FALL 2018 ISSUE 1
Behind The White Coat Why commencement at the beginning of NP Education is the new trend
The Power of Self-care How to care for self while caring for others?
NO FUSS NO MUSS Quick Meal Prep Steps for NP Students
Who Is Nola The Nurse?
Meet Dr. Scharmaine Lawson, FNP-C, FAANP, FAAN
STUDENTS TODAY, PRACTITIONERS TOMORROW, & LEADERS FOR A LIFETIME.
LE 2 | NP STUDENT | AUGUST 2018
EADER IN TRANSITION 3 | NP STUDENT | FALL 2018
FALL 2018 ISSUE 1
11 | PRECEPTOR REVOLUTION 5 Things Preceptors Look for In Students
13 | FACULTY CORNER
How to Take Feedback Like A Champ?
FEATURE COLUMN 9 | BEHIND THE WHITE COAT Why Commencing of NP Education is The New Trend
18 | WHO IS NOLA THE NURSE? .Meet entrepreneur Dr. Scharmaine Lawson
17 | THE POWER OF SELF-CARE
14 | MINT CLINICIAN
How to Care for Self While Caring for Others?
No Fuss No Muss Meal Prep
12 | NPs In-Training Whatâ€™s In A Script?
21 | IF I ONLY KNOW THEN... My Gift of Gab
Cover Photography by Mercer University Model: Nursing Students Georgia Baptist College of Nursing 4 | NP STUDENT | FALL 2018
WE’VE ONLY JUST BEGUN
Let me introduce myself: I am Dr. Patrice Faye Little, a Board-certified Family Nurse Practitioner (FNP), author, and speaker. What I know for sure is that in the past decade, NPs have emerged as transformational leaders impacting policy, practice, and the community. Daily, NPs are ensuring healthcare is a right and not a privilege for Americans. First, the evolution of healthcare has opened up opportunities for various platforms to support the education and training of aspiring and current NPs. For instance, I was able to afford an opportunity in March at the Nurse in Washington Internship (NIWI) to learn about advocacy on a federal level. Programs like this were not in existence 20 years
ago. Second, more NPs are seeking entrepreneurial opportunities understanding that impact is greater when you take your frustrations and create companies that solve problems. Third, NPs are realizing their role as health correspondents in media influencing consumers to take interest in their own health and to have the option of selecting NPs as their provider of choice. As a central part of the most trusted profession, NPs are continually encouraged to accept their seat at the table as healthcare experts. Most of the time, we are not introduced to these options until later in our career. By then we are in a mode of “If I only knew then what I know now.” The various Facebook groups and paid organizations are great outlets. However, with each platform, there are limits to what they can share and how they can share it. This is why NP Student Magazine exists, a fresh publication to serve as a resource to keep you “In the Know” as students, practitioners, and leaders of tomorrow.
LETTER FROM THE EDITOR
In the spirit of the popular 70s American Duo, The Carpenters’, We’ve Only Just Begun...We’ll find a place where there is room to grow! I expect higher heights in our profession understanding that there will be always room to grow, and I am committed to staying abreast in healthcare innovation to outline those expectations for you as a leader in transition. So, let’s grow together! With you in success,
Patrice F. Little, DNP, FNP-BC Editor-in-Chief
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Welcome to the first issue of NP Student Magazine, a tri-quarterly lifestyle magazine distributed to NP schools and Nurse Practitioners globally. The magazine also offers video editorials on social media platforms for real-time engagement. We want to inspire you to make the best of your NP education, explore career and entrepreneurial opportunities while having impact on your patients along the way. We are thrilled to share ideas from students, and some of the best NPs and leaders in the profession. Direct inquires or comments to Editor: NP Student Magazine P.O. Box 1773 Duluth, GA 30019 For SUBSCRIPTION INQUIRES or BACK ISSUE ORDERS, email firstname.lastname@example.org
FALL 2018 ISSUE 1
Founder and Editor-In-Chief Patrice Faye Little, DNP, FNP-BC Editorial Director Sarah Banick, MS Art Director Layne Alkire
For ADVERTISEMENT INQUIRES call 1-877-355-0033
Web Designer Jason Cadogan
Opinions expressed by contributing writers, Nurses as Writers’ interns, and guests are their own and not necessarily those of the publisher or editor. Articles appearing in this magazine may be reproduced with written permission and appropriate credit given to authors and NP Student Magazine.
