Nurse Blake Magazine, Issue Two 2024

TO BE PROUD

A SAN FRANCISCO CERTIFIED NURSE MIDWIFE'S JOURNEY

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COPYRIGHT ©2024 NURSE BLAKE

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.

Copyright ©2024 Nurse Blake. All rights reserved. Republication of Nurse Blake Magazine content, in whole or in part, is prohibited without the express written permission of Nurse Blake. Contact Editor-in-Chief, Blake Lynch, regarding republication permission at nbmagazine@nurseblake.com

Views expressed in Nurse Blake Magazine are those of the authors and do not necessarily reflect the views of Nurse Blake and its representatives. Publication of an advertisement does not imply endorsement of any product or service. Nurse Blake, its editors, and the publisher reserve the right to edit all materials and assume no responsibility for accuracy, errors, or omissions. Nurse Blake and the publisher do not knowingly accept false or misleading editorials or advertisements and do not assume any responsibility should such editorials or advertising appear.

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COVER IMAGE

John Fassett, MSN, RNP, CNM. Photo by Jeremy Crabb.

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ISSUE CREDITS

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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

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 in the NICU, a freelance writer, and owner of RNtoPen. She loves spending time with her family, is an avid traveler, and is passionate about learning Italian.

Katie Taibl (pronouns she/they) is a pediatric nurse and freelance nurse writer. When they aren’t writing or working, they love spending time with their cats and traveling the world with their partner.

MAGGIE AIME, MSN, RN

APRIL ROWE, BSN, RN

KATIE TAIBL, BSN, RN, CPN

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PRIDE.

Pride Month is a reminder to the LGBTQ+ community where we came from, where we are now, and where we need to strive to be in the future.

WE WRAPPED UP ANOTHER UNFORGETTABLE NurseCon at Sea Ultimate Nursing Conference in April, and OMG, it was fabulous! I loved seeing you all, many of you again and some of you for the first time. Thank y’all so much for joining me! I wouldn’t be here without all of your love and support. I truly appreciate each and every one of you.

The theme for this issue is Pride, and there’s no better time to show your pride than during National Pride Month! For me, Pride Month is a reminder to the LGBTQ+ community where we came from, where we are now, and where we need to strive to be in the future. Many of us are able to live our authentic lives and be true to ourselves, but there are still so many who suffer from homophobia, racism, and inequality.

It’s so important that we use this month as a reminder to stick together as a community to love and support one another. It’s also important to encourage allies to be active with us, seeking acceptance and equality. As a teenager, I was forced to go to gay conversion therapy for three years to get the gay out of me! It was a very traumatic experience and made me question myself and life, and no one

should ever have to experience that.

Being proud is the first step to loving who you are. So be proud, whatever that may mean to you — proud for being gay, for being a nurse, for letting yourself shine just the way you were created, and remember to always love yourself no matter what. Pride comes down to love — loving yourself, loving each other, and being more accepting of our differences.

That said, I am so proud of this issue! Like every other Nurse Blake Magazine issue, this one is packed full of all-out nursing awesomeness and inspiration! So don’t miss out on all the wonderful stories inside.

Our contributing nurse writer, Katie, wrote an exceptional piece about what it’s like coming out as a nurse in the workplace. Her personal experience, along with her tips, will surely leave you feeling more confident as an LGBTQ+ nurse or will help your coworkers understand how they can better support their fellow nurses in the field.

We absolutely LOVE finding nurses to highlight for our Nurse of the Quarter. These nurses go above and beyond

PHOTO BY ROWAN DALY

NURSES STICK TOGETHER AS A COMMUNITY AND LOVE AND SUPPORT ONE ANOTHER

to make a huge difference in this world, and the Connecticut Nurses Honor Guard does just that! They volunteer their precious time to perform the Nightingale Tribute and Final Call of Duty for fallen nurses. A must-read!

Pride comes down to love — loving yourself, loving each other, and being more accepting of our differences.

Ok, so most of us have seen those movies about robots taking over our world — well, now there’s a company creating AI nurse robots! I mean, I would love to have a little roboRN sidekick to help me get all my shit done at work, but there are certainly some cons to consider. Make sure you read Nursing News to get all the deets ‘cause AI robots are coming soon to a hospital unit near you!

Wait ‘til you read about our amazing Unique Nursing Role midwife! John is a gay nurse midwife from the Castro District, serving families in San Francisco for over 40 years! He sheds some light on what it’s really like to bring new life into this world as a nursing career. Don’t miss it!

So being a NICU nurse is just plain awesome in itself, but imagine also having a creative outlet turned successful side gig. Nurse Brittany let us in on all the specifics about her merchandise that takes a creative turn on nursing, books, and pride-inspired themes, plus so much more.

Y’all, nurse dolls?!? Why hasn’t anyone thought of this before? Luckily, Dr. Nicole M. Brown, DNP, RN has. She created a line of inclusive nursing dolls to inspire children to learn more about the fields of nursing and STEM. What an amazing idea!

During my Shock Advised tour this year, I had the incredible opportunity to perform in Australia and New Zealand. The Sydney Opera House is so impressive, y’all — if you’ve never been there, it’s a bucket list must! I also risked my and my lesbian cousin’s lives in New Zealand!

Being

proud is the first step to loving who you are. So be proud, whatever that may mean to you — proud for being gay, for being a nurse, for letting yourself shine just the way you were created, and remember to always love yourself no matter what.

It’s all in Blake Down Unda!

Who saw Nurse Becky rocking her prom dress at NurseCon at Sea? Wasn’t she a beaut?!?! How did she even decide on that elegant gown? Nurse Becky at Prom Night gives you a detailed glimpse at the dresses that didn’t make the cut and everything in between!!

Ever wondered how shift differentials vary across regions? Well, Category Is: Shift Differential enlightens us about the sad contrasts found in nursing pay.

Still dealing with post-COVID BS? Need some tips for passing the NCLEX? Ask Nurse Blake has the answers. Don’t forget to submit your questions to nurseblake.com. Keep ‘em coming!

I’ll see y’all at NurseCon Orlando in September. Oh, and I’ve also added a bunch of tour dates to my Shock Advised Tour, so come on out to see me if I’m performing near you!

With love and laughter,

BLAKE LYNCH EDITOR + FOUNDER

WHAT IT’S LIKE COMING OUT AS A QUEER NURSE

By Katie Taibl, BSN, RN, CPN

Katie Taibl, BSN, RN, CPN

An LGBTQ+ Nurse Sheds Light on Their Experience as an Out Healthcare Professional

I WAS TERRIFIED TO COME OUT at my first nursing job. It was 2014 in the Florida Panhandle, and patients would incessantly ask me if I was married or had a boyfriend. It felt inauthentic to continue to say no when in reality, I was in a queer committed relationship. Despite warnings from my family not to come out at work, I decided I needed to be true to myself. There’s something damaging to lie about who you are.

Coming out at work brings a sense of elation, freedom, and relief. I have more confidence than when I was in the closet. Today, living in Boston, Massachusetts, I know I am lucky. Different parts of the U.S. have different climates for being out and LGBTQIA+ at work, especially in healthcare.

THE IMPACT OF AN LGBTQ-FRIENDLY HOSPITAL ORIENTATION

Coming out at my first pediatric nursing job set the stage for being out at subsequent nursing jobs as a travel nurse. The turning point, however, was when I worked in Los Angeles, a notoriously LGBTQIA-friendly city, at Children’s Hospital of Los Angeles (CHLA).

