of pressure on them because I expect them to have higher standards to truly help nurses and patients.
I feel they've been complacent in the way they’ve been doing things for far too long, and it’s time for a change. I wish they’d focus more on evidence-based practices that actually make a difference for nurses and patients rather than getting caught up in less important details, like bottled waters.
I'm totally open to meeting with them and sharing my thoughts. But even more importantly, I think they need to hear from bedside nurses. Getting feedback from the staff who are right there in the hospitals every day would be extremely beneficial to JCAHO and help support and grow their organization.
THE BIGGEST STRESSORS
Hey, Nurse Blake! Question for you: "What's the most stressful part of being a nurse?" — Reina C.
Great question, Reina! I'd say the most stressful part of being a nurse is juggling multiple tasks simultaneously. Especially when you're starting out, it can be really challenging to find your rhythm and figure out how to prioritize effectively.
But here's the thing: that skill develops over time, so don't be too hard on yourself if you're struggling with it. You'll get there. And honestly, no matter how long you've been a nurse, we're all still learning and facing stress at some point during our shifts.
It’s more about how we handle that stress and not letting stressful events or situations affect us negatively, but instead pushing through, learning from the expe-
It’s more about how we handle that stress and not letting stressful events or situations affect us negatively, but instead pushing through, learning from the experience, and continuing to provide the best care possible for our patients.
rience, and continuing to provide the best care possible for our patients.
STATE NURSES ASSOCIATIONS
I was wondering if you would consider getting the word out about joining our Florida Nurses Association as members. As we have so many issues with healthcare in Florida, this is an amazing platform to get the word out. — Charene A.
Absolutely! I'm glad you brought this up, Charene. As nurses, we have to stay connected with our local and state nurses' associations, whether you're in Florida or anywhere else. Joining organizations like the Florida Nurses Association (FNA) is super important for several reasons.
These associations work to advocate for healthcare issues at the state level. They give nurses a voice to influence policymakers and healthcare leaders, which we need to help push for better working conditions, safer patient ratios, and improved policies. They also offer professional development resources and keep their members updated on the latest developments in the nursing profession. It’s our responsibility as nurses to be engaged and stay on top of these things!
Nursing isn't just about what happens at the bedside, it's about being involved in the broader context of healthcare. I strongly encourage all nurses to join their
state or local nursing association, and I think our Nurse of the Quarter, Dr. Marie O. Etienne, the president of the FNA, would agree with me! It’s a fantastic way to help advance our profession. Thanks for bringing this important topic to our attention!
TEAMBUILDING AMONG NURSES
Now that my hospital is phasing out travelers, we are left with a skeleton crew of long-timers and lots of new staff. What are some things I can implement on my unit to facilitate bonding and create a solid team that wants to stay? — Victoria N.
Victoria, this question shows you really care about your team! Way to go. I think organizing some outings outside of work could be an awesome way to build connections. But let's think beyond the typical happy hour.
Consider planning two events at places like Dave & Busters or Topgolf. These venues offer fun activities where everyone can play games and interact in a relaxed setting. To make it even better, try to get your hospital or a local organization to sponsor the events. This way, they could be free for your staff, which would encourage more people to join in.
The idea is to create opportunities for your team to engage with one another outside the work environment. This helps with team building and generates stronger connections and a sense of community.
The idea is to create opportunities for your team to engage with one another outside the work environment. This helps with team building and generates stronger connections and a sense of community.
Your commitment to building a solid team shows great leadership. This kind of support and care for your colleagues will be super beneficial for your hospital and your floor. Keep up the great work!
HAVE A QUESTION FOR NURSE BLAKE?
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DRUM CORPS NURSING
The Electrifying World of Elite Marching Bands
By April Rowe, BSN, RN
Not only are the members musically talented, but they have to be at their utmost physical shape because they march at incredible speeds at about 100 beats per minute while holding sometimes a 50 lb instrument, all while blowing air through it to create those amazing sounds.
PHOTO COURTESY OF DR. PATTY O’NEIL
Drum corps is more than just a musical, athletic show; it's a way of life.
So, what exactly is a drum corps? They are musical marching units with hundreds of talented musicians and performers moving in perfect synchronization and blaring out powerful melodies. And they don't just march –they dance, they spin, they toss their instruments high into the air, all while maintaining a level of coordination that seems almost superhuman. It's a mesmerizing display of athleticism and artistry.
corps nurse, traveling alongside them. And for Nurse Carol, as the corps calls her, it’s not just a job; it’s a passion!
LABOR & DELIVERY TO MARCHING BANDS
Carol Ysaguirre, BSN, RN, RNC-OB, from Texas, has been a nurse for 33 years, mostly in labor and delivery. For the last three years, she has been a travel L&D nurse and spends every summer working as a drum corps nurse with the Crossmen Drum and Bugle Corps based in San Antonio, Texas. She also works in a similar role for her kid's high school Mighty Unicorn Marching Band as a care crew nurse.
“Drum corps are non-profit organizations and are like professional marching bands. They are part of Drum Corps International, and there are about 50 drum corps registered with DCI. Students or members from ages 15-22 rehearse together throughout the Fall and Spring, and they audition for the spots. Then we do Spring training for about a month. We then hop on buses and start competing in various cities across the U.S. It culminates in a big championship week in Indianapolis, Indiana, in August, where one drum corps is crowned the DCI champion,” Carol explained.
IMAGINE BEING A TRAVEL NURSE , but instead of bouncing from one hospital to another, you’re hitting the road with hundreds of musicians and performers to compete in the annual Drum Corps International (DCI) championships.
Drum corps is more than just a musical, athletic show; it's a way of life. These performers pour their hearts and souls into their craft, spending countless hours rehearsing and perfecting every move and every note. The camaraderie and sense of community within a drum corps is unparalleled, forging lifelong bonds and memories. So, one can surely say it’s a privilege to be a drum
FULFILLING A LIFELONG DREAM
Carol always wanted to be a part of a drum corps. “When I was in high school, I was a band nerd. I had the dream of being a band director, but my parents signed me up for nursing school. My mom was a nurse, and my sister is a
Nurse Carol, in her high school band uniform.
nurse, so my dream of marching with DCI did not happen, but I was able to march with Drum Corps Associates (DCA), which is a drum corps of all ages. Since I had experience in the life and activities of drum corps, I think that helped me get my current position,” said Carol.
Three years ago, an opportunity presented itself, and Carol was finally able to join DCI as the corp’s nurse. Although she’s not marching with them, she’s center-stage in all the action and very much part of their family. Carol was able to blend her dreams of marching band with her nursing career, and she couldn’t be happier!
THE FUSION OF RHYTHM AND NURSING
Drum Corps nursing is a unique environment and role. They are responsible for the health and wellness of hundreds of people. It’s a 24/7 job with the day starting in the early morning and ending late at night, and the nurse must be available at all times. Drum Corps nurses do not do any invasive procedures, and
for emergencies, they will call emergency medical services or send people to Urgent Care.
Carol discussed her usual work day, “My role as the nurse is to optimize their performance on the field through health and safety. I do a lot of education, infection control, statistics, and work with “Chef Jenny” who is actually not a chef but a certified pharmacy tech who plans, cooks and prepares the meals for us. I will deal with things like sprains, lacerations, contusions, soft tissue injuries, sunburns, shin splints, allergies, and sports wrapping. I do a lot of assessing and observing. I definitely use ADPIE [assessment, diagnosis, planning, implementation, and evaluation] every day.”