Contributors Roxana Brisco, BSN, RN Ashley Blackmon, MS, CCRN, FNP-C Crystal Carithers, MSN, RN Tamara Hughes, PharmD/PhD(c) Sharon Tooson, MHE
The editors welcome unsolicited manuscripts and photographs. The publisher reserves the right to accept or reject prospective advertisements that appear in this publication. Please email submissions to email@example.com
NP Student Magazine is a glossy, full-color and full-size magazine, available by mail to every major NP employers throughout the United States. © 2018 A Publication of Nutrix Healthcare Solutions Inc. Printed in the U.S.A.
Reviewer Genevieve Mbamalu, DNP, MPA, RN, NE-BC Special Thanks DeAnna Emborski Mrs. Universe North America 2018 Kadia Prospere, MSN, FNP-C Family Nurse Practitioner Aisha “Lady” Danzy President of Fit for a Queen Dr. Patricia G. Morton Dean of College of Nursing University of Utah Janda Anderson, the faculty, and students Georgia Baptist College of Nursing of Mercer University
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“What do you think every NP student should know?” This summer Nutrix Healthcare Solutions Inc. launched its inaugural Nurses as Writers’ internship. For four weeks, interns focused on building their writing skills as health care experts and offered ideas to keep NP students “In the Know”. Interns will serve as ambassadors for one year and their articles will be showcased in NP Student. They will also promote topics that are important to YOU.
“Every NP student should know that graduate school is rigorous and that taking a break does not mean you are a failure.”
Roxana Brisco, BSN, RN NP Student
“To gain trust and respect in their new role, every NP student needs to look, listen, & touch their patients.”
Crystal Carithers , MSN, RN Nurse Educator
“Forming relationships with legislators is key to bringing about positive healthcare policy.”
Ashley Blackmon, MSN, FNP-BC Family Nurse Practicioner
7 | NP STUDENT | FALL 2018
HOW DO I WRITE WHEN I DON'T KNOW HOW? Available On Demand on 11/08/2018
Webinar Series If you are looking to hone your writing skills as a health expert or a scholar then this webinar is for you! Earn up to 8 contact hours with this intensive for nurses from home.
The Writing Process
Writing for the public
Grammar & Style
APA formatting &
Register today! For more information contact: Patrice Little, DNP, FNP-BC firstname.lastname@example.org
Register at www.nutrixhealthcaresolutions.com This activity has| FALL been2018 submitted to Montana Nurses Association for approval to award contact hours. Montana 8 | NP STUDENT Nurses Association is accredited with distinction as an approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
BEHIND THE WHITE COAT Why commencement at the beginning of NP education is the new trend In August, I had the pleasure to attend the Georgia Baptist College of Nursing’s (GBCN) White Coat Ceremony in Atlanta, GA. The atmosphere reminded me of the energy I felt two years ago when I donned my white coat at the beginning of my Doctoral education. GBCN is the oldest nursing school in Georgia and is one of twelve that have implemented White Coat Ceremonies for both undergraduate and graduate nursing students in Georgia. Traditionally, White Coat Ceremonies have been respected as a rite of passage in medicine. Today many NP schools across the nation have adopted a White Coat Ceremony to commence their academic year. In nursing, a White Coat Ceremony program includes the Dean’s welcome speech, the presentation of students, recitation of the international nurses’ pledge, and concludes
with the blessing of hands. This is also an opportunity for students and their families to celebrate the beginning of a new milestone. In 2014, the American Association of Colleges of Nursing (AACN) and the Arnold. P. Gold Foundation (APGF) launched an initiative to introduce White Coat ceremonies as standard in nursing. Today, over 300 nursing schools in the nation have received financial support to continue this standard. As a GBCN’s Alumna, I have noticed a difference in the level of professionalism of our nurses. They were taught to embrace the core values of their institution early, and I believe they continue to embrace their companies’ value when they enter the profession. Attended this year’s ceremony, motivated my commitment to act for the benefit of society, uphold integrity, be civil towards others, pursue excellence, work collaboratively to achieve common goals and to value people as a role model in the nursing profession. Does your school have a back-to-school ritual or White Coat Ceremony? Please share. We would love to feature your story in a video editorial. By Patrice Faye Little, DNP, FNP-BC
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Membership is FREE to Graduate Nursing Students Enrolled at AACN Member Institutions Leadership Development Leadership activities offered through the GNSA include the Leadership Council, a ten-member body governing the GNSA, the GNSA Advocacy Leaders group focused on fine tuning their advocacy skills, and the GNSA Liaisons who represent their institution and engage fellow students in the GNSA.