CHLA was the first place I saw queer people celebrated in the hospital orientation. The hospital advertised Pride in their orientation, and my coworkers were unfazed by my lesbian relationship. One of the charge nurses on my floor was openly gay. I felt completely accepted for my sexuality, and after that, there was no going back. I have come out at nearly every workplace since.

ADVICE FOR COMING OUT AT WORK AS A NURSE

Reinforce to yourself why you want to come out. Perhaps it is to feel more accepted, create an inclusive work culture, be your authentic self, or reduce the stress of being in the closet. Remember your “why,” as this helps to build confidence. Don’t be afraid to create and maintain boundaries surrounding your sexual orientation as well.

If you’re LGBTQIA+ and want (or need) to come out at work, consider your safety. While there are federal anti-discrimination laws in place, not every state has protections. Gather your support from LGBTQIA+ groups outside of work. You can also check if your workplace has Pride or LGBTQIA+ Employee Resource Groups (ERGs).

Speaking with Human Resources is another way to learn more about the specific climate and protections offered at your hospital or workplace. You can also check if there are anti-discrimination policies or gender diversity protections listed in your work manual.

Coming out at work brings a sense of elation, freedom, and relief. I have more confidence than when I was in the closet.

FIND LGBTQ+ ALLIES IN YOUR COWORKERS

I was fortunate enough to have allies when I came out at work. I created a supportive LGBTQIA community outside of work (through roller derby), and one of my queer teammates worked on my floor. My other ally, and probably the main reason I felt safe enough to come out, was my beloved preceptor, who was also a lesbian. My nursing coworkers accepted her, so why wouldn’t they accept me?

It turned out they did accept me! Plus, coming out helped me connect with my pediatric floor colleagues. They were there for me when my mom died and during my first big lesbian breakup. Being myself led to more authentic connections in the workplace.

HOW STRAIGHT COWORKERS CAN SUPPORT THEIR LGBTQ+ COWORKERS

LGBTQ+ people experience higher rates of mental health conditions like anxiety, depression, and suicide — which are all related to systemic oppression. Being supportive of your queer colleagues in the workplace goes a long way in reducing these alarming statistics. It creates a culture of inclusivity, which truly impacts us all for the better.

If you’re straight, educate yourself! Especially if you’re in a leadership position in the hospital. Simply googling “how to come out/how to come out as trans at work” can give a host of perspectives on an issue you may have never considered.

DIGGING INTO GENDER DIVERSITY

I’ve noticed that coming out as a lesbian is more accepted than coming out as non-binary. If it’s not necessary, I don’t really explain my gender identity (I identify as a non-binary lesbian). However, I understand this is a privilege that many transgender folks do not have. Half of transgender employees hide their identities at work for fear of discrimination.

When a patient, parent, or family member requests a specific identity or pronoun, respect it. Maybe that kind of stuff isn’t important to you, but it’s important to them — so important that they took the time to tell you. You don’t have to comment on it or agree with it. What’s important is to be

There’s something different about coming out at work. It can feel like your entire livelihood is at stake.

respectful of and acknowledge gender differences. Using a person’s preferred pronouns matters.

Let’s make our healthcare workplaces more inclusive for our trans and queer colleagues. According to a 2023 Gallup poll, 22.3% of Gen Z-ers identify as LGBTQIA. The future is queer!

There’s something different about coming out at work. It can feel like your entire livelihood is at stake. Fundamental safety and discrimination issues may pose challenges to expressing your authentic self in the workplace.

Yet, coming out at work is connected to higher levels of career happiness for LGBTQIA women (and nursing is a female-dominated field). At a place where we spend 50% or more of our time, in a demanding profession where compassion fatigue runs rampant, we should feel safe to be openly LGBTQ+.

SOURCES

Baboolall, D., et. al. (2021). Being transgender at work. McKinsey & Company. Coleman, E., et. al. (2022). Standards of Care for the Health of Transgender and Gender Diverse People, Version 8. International Journal of Transgender Health. Ellsworth, D., et. al. (2020). How the LGBTQ+ community fares in the workplace. McKinsey & Company. Jones, J. (2024). LGBTQ+ Identification in U.S. Now at 7.6%. Gallup.

KATIE TAIBL (pronouns she/they) is a pediatric nurse and freelance nurse writer. She is passionate about writing educational, insightful articles to help guide others in the direction of progress and health. They are a pediatric primary care triage nurse and patient/family educator at Roslindale Pediatric Associates.

connect with Katie

Sometimes, it feels like I am the only queer person in my unit or place of employment (or only lesbian). Where are all the queer healthcare professionals at? While I am used to being the only LGBTQIA+ representative, I always love to connect with other queer nurses. Inclusivity and diversity matter in health care!

For LGBTQ+-friendly resources and health content for your organization, check out www.altnursestation.com.

Feel free to email me and tell me your story of coming out at work at katie@altnursestation.com.

ABOVE Katie is a pediatric nurse and freelance nurse writer BELOW Katie with her partner Maria, who is also a nurse .

UNLEASH YOUR POTENTIAL

Become a Knight nurse, like Nurse Blake, Class of 2014.

Earn your degree, either online or in-person, from one of the ‘nation’s best’ nursing programs to advance your career and unleash your potential in nursing.

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Nurse Blake

FINDING YOUR RIGHT MATCH

Hey Blake! I would love your insight on how we can come down from the "COVID balloon." Between competitive nurse pay, increased ratios, and ultimately unbothered administration, how will consistent and safe staffing begin again? I feel like there is no reason to be loyal or have allegiance. — Seth F.

Hey Seth, thanks for the great question! You're absolutely right — nursing has seen some crazy changes during and after the COVID-19 pandemic.

We can’t expect hospital administration to take the lead on this one. I actually see this as an opportunity for nurses to flex their power in the job market. With so many open positions out there, we can be selective and really advocate for the working conditions and compensation we deserve. It's a nurses' market right now, and we shouldn't be afraid to shop around confidently. Don't be afraid to go in and ask for higher pay and better staffing ratios.

Think of it like dating, like Tinder. You get to swipe left as much as you want until you find the right match, and you could go ahead and swipe right. Hospitals that want to attract and retain top nursing talent will have to

Think of it like dating, like Tinder. You get to swipe left as much as you want until you find the right match, and you could go ahead and swipe right.

step up their game. So keep putting yourself out there, Seth, and don't settle for less than you deserve. We, as nurses, get to shape the future of nursing!

NAILING THE NCLEX

Nurse Blake! I have been following you for months! I’m a 4th-year student at AdventHealth University in Orlando and will graduate, God willing, in August. I had no idea you graduated from UCF! So proud! My question to you is, what resources did you use to study for the NCLEX? There are so many resources out there, not only to learn from, but especially when it comes to NCLEX prep as well! Any advice you have to offer would be appreciated! Crossing my fingers I can get to your 2024 NurseCon in Orlando! — Dana W.

Dana! First of all, good luck on the NCLEX coming up, you've got this! There are so many different platforms out there for NCLEX prep like UWorld, Kaplan, and more. My recommendation would be to pick one that works well with your study style and stick with it consistently.

Find a solid Q-bank like UWorld and hammer those practice questions hard. But most importantly, believe in yourself!

Start practicing questions early! The more practice questions you can do, the better prepared you'll be. When I was studying back for the NCLEX in 2014, I used a program created by the NCSBN (the people who make the NCLEX), but I’m not sure if that's even around anymore.

Find a solid Q-bank like UWorld and hammer those practice questions hard. But most importantly, believe in yourself! Don't let the probation status get in your head. Keep telling yourself, "I've got this," and visualize that success. Before you know it, you'll be Nurse Dana! Wishing you all the best.