Keeping the members hydrated, nourished, and healthy is a top priority. “Not only are the members musically talented, but they have to be at their utmost physical shape because they march at incredible speeds at about 100 beats per minute while holding sometimes a 50 lb instrument, all while
RIGHT
A drum corps color guard performer in action
PHOTO COURTESY OF DR. PATTY O’NEIL
PHOTO BY CATY LLAMAS
blowing air through it to create those amazing sounds,” remarked Carol.
BENEFITS AND CHALLENGES OF DRUM CORPS NURSING
Carol described the best aspects of being a drum corps nurse, “I get to work in shorts and a ball cap. Instead of call lights going off in the background, I have music. I get to travel, and we are like one big family.”
Some of the challenges Carol may face include the long hours and physical demands of the job.
“I walk about 34-45 miles a week. The hours are long, and some days are much busier than others. I carry a 25 lb backpack with me along with an AED, so you need a lot of endurance to do this job.”
Carol also must “gain the trust of the members and their parents. For a lot of [the teens], this is the first time they are away from home, and we are on the road for months. So I do my best to gain
& Bugle Corps
I get to work in shorts and a ball cap.
Instead of call lights going off in the background, I have music. I get to travel, and we are like one big family.
their trust so they can feel comfortable coming to me if something hurts or if they get really homesick.”
HOW TO BECOME A DRUM CORPS NURSE
Nurses considering this type of healthcare role should at least have some prior nursing experience. The environment and autonomy of the job could be overwhelming for new grads. Adolescent-age school nurses, camp nurses, or those with a background in sports medicine would feel most comfortable transitioning into this role.
Carol recommends that anyone interested should volunteer with their local drum corps to get a feel for the environment and lifestyle. “This is not for everybody. It’s a very unique role and culture, so people should have an idea of what it’s like. We all work together to keep everyone safe, and we really are like one big family,” Carol added.
So, whether you’re a die-hard marching
band enthusiast or simply seeking an unforgettable new nursing role, immerse yourself in the world of drum corps and experience firsthand what it’s like to be part of this elite musical, athletic family!
Learn More
Drum corps are non-profit organizations and are part of Drum Corps International (DCI), There are approximately 50 drum corps registered with DCI.
As a non-profit, donations are always welcome and very appreciated.
To donate to the Crossmen Drum and Bugle Corps, visit: crossmen.org
OPPOSITE
The Crossmen Drum
LEFT
Carol, snapping a selfie at practice.
PHOTO COURTESY OF CAROL YSAGUIRRE
EXPOSING A DARK REALITY
A NURSE’S STORY OF ADDICTION, DIVERSION & RECOVERY
By April Rowe, BSN, RN
AN UNLIKELY ADDICT
LET’S HAVE AN OPEN AND CANDID DISCUSSION about a sensitive yet pertinent issue that affects our healthcare community—substance use disorders among nurses. The statistics are alarming, with approximately 6-10% of nurses struggling with substance abuse.
Nursing is an incredibly demanding profession, both physically and emotionally. The long hours, high-stress environments, and constant exposure to trauma can take a toll on our mental and emotional well-being. It’s not surprising that some nurses turn to substances as a coping mechanism, seeking relief from the overwhelming pressures of the job.
We have the privilege of sharing a deeply personal and candid story from one of our own—a nurse who has battled substance use disorder and emerged stronger on the other side. Kristin Waite-Labott, BSN, RN, from Wisconsin, courageously opens up about this often-stigmatized issue. She hopes to resonate with other nurses who may be facing similar challenges. Kristin’s message is clear: you are not alone, and there is no shame in seeking help.
A SLIPPERY SLOPE: HOW IT ALL BEGAN
Kristin’s substance use started in college with alcohol. She experienced a lot of anxiety while living away and going to nursing school. “I remember that first night when I went out drinking with my friends, and I drank a lot. It was like I found the answers to all my problems. I felt comfortable in my own skin, and it made it easier to talk to other people. Alcohol just made me feel so much better, so I found myself over the next six years drinking a lot more than my friends. It interfered with school, and I failed a couple of classes. It took me six years to complete the four-year BSN degree.”
Kristin had her first child in college and was able to straighten herself up for a while. After graduating, she started working in a pediatrics department. She began drinking again at home by herself when her daughter would go to bed. “I told myself that it wasn’t a problem even though I was drinking until I passed out. It definitely affected my relationship with my daughter because I wasn’t able to be as engaged with her since I was hungover and just not feeling great,” she recalled.
When Kristin had surgery in 1997, she was prescribed Percocet, and her substance use took a sharp turn for the worse. “I found that Percocet made me feel good like the alcohol did, but it didn’t have all those messy side effects.” She found many excuses to request more pills from her doctor and also would take any pain pills her husband was prescribed.
Nursing is an incredibly demanding profession, both physically and emotionally. The long hours, high-stress environments, and constant exposure to trauma can take a toll on our mental and emotional well-being.
Kristin took on a new nursing role in the emergency department. “It occurred to me one night that we threw away a lot of really good drugs. One day, I just put what I had left in my pocket.” Her trusting peers would just sign off on her wastes without actually seeing the medications. She would switch out medications with saline and pretend to waste them, but most often, her coworkers would cosign without even checking or seeing the medications.
When Kristin got her dream job as a transport nurse, she vowed to quit alcohol and drugs. “I was going through a divorce at that time, so it didn’t take long for me to start up again. On transport, we used a lot of Fentanyl, and the first time I took that, all of my problems went away. Once I tried Fentanyl, something changed in me, and I needed to have it. I was in so much
Kristin’s journey
Curious to read more about Kristin’s story? Check out her website to learn more about substance use and recovery, read her blog, or purchase her book:
https://unlikelyaddict.com
denial and always thought that whenever I took something, it would be the last time. It never occurred to me that I would get caught.” Eventually, Kristin’s work figured out she was diverting the medication, and she lost her dream nursing job. She was devastated.
HITTING ROCK BOTTOM
Kristin was fired and had to surrender her nursing license. Because she no longer had health insurance coverage, she could not afford a treatment center but started attending Alcoholics Anonymous (AA) meetings. Kristin was initially charged with 26 felonies but ultimately was charged with a misdemeanor and sentenced to probation.
She applied for a medical secretary position at a doctor’s office and was completely honest about her recent past, and they decided to give her a chance. One day, as she was calling in a prescription for a patient, without any hesitation and while still on probation, Kristin called in a prescription for herself using her new employer’s name and medical license. She was in so much denial and so desperate that she never even considered the consequences.
When the pharmacy became suspicious of the frequent prescriptions, they called the doctor to confirm, and he denied ever signing any prescriptions for her. So, once again, her employer found out, and she was caught. Kristin was arrested at the pharmacy when she went to pick up her pills. She was charged with nine felonies and spent four months incarcerated. She had hit rock bottom, but sometimes, the bottom is where we must land to be able to rise.
THE ROAD TO RECOVERY
Being in jail and away from her children was the worst experience of her life. “It was an awful time in my life, but it was what I needed to finally realize that I didn’t want to live like this, and I have been in recovery ever since. So I’ve spent the last 19 years rebuilding my self-worth, my career, my family, and making my life meaningful and joyful.”
After her jail time, she attended a treatment program and AA. She had a therapist who was also in recovery and helped her immensely. Kristin found a medical assistant position with a doctor who was also in recovery, so it was a safe work en-
Once I tried Fentanyl, something changed in me, and I needed to have it. I was in so much denial and always thought that whenever I took something, it would be the last time.
vironment with openness, honesty, and support. She requested not to have any access to prescriptions and was luckily in a better state of mind and had no interest in using again. Jail cured her of that desire.