Funding Announcements The GNSA offers two member only scholarships through partnerships with CertifiedBackground and Johnson & Johnson. In addition, the GNSA promotes scholarships and other funding opportunities through its monthly GNSA Bulletin.
Webinars The monthly webinar series is tailored to focus on topics of interest for graduate nursing students such as career planning, publishing, understanding your nursing pathway, mentoring, and leadership. Webinars offer CEU credits and are archived for access at a later time.
Enjoy networking opportunities through the web-based online community, GNSA Connect. Start conversations on topics of interest, ask questions, and share resources with students nationally. Connect with graduate students at other national and regional events.
The Graduate Nursing Career Network showcases opportunities for graduate prepared nurses and provides options to filter based on experience, job role, or location.
The GNSA Bulletin, distributed on a monthly basis, contains curated information related to upcoming events, continuing education opportunities, and other new resources.
For more information about the GNSA, please visit: www.aacnnursing.org/gnsa/join AACN.GNSA
10 | NP STUDENT | AUGUST 2018
5 Things Preceptors Look for in Students As a Nurse Practitioner student, you are exhausted with your search for not just any preceptor but a perfect preceptor! You are hoping for that supportive, kind, teaching soul that will take you under their wings and mentor you. But you may be at the point that you are willing to take a micromanaging screamer just to complete your hours. However, have you considered that preceptors have preferences too? For instance, they offer themselves willing to show you the ropes which requires them to slow their pace to accommodate students learning needs. In addition, preceptors negotiate malpractice insurance with your school to ensure they have a good contract. This process can be stressful, and most prospective preceptors consider looking for specific attributes before taking on a student. If you are looking for a good preceptor consider the five attributes they look for in students: 1. Effective communicator. The relaxed feeling of social media may make it seem like you can send a quick direct message on your phone, and with some preceptors, this may be acceptable. I recommend you treat requesting for a preceptor like requesting for a job interview. There is a level of professionalism that is expected of graduate students, and this includes communicating effectively. The most professional approach is to send a letter (even if it is a direct message) introducing yourself and asking if you can email a copy of your resume. This can allow the potential preceptor to tailor their teaching for you. Be aware of grammatical errors when using voice-to-text which is a poor first impression. Be ready to be
interviewed, after all, the preceptors want a good fit too. 2. Appropriate dress. Prior to your first day of clinical, you should ask about the appropriate attire for the setting. Each setting has its own culture and it may be acceptable to wear Mickey Mouse scrubs with your lab coat in a pediatric setting. In most cases, NPs wear business casual attire under their lab coats. Other things to consider is to avoid wearing perfumes for they can exacerbate respiratory conditions in your patients; consider wearing light make-up or practicing good skin hygiene to look your best. Many clinical settings have dress codes whether they are in written or not, it is up to you to inquire to look the part. This shows that you can plan ahead and are mindful of others. 3. Preparedness. On your first day of clinical be sure to show up early. Have your preceptor’s cell number in case of an emergency. Always bring your syllabus or email a copy to your preceptor ahead of time. This allows your preceptor to review the expectations to make sure your clinical experience meets the requirements of your school. Remember, you are not asking for a small favor but making an investment in a learning opportunity when choosing a preceptor. This takes time, effort, and preparation.