STAYING SAFE AS A NURSE

I work as an EMT and am a nursing student at the same time. I’ve encountered many aggressive, hostile, and violent patients already and wanted to see what your experience has been with this. It’s incredibly discouraging and often makes me question my career choice. How did you handle situations like that and what are your recommendations for people just starting out in the nursing world? — Lea B.

Thanks for sharing your experience and that difficult question, Lea. First off, congratulations on pursuing nursing! Being an EMT while juggling nursing school is incredibly admirable.

Dealing with aggressive, hostile, or violent patients is one of the most challenging and discouraging parts of being a nurse or healthcare worker. It's super unfortunate that nursing is one of the only professions where it's “okay to be abused.” It's completely unacceptable that we face this risk just for doing our jobs, and I believe it should be a felony to hit or to be violent towards any healthcare worker.

My recommendation is to always be proactive. If you ever feel a situation is becoming unsafe, remove yourself and get additional support or security involved. Trust your instincts. If something feels off, it probably is. If you know that a patient has the potential to be violent or hostile, definitely know where the exit is. Don't ever turn your back on the patient, and

always keep the patient in your line of sight. And know that your safety comes first.

And in the meantime, we have to be proactive about establishing safety protocols. What we can do, as healthcare workers, is to advocate for safe work spaces at our organizational, local, state, and even federal levels. Report every incident, advocate for proper security staffing and training, and push for stronger penalties and zero-tolerance policies. It's going to take all of us being loud about this issue for real change to happen.

I know it's demoralizing, but please don't let the actions of a few make you question your career choice, Lea. We need every caring, compassionate nurse we can get. Stay safe!

SHIFT DIFFERENTIAL MATTERS

Can we talk about why there are different shift differentials for eve and night hours? But generally the shifts available now are only offered as 12hr day or night? How is that right? — Hannah B.

Hannah, good observation about why there are shift differentials for evenings and nights, but most hospitals don't even offer those shifts anymore, especially evening shifts. But there are very few facilities that still have evening shifts, especially in departments like the ER.

Listen, if you're going to work the evening or night shift, you should definitely receive that differential pay. Working those off-hours really disrupts your sleep schedule and takes a toll on your life. I know how challenging the night shift, in particular, can be physically, mentally, and spiritually.

Not all hospitals actually offer differential pay — I just found that out! At some facilities, the rate is the same no matter what hours you work, which doesn't seem fair. Working nights and evenings should absolutely come with additional compensation, given the impact on your health and lifestyle.

HAVE A QUESTION FOR NURSE BLAKE?

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NURSE MIDWIVES

The Beauty and Challenges of Bringing New Life Into This World

By April Rowe, BSN, RN

John Fassett, MSN, RNP, CNM

PHOTO COURTESY OF JEREMY CRABB

I’ve delivered lots of babies in San Francisco, and I absolutely LOVE what I do.

GIVING BIRTH is an immensely powerful, most often joyous, yet utterly challenging, life-changing experience, and nurse midwives witness firsthand the beauty and miracle of bringing new life into this world. They tirelessly expect the unexpected while they guide women through one of life’s most significant moments. Midwives support mothers and families through the entire pregnancy, birth, and postpartum period. They relentlessly provide unconditional support and education while managing fears, pain, and endless uncertainties, navigating parents through the unpredictable complexities of childbirth.

BECOMING A CERTIFIED NURSE MIDWIFE

Nurse midwives bear the title of an Advanced Practice Registered Nurse (APRN) and specialize in women’s reproductive health, prenatal care, childbirth, and postpartum care. After obtaining a Bachelor of Science in Nursing (BSN) degree, their studies continue to

receive a Master of Science in Nursing (MSN) followed by national certification and state licensure as a Certified Nurse Midwife (CNM). A master’s degree is the minimum education required, but practitioners may also choose to continue their studies and obtain a Doctor of Nursing Practice (DNP) degree.

Nurse midwives work in various healthcare settings like hospitals, clinics, doctors’ offices, birthing centers, private practices, and home environments. According to the U.S. Bureau of Labor Statistics, the median annual income of a nurse midwife is about $130,000, but this number can vary significantly according to location, workplace setting, credentials, and prior experience.

NOT YOUR AVERAGE NURSE MIDWIFE

Per the American Midwifery Certification Board, there are nearly 14,000 certified nurse midwives in the U.S., and of them, less than 1% are males. After reaching out to John Fassett, MSN, RNP, CNM,

from San Francisco, California, we heard firsthand the truly inspiring and unique nursing role of being a male midwife.

John has lived in the fabulous Castro District in San Francisco for the majority of his life and has been a nurse for 43 years. He served in the Navy and Air Force and then worked for 10 years in Labor & Delivery before going back to school to become a midwife. Even today, it’s rare to encounter a male midwife, so one can imagine the challenges John faced starting out in his career, but he persevered to achieve his dream of becoming a midwife.

“I was the first male ever to be admitted into the nurse midwife program at UCSF [University of California, San Francisco]. A few women in the program had a real problem with a man being there, which was a challenge for a couple of years. Once I finished the program, I found a maternal transport flight nurse position with UCSF, and then I got my foot in the door working in a private practice office. Now, I’ve worked in my current practice for the last 25 years. I’ve delivered lots of babies in San Francisco, and I absolutely LOVE what I do,” John explained.

He currently works for a large medical foundation in San Francisco. “Our hospital delivers about 300 babies a month. I’ve even helped my friends deliver their babies. I’ve probably done about 4,000 births in 30 years,” said John.

THE CHALLENGES & REWARDS OF MIDWIFERY

It can be challenging as a male midwife, and as John described, “It has its ups and downs. The challenges started back in the nursing program when some of them didn’t want a male there, and in Labor & Delivery, the moms didn’t want a male nurse in the room. As a midwife, it’s happened here and there, but now, if someone comes to our group, they know it's a potential [to have a male midwife]. I've been around for a long time, so I’m kind of famous in San Francisco.”

John recalled the challenges he’s faced over the years, “Back in nursing school in ‘78, I was told that I would never see a delivery because that’s not where I belonged, but it didn’t make sense because all of the obstetricians were males. It was a weird setting in the beginning, but it has transitioned a bit. But even today, it can be hard for guys to get into this field. Most men do ER or ICU nursing.”

Despite some of the pitfalls he’s encountered, John makes the most of it and tries not to take anything personally. “I think the biggest challenge for me is being told by the nurses that the patient doesn’t want me involved in their care because they prefer a female or it’s a religious or ethnic preference. It’s a challenge not to take it personally. I think the only way you can make changes in this type of nursing is one birth at a time. The more births you do, the more people you touch, and it helps people realize what midwives do.”

John explained the most rewarding aspect of nurse-midwifery is “meeting that person or couple at the first visit where you see the 7-week ultrasound, and then months later you hand that baby off to them. You spend all that time with them. I’ve taken care of patients for over 25 years, and now I’m taking care of their daughters, whom I delivered. And I love it when the siblings who I delivered come in at the visits or the deliveries. I love that I’ve helped them develop this family and have really made a difference in their lives.”

PROUD TO BE PROUD!

As a gay nurse, John takes pride in serving all members of his community, no matter their sexuality, race, or how they identify. He said, “In my group, we have quite a few same-sex partners who come to see us. We are known in San Francisco as a gay-friendly and queer-friendly group.”

makes being a midwife so special.

