Monthly Archive for September, 2010

A Brief History of the Nursing Uniform

i_nurses_3In hospitals and health care centers today, scrubs have become the ubiquitous sign of a nurse or other medical professional. Comfortable, washable, and offered in a variety of cheerful colors, it’s easy to see why. However, nurses haven’t always been offered such quick and easy clothing options. From the stereotypical white dresses (complete with caps) to huge aprons that covered regular attire underneath, nurses have been subjected to a wide range of uniforms throughout the history of the profession.

Form Follows Function

Nursing uniforms first came into being under Florence Nightingale, the woman responsible for organizing nurses to serve in the Crimean War in the mid-nineteenth century. Although nursing had existed prior to her intervention, it was done on a large, unorganized scale either by nuns or laywomen volunteering their expertise as general caregivers and mothers. For this reason, nuns’ habits and traditional women’s clothing were all that was required as far as uniforms went.

As Nightingale transformed the field to one in which women were trained and professionals, so too did their attire. One of her students came up with the uniform associated with this era: the large white smock-like apron (a pinafore) worn over a dress and a crisp white hat to go along with it – not too far from what any servant of the time might be expected to wear. However, in this case, the idea was that the uniform would help keep the women (and the nursing ward) clean, and help patients and doctors to identify the nurses. And because so many of the women came from working-class families, the nursing apron further helped them to keep the “street dirt” out of the medical setting.

Any variations to the nursing uniform for the next hundred years were minor. Some hospitals changed colors (usually to blue) or altered the aprons with ribbons that identified each nurse’s rank, much like a karate belt today does. Due to the intense nature of WWI, nurses took a big step away from decorum and much closer to functionality at the time – and so did their attire. By the time the First World War came to an end, nursing was fast becoming a well-regulated trade, and the uniforms became shorter and less bulky.

The Modern Nursing Uniform

By the 1960s, nursing uniforms were much more similar to what we know of today. Although many women still wore skirts to work, caps were well on their way out, and the materials used to make the clothes were manufactured cheaper and with easy cleaning (and disposal) in mind. Male nurses began to look more and more like doctors with loose pants and doctor-like coats, and women soon followed form. The scrubs that we know of today didn’t really become popular until the 1990s and in countries like the United States and England. In fact, in many European countries, the standard dress/apron for female nurses is still very common.

Today’s scrubs are typically made of light cotton, and come with drawstring pants and a loose tunic top. Shoes are equally comfortable and light, with rubber soles that maximize comfort and reduce the chances of slipping. Most nurses will tell you that as far as comfort goes, these styles can’t be beat, although they are virtually indistinguishable from most other medical professionals.

Related Topics:

Find the Right Nursing School For You

Nursing Specialties

Nurses in Popular Culture

i_nurse_female_9Throughout history, the nursing profession has been one of the most misunderstood and misrepresented careers by the media and popular culture.

From starched and prim young women taking care of soldiers in their white uniforms to the (also young) women on television navigating their way through the higher-ranking doctors in the emergency room, nurses have gotten a somewhat negative reputation as young, pretty, inexperienced women whose personal lives make for great entertainment.

The Nursing Stereotype

As is usually the case, these stereotypes aren’t without a basis. Nursing careers have always been dominated by women, even though more and more male nurses are attending nursing schools and finding gainful and satisfying employment in the field. Youth is also fairly common, since the burnout rate for nurses is fairly high, and it’s necessary to keep a steady stream of recent graduates to keep the staffing numbers up.

However, where the stereotype falls very short is when it depicts nurses as the inexperienced and slightly incompetent versions of doctors. The truth is that nurses – whether they are LPN’s, RN’s, NP’s, or even doctors of nursing – are professionals with incredible expertise and skills in their field.

In fact, few other professions offer such a high salary right out of school. The average starting salary of an RN at a hospital is around $40,000 per year, with opportunities to earn up to twice that. Many nurses have Bachelor and Master degrees, and routinely go back to school to maintain their high level of education and to stay up-to-date with the medical field.

Nurses are also more autonomous than most television shows let on. While nurses typically don’t have the same authority and education as their doctor counterparts, they are usually not the “employees” of the doctor. They are part of a larger health care team composed of physicians, nurses, surgeons, occupational therapists, physical therapists, nursing assistants, and pharmacists. All of these professionals work together to help patients and their families – it’s just that nurses are responsible for most of the hands-on care, and are thus viewed as a little bit lower on the totem pole.