4. Open to criticism. Going from expert RN to novice NP and becoming aware of the vast amount of knowledge that you *don’t know* is very overwhelming. NP students who portray a know-it-all attribute often create tension which can be frustrating to your preceptor. Remember, learning is a process and your preceptor has to evaluate you. Therefore, be open to constructive criticism. Although it may be tempting to appear to understand care for a condition, it is ok to be honest that you lack knowledge in an area. This will only set up your preceptor for frustration and you for failure. 5. Self-directed learner. Healthcare environments are busy. Sometimes the flow of the day can be rushed and there may not enough time for teaching. It’s ok to write your questions down and ask later. Preceptors prefer students who are self-directed learners. This means you are actively engaged in the patient’s care but also take notes, look things up, and ask questions. Be proactive in your learning and let your preceptor know you want to discuss certain topics or look out for specific patient presentations. This will help you become a well-rounded provider. As a preceptor, I have worked with many students and treat bringing them to my job like bringing them home. A clinical environment is considered a confidential place whether it is office, hospital floor, or clinic. Each semester, I volunteer to bring students to my employer so that I may enrich them and help them grow. As an NP student, acknowledge that preceptors place themselves in vulnerable positions to help you achieve your academic goals. Be the valuable student that preceptors want to teach so they will remain willing to teach. We want to hear from you. Share your story of what attributes you look for in a preceptor and we will share it on our social media. Email email@example.com. By Ashley Blackmon, MSN, CCRN, FNP-C
11 | NP STUDENT | FALL 2018
What’s In The Script? A BASIC GUIDE TO PRESCRIPTION WRITING Recently, I called to make an appointment with my physician, I was given the option to see her next month or the nurse practitioner the next day. If I did not have a dire concern, I would have chosen the former but I could not stand the wait. I am not alone. Many consumers lack confidence in NPs because the role is unfamiliar. And as the primary care physician gap increases, NPs are becoming the front line of primary care. Now with this power comes great responsibilities. The NP profession is progressively growing and many are the provider of choice in primary care settings. They have a central role in disease prevention, management, and prescribing. Prescribing is one of the most complex challenges NPs in training face. With the recent data stating that Seventy percent of medication errors that are a direct result of adverse events were due to prescription errors, it is important for future NPs to be equipped with the proper way to prescribe. The National Association of Medicine, formerly known as the Institute of Medicine, estimated that between 44,000 and 98,000 persons die in US hospitals annually as a result of these errors. Whether errors of omission or commission, an error in prescription writing is the most common form of preventable errors. In this series, I will share what’s in a script. By the end of this series, I hope that you transcribing prescriptions improves. Thus, preventing errors and ensuring safe and quality care. Let’s first start with how to write a prescription. A prescription can be broken down into 3 parts: The superscription, inscription, and subscription. The superscription includes the date the prescription is written and all patient information such as name, date of birth, height, weight, and address. While the address and weight may not be required on all prescriptions, it does save a lot of time for some. In many states scripts for controlled substances are required to not only have the address of the doctor’s office but also the patient’s home address before they are valid. A patient’s weight also saves clarification calls when writing for those medications that require weight-based dosing. The body containing the name and the strength of the drug to be dispensed is the inscription and instructions to the pharmacist are known as the subscription. These instructions usually let us know how many tablets to dispense and how
to translate the signa or “Sig” which are the instructions for the patient. All three parts are required to transcribe a valid prescription. Given the complexity of the prescribing process, it is unsurprising that there is clear evidence of poor prescribing in all areas of healthcare. Two basic questions to ask yourself when writing prescriptions: 1.
Are you aware of the medication you’re prescribing?
This may sound ridiculous but errors often occur from the lack of knowledge about medications, their indications, contraindications, dosage, route and drug-drug interactions. 2.
How well do you know your patients?