For more information about this unique nursing role, visit the American Midwifery Certification Board website at www.amcbmidwife.org

To care for mothers equally, regardless of whether they are single, married, divorced, have same-sex partners, or serve as surrogates, should be the top priority for midwives. Nurses must follow the Code of Ethics, so being impartial when caring for others is a must. Embracing a mother and her journey through pregnancy and childbirth is what makes midwifery so magical. Each patient has their own story and unique experiences in life, and helping them attain their birth goals, whatever they may be, is what

“It still blows my mind when the baby finally comes out after all the challenges during labor. It's just that moment of amazement when you hear that cry; it does something to your heart. It’s so amazing,” John boasted. What an honor it must be to bring new life into this world as a nursing career. The role of a nurse midwife is definitely unique and undoubtedly inspiring!

REFERENCES:

American Midwifery Certification Board, 2021 Demographic Report

U.S. Bureau of Labor Statistics, 2023, Nurse Midwives

APRIL ROWE is a registered nurse in the NICU, a freelance writer, and owner of RNtoPen. She loves spending time with her family, is an avid traveler, and is passionate about learning Italian.

PHOTO

John has been delivering babies in San Francisco for over 40 years.

A PHOTO JOURNEY

Editors’ S tyle

NO NURSING CONFERENCE IS THE SAME , but NOTHING compares to a NurseCon at Sea Ultimate Nursing Conference! Captivating CNE courses mixed with partying poolside with Nurse Blake and other nurses from all over the world is the best way to enjoy our much-needed time off.

The white sandy beaches of The Bahamas, the turquoise blue waters of the cenotes cave swimming experience in Mexico, the delightful and hilarious shows, and the endless food and drink options were just some of the amazing features of the cruise.

The Nurse Blake Magazine editors snapped some pics while on the latest cruise to Mexico and The Bahamas. Every NurseCon at Sea cruise is loaded with little details that are always awe-inspiring, fun, or just make you LOL!

1 We’ve arrived, and Cozumel just got a lot prettier! 2 Elegance around every corner. 3 The cenotes cave swim was off the charts PHENOMENAL!

PHOTOS COURTESY OF APRIL ROWE AND MAGGIE AIME

4 The most breathtaking sunsets. 5 Night shift knows best? Day shift begs to differ. Well, Nurse Feud settled the score! 6 Lucky duck hunting! How many did you find? 7 So many fun nursingrelated touches throughout the ship! 8 Walking around the Tulum Mayan ruins was eerily magical. 9 Who ordered the “nice veins” to go? 10 Who knew nurses could slay a stage like this?

These Dolls Take Nursing from Playtime to Profession

BY MAGGIE AIME, MSN, RN

The Nurse Dolls are planting the seeds of interest and are on a mission to inspire the next generation of nurses, one imaginative play session at a time.

AS A NURSE EDUCATOR , Dr. Nicole M. Brown, DNP, RN, was no stranger to the curiosity and wonder of children. When her own kids asked if she was a doctor or a dentist, she realized there was a lack of engaging and fun products to explain nursing and STEM (Science, Technology, Engineering, and Math) careers to young minds. Thus, The Nurse Dolls was born — a business concept that would inspire and educate children about the incredible world of nursing.

Dr. Brown's journey began with a simple observation: despite living in Florida with multiple Walmarts and a Target within a 15-minute radius, she couldn't find nurse dolls on the shelves.

The only options available were Florence Nightingale dolls on Amazon, which didn't accurately represent the modern nursing profession. Determined to bridge this gap, Dr. Brown set out to teach children about nursing in a fun and engaging way.

ADVENTURES, LESSONS, AND DOLLS

The Nurse Dolls product line includes books, animated videos, and dolls, all designed to help children learn about careers in the nursing and STEM fields.

Dr. Brown authored two books under The Adventures of Nurse Nicole series: N is for Nurse, which takes children on an alphabetical journey through the

art and science of nursing, and Wash Your Hands, which teaches the all-important skill of keeping those germs at bay.

She also released an animated DVD called "The Battle of the Germs," where Nurse Nicole and her sidekicks take on those pesky microbes trying to make everyone sick.

Dr. Brown knows that representation matters, so she created two multicultural dolls to join the Nurse Dolls squad. Meet Nurse Nicole and Nurse Linda, the 18-inch-tall role models designed to inspire and educate children about the nursing profession.

These dolls are decked out in the latest nursing fashion, complete with RN ID badges, white lab coats, scrubs, and even a pair of stylish Crocs. With their professional attire and accessories, these dolls embody the image of modern nurses.

THE VISION TAKES SHAPE

Dr. Brown's vision for The Nurse Dolls goes beyond simply creating products. She wants to address the projected nursing shortage by encouraging young people to consider nursing as a first career choice.

OPPOSITE The Nurse Dolls with Dr. Nicole Brown. ABOVE Dr. Nicole Brown

Dr. Brown wants to flip the script and get young people excited about nursing early on. She believes that by introducing children to the world of nursing at an early age, more young people will be motivated to enter the profession straight out of high school, filling the gap left by retiring nurses.

Having taught nursing for 10 years at a community college, she observed that many of her students were in their 30s, 40s, 50s, and even 60s, often pursuing nursing as a second, third, or fourth career. Dr. Brown wants to flip the script and get young people excited about nursing early on. She believes that by introducing children to the world of nursing at an early age, more young people will be motivated to enter the profession straight out of high school, filling the gap left by retiring nurses.

IT’S NOT JUST PLAYTIME; IT’S NURTURING FUTURE NURSES

The response to The Nurse Dolls has been nothing short of amazing! Dr. Brown has been spreading the love at school activities and product presentations, watching kids light up with curiosity and excitement.

When children play with The Nurse Dolls, they start to understand what it's like to work in healthcare. The

ABOVE LEFT Nurse Nicole, Nurse Linda, patient doll, and Future Nurse Nicola (The Nurse Dolls Studio).

ABOVE RIGHT Nurse Nicole & Nurse Linda dolls (The Nurse Dolls Studio)

dolls teach them about what nurses do, the tools they use, and how the body works — all in a fun and easy way that makes sense to them. It's not just playtime; it's a chance for children to imagine themselves as future nurses, drawn by their desire to learn.

Dr. Brown has even developed a curriculum that makes learning about medicine and nursing fun and engaging, with the goal of making children look forward to these educational moments.

But she hasn't forgotten about the parents — like her — who inspire and support these future healing hands. To celebrate the incredible work of nurses everywhere, she has created a line of snap-on nurse-relat-

ed jewelry for moms and dads, including RNs, LPNs, and CNAs. These beautiful pieces serve as a tangible reminder of the vital role nurses play and the pride they take in their profession.

PERSEVERANCE + PASSION: THE DRIVING FORCES BEHIND THE NURSE DOLLS

Dr. Brown’s journey with The Nurse Dolls hasn’t been a walk in the park. Establishing and growing a business is never easy, and Dr. Brown has had to navigate through several challenges, including securing funding to making personal sacrifices.

But through it all, she never lost sight of her goal: to educate and encourage young minds to consider nursing as a career. And now, with her very own office, she has a home base to make her vision a reality. Plus, with the support of a marketing and advertising team, she is now able to focus on promoting The Nurse Dolls and expanding their reach.

CHANGING THE FACE OF NURSING ROLE MODELS

Dr. Brown's love for nursing and education shines through in every aspect of The Nurse Dolls. She reminds us that nurses are the unsung heroes of healthcare, there for us from the moment we take

our first breath to our final goodbye. They're the ones holding our hands during shots, wiping our brows when we're sick, and making sure we're always looking our best in those stylish hospital gowns.

The Nurse Dolls are planting the seeds of interest and are on a mission to inspire the next generation of nurses, one imaginative play session at a time. Soon, we'll be seeing a lot more kids trading in their plastic kitchens for mini nursing stations, ready to save the world (or at least their stuffed animals) with a smile and a STAT!