However, nurses (particularly at the nurse practitioner and managerial levels) are responsible for quite a bit of self-sufficiency. NP’s often open their own practices, and charge nurses or administrative nurses might make life-and-death decisions on the scene. Although most nurses establish a patient care routine in keeping with a doctor’s orders, there is rarely a doctor present supervising all the activities.

Real Life Nursing: A Great Career Choice

From ER and Grey’s Anatomy to Nurse Jackie and Scrubs, nurses make a common appearance in the television shows we watch and enjoy. And while there are factors of all of these shows that are true, none of them accurately represent the whole medical profession (for doctors and ER technicians as well as nurses).

If you’re interested in attending nursing school or entering the profession, it’s important to step away from the television representations and look at nursing as a viable, successful career choice. With great salary options, flexible hours, and a stable long-term job outlook, there are few better choices for those who want to help others – regardless of age, gender, or any of those other popular media depictions.

Related Topics:

Educational Requirements of a Nurse Practitioner

Growing Demand For Nurses in Florida

Nursing Specialties

i_nursing_obstetricsThe medical field is a highly stratified and specialized place. Few doctors are just “doctors”; they’re orthopedic surgeons, neurologists, family practitioners, or psychologists. In the same way, few nurses are just “nurses,” even if their title says otherwise.

Specializing in one area of nursing – whether you do it while still attending nursing school or when you land your first job – is a great way to further your career and gain higher pay, more promotion opportunities, better hours, and even to find a greater level of job satisfaction overall.

Nursing Authorities

Becoming “specialized” in a nursing field isn’t always as easy as spending a few years in that particular field. Professional nursing organizations offer certifications for nurses who meet all the requirements for that specialization, and who continue to get the education credits they need to uphold that specialization. For example, The Wound, Ostomy and Continence Nursing Certification Board (WOCNCB) is just one of hundreds of different nursing organizations offering specialization.

In this particular case, nurses can be certified in wound, ostomy, continence, and foot care; a distinction accomplished by almost 6,000 nurses since the 1970s. While a certification like this isn’t always required for working in that field, it represents a way for nurses to distinguish themselves and gain advancement or higher pay. The options are also varied, and range from the WOCNCB to things like Neonatal Care or Community Health Education. A comprehensive list of the different nursing certifying bodies is available at Wikipedia.

Top-Paying Nursing Specialty Options

As is the case with doctors, surgeons, and physicians, some nursing specialties pay more than others. If making a large salary is your goal, specialization is a great idea, particularly in these ten fields:

  • Certified Registered Nurse Anesthetist
  • Nurse Researcher
  • Psychiatric Nurse Practitioner
  • Certified Nurse Midwife
  • Pediatric Endocrinology Nurse
  • Orthopedic Nurse
  • Nurse Practitioner
  • Clinical Nurse Specialist
  • Gerontological Nurse Practitioner
  • Neonatal Nurse

Note: In many of these nursing specialties, advanced education is required. Most nurses at the practitioner level have at least a Master’s degree, and are certified and licensed as Nurse Practitioners in addition to their field of expertise.

If you’re interested in finding a nursing specialty, talk with a nursing school advisor or spend a few years working in the field. The educational commitment required to reach the top of the nursing profession is pretty big, and although there are great benefits, the workload (in school and on the job) tends to be heavier, as well.

Related Topics:

Find the Right Nursing School For You

Educational Requirements of a Nurse Practitioner

Announcing Our New Squidoo

a_nurse_phoneRNBuilder has developed its first Squidoo lens all about How To Start a Career in Nursing. Not familiar with Squidoo? The site is a large online community of users who create ‘lenses,’ which are specific pages that showcase all of your information on a topic in an easy to read and fun format.

Our first lens, titled “How to Start a Career in Nursing,” is being well received by fellow Squidoo members. RNBuilder’s Squidoo user, NurseBuilder, has used their vast knowledge of the nursing profession and nursing education to create a very informative and user-friendly lens catered to those interested in becoming nurses, or those who are already nurses interested in the latest industry news.

Under the table of contents, users will notice NurseBuilder boasts 12 modules, or sections, of information on its lens. New modules will be added frequently to keep users and fans of RNBuilder up to date on the nursing world. NurseBuilder is committed to giving people the most accurate information available to benefit their career in nursing.