Kristin had always wanted to be a nurse, so she desperately wanted to recover her license. In 2007, she entered a monitored program that allowed her to work as a nurse again; however, for five years, she was unable to work anywhere that received federal funding, like Medicaid/Medicare. This limited her employment opportunities, but she finally found a job at a research clinic.
Eventually she was able to have an unrestricted nursing license and transitioned to a behavioral health job followed by a role in education. Around 2019, she became a coach for a virtual intensive outpatient program for nurses going through recovery. She was able to use her own personal experiences to assist others just like her.
In 2021, Kristin launched the Wisconsin Peer Alliance for Nurses (WisPAN), a peer support organization for nurses going through recovery and to also support mental health wellness. Along with her role at WisPAN, Kristin works part-time in the emergency department and does admissions for a treatment program based out of New York.
A VOICE FOR CHANGE: ADVOCACY AND SUPPORT FOR NURSES IN NEED
Kristin’s goal in life is to share her story and spread awareness for substance use disorder in nursing. She educates others about the signs of the disorder and the resources and support available, and she wants other nurses to know that they are not alone and that, like her, they can get through it.
During Kristin’s recovery, she was having a hard time processing her past, so her therapist encouraged her to start writing down her story. After a few years, her therapist suggested she could publish the story to help others. Although reluctant, Kristin published her book, “An Unlikely Addict,” in 2015. Not only has her story helped other nurses, but it has also helped Kristin realize that she is not alone.
Kristin encourages all nurses to be more diligent during the drug-wasting process. “Don’t leave your peers in a vulnerable position where it’s easy to divert drugs. Stay with them, watch the process, and keep everyone safe. The number one way drugs are diverted in hospitals is through the wasting process, so follow the procedure, and take the time to really watch and pay attention.”
Substance use disorder is progressive, and it only gets worse. Reach out before something awful happens and your whole world comes crashing down on you like it did for me.
SEEK HELP
Kristin has a direct message to the nurses who are reading this and have a substance use disorder: “Denial is so strong. When you tell yourself this will be the last time, it won’t be. You need to get help because you can’t do it alone. We aren’t meant to recover alone. We need support, and with WisPAN, we have nurses from all over who join our virtual meetings. Everyone is welcome, and we don’t take attendance. You can log in to the Zoom meeting anonymously. There’s no cost to join. It’s not just for substance abuse but for mental health wellness too. Just email us at Wispan2021@gmail.com.“
“Substance use disorder is progressive, and it only gets worse. Reach out before something awful happens and your whole world comes crashing down on you like it did for me. It doesn’t have to happen to you. My story can help others by showing them what the future looks like for them; it’s not pretty, and it’s not fun, but recovery is possible. There are so many nurses from all over who are getting into recovery before experiencing what happened to me. You are not alone,” concluded Kristin.
REFERENCES: Journal of Nursing Regulation, 2022
A book Written for nurses
With a foreword written by Dr. Carmel Clancy, President of the International Nurses Society on Addictions (IntNSA), the book, “Substance Use Disorder in Healthcare Professionals,” is a comprehensive guide to understanding and addressing substance use disorder in the healthcare field.
how to seek help
To join a free meeting or to donate to the cause, visit the Wisconsin Peer Alliance for Nurses unlikelyaddict.com
NURSE
AT SE A 2024 CRUISE TO MEXICO + THE BAHAMAS
THE ULTIMATE NURSING CONFERENCE
APRIL 9-14, 2024
By April Rowe, BSN, RN
THOUSANDS OF NURSES JOINED NURSE BLAKE on his 5th Ultimate Nursing Conference onboard the Norwegian Breakaway to enjoy a much-needed week off from call lights, Vocera calls, and constant alarms — swapping stressful nursing responsibilities with music, dancing, themed parties, exotic excursions, and soaking up the sun on the white, sandy beaches of Mexico and The Bahamas.
Nurses from all over the world gathered for an unforgettable 5-night nursing (vacation) conference that included numerous continuing nursing education credits, excursions to Cozumel and Great Stirrup Cay, and incredible shows like Nurse Blake Live, the Drag Queen Show, and Nurses Got Talent.
CAPTIVATING & HILARIOUS SHOWS
Every NurseCon at Sea cruise is loaded with jaw-dropping entertainment that will leave you in awe and laughing until your cheeks hurt! Nurse Blake Live is a hilarious show that is a must-see for anyone who loves a good dose of raunchy medical humor. And boy, does Blake deliver!
Attendees always rave about Nurse Feud. If you think there’s a divide between day shift and night shift on your unit, wait ‘til you experience this side-splitting, hooping, hollering, all-out war that goes on during this show. Set up like a real game show, Team Night Shift and Team Day Shift compete to see who knows nursing best. Nurse Feud has the audience shrieking with laughter and yelling out loud. The night shifters are the reigning champions — little know-it-alls!
It’s not a NurseCon conference without a Drag Queen Show! These queens will slay the stage with their fierce looks, enormous eyelashes, killer dance moves, and hilarious banter. It's a night of pure glamor and hysterical entertainment that you don't want to miss.
And just when you think nurses are invariably the coolest, most talented professionals out there, brace yourself for Nurses Got Talent. These nurses can belt out the most impressive tunes, dance like nobody's watching, and prove that nurses truly are a one-of-akind breed!
The winner of Nurses Got Talent was Elisa Ranola, BSN, CNOR, RN, from Ventura, California. Her unbelievable performance of “At Last” by Etta James was nothing short of amazing and sent shivers up our spines! Elisa has been a nurse since 2007 and works as a night shift supervisor in the OR. She’s been singing since she was 12 and decided to skip fame and fortune and go for a fulfilling career in nursing…what was she thinking?!? Just kidding.
Before she was a nurse, Elisa would sing on tour, so she’s used to performing in front of a big crowd. But there was something different about having an audience full of nurses. “It was definitely the most responsive and captive audience I’ve ever had! As soon as I started singing, people went crazy. The energy of the crowd was very powerful,” Elisa recalled.
Elisa said her favorite parts about the cruise were “the dance parties by the pool, all the different theme nights, yoga in the mornings, swimming with dolphins, and being in a safe environment where everyone has your back. Nurses are caregivers, and we are always looking out for each other. [The cruise] brings all of us nurses together from all over. It’s a great community to be a part of.”
These nurses can belt out the most impressive tunes, dance like nobody's watching, and prove that nurses truly are a one-of-a-kind breed!
03 TALENT IN SPADES
Elisa Ranola, winner of Nurses Got Talent, mesmerizing the audience while singing “At Last.”
02 DRAG QUEEN SHOW
T he Drag Queen Show is dazzling entertainment that’s full of sheer fabulousness!
04 CREATIVITY ABOUNDS
Sports Night didn’t just include football jerseys. Guests got really creative, like this synchronized swimming team!
05 NURSE FEUD
How well do you know nursing? Nurse Feud will have you second-guessing yourself!
06 COMPETITIIVE FUN
It gets WILD at Nurse Feud! Don’t forget your earplugs, because you need them for this show!
07 SHOWSTOPPERS
E ach NurseCon at Sea show is jaw-dropping, pure LOLing fun!
08 TIDAL WAVE OF TALENT
T he incredibly talented Nurses Got Talent contestants.
For every other ordinary nursing conference, you can't say that you swam with the dolphins in the turquoise waters of The Bahamas or trekked through the Mexican jungle to swim in a cave!
EXOTIC EXCURSIONS
For every other ordinary nursing conference, you can't say that you swam with the dolphins in the turquoise waters of The Bahamas or trekked through the Mexican jungle to swim in a cave! The phenomenal choice of excursions that NurseCon at Sea offers is just one of the perks of this educational cruise.