The Nurse Dolls

WEBSITE thenursedolls.com

@thenursedolls iamDrNicoleBrown

MAGGIE AIME, MSN, RN, 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.

BLAKE DOWN UNDA!

By Nurse Blake

SHOCK ADVISED TOUR IN AUSTRALIA + NEW ZEALAND

Performing at the Sydney Opera House in February was an experience so epic, it still gives me chills.

IF YOU HAVEN’T BEEN TO AUSTRALIA and New Zealand yet, add a trip to your bucket list because you will NOT be disappointed. I was so excited to go back to Australia and to New Zealand for the first time. Performing at the Sydney Opera House in February was an experience so epic, it still gives me chills.

CUDDLY KOALAS, KANGAROOS & AMAZING PEOPLE

I was fortunate to experience Australia for the first time during my PTO Comedy Tour in 2023. I had no idea what to expect, but my experience far exceeded any expectations. One of the highlights from that first trip was being able to hold a koala and hang out with kangaroos, which I think is everybody’s dream when they think of Australia. They were so adorable. Everyone needs to hold a koala at least once in their lifetime!

Sydney reminds me somewhat of America but with a sexy accent! The people there are so fun and laid back. They have the coolest words and phrases for things, like ‘chuck a sickie,’ which basically means you call in for being sick, but you’re actually faking it. I love how the people there are a little more sarcastic. It creates a fun, chill vibe. The audience there definitely appreciated my dark jokes.

PERFORMING AT THE SYDNEY OPERA HOUSE

The Sydney Opera House was an incredible experience. It is one of the most iconic places in the world, and I was so looking forward to seeing it and doing a show there. It’s unlike any other venue where I’ve performed. I was honored to be on a stage where so many famous and iconic people have been. It definitely still gives me goosebumps just thinking about it.

The Sydney Opera House is a seriously impressive structure. In 2007, it was added to the UNESCO’s World Heritage List. It covers about 4.4 acres of land, is around 22 stories high, and has 5,738 seats. Its massive windows provide panoramic views of the harbor, bridge, and Sydney skyline. It is truly a breathtaking place.

ABOVE

LEFT: Performing at the Sydney Opera House was so epic. LEFT: Koala snuggles

That feeling of free falling was so awesome! It’s something I’ll never forget, and I definitely plan on doing it again someday.

ADVENTURES IN AUCKLAND

I had never been to New Zealand before. It’s honestly a really unique place. I was only able to visit Auckland, so I hope to go back someday and see more of the country. New Zealanders are like Australians in that they are so fun, nice, and super welcoming.

When I was in Auckland, I wanted to create a lasting memory, so I took my lesbian cousin Mandi bungee jumping off the AJ Hackett Auckland bridge. Mandi is afraid of heights, but like the wonderful cousin that she is, she reluctantly agreed.

Bungee jumping is crazy! So first, you basically have to sign your life away, which makes you even more nervous. Then they weigh you and take your height, followed by tying your feet together and putting a harness on you. You have to walk this plank and look down to make sure there isn’t a boat coming. Can you imagine bungee jumping and banging into a boat? Oops! That feeling of free falling was so awesome! It’s something I’ll never forget, and I definitely plan on doing it again someday.

I CAN’T WAIT TO GO BACK!

The food is so much better down unda! They say the soil is different there, especially in New Zealand, so it makes the fruits and vegetables so fresh and flavorful. It was some of the best food I’ve ever had in my life.

I highly recommend seeing Australia and New Zealand. They are both beautiful countries full of wonderful people, delicious food, and plenty of amazing adventures and activities. I really hope I can go back someday soon. Take my word for it: You gotta go there; you won’t regret it.

REFERENCES www.sydneyoperahouse.com/

ABOVE Me and my lesbian cousin Mandi bungee jumping in New Zealand. BELOW One of the best experiences of my life!

Connecticut Nurses H onor G uard

By April Rowe, BSN, RN

VOLUNTEER NURSES UNITE TO PAY TRIBUTE TO NURSING COLLEAGUES AT THE TIME OF THEIR DEATHS

NURSES ARE KNOWN for their unwavering compassion and dedication to serving their communities. When many nurses spend their downtime recuperating from long, stressful work days, Honor Guard Nurses volunteer their well-deserved time off to pay tribute to fallen colleagues.

The Connecticut Nurses Honor Guard embodies the true spirit of caring for others well beyond the bedside. They selflessly gather together to honor nurses who have passed away, ensuring that their nursing legacy is celebrated through a heartfelt and endearing ceremony. Their charitable contribution to our nursing community is well worth recognition.

WHAT IS A NURSING HONOR GUARD?

The National Nurses Honor Guard Coalition is a nonprofit organization with state and local chapters. Its members consist of volunteer nurses, working or retired, who perform The Nightingale Tribute and Final Call of Duty at funerals to honor and recognize the memory of nursing colleagues.

Similar to military tributes, the volunteer nurses gather, wearing their traditional white uniforms, complete with a nursing cap and cape, to perform the ceremony and officially release the nurse from their duties. These compassionate volunteers symbolize the essence of what it means

CT Honor Guard Nurses: Shelley Bayer, Beth Boyd, Lynn Veccharelli, Irene Lambert, Laura Crean, Jodi Palmieri, Cheryl Raab, Yolanda Cotela, Chris White & Julie Marcus.

to be a nurse — selfless dedication, empathy, and a deep sense of duty towards others.

A TOUCHING TRIBUTE TO FALLEN NURSES

Nursing Honor Guards exemplify how nurses go above and beyond to support one another and show respect for those who have dedicated their lives to serving others. Their free volunteer service not only honors the memory of their fellow nurses but also serves as a touching reminder of the strong bonds within the nursing community.

“It’s important to celebrate and honor the nurse’s dedication, and during the ceremonies, all their friends and family get to hear what that nurse did in their career.”

- SHELLEY BAYER

The Connecticut Nurses Honor Guard recognizes and celebrates the incredible contributions that nurses make every day. Two members, Shelley Bayer, BSN, RN (a labor & birth nurse) and Maria Cusano-Sanzo, DNP, RN (a retired pediatric nurse and educator), described their volunteer work within their chapter and what it truly means to be an honor guard nurse.

Maria was one of two other women who started the first chapter of the Connecticut Nurses Honor Guard in 2021. Since then, they have grown to nearly 180 members and have completed almost 300 tributes. Shelley explained, “We’ve grown so quickly because we go to the services of nurses, and invariably, there are nurses there; they see what we do, and they want to join us.”

The volunteers consist of retired and working nurses. Even nursing students are welcome to join. “We perform in funeral homes, churches, and at the graveside. We go wherever the family invites us to go, and we are honored to be there,” said Shelley.

Shelley described the ceremonies: “As we [proceed] into the area, we line up, and the first person in line has a ceramic lamp with a lit candle in it, like a Nightingale lamp, and someone has a white rose, another person carries a triangle, and we have a card for the family. We

ABOVE The founders of the Connecticut Nurses Honor Guard: Maria CusanoSanzo, Shaina Hamel and Athena Mains.

BELOW The Nightingale lamp, triangle, and white rose used during ceremonies.

give the lamp and the card to the family, and as part of the ceremony, we present the white rose to our colleague to show our honor and appreciation, either placing it in or on the casket or adding it to a bouquet.”

Maria added, “We’ve also done them at restaurants [and pubs] where they have a celebration of life. Wherever we are needed, we fulfill the mission to provide comfort to the family. We have a lot of volunteers to make it all work, and they are absolutely amazing. The amount of dedication that these men and women have is just heartwarming.”