Ever wondered how much a registered nurse makes versus a nurse practitioner, or what the degree requirements for a nursing instructor are? RNBuilder’s Squidoo has all these answers and much more. Check out our new Squidoo lens called How To Start a Career in Nursing

Travel Nursing and the Cost of Living Index

i_nurse_female_10If you ask most professionals currently in the field, the two biggest benefits to travel nursing include being able to travel to places that might have been an impossibility under any other circumstances and the amount of money you can earn while doing it. Although most nurses enjoy a strong, stable salary, travel nurses have the potential to earn up to $50 an hour doing what they love.

However, depending on where you travel, the money might not always be a mark in your favor. Depending on which company you intend to accept a travel nursing assignment from, and where the location is, it might make more sense to opt for a different destination.

  • Hourly Pay: Hourly rates for a travel nurse may vary depending on where he or she goes. Larger cities and locations that are difficult to staff might offer more money as an incentive to draw qualified candidates. Other destinations (such as Hawaii or New York) might offer lower rates of pay, since so many more nurses might be willing to travel there for a few months out of the year.
  • Travel Reimbursements: Different travel nurse employers offer different incentives, many of which include travel or housing reimbursements. Some companies pay above and beyond what you need to relocate yourself and your belongings, while others might offer a lower payout but provide more flexibility in allowing you to decide where to go next. This is a trade-off you have to consider before you sign any contracts, since travel will need to be figured into your total estimated annual income and costs.
  • Local Cost of Living: Just as places like Hawaii and New York are more appealing to many travel nurses, they are also two of the most expensive locations in the United States. The price of everything from food and entertainment to gas and clothes is influenced by the cost-of-living index of individual cities and states, and what might look like a great salary could actually put you below the average in larger cities.
  • State Taxes: Each state has its own income tax laws, and as long as you are working within that state, you are subject to these laws. Some states have no income taxes (and may make up for it in sales tax or real estate taxes), while others have very high rates. Consult with a tax or financial advisor to determine what you will be expected to pay out of each paycheck just for the privilege of working in the state before you move.

The reasons to become a travel nurse are good ones, regardless of if you’re doing it for pay, adventure, or to give back to communities in need. However, if you plan on making it a long-term career, it’s a good idea to develop a system in which you can set the cost of living against the benefits, and make the right choice when it comes time to sign the next contract.

Related Topics:

Find the Right Nursing School for You

Travel Nursing: Embark on a Journey

Educational Requirements of a Nurse Practitioner

i_nurse_female_3Nurse practitioners are one of the most valuable members of a healthcare team. With more responsibility and autonomy than a traditional RN or BSN, but still considered a nurse first and foremost, nurse practitioners strike a great balance between traditional medical doctors and more hands-on, focused care.

Because nurse practitioners are one step higher than registered nurses on the professional food chain, there are additional educational requirements. However, with these increased educational milestones come greater options in professional advancement as well as a higher rate of pay.

Steps to Becoming a Nurse Practitioner

Registered nurses (RNs) typically take on two levels of education: those with an Associate degree in Nursing (ADN) or those with a Bachelor of Science in Nursing (BSN). In both cases, nurses must pass the NCLEX-RN in order to be licensed to work in the United States.

To advance beyond this level to become a nurse practitioner, it is necessary to get a Master of Science in Nursing (MSN) or even a doctorate. Almost all master’s-level programs require a BSN or a similar level of education to even get in. This means that nurses who only have an Associate degree may have to first get a higher degree before even considering a nurse practitioner program, which can mean up to six additional years of training. Nurses with a BSN or higher may only need two to four years in order to complete their degrees.

Nurse Practitioner Courses

The daily tasks of a nurse practitioner differ from a traditional RN in that these professionals are able to diagnose and treat a number of different conditions, as well as order tests, prescribe some types of medications, or even make referrals. In many cases, the nurse practitioner has a leadership role in the medical setting or the community as a whole, which involves taking on tasks related to health screening, disease education and prevention, and health counseling.

Because there is such a wide field of specialties open to a nurse practitioner, the education requirements are equally broad and taxing. Assuming the nurse has already reached the Bachelor’s level, and a particular area of specialty has been chosen, additional classes may