Studies have shown that lack of information about hospitalized patients was the second leading cause of prescribing errors resulting in ADE’s. Are you aware of the patient’s past medical history, drug history, allergies? The answer to these questions will ultimately determine your success in prescribing and reducing adverse events. Not only is citing the proper drug, dose, route, and frequency important in prescription writing but knowing how the patient’s age, gender, genetics, medical and drug history interact with the medication prescribed. Knowledge of medications and the patient’s history are necessary for competent prescription writing. Join me in the next issue as we continue to discuss What’s in a Script? By Tamara Hughes, PharmD/PhD(c)
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How to take feedback like a champ It is your second week at clinicals and your preceptor says, “I would like to speak with you.” Your heart starts racing and, you feel yourself getting warm contemplating what is she going to say? No need to panic. Constructive feedback is not bad but is necessary for growth. We all have heard or felt uneasy when it comes to receiving criticism but feedback allows the preceptor and preceptee to debrief after a clinical day. Constructive feedback is inevitable in work, school, and even in our lives. You cannot hide from the guidance of others. The purpose of constructive feedback is to provide growth, whether its professional, educational or for performance. For work and school, it’s a means of showing your ability to learn from the feedback. The feedback fosters awareness in areas of performance weaknesses or opposite that in areas that you may do well. When receiving constructive feedback, you should be open to the information even if you do not agree. Sometimes we must be open to someone pointing out our flaws. The way you receive that constructive feedback can make the difference in whether you get that next opportunity to lead the presentation or choose the study site for the group. Also, it will show you either in a positive or negative light. For example, your NP preceptor says, you came with some great suggestions at the meeting today but you must remember that you are an observer today, and I encourage you to use this opportunity for learning. A great response would be “thanks for the feedback.” Although feedback does not imply negativity, did you know the manner in which you provide the feedback can be negative? It has been proven that feedback that is positive reinforces the likelihood of the person continuing the desired behavior. ” We desire that positive reinforcement however honest negative feedback is important. None of us are perfect or will practice perfectly. For those of you who give feedback, here are some
ways to provide in a positive light.: 1. Sandwich method In this method you provide positive, then constructive then provide positive again. For example: I noticed how well you interacted with that family. I need to let you know that the length you spent with the family interfered with the time you needed to spend with the next patient. The best way to handle families that want to keep your attention is to let them know … 2. Evidence-Effect-Change (EEC) E-Focus on the behavior and not the personality E-Focus on the impact the behavior had on the patient care C-Provide suggestions on how to improve the behavior 3. Group Feedback . This method is ideal for a multidisciplinary team or group preceptorship. Group feedback provides an opportunity for the team to address the problem, and learn from each other with the leader as the facilitator. Constructive Feedback Pearls 1. Decide on the best time to give feedback. At the end of the clinical day or throughout the day. You want to avoid overloading the student with feedback. 2. Decide on an approach to give constructive feedback. 3. Avoid giving feedback in front of others. 4. Provide feedback on the act (what you observed) not the person. 5. Allow the student the opportunity to respond. A response is not confrontation but allows the student to process the feedback and correct the action. By Crystal Carithers , MSN, RN
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STEP BY STEP
NO FUSS NO MUSS 2
Quick Meal Prep Steps for NP Students
As RNs, I think we all are guilty of guzzling high-sugary drinks and snacks to curb our hunger. For the past year, I have been juggling a full-time position, a social life, and NP school. Why would I want to add meal prepping to my already full plate? A co-worker introduced me to meal prepping this year. Early into adopting meal prep as part of my routine, I understood that it is necessary for mindful and healthy eating. The planning and preparing of meals in advance helps with resisting the temptation of eating quick and unhealthy foods. Meal prepping is not dieting, it is a lifestyle to manage and ensure you are eating foods that are healthy and give you the energy to withstand your day. Here are a few steps to help you get started with meal prepping: 1. Pick a day. Just like laundry is done on a regular basis, meal planning becomes routine. The best practice is to determine which day works best for you every week. Then establish boundaries to commit to this day. Also, consider your cooking skills and the time it takes to prepare, cook, and pack your meals. 2. Set your budget. Invest in small containers and a cooler for the proper storage of your meals. Places such as HomeGoods®, Target®, and the Container Store® have a variety of containers that can keep your food ready to eat in an 8 or 12-hour shift. I like to shop the weekly sales at my local grocery store to help me save. Some grocery stores, like Publix, have weekly ad recipes for simple meals. 3. Decide on your menu. Menus are like care plans, they are individualized. It is a good idea to select a few go-to meals to save time for an unexpected week. Maybe you have three shifts in a row and need to pack breakfast, lunch, and dinner. Food Network is an excellent source for recipes, but it can easily be overwhelming. You can also be inspired by YouTubers if you are new to this process. There are plenty of resources that offer simple suggestions with few ingredients. 4. Make it a team effort. Weekly, my aunt picks fresh produce for me at the Farmer’s Market. You may have
school-age children that can assist with measuring out the portions of home-made trail mix and put them in zip lock bags. Or your significant other can slice and dice your meats, fruits, and veggies. Use all available resources and make it a team effort. Even more, tag team with one of your cohorts to prepare meals for each other.