Karina Bono, RN, a home health nurse from Redding, California, has been on three NurseCon at Sea cruises, so she knows exactly how to take advantage of excursion days. For this last cruise, Karina spent her day in Mexico driving an ATV through the jungle, swimming in a fresh-water cenote, and spending time on a beautiful, sandy beach. “We spent a couple of hours driving our ATVs through the jungle, then swam in a cenote. In one corner of the cave, there were all these bats! It was so cool,” said Karina.
In The Bahamas, Karina and a group of friends decided to rent a two-bedroom beachfront villa in Great Stirrup Cay. “We had our own private beach, our own butler, and a buffet area. There were two bedrooms, two bathrooms, a nice living room, and decks. It was so relaxing and so much fun,” she said.
11 LIVIN’ IT UP
K arina Bono and her crew at their own private beachfront villa in Great Stirrup Cay.
10 GREAT STIRRUP CAY Great Stirrup Cay in The Bahamas had crystal clear water and picturesque white sandy beaches.
09 BAHAMA MAMAS Guests hopping on a tender to take them to shore. Look at that turquoise water!
a
& emotional
A n emo nurse dancing in the
THE UNFORGETTABLE THEME NIGHTS
NurseCon at Sea would not be the same without the epic theme nights! Everyone loves the chance to dress up, get wild, and party with Nurse Blake!
For Emo Night, we unleashed our inner angst and embraced the dark side of fashion. Black eyeliner, studded accessories, and all our favorite emo band tees created a night of emotional rebellion.
To show some team spirit, Sports Night embraced our favorite team jerseys, face paint, and foam fingers. Nurses dressed up as football players, cheerleaders, and even synchronized swimmer
Everyone loves the chance to dress up, get wild, and party with Nurse Blake!
12 EMO VIBES
Emo Night was
dark
evening of sharing our feelings...JK! We partied with Nurse Blake ‘til the wee hours of the morning!
13 FEELING THE MUSIC
crowd.
14 SPORTS NIGHT Clocked-out nurses dancing their woes away at Sports Night.
15 MASCOT BLAKE
Nurse Blake surprised the crowd as the NurseCon at Sea official mascot!
Prom Night was our chance to relive the magic of our high school prom or experience it for the first time. We danced the night away and got a surprise visit from the prom queen of all queens, Nurse Becky! She looked like a delicate flower in her blush-pink prom gown.
Fairy Tale Night was like a world of enchantment! There were shimmering princesses, dashing princes, mystical fairies, and evil temptresses. It was a whimsical, glittery party filled with wonder and enchantment.
“The theme nights were so fun. It was a nice way to create camaraderie, and you get to wear clothes that you would never wear anywhere else,” said Bethany Melega, BSN, RN, SCRN, from Durham, North Carolina. She has been a Neuro ICU nurse for two years, and this was her first NurseCon at Sea cruise. Bethany enjoyed it so much that she signed up for NurseCon Orlando and the cruise to The Bahamas in 2025.
The theme nights were so fun. It was a nice way to create camaraderie, and you get to wear clothes that you would never wear anywhere else.
17 The full-length sequined gowns and tuxedos didn’t stop guests from dancing the night away! 18 Prom Queen beauties striking a pose.
20 You can’t wear adorable elf ears at any other nursing conference!
21 A mystical, magical Fairy nurse.
NIGHT
A cute couple cuddling up on Prom Night.
FAIRY TALE NIGHT 19 Nurse Blake brought out his old Peter Pan costume for Fairy Tale Night.
I’ve never felt so welcomed, supported, and encouraged before. It's a great opportunity to learn and connect with others.
- DR. IRIZARRY, NURSECON EDUCATOR
Bethany highly recommends the cruise to others and loves that “You’re going to meet so many people, and it’s so nice to meet a community of nurses who are passionate about nursing. But nursing is tough, so it’s nice that we can all support each other. And Nurse Blake is always so personable and sweet. It takes a lot of work to create a community like this, so I really respect what he’s done.”
80+ CONTINUING NURSING EDUCATION CREDITS
There were over 80 CNEs offered on the cruise. The courses, workshops, escape rooms, and discussion panels are an intriguing way to earn those required credits. Each one is taught by an exceptional and engaging educator.
Dr. Katherine Irizarry, EdD, MSN, BSN, RN, from the Bronx, New York, has been a past NurseCon at Sea attendee. She loved the atmosphere so much that she returned this year as an educator. Dr. Irizarry taught the Emergency Room Novice Program for Nursing Shortages and Exploring Implicit Bias: Unveiling Perceptions and Promoting Inclusivity.
Dr. Irizarry has been a nurse for over 27 years and has a background in HIV specialty, cardiac/telemetry, and nursing education. “The cruise is fantastic. I’ve never felt so welcomed, supported, and en-
22 CAMPFIRE T he Campfire is an intimate discussion about the realities of nursing.
23 CNE FOR ALL NurseCon at Sea presenters speak on the latest nursing innovations and topics.
24 Dr. Katherine Irizarry, EdD, MSN, BSN, RN
25 Cella Janisch-Hartline, BSN, RN
couraged before. It's a great opportunity to learn and connect with others. There are so many different topics to learn about. You bond and develop friendships because of the camaraderie,” she said. Dr. Irizarry will return as an educator to the 2025 cruise to The Bahamas.
NurseCon educator Cella Janisch-Hartline, BSN, RN from Wisconsin, has been a nurse for over 44 years and was thrilled to join NurseCon at Sea in 2024 for her first cruising experience. “The cruise was amazing! The energy that was present with all those nurses just letting go, having fun, and learning together was wonderful.” Cella took advantage of the excursion opportunities and visited the Tulum ruins in Mexico and swam with the pigs in The Bahamas.
The courses she taught on the cruise were Rekindling Your Passion in Healthcare and Nurturing a Positive Nursing Culture: Addressing Disruptive Behaviors. She is passionate about fostering a culture that encompasses kindness, acceptance, and pride in nursing.
26 TAKING THE KNOWLEDGE HOME Nurses can combine their epic cruise v acation with numerous CEU courses.
Cella will be the keynote speaker at the NurseCon Orlando conference in September. Her take on this issue’s theme of Legacy in Action was very moving. “For me, it’s always been really important to create a living legacy, and how I show up matters in every moment of every day. I have to choose the kind of nurse and human being that I want to be, so it’s important to be intentional every single day.”
NOT A NURSE? NO PROBLEM!
Cruise attendee Sophia Aime, from Miami, Florida, is a paralegal and is currently applying for law school. Although she’s not a nurse, her mother is, so she knows all about our nursing intricacies and the gross topics we talk about at the dinner table!
“I didn’t know what to expect in terms of being on a cruise ship with a bunch of nurses. Surprisingly, not only are you nurses so much fun, but I was also happy to connect with other young adult nurses around my age group who are doing amazing things. We enjoyed our time on the ship together, especially at the silent disco parties,” said Sophia.
When asked why she’d recommend the cruise to others, Sophia added, “First of all, you nurses rock and are so much fun! You have the chance to meet wonderful people and learn about health and medicine from well-versed health professionals. Even if health is not your particular career interest, or if you can’t stand the sight of bodily fluids like me, you’ll definitely end up leaving with something valuable from the NurseCon at Sea cruise.”
NURSES KEEP COMING BACK!
A mother-daughter duo from Nevada were first-time attendees. Terry De Vault, RN, a labor and delivery nurse of 35 years and her daughter, Ashley De Vault, RN, an OR circulator of one year celebrated Ashley becoming a nurse by going on the cruise. They enjoyed it so much, they have already registered for the cruise in 2025.