NOT JUST FUNERALS: PROVIDING VARIOUS SERVICES TO THE COMMUNITY

Last year, their Nurses Honor Guard won the Connecticut Nurses Association Public Service Award for their tireless dedication to the community. Not only do they perform tributes at funeral services but they also have done modified tributes at flag ceremonies for National Nurses Week. They may even be asked to attend a nurse’s retirement celebration or nursing achievement ceremonies, and even march during parades.

Following the murder of a Connecticut nurse during a

home visit, the honor guard performed a tribute at her funeral and then later marched on the capitol to promote safer working conditions for home care nurses. Their commitment to honoring and advocating for nurses continues beyond their tribute ceremonies.

National Nurses Honor guard

To donate, volunteer, or start an honor guard in your area, reach out to:

Julia Godby Murray, RN Founder/President/Coordinator of the National Nurses Honor Guard Coalition jmury581@gmail.com

Connecticut Nurses Honor Guard

Donate or learn more about the Connecticut Nurses Honor Guard at: ctnurseshonorguard.org

CT Honor Guard Nurses: Shelley Bayer, Maria Segarra, Jeanette Morrell, Monica Jensen, Debbie Avery and Rita Kessing.

PHOTO COURTESY OF KEVIN

ROMANOWSKI

SOLILOQUY OF A NURSE’S CAPE

BY MARIA CUSANO-SANZO, DNP, RN

My collar encircles her neck, holding her head up high as she enters a patient’s room, proud to be entrusted with their care. Her eyes notice jaundice, pallor, cyanosis and sadness. Her ears listen to breath sounds, heartbeats, cries of the newborn and cries of pain. Her nose smells infection and incontinence. Her brain juggles time management, medication side effects, social, religious and economic concerns.

My collar has absorbed her tears as she mourns the passing of another patient to whom she became close. On that same collar are pins earned at the expense of family gatherings, weekends and Christmas mornings.

My shoulders cover hers as they carry the weight of the responsibility of caring for someone's loved one.

I cover her heart; kind, giving, empathetic and sympathetic, always putting someone else’s needs before her own.

I cover her arms, used to hug and comfort someone in pain or who is afraid. Or straight, elbows extended, performing chest compressions.

I cover her hands, comforting, caressing, stroking a patient with dementia who thinks she is his daughter; her hands that feel for a warm forehead, a swollen joint, a prickly rash.

I cover her fingers that feel for a pulse, palpate a vein, perform CPR on an infant.

I try to envelop her and protect her but I can never succeed; she is too vulnerable, too valuable, too kind.

She doesn’t have an S emblazoned on her chest, but she does wear a cape because she IS a hero.

DONATIONS MAKE IT POSSIBLE

Donations are essential in supporting the mission of the National Nurses Honor Guard. “We work mainly off of donations. Many of the family members often want to donate to our group. The money goes to buying supplies like the lamps,” explained Shelley.

Maria added, “Some family members donate their mother’s capes to us, and some of our volunteers wear their mother’s or grandmother’s capes which bring such

“The amount of dedication that these men and women have is just heartwarming.”

- MARIA CUSANO-SANZO

authenticity to the ceremonies. If capes could talk!” Imagine being an honor guard nurse and having the privilege of wearing your great-grandmother’s cape and cap — what a beautiful experience!

“It’s important to honor the work that nurses do, no matter if they’re living or dead. It’s important to celebrate and honor the nurse’s dedication, and during the ceremonies, all their friends and family get to hear what that nurse did in their career,” said Shelley.

To support this meaningful cause or to learn more about the Nurses Honor Guard, consider making a donation or reaching out to your local chapter to see how you can get involved. Your contribution can help ensure that our fallen healthcare heroes receive the recognition they deserve for their invaluable service and dedicating their lives to caring for others.

CATEGORY IS :

SHIFT DIFFERENTIAL

NURSES DESERVE fair pay, plain and simple, but when you consider weekends or night shifts, there better be some type of attractive incentive; otherwise what’s the point? I was curious to know what the different rates are for nursing shift differential, so I posted the question on social media, and the responses were shocking!

Some hospitals pay decent rates, and others are seriously lacking! I mean, 0.15 cents for night shift differential in a hospital in Canada — are you kidding me?! Here’s what nurses had to say about what they get paid for nights and weekends.

Not bad, Queensland, Australia! I would definitely work a Sunday night for that kind of diff!

These poor NY nurses! The average home cost in Long Island is supposedly around $600,000. How are they supposed to afford that with this type of pay?!? That’s only about $2 an hour more to work nights. No thanks!

These Canadian rates in Alberta are somewhat impressive. If you worked a 12-hour weekend night shift, you’d get almost $100, so that’s worth it.

$6 an hour extra for night shift is decent, but only a couple of dollars more an hour for weekends? I think Miami could do better than that!

So if I worked a Saturday night in Montana, I could make $3 more an hour x12 hours = $36 minus the cost of a pre-shift Venti Iced Brown Sugar Oatmilk Shaken Espresso at Starbucks ($7) so I can stay awake....nah! I’d rather enjoy my Saturday night and skip this offer!

Now, this one is just ridiculous! This Canadian hospital only pays $.015 for night shift differential. I imagine they are extremely short-staffed on nights. SMH!

Way to go, VA! 35% shift diff definitely could add up!

NURSE BECKY

at Prom N ight

By Maggie Aime, MSN, RN

Full-tilt tulle explosions, sparkling sequin disasterpieces (I mean, masterpieces), wtf-worthy fashion moments — finding that pivotal 'yes' dress was an all-out code blue!

PROM. The most eagerly awaited event of the year for… nurses?!? That’s right! If you thought proms were only for high schoolers, think again! NurseCon at Sea 2024 hosted a prom night that was an unforgettable extravaganza of epic proportions.

Although the big night was still months away, Nurse Becky wasted no time searching for the perfect gown. And oh, there were so many choices! Full-tilt tulle explosions, sparkling sequin disasterpieces (I mean, masterpieces), wtf-worthy fashion moments — finding that "yes" dress was an all-out code blue!

In her quest to slay NurseCon at Sea 2024 Prom Night, Nurse Becky put us through the ultimate will-she-or-won't-she fashion wringer!

Did she have a date? Did she take home the prom queen title? It's anyone's guess, but one thing’s for sure — her presence was unforgettable.

01 THE RUFFLES THAT KEEP ON GIVING

At first glance, it's easy to get (literally) lost in the sheer romance and glamour of this vividly vibrant gown. The strapless, straight neckline adorned with those delicate beads and embellishments? Total Barbiecore vibe.

And let's talk about that skirt — yards upon yards upon yards… upon yards upon yards of ruffled tulle cascading down in the most dramatic, eye-catching way possible. The dress looks like it was plucked straight from a rose garden in full bloom.

But then you throw in the two-tone pinky-peach-reddish and soft pink shades with a floral design at the waist, and it's like, "Whoa, Nurse Becky, tone it down!"

As much as we love our girl's flair for the over-the-top, even she had to admit this one was a bit too extra. Can you imagine her trying to dance to "Single Ladies" in all those layers? Total fall risk and no Danskos required here!

As tempting as it would have been to channel her inner Cinderella for a night, Nurse Becky's practical side ultimately won. Definitely a no-go for this one!

02 THE ACCIDENTAL GLITTERING TRAIL

Oh, this crimson stunner was definitely giving major "queen arriving at the royal ball"! Imagine this: Nurse Becky making her grand entrance, that neckline framed with dazzling sequins parting a sea of commoners as she glides by.