5. Celebrate Good Times, Come On! Just like Cool and the Gang says, “It’s time to celebrate!” Give yourself a pat on the back for completing each week of meal prep. You have conquered an afternoon of shopping, setting the menu, and cooking. Now it is time for your reward. Treat yourself to a healthy bite at your favorite restaurant, a glass of wine, or a photoshoot celebrating your healthy body. There are no set rules for effective meal planning. If you find yourself defaulting to eating impulsively again. Remember, like all habits, adopting meal prep, may take 21 days or longer to become routine. Until then, commit to meal prepping one week at a time and keep your health at the center of your focus.
Are you an expert on meal-planning? What works for you? What questions have I not answered? Email us, we want to hear from you! Also, check out our meal prep template on the next two pages.
By Roxana Briscoe, BSN, RN
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WEEKLY MEAL PLAN SUNDAY B L D
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THURSDAY B L D
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SATURDAY B L D 15 | NP STUDENT | FALL 2018
GROCERY PREP LIST PANTRY ITEMS
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THE POWER OF SELF-CARE
How to care for yourself while caring for others? As health professionals, we are highly consumed with caring for others which can leave little time for managing our own health and well-being. We have also seen, from caring for patients who have been debilitated from stress and anxiety. how the lack of selfcare can lead to many health issues. Yet, we are no better than our patients when choosing unhealthy habits to cope with stress. Why do we continue to go down the same path despite knowing the health risks that these habits pose? A recent study in NIH reinforced that health professionals do not always “practice what [they] preach,” and that we smoke, get little to no sleep, or become dependent on alcohol and other substances to cope with stress like the general population. It is no secret that self-care is key to caring for ourselves while we care for others. There is power in self-care, and a little self-care improves our quality of life and reduces stress. Self-care involves your physical and mental health. This issue, let’s focus on the physical. There are many benefits to
being physically active, and the good news is that your activity does not have to be intense for you to receive the benefits. You can start off with a brisk 30 -minute walk or swim. Some people even find daily stretches or deep breathing exercises to keep their muscles oxygenated and clear the mind. My go-to is Zumba, it’s fun, burns calories, and does not feel like exercise. Find a physical activity that works for you. it is important to pick an activity that you enjoy or challenge yourself by running a 10k if you are an avid runner or try something new. Let’s get physical and start caring for our bodies as models of health. Stay tuned for more selfcare tips!
Eat whole foods
By Sharon Tooson, MHE Join us! Share your self-care habits on Instagram, with #NPSPIRATION
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One of the proudest moments for me was my appearance on Harry...which increased our book sales, and gave my independent publishing house the credibility we needed
WHO IS NOLA THE NURSE? Meet Dr. Scharmaine Lawson, FNP-C, FAANP, FAAN NP Student: The story of Advanced Clinical Consultants sounds like a modern-day Noah’s Ark. The number of patients your team serviced exponentially increased to 500 after Hurricane Katrina. How does an NP entrepreneur who may not see the immediate results of a new business prepare for the growth? Dr. Lawson: Noah’s Ark is right! It was an overwhelming experience for my housecall practice. Anyone who encounters exponential growth in a short period of time needs a great team to assist with the volume. There is no way one person can handle growth alone. I would say that’s the pivotal answer! Find your team. The right team can really take your business ideas to another level. Please put emphasis on the word, “right” because the wrong team can plummet your sales and kill your dream. Dream teams don’t come cheap. You must be prepared to pay them before you (the CEO) get paid. If you are not prepared to do this, then entrepreneurship may not be something you are ready for. It’s probably the most sacrificial job you will ever love. NP Student What is your company’s mission? What sets you apart from the others? What are you most proud of as the owner? Dr. Lawson: The mission of Nola The Nurse is to educate as many children as possible about the role of the advanced practice nurse. We will assist in this path of APN learning by providing workshops, books, interactive learning, and toys to enhance the experience. What acutely sets me apart from other authors is our 6-foot Nola the Nurse™ mascot that travels with me on the school trips. The kids love her and have fun interactive with Nola while listening to her heart with a real stethoscope. One of the proudest moments for me was my appearance on Harry, Harry Connick Jr’s talk show. It was the first time my company received national exposure. Harry is a favorite N’awlins homeboy, and 18 | NP STUDENT | FALL 2018