“I think once you go on the cruise, you’ll always want to go back. And I really like the fact that Blake is so visible and personable on the ship. We’re happy we get to see him in Lake Tahoe this October for his comedy tour,” said Terry. For the excursions, they swam with the pigs in The Bahamas and went to the Chankanaab Adventure Beach Park in Mexico.
Ashley mentioned her most memorable moments. “The water was crystal clear and so beautiful. The shows did not disappoint! Nurse Blake Live was great, and I loved the drag shows. The classes were a different environment than a nursing conference because everyone had a drink, we were all relaxed, and it was so much fun. And where else can you float around the pool on a giant inflatable PureWick?!”
There’s still a chance to experience firsthand the epic nursing cruise life of NurseCon at Sea. We’re hopping onboard Royal Caribbean’s Independence of the Seas for a 4-night ultimate educational vacation to The Bahamas from April 7 to 11, 2025. Grab your spot HERE , and we’ll see you next year!
27 HANGIN’ WITH BLAKE T here’s no better way to spend your day than partying pool side with Nurse Blake.
28 BONDING TIME Mother-daughter duo Terry and Ashley De Vault enjoying some R&R poolside.
29 READY FOR THE BALL S ophia Aime and her nurse mom, Maggie Aime, enjoying the sunshine!
30 CHEERS!
Bethany Melega enjoys a mimosa aboard NurseCon at Sea.
Dr. Marie O. Etienne No Limit s
By Maggie Aime, MSN, RN
Dr. Marie O. Etienne proudly stands at her installation as President of the Florida Nurses Association, marking a historic milestone.
PHOTO COURTESY
A JOURNEY THAT PROVES NURSING HAS NO LIMITS
A HUMBLE START TO A TRAILBLAZING JOURNEY
HER SHOES MUDDY FROM PLAYING, her cheeks wet with tears after a grandmotherly scolding, a young girl in Haiti suddenly feels a gentle touch on her shoulder. A nun kneels down to comfort her. "Don't cry," the nun says softly in French.
This isn't the opening scene of a heartwarming movie. It's the real-life origin story of Dr. Marie O. Etienne, a visionary, pioneer, and leader in the field of nursing.
That young girl was Dr. Etienne, and that pivotal moment of kindness from the nun left an indelible mark on her heart. “She just looked so immaculate,” Dr. Etienne recalled, her eyes still sparkling at the memory. “I said in my mind, when I grow up, I want to be like her!"
Born in Port-au-Prince, Haiti, and raised in Arcahaie, Haiti, Dr. Etienne's journey to nursing began in the most unexpected way — with a desire to become a nun! Little did young Dr. Etienne know this chance encounter would set her on a path to revolutionize the nursing world.
Dr. Etienne will also tell you she comes from a humble family, one that instilled in her the values of hard work and perseverance. At 14, she embarked on a new adventure, moving to the United States. Armed with determination and zero English skills, she faced the daunting task of adapting to a new world. This was merely the beginning of many challenges she'd overcome with flying colors!
STUMBLES, STRUGGLES, AND SUCCESS
When Dr. Etienne's mother gently steered her away from nunhood and toward nursing, a new chapter began.
But it wasn't all smooth sailing. While in the nursing program at Miami Dade College, Dr. Etienne hit a roadblock when she didn't pass one of her classes. She then switched to Broward College and powered through their nursing program.
Then, the NCLEX threw her a curveball, taking two attempts to conquer. But she made a promise: "God, if I pass my NCLEX, I will never stop going to school." Spoiler alert: She kept that promise!
From there, it was full steam ahead. Bachelor's degree? Check. Master's degree? Yes! She became a pediatric nurse practitioner and went on to earn her DNP. "Failure doesn't mean it's the end," she now tells her students. "It's a learning experience. You didn't pass the test, so now you have a testimony!" And keep pushing through.
BREAKING BARRIERS AND MAKING HISTORY
Dr. Etienne began teaching at Miami Dade College in the '90s, touching the lives of countless nursing students over the years. Her passion and expertise didn't go unnoticed, and she steadily advanced through the ranks.
In 2007, her exceptional teaching skills were recognized when she received the Stanley G. Tate and Family Endowed Teaching Chair for Excellence in Academia at Miami Dade College. It’s quite the title, and she saw this award as both an honor and a challenge. "Once you receive that type of recognition," she explained, "you can't go backward. It pushes you to become even greater."
I always aim to be greater, to uplift students. If they see I can do it, maybe they can, too.
And greater she became. In 2011, she achieved the title of full professor, consistently raising the bar for herself and inspiring her students to do the same.
But Dr. Etienne's impact wasn’t confined to the classroom. She's been on the front lines during critical times, lending her skills to earthquake relief efforts in Haiti and leading medical missions in the Dominican Republic and other places, showing students and others the true meaning of nursing in action.
LEADING WITH DEDICATION AND SERVICE
Her dedication and commitment to service caught the attention of the American Red Cross. In 2013, they awarded her the prestigious Florence Nightingale Medal, one of nursing's highest honors. She was one of only five recipients in the U.S. and 32 worldwide that year.
Dr. Etienne's leadership continued to shine. She served as president of the Haitian American Nurses Association of Florida
from 2005 to 2007 and became the founding president of the Haitian Alliance Nurses Association International in 2018.
In 2024, she achieved an unprecedented milestone: She became the first Black president of the Florida Nurses Association in its 118-year history. This accomplishment opened doors for greater diversity in nursing leadership.
Yet, throughout her impressive journey, Dr. Etienne stayed true to her core mission — serving others. Through medical missions, advocating for her profession, and leading (and creating) various organizations and nursing associations, she continues to make a difference. Her motivation remains simple yet powerful: “I always aim to be greater, to uplift students,” she said. “If they see I can do it, maybe they can, too.”
FAITH, FOCUS, AND FAMILY
How does Dr. Etienne manage her numerous roles and responsibilities? Her answer is refreshingly simple: “I live in the moment,” she said with a serene smile. But there’s more to her method than meets the eye.
Dr. Etienne’s foundation is her faith. This spiritual guidance has been her compass, especially during challenging times. A harrowing experience in 2018 became a turning point. After a frightening encounter with armed assailants in her driveway as she returned home from a pinning ceremony, Dr. Etienne found herself with a renewed sense of purpose. This led to the creation of her non-profit, Global Innovative Foundation, dedicated to helping survivors of crimes, human trafficking, and domestic violence.
To juggle her many responsibilities, Dr. Etienne emphasized honesty, focus, and discipline, adding, “Everything you do, do it in the spirit of excellence.” She’s quick to acknowledge her support system, warmly crediting her family’s love and encouragement as vital to her success.
Her numerous accolades, from the Lifetime Achievement DAISY Award to being named an Inspired Woman of Health, are a testament to her impact. But for Dr. Etienne, it’s never about personal glory. As she reflects on her journey, her hope is that people will remember her simply as someone who dedicated her life to serving others and did so with excellence. With her track record, it’s safe to say she’s already achieved that goal and then some.
STAY ENGAGED, BUILD COMMUNITY, AND MAKE A DIFFERENCE
Dr. Etienne’s message to her fellow nurses is both heartfelt and powerful, focusing on the importance of community and personal growth in nursing.