The rich, ravishing red hue is bold enough to stop traffic, and the sleek column silhouette oozes sophistication. That scene-stealing panel of sparkling embellishments down the front commands all eyes on her regal presence!

This look may be showstopping, but dear Nurse Becky knew wearing it at the NurseCon at Sea 2024 Prom Night would be… Wait! How would she manage to squeeze between tables in that body-hugger after indulging in one too many sausage pinwheels?

And we all know those sequins would be virtually impossible to get rid of! She'd be leaving a sparkling trail of glamour everywhere she went for days. Heck, Nurse Becky would probably still be finding rogue sequins on her scrubs and hair a week later when she finally went to work. Talk about a glitzy look for patient care!

You gotta love a girl who knows when to hang up the royal robes. Queen Becky knew this prom dress was not it!

No need for jewelry or accessories when your entire dress is one blindingly blinged-out statement piece!

That voluminous bubble-hem skirt was definitely a major trend back in the 1980s. Could Nurse Becky have been trying to single-handedly revive the look?

Talk about old-school Hollywood glamour with that strapless straight neckline and romantic ruching details. Very much Grace Kelly-meets-Jessica Rabbit vibes up top. But then your eyes trail down to that full, ballooning skirt, and

03 THE BUBBLE HEM TREND REVIVAL

suddenly, you can’t help but think, "Is this headed in a totally different retro direction?"

With every sashay and turn on the dance floor, all that fabric would be swishing up to reveal plenty of cheeky leg action. This dress is definitely for the girl who wants to keep her legs free on the dance floor. Call the chaperones!

This rich emerald green number was definitely a bold choice for our daring Nurse Becky! There’s no doubt she could still rock that bombshell vibe. But even Becky would tell you, between those wardrobe malfunction possibilities and the ultra mini style, it's probably too risqué.

Maybe a maxi bubble-hem style next time… Can you imagine?

04 THE LIMELIGHT SPECTACULAR

Definitely a design you can’t look away from! (in every sense of the phrase). If this electric lime green sequined ensemble doesn't scream, "Look at me!" then we don't know what does!

This shimmery, show-stopping number is essentially one giant disco ball transformed into a dress. Every inch of fabric is saturated with thousands upon thousands of light-refracting sequins that demand your undivided attention.

The sleeveless, column-hugging silhouette ensures maximum glitz and glimmer from head to toe. No need for jewelry or accessories when your entire dress is one blindingly blinged-out statement piece!

As jaw-droppingly radiant as this look is, though, it may have proven too sensory-overloading even for the spirited Nurse Becky.

Sometimes, less is more, even for maximalists! This dazzler is better saved for another occasion when more is, in fact, more.

05 THE ONE-SHOULDER SHOWSTOPPER

When Nurse Becky swept into that ballroom, rocking this gorgeous, classic, blush pink, one-shoulder stunner, you could hear the collective "ooh la la" ripple through the crowd.

The sleek, figure-hugging silhouette alone was enough to turn every head in the room. But then she hit us with that sweeping floral accent draping over her shoulder, and bam! It was official. Nurse Becky had leveled up to full-fledged bombshell status.

No over-the-top ruffles, no blindingly blinged-out sequins, just pure, smoldering elegance brought to life in the chicest way

This blush beauty was the perfect balance between tastefully glam and night-to-remember sexy that every prom queen strives for.

possible. Chef's kiss! Armpit hair! Who cares?

Even the lovely, always-honest Nan — Nurse Blake's sweet grandmother — gave her delighted seal of approval. Knowing her, she was likely just relieved to see that Nurse Becky found a dress that wouldn't cause any… well… "incidents" for her to deal with later.

At the end of the day, this blush beauty was the perfect balance between tastefully glam and night-to-remember sexy that every prom queen strives for. Now, that's what we call a total prom night dream come true!

OPPOSITE 1 The paparazzi fought for the money shot as Nurse Becky made her grand entrance!

ABOVE 2 When you're prom night VIP, no one but security handles corsage duty! 3 This prom squad is slaying! 4 Just a few queens stopping traffic and turning heads. 5 Prom chaperone Nan giving Nurse Becky her stamp of approval!

OFF THE CLOCK : NURSE BRITTANY

NICU NURSE WITH A CREATIVE OUTLET

By April Rowe, BSN, RN

PUT YOUR HEART IN IT

If there's no heart or passion in it, your business is not going to survive. If you're not excited about it, other people aren't going to be excited about it either.

Brittany Wilson, BSN, RN, RNC-LRN, NICU nurse and owner of Larkspur Lane Co & Cuddles and Courage.

NURSING IS STRESSFUL , and having a creative outlet is a healthy way to decompress from the taxing demands of our profession. Nurses work tirelessly to care for others, often putting their own needs aside, so it's essential to prioritize self-care and find ways to unwind between shifts. Better yet, using your creative outlet as a side gig not only provides beneficial stress relief but also adds extra funds to your bank account.

LUCRATIVE CREATIVITY

Brittany Wilson, BSN, RN, RNC-LRN, from South Carolina, has done just that. When she’s not working in the Neonatal Intensive Care Unit – Intermediate, she spends a lot of her free time creating designs and merchandise for her two shops, Cuddles and Courage and Larkspur Lane Co. All of the products she creates arise from her passions and interests. Her yearning for a creative outlet led her to create her own brand and merchandise to share with the world.

“I have always had a creative side, and during COVID, I was craving something to do, so I started creating things that I wished existed and hoped that other people would like it too and possibly make some money on the side. Mainly, it was a creative outlet, and then turning it into a business was even better,” ex plained Brittany.

In 2021, Brittany created her first Etsy shop, Larkspur Lane Co, and designed products for book lovers, nurses, pride-themed merch, and more. She created her first items and then continued building up her shop with more products and different designs. Recently, she decided to start her other brand, Cuddles and Courage, which are NICU-specific products.

CUDDLES AND COURAGE AND A PASSION FOR NICU NURSING

Since she was little, Brittany knew she wanted to work in the medical field, either as a doctor or a nurse. Nursing became her passion because she wanted to spend a lot of face-to-face time with her patients. Ini tially, she considered working in labor and delivery but ended up falling in love with the NICU, and she can’t see herself working anywhere else.

Her Cuddles and Courage brand offers adorable items for nurses and families in the NICU. Clothing, stickers, journals, bags, and more can be purchased at her Etsy shops and online websites. She also offers personalization to add extra value to the items so her customers can create their own personal touches.

What I love the most about being a neonatal intermediate care nurse is getting to provide a lot of education to the parents so they feel comfortable and confident about taking their baby home.

“For the NICU items, I really wanted to put designs out there that are very celebratory, and one of the things in the NICU that’s super exciting is finally getting to go home and people wanting to make a special moment out of it. So one of my best sellers is group shirts/onesies for NICU grads, so [matching] shirts for the parents and baby, maybe even personalized with the baby’s name,

“What I love most about being a neonatal intermediate care nurse is getting to provide a lot of education to the parents so they feel comfortable and confident about taking their baby home. Discharging babies is a very fun and touching moment. Not only do I get to care for the babies, but I also have the element of family education and focusing on patient and family-centered care,” said Brittany.

BOOK-LOVING PROUD ALLY WITH A SIDE OF HIPPIE AND WHIMSICAL FUN

Whether you’re looking for a cute coffee-lover sweatshirt or a magical, bookworm-inspired tee, Brittany has plenty of adorable designs for all types of occasions — pride, holidays, celestial flair, and more.