for him to invite me to provide a few hundred books as giveaways increased our book sales, and gave my independent publishing house the credibility we needed. NP Student: What types of services or products do you offer? Dr. Lawson: Advanced Clinical Consultants is my housecall practice. I only offer VIP services and The Housecall Course. The Housecall Course is where I offer an intensive one-day course on the nuts and bolts of how-to start your housecall practice and sustain it. I offer The Housecall Course online, in book-form Housecalls 101: The only book you will ever need to start your practice. The live course is eight hours of intensive learning. Nola The Nurse is published through my publishing company: A DrNurse Publishing House. We have three books in the Nola The Nurse series with their matching coloring books, seven activity books that teach children about writing and math, a plush Nola The Nurse doll, and so much more! All items are available on Amazon.com and NolaTheNurse.com. NP Student: What was the biggest challenge you faced with launching your business? Dr. Lawson: The biggest challenge I faced with the housecall business was the inability to practice at my fullest scope of practice. This limits my ability to provide the necessary documentation when patients are being admitted to a nursing home or in need of physical therapy. These documents cannot be signed by NPs. In order to work around these barriers, I consistently lean on my collaborative physicians to sign the paperwork. It is a big problem. Also, if you can get any billing and coding training that would be extremely helpful. If you’re adventurous, get an MBA, but it is not necessary. The billing and coding class is a must have. NP Student: At NP Student, we understand that many lessons are revealed as one takes risks to start a business. What is one thing you wish you knew before you started your business? Dr. Lawson: If I only knew then that a line of credit would be helpful.
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MODEL PRECEPTOR Coming November 1, 2018
“A STYLE FOR EVERY STUDENT”
Quality preceptorships Competent clinicians Qualified care
20 | NP STUDENT | FALL 2018
f I only knew then that my gift for gab and making connections would make room for me as a trailblazing NP. One year had not passed before I considered the practice to be mundane. I kept feeling like something was wrong with me or missing from my career. I continued to work for the next four years but could not help but see much more in my NP role than what was conceptualized in school. Is this you? Let’s admit that being an NP affords us the lifestyle most Americans dream of! For this reason, we become very comfortable with doing what is familiar often aborting the calling that is within. I believe many of us have confused advanced nursing as a calling and not a practice. In general, nursing is a skill that you learn in school. Your calling is organic, and often recognized and pointed out by others before you notice. Your calling can also enhance your practice. And, in NP school there is little time to explore the various opportunities that fit your calling. What’s organic about you? My friends will tell you that I am big on self-evaluations, and encourage everyone to do it at least once a year because growth requires change. And, how do you know what needs to be changed if you do not take time to be quiet and listen? This year, I decreased my work hours to explore my strengths and weakness as Patrice, not an NP. I spent less time socializing and only interacted with those who were in my corner to hear the truth about me. Ah ha!
I accepted that I was gifted at building relationships, serving as a resource, and upholding others. All of which takes gab! This was a gift I ignored because I could not find a place for it in the NP profession. If I only knew then that it is okay to create a platform that you can’t find because others are waiting on you. Listen to your inner voice! The inner voice that is telling you “There is more.” Are you ready? Here are some things to consider when marrying your gifts to the profession: 1. Growth requires change and many people are too busy trying to be in a position of power instead of being one of influence. 2. Evaluate yourself to identify areas that require growth. 3. Allow yourself to be planted to perfect your gift. 4. Serve first, Lead second. 5. Ignore the hype of being everywhere, with everyone, all the time, doing everything. Prior to NP Student Magazine, I spent years serving as a bridge. Today, I am happy I listened to that voice because if I had ignored it, you would not be reading this now. Thank you to those who have helped me grow, and thank you readers for allowing me to serve you!
IFNO I ONLY KNEW THEN FUSS NO MUSS
21 | NP STUDENT | FALL 2018
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22 | NP STUDENT | FALL 2018