“Be present,” she urged. “Be a light to others, so you can make them feel better, so that they can heal, knowing that someone
Just A few of Dr. Marie O. Etienne's achievements
X President of the Haitian American Nurses Association of Florida (2005-2007)
X Awarded the Stanley G. Tate and Family Endowed Teaching Chair for Excellence in Academia at Miami Dade College (2007)
X Recipient of the Florence Nightingale Medal from the American Red Cross (2013)
X Founding President of the Haitian Alliance Nurses Association International (2018)
X Founder of Global Innovative Foundation, a non-profit helping survivors of crimes, human trafficking, and domestic violence (2019)
X First Black president of the Florida Nurses Association in its 118-year history (2024)
cares.” This simple yet profound advice captures the essence of nursing — compassion and healing through human connection.
She also encourages nurses to join professional organizations, whether the Florida Nurses Association or others that resonate with them. Why? “To give back, to be part of the solution by being engaged,” she added.
She reminds nurses to think bigger and broader because creating a thriving community is a team sport. It’s about joining forces with professionals from all walks of life. “Because everyone has something to offer. What you know, I don’t know, and what I know, you don’t know,” she enthusiastically said. And so together, by pooling our collective wisdom, we can create a ripple effect of positive change.
Drawing inspiration from great leaders, Dr. Etienne shared one of her favorite quotes from Martin Luther King Jr.: “You don’t need a college degree to serve, but a heart full of grace.” She also lives by Mahatma Gandhi’s words, “Be the change you wish to see in the world.”
Dr. Etienne’s story challenges every nurse to dream big, persevere, and strive to make a difference. It also reminds us that destiny is often shaped by the smallest moments. And, in the end, it’s not about the accolades or titles but about the lives touched and the communities transformed.
A Veteran Nurse's Captivating Journey Through Six Decades of Evolution NURSING THEN & NOW
By April Rowe, BSN, RN
CAN YOU IMAGINE BRUSHING RECTAL TUBES or sharpening reusable needles as part of your nursing duties? For veteran nurse Sandra Benko, RN, that was just another day on the job back in the 1960s! After an incredible six decades in the field, Sandra has witnessed some mind-blowing transformations in nursing practices, and she gave us all the juicy details like reusing Foley catheters and nursing students caring for an entire unit by themselves!
NURSING IN THE 1960S: A GLIMPSE INTO A BYGONE ERA
Sandra had always known she wanted to be a nurse. Even as a little girl, she dreamt of caring for others. She started nursing school at age 17, and by age 20, she graduated and started working. Nursing school was very different back then. Most programs were based in the hospitals, so students truly learned through hands-on experience.
“I started nursing school in 1959 at the Albert Einstein Medical Center in Philadelphia and graduated in 1962. It was an excellent 3-year clinical program. There was about a month of classes and opportunities in the lab to practice patient care. By the second month, we were already in the hospital caring for patients. We lived at the residence, so that was a lot of fun. We rotated to all the different departments and also rotated for three months to a large psychiatric facility,” Sandra explained.
Her first job as a new grad nurse was as a charge nurse of a 50-bed psychiatric unit for depressed adult females. She made 25 cents more per hour to work as a psych nurse, giving her an hourly rate of $3.25, which she said was actually decent pay back then.
“Electric shock therapy was a regular treatment provided then. Patients who had lobotomies lived in a separate part of the building. They had flat affects, were so re-
I STILL LOVE NURSING, IT HAS BEEN A WONDERFUL CAREER FOR ME.
64years!
SANDRA BENKO, RN
Nurses today could not even imagine what we saw and who we took care of back then…
Foley catheters were cleaned and reused. Rectal tubes had special brushes that you inserted into them, then we flushed them out and repackaged them to use again on another patient. gressed and delayed, and had no skills to care for themselves. Nurses today could not even imagine what we saw and who we took care of back then in the psych facility. There weren't a lot of medications available, so most of the patients remained in a very psychotic state,” Sandra recalled.
Disposable supplies were not utilized when Sandra started nursing. “Syringes and needles had to be cleaned,
and we rubbed the needles on a stone to sharpen them for reuse. Foley catheters were cleaned and reused. Rectal tubes had special brushes that you inserted into them, then we flushed them out and repackaged them
allowed in the delivery room, and that was a project I undertook. I brought childbirth education into the maternity units and promoted fathers and mothers being involved in the care of their babies.”
Sandra’s favorite nursing role was being a nurse recruiter. “I was able to travel all over the United States and went to Canada and Puerto Rico. I had a lot of fun doing recruitment.” She also worked as a hospice nurse, quality management supervisor, and educator.
Sandra mentioned how pediatrics was never her preferred specialty because it was too difficult to witness the illnesses and deaths of babies and children. Vaccines and many medical treatments were not yet available then, so chronic illnesses and deaths were much more common in children. She experienced the incredible era of the creation of the polio vaccine and the difference it made in people’s lives.
EMBRACING CHANGE WHILE PRESERVING THE ESSENCE OF COMPASSIONATE CARE
A lot has changed since 1959. Nursing students no longer do the majority of their learning in a hospital setting, and nursing schools are not run by hospitals. Sandra described her time as a nursing student, “We worked in all the different hospital departments, and usually only at night. There would be two nursing students per floor, and we took care of all the patients alone.”
Through the years, the generations of nurses have changed drastically; the doctors and their training have changed, and the relationships with the patients are different. Gone are the days of white dresses, tights, and nursing caps. Now we have cuffed scrub pants and Danskos. However, despite all the changes, new technological advances, and policies and procedures that have been put into place, nursing remains a career that should focus on compassionate care.
to use again on another patient,” she said. What would JCAHO think of that?!
DIVERSE NURSING OPPORTUNITIES THROUGHOUT THE YEARS
Over the last 60-plus years, Sandra has enjoyed various nursing roles. That is, after all, one of the benefits of being a nurse — there are plenty of opportunities to change roles, specialties, and settings whenever you’d like!
Sandra worked for many years in psych and med-surg. She was also an obstetric supervisor and recalled how policies have changed over the years. “Fathers were not
As for computer charting, that was a huge hurdle for doctors and nurses. “When they brought computers into healthcare, we had absolutely no interest in being computerized. We fought it and wanted to stay with paper charting, but we did finally get acclimated to it, and now I can see how it benefits staff and patients,” Sandra noted.
STILL GOING STRONG
Sandra retired in 2017, but a nurse to the core, she just couldn’t stand being away from healthcare. She found the perfect supervisor per diem position near her home in Florida at a long-term care facility. And, at 82, Sandra
Aimie Benko, APRN, AGACNP-BC with her mother, Sandra Benko, RN, enjoying a tell-all moment to acquaint Nurse Blake with how nursing has changed.
Sandra’s daughter Aimie followed in her mother’s footsteps and also became a nurse. She is now a Board-Certified Adult-Gerontology Acute Care Nurse Practitioner. They attended the 2024 NurseCon at Sea cruise to Mexico and The Bahamas.
still feels just as passionate about nursing as she did many years ago. “I still love nursing; it has been a wonderful career for me,” she said.
Sandra’s daughter Aimie followed in her mother’s footsteps and also became a nurse. She is now a Board-Certified Adult-Gerontology Acute Care Nurse Practitioner. They attended the 2024 NurseCon at Sea cruise to Mexico and The Bahamas. Sandra became somewhat famous onboard for her inspiring nursing career, and she wowed Nurse Blake with her insider stories about brushing rectal tubes and reusing catheters!
Sandra conveyed an immense sense of enthusiasm when talking about her incredible journey in nursing. Caring for others is at the heart of what nurses do, and there's nothing more rewarding than being there for someone during their time of need. The bonds formed with patients and the camaraderie among nurses create a supportive, uplifting environment that makes our careers worthwhile.