For this issue’s pride theme, Brittany was asked why creating pride merch is a passion for her, and she explained, “Diversity is so important in all facets of our lives, like in our workplace and friendships; it’s important to have people from all different walks of life. Queer books help save lives, and they help people in the LGBTQ+ community feel seen and represented, and they teach them that they are worthy of love and to have self-worth and self-confidence.”

Brittany disagrees with book bans and added, “Books are so important for me, they are a form of escapism and entertainment and they create connections between people, like in book clubs. They teach us about ourselves, and when you don't have representation in books with [characters] who are like you, it only alienates you further, so books need diversity.”

ADVICE FOR STARTING A SIDE GIG

For anyone considering a new business on the side, money shouldn't be the only driving force, but your own personal gratification should be. “[A side gig] gives you another form of fulfillment, so even if you didn’t have the best day at work, you have something to look forward to when you get home. For me, it's a way to be creative and explore that part of myself. This is an avenue to do something that I'm interested in, and it gives me fulfillment outside of my full-time job,” said Brittany.

[A side gig] gives you another form of fulfillment, so even if you didn’t have the best day at work, you have something to look forward to when you get home.

“If anyone is looking to start [a side gig], it’s important to do it not just to make money but also to enjoy it. If there's no heart or passion in it, your business is not going to survive. If you're not excited about it, other people aren't going to be excited about it, either. So the core ingredient of what you're doing should be something that excites you, and if you make money too, well,

[Books] teach us about ourselves.

that’s the whipped cream and cherry on top of your banana split,” Brittany laughed.

So, if you’re tired of your usual day-to-day grind and want to add a touch of creativity and extra income when you’re off the clock, consider starting a new side business. It’s a great way to branch out and create new experiences, and you never know — you may just end up turning your side gig into your full-time job!

SHOP LARKSPUR LANE MERCH

WEBSITE

shoplarkspurlaneco.com

SHOP etsy.com/shop/LarkspurLaneCo

Book lover Brittany wearing one of her t-shirt designs.

NURSING NEWS

BLAKE'S TAKE

AI IN NURSING — THE GOOD, THE BAD, THE UGLY

By Nurse Blake

FIRST, THE COMPUTER PROGRAMMERS and coders started sweating about being replaced by AI. Then, it was the writers worrying about AI coming for their jobs. And now, nurses? Could robots be coming for our jobs?

According to a press release, NVIDIA, a tech company, teamed up with a healthcare startup called Hippocratic AI to create AI "agents" that are supposed to be like robot nurses! These voice-based bots can chat with patients and give basic medical advice.

Don't get me wrong, I'm all for new technology that can help people get better medical care. But are these AI "agents" really the answer?

THE

GOOD:

AI TO THE RESCUE?

According to the press release, Hippocratic's AI model, called Constellation, outperformed human nurses in several areas:

• Identifying a medication's effect on lab values: 79% for the AI, 63% for nurses.

• Identifying OTC medications that should not be used by patients with specific medical conditions: 88% for the AI, 45% for nurses.

• Correctly comparing lab values to reference ranges: 96% for the AI, 93% for nurses.

• Detecting toxic doses of OTC drugs: 81% for the AI, 57% for nurses.

Y’all already know the struggle. The staffing shortages are no joke! Some days, it feels like we’re barely keeping our heads above water, and we’re being pulled in a million different directions. It’s exhausting!

If an AI bot could help by automating some of the dry administrative tasks, like documenting visits, scheduling appointments, entering data, and freeing us up to spend more quality face time with our patients, hey, I'm all for it! Honestly, anything that can lighten our workloads and allow us to really focus on providing the compassionate, personal care we're trained to provide would be a total blessing.

As the backbone of healthcare, nurses must have a seat at the table when it comes to shaping the future of our industry.

THE BAD: KEEP THE BOTS, I WANT REAL NURSES!

Maybe these AI buddies could handle giving out basic advice for minor sniffles or something. But could they really provide the true personal care that we nurses pride ourselves on?

And the whole idea of patients dealing with AI nurses instead of humans is kind of a tricky one. How might patients actually respond to that?

Patients love having that personal connection with their nurse! They want someone caring and compassionate who really gets them as individuals. Especially for older patients, I could totally see them feeling pretty weirded out by the idea of spilling their private health details to some robot instead of an actual person. They may not trust this AI “agent” thing or feel like it truly understands their unique situation.

Yet, the younger crowd, the more tech-savvy patients, might be more open to working with AI nurses. They may really appreciate the convenience and efficiency it could provide. No fussing with scheduling or waiting forever; just zap, there's your AI nurse!

It'll probably also depend a lot on the type of care we're talking about. For really empathy-driven situations like nursing homes or peds, I just can't picture patients and families being totally comfortable without human nurses in the mix.

THE UGLY: PENNY-PINCHING PATIENT CARE

But before we get too carried away crowning these AI bots as the new kings and queens of nursing, let's remember that nursing is a whole lot more than just checking off those kinds of isolated task boxes. There's critical thinking, judgment calls, handling unexpected situations — all the nuances that really separate good nurses from great ones.

Sure, these AI bots might be able to spit out some automated health advice or do a basic check-in okay. But what happens

when a patient has an unexpected issue or complication? Do you really think an AI “agent” is going to be able to think on its feet (LOL! Do they have feet?) and handle those nuanced situations?

Come on now! We nurses have years of training, real-world experience, and, most importantly, good old-fashioned human compassion that no robot could ever replicate.

Plus, y’all know I’m thinking it! Hospitals could totally go overboard with these robots. When hospital administrators see how cheap the AI bots are — a measly $9 an hour compared to an average of $41 an hour for a human nurse, they might think they’ve found a nice little loophole to nickel-and-dime patient care.

While the idea behind these AI bots is to help address the nursing shortage, if hospitals bring in AI “agents” but then drastically increase the number of patients each nurse is responsible for, it could actually make our workloads even more overwhelming. The AI may be able to handle basic tasks, but nurses would be left struggling to properly care for and connect with each patient on a human level.

NURSES: TIME TO GET INVOLVED ONCE AGAIN!

I've got some mixed feelings about this whole thing. On one hand, it's pretty darn impressive that technology has come this far. I mean, who would've thought we'd have AI “agents” one day? But on the other hand, we know these bots can’t provide the same level of care and compassion that we human nurses do. And let’s not forget about how, instead of helping with the nursing shortage, this innovation can potentially make things worse if hospital administrators see these AI “agents” as a cheaper alternative to human nurses.

As the backbone of healthcare, nurses must have a seat at the table when it comes to shaping the future of our profession. We can't afford to sit back and let others make decisions that could fundamentally change the way we work and care for our patients.

We need nurses to be right there in the mix, making sure our voices are heard. These technologies need to be developed and implemented in a way that enhances, rather than detracts from, the critical role we play in delivering high-quality, compassionate care. Because at the end of the day, we're the ones who know what it takes to provide top-notch care to our patients, and we can't let anyone else dictate how we do our jobs. So, let's get involved and make sure these new tools are working for us, not against us.

What do you all think about this? Is this the future of healthcare, or are we heading down a slippery slope?

SOURCES

Hippocratic AI. (2024, March 18). Hippocratic AI Announces Collaboration with NVIDIA to Develop Super-Low-Latency “Empathy Inference” for One of the World’s First Generative AI-Powered Healthcare Agents [Press release]. https://static1. squarespace.com/static/644f377bcdcff95fb90fd4a5/t/65f89c4397bc677dfc9122 7f/1710791747565/Press+Release_NVIDIA+Partnership.pdf

Hippocratic AI. (n.d.). Hear our GenAI Healthcare Agents in Action. U.S. Bureau of Labor Statistics. (2024). Registered Nurses.