When speaking with a veteran nurse, one can truly appreciate all the advances and positive changes that nursing has experienced over the years, and we can only imagine what the future holds for nurses.
Sandra Benko, RN and Nurse Blake dressed up and ready for the Emo Theme Night party aboard NurseCon at Sea!
PHOTOS COURTESY OF NURSECON AT SEA
HUMANITARIAN GOALS
You should be able to go out there and give the care and make the necessity of you being there completely obsolete.
Joelle teaching ACLS and advanced airway skills to medical students, nurses, and doctors in a bomb shelter at a hospital in Rivne, Ukraine.
PHOTO
OFF THE CLOCK : NURSE JOELLE
CHANGING LIVES THROUGH HUMANITARIAN NURSING
By Maggie Aime, MSN, RN
BREAKING INTO HUMANITARIAN NURSING
Jumping into action is never really over for some nurses. Take Joelle Stack, BS in Public Health, BSN, RN, CCRN, TCRN, and Humanitarian Nurse Educator, for instance. As a flight nurse, she takes to the skies by day, saving lives. But when her shift ends, Joelle doesn't hang up her scrubs. Instead, she grabs her passport and lifts off again, this time with a mission to cross borders and teach in conflict zones.
This high-flying humanitarian didn't start her journey in the air, though. Joelle's path began on solid ground with a public health degree and a brief taste of international work that left her craving more. "I wanted to take a more hands-on approach to health," Joelle explained, "so I went almost immediately from public health into a nursing program."
We wound up teaching in a bomb shelter because that's where it was safe, and we wanted to continue teaching.
But even with a nursing degree, her critical care training, and a passion for helping others, breaking into the world of humanitarian work proved tougher than expected. Joelle spent two years knocking on doors that seemed permanently locked. "It was super hard," she admitted. "I wound up emailing my resume probably 15 times to this one organization that I just really wanted to work with," she laughed.
Finally, her determination paid off. With just two weeks' notice, Joelle found herself on a plane to Ukraine, ready to teach AHA classes for BLS, ACLS, and PALS to some of the most eager students she'd ever encountered. This mission confirmed what she'd suspected all along: this was her calling. Although she recognizes the healthcare needs within U.S. communities, she also understands that many people in other regions and countries lack access to the level of care and expertise available in the States.
TEACHING IN THE MIDST OF CONFLICT
Her students were a diverse group of healthcare professionals: doctors, nurses, and nurses on ambulance trucks. In Ukraine, nurses often take on roles similar to paramedics in other countries, working on ambulances and providing pre-hospital care.
The experience was eye-opening. “It was a brand new certification for them and nothing that they've ever had before,” Joelle explained.
She soon found herself involved with multiple organizations, each offering unique opportunities to make a difference. MedGlobal, based in Chicago, provided her first foray into humanitarian work. Through them, she connected with the David
Acronyms Explained
BS - Bachelor of Science
BSN - Bachelor of Science in Nursing
RN - Registered Nurse
CCRN - Critical Care Registered Nurse
TCRN - Trauma Certified Registered Nurse
AHA - American Heart Association
ICU - Intensive Care Unit
BLS - Basic Life Support
ACLS - Advanced Cardiovascular Life Support
PALS - Pediatric Advanced Life Support
Nott Foundation, a London-based nonprofit founded by a war trauma surgeon who taught medical professionals in conflict zones how to handle severe injuries.
Joelle's involvement with the David Nott Foundation led to a second trip to Ukraine in February 2024. This time, the focus was on community needs assessment. "We were going in and talking to anyone and everyone who we could," she said. The results of these assessments pointed to critical needs in emergency services, nursing education, ICU nursing, and surgical wound care management.
Now, Joelle is part of a team developing a comprehensive five-day training program for nurse paramedics. The goal? To equip healthcare providers in conflict zones with the skills to handle everything from blast injuries to prolonged critical care in areas cut off from higher-level medical facilities.
“We’re covering a whole bunch of topics,” Joelle said excitedly. “We plan to pilot it in October in Kyiv [the capital of Ukraine] and then Somalia in November.”
MANAGING DUAL ROLES
When asked about balancing her volunteer work with her nursing career, Joelle revealed it all comes down to a dash of determination, some strategic planning, and a welcome dose of workplace flexibility.
“I’ve kind of tailored my life to prioritize these [humanitarian] projects,” Joelle admitted, revealing that her choice of flight nursing isn’t just about the thrill of working in the air. It’s a strategic decision that allows her the flexibility to pursue her humanitarian work.
The key to making it all work? A schedule that gives her ample time off between shifts. “I work for four days, and I’m off for almost two weeks,” she explained. This arrangement allows her to jet off to international missions without sacrificing her nursing career.
Of course, even the best-laid plans sometimes need a little flexibility. Joelle acknowledged the importance of a supportive work environment in making her dual commitments possible. Her colleagues and managers often accommodate last-minute schedule changes when humanitarian opportunities arise.
THE UNIVERSAL LANGUAGE OF CARE
For Joelle, the true reward of her humanitarian work comes from the human connections she forms in the most unlikely places.
She recalled a pivotal moment at the U.S.-Mexico border: “A mom came rushing in, just yelling and scared, holding a baby.” Despite a closed clinic and no translators, Joelle and her team
Seeing people living in conflict zones carry on with their daily lives amid challenging conditions motivates her to push through her own concerns.
improvised. They communicated via Google Translate while assessing the baby, who was having a seizure due to a fever, and administered Tylenol. Sometimes, simply being present and willing to help can make all the difference in a crisis.
These bonds extend far beyond immediate care. “I still talk to a lot of my Ukrainian counterparts,” Joelle noted. “We check in every so often to see how they’re doing and how their family is. It’s just that human piece of not throwing education or patient care at them, but making a connection, being human.”
RESILIENCE IN THE FACE OF RISK
Working in conflict zones comes with its risks, but Joelle approaches it with practicality and respect for the locals’ resilience. Seeing people living in conflict zones carry on with their
It’s hard, and it’s heavy, but the feelings come up when you don’t let yourself feel it sometimes.
daily lives amid challenging conditions motivates her to push through her own concerns. She thought if they can endure such conditions daily, she can undoubtedly brave them to provide vital training and support for a few days.
This resilience was put to the test during one of her missions when safety concerns forced an unexpected change of venue. “We wound up teaching in a bomb shelter because that’s where it was safe, and we wanted to continue teaching,” Joelle recalled. “Our five-day class was just underground the whole time.”
To say that the emotional impact of humanitarian work is significant would be an understatement. “It’s hard, and it’s heavy, but the feelings come up when you don’t let yourself feel it sometimes,” Joelle shared. But she has found ways to cope. She stressed the importance of processing these experiences by talking about them with others who’ve been there.
A GUIDE TO HUMANITARIAN NURSING
If you want to get started and participate, be prepared to be the most persistent email in someone’s inbox. This nugget of
wisdom from Joelle captures her approach to breaking into humanitarian nursing.
She also emphasized the importance of due diligence. “Do very good research on the organization that you align yourself with, what kind of work they do, and why they do it,” she advised. This helps ensure your efforts contribute to meaningful, sustainable change. It also prevents inadvertently supporting what she calls “voluntourism”—a trend where volunteers pay to participate in projects abroad, often combining tourism with short-term volunteer work. While well-intentioned, these programs can sometimes prioritize the volunteer’s experience over sustainable help for the community they serve.
Instead, she advocates for approaches that empower local healthcare providers and build lasting infrastructure. “You should be able to go out there and give the care and make the necessity of you being there completely obsolete,” Joelle explained. Why? Through this approach, communities can stand on their own feet in healthcare rather than relying on temporary foreign volunteers.
If you had any doubt, Joelle’s adventures prove that our nursing skills, compassion, and determination can create change anywhere. Whether you’re drawn to global missions or local community work, wherever your nursing path leads, cherish the connections you make, and never underestimate the power of a well-timed Tylenol. After all, in humanitarian nursing, the sky isn’t the limit. It’s just the beginning.
NURSING NEWS BLAKE'S TAKE
Instead of being an expense to cut, could nurses become a valuable source of revenue?
By Nurse Blake
WHY NURSES CAN'T BILL FOR THEIR SERVICES
Did you know that nurses are the only healthcare professionals who can't bill for their services? Doctors and many healthcare professionals can charge for their time and expertise, but nurses are left out of the billing equation. But it wasn’t always like that.
Let's take a quick trip back in time. In the early 1900s, nurses were running their own shows. They had independent careers, billed for their services just like doctors, and were a force to be reckoned with. But then the 1930s rolled around, bringing insurance companies and a new hospital financial model. Hospitals decided to change things. They moved nursing from a billable service to a hidden fee in the room charge.
Fast forward to today, and here's what we've got: When you look at a hospital bill, you won't see a line for nursing care. Instead, it's bundled into the room rate, kind of like those
little mints on your pillow at a hotel. Except instead of mints, you're getting life-saving care. Seems like quite the upgrade, doesn't it?
While every other healthcare professional gets to show off their value with a nice, clear bill, nurses are left in the shadows.
WHY IT MATTERS (NOT JUST A NUMBERS GAME)
So what? It's just a billing thing, right? Not quite! This has some serious ripple effects.
Currently, hospitals get reimbursed the same amount whether they have one nurse caring for nine patients or one nurse caring for five. There's no financial incentive to have more nurses on staff, even if it means better patient care. So, when hospitals need to cut costs, guess what looks like an easy target? Yep, that "overhead" nursing care. And what happens? You guessed it: understaffing and overworked nurses.
With nursing care hidden in the overall costs, hospitals have less incentive to invest in new care models or advanced training for nurses.
We're seeing nurses leave the profession in droves, and it's not hard to see why. When your work is undervalued, and you're constantly asked to do more with less, burnout is practically guaranteed. Something's got to give!
With nursing care hidden in the overall costs, hospitals have less incentive to invest in new care models or advanced training for nurses. This can limit innovation and career growth opportunities.
FLIPPING THE SCRIPT
Enter the Commission for Nurse Reimbursement! Founded in 2023 by two nurses, Rebecca Love and Sharon Pearce, this organization is on a mission to shake things up.
What's their deal? In a nutshell, they're aiming to change how nursing care is viewed and reimbursed. Their goal is to flip the script on how hospitals see nursing from a financial perspective. It's a bold move, but they believe it could help solve the nursing shortage that's been giving just about everyone headaches.
Nursing services don't currently bring in direct revenue for hospitals. We're the backbone of healthcare, but financially invisible. When budgets get tight, nursing staff and resources often feel the squeeze first. It's a model that doesn't reflect the true value of what we do and makes it tough for hospitals to justify investing more in nursing care.
So, they want to turn nursing from an “overhead cost” into a billable service.
Think about it: if hospitals could bill for nursing care, it might change how they view nurses altogether. Instead of being an expense to cut, nurses could become a valuable source of revenue. It's a total flip of the current model, and it could be a game-changer for our profession.
IS THIS THE LONG AWAITED ANSWER?
Let's break down the good and not-so-good parts of this potential change.
On the plus side, it could finally give nursing the recognition it deserves as a skilled profession. Imagine seeing "Nursing Care" as a line item on a hospital bill! That's not just about dollars and cents, it's about acknowledging the real value nurses bring to the table. This kind of recognition could do wonders for the profession, potentially attracting more people to nursing and keeping the ones we've got.
nursing reimbursement
Want to dive deeper into the nursing reimbursement issue?
Check out these resources:
• AAACN & Commission for Nurse Reimbursement Announce a Strategic Partnership to Advance Nursing Value and Revenue Generation
• It's Time! The Path for Nursing Reimbursement Reform
• Modernizing nurse reimbursement models for a more sustainable nursing workforce
• Emerging Nurse Billing and Reimbursement Models
Of course, it could also lead to better staffing and working conditions. If hospitals can bill for and get reimbursed for nursing services, they might be more inclined to staff adequately. Fewer patients per nurse? Yes, please!
There's also the potential for more innovation and specialization in nursing. With billing power comes the opportunity for growth. Hospitals might invest more in nursing education and specialties. We could see some exciting new nursing roles emerge!
But this potential might also ruffle some feathers! First, this could drive up healthcare costs. More itemized billing could mean higher hospital bills, which is the last thing patients want to hear.
There's also the worry that implementing a new billing system would be complex, to say the least. Healthcare billing is already a maze; adding nursing care billing to the mix could be a real head-scratcher, at least initially.
And let's not forget about potential resistance from hospitals and insurance companies. Change is hard, especially when it affects the bottom line. We can definitely expect some pushback from the powers that be.
And here's some food for thought: Could this mean more work for nurses? We might need to document our time more stringently or deal with more detailed paperwork. It's a question worth asking, even if we don't have all the answers yet.
Despite the challenges, many nurses believe the potential benefits outweigh the drawbacks. What do you think? Is this the revolution nursing needs, or are we opening a can of worms?
WHAT NOW?
This whole nursing reimbursement shake-up sounds great. It’s pretty new to most of us (unless you were around in the 1920s, which means you paper charted!!). Some of you might be ready to dive in headfirst, while others might be thinking, “Hmm, let’s see where this goes.” Both reactions are totally valid.
Whether you’re all in or just curious, stay informed! Knowledge is truly power, y’all! Take some time to learn about the Commission for Nursing Reimbursement and its goals. They held their inaugural Legislative Summit in June. Listen to the recap to get up to speed on the issues.
It’s always good to know what’s brewing in the nursing world, even if you’re not quite ready to join the movement. You just might find it more interesting than you expected.
For those of you fired up and ready to take action, here are some ways to get involved:
It's not just about dollars and cents, it's about acknowledging the real value nurses bring to the table.
• Spread the word. Most people have no clue about this billing quirk. Time to change that! Chat with your colleagues, patients, and anyone else who’ll listen. You never know who might become our next ally.
• Advocate. Your voice matters more than you might think. Reach out to your representatives and let them know why this issue matters. Don’t forget about nursing organizations either; they can be powerful megaphones for our causes.
• Support the cause. If you’re feeling motivated, consider volunteering your time or connecting with organizations working on this issue.
Stay informed, keep the dialogue going, and see where this potential change might lead us.
SOURCES
Commission for Nurse Reimbursement. (2023, April 12). Commission founded to create economic model for nursing reimbursement-creating a sustainable model for the nursing profession. GlobeNewswire News Room.
CATEGORY IS :
NURSE LUNCH BOX
AH, THE SACRED NURSE LUNCH BOX! That trusty companion on countless shifts, keeper of abandoned snacks, and occasional biohazard container. If you know, you know!
Ever noticed how much your lunch box game says about you? Bright tote, military-grade meal prep, grab-and-go plastic bag, just cramming granola bars in your scrub pockets, we’ve seen and done it all. And let’s not forget the nursing students (bless their hearts!) with their pristine containers and high hopes about lunch breaks.
Whatever your style is, we see you! Really, we do. So much so that we’ve turned it into a whole “Category Is”. Check out these six favorites. We bet you’ll never look at your lunch box the same way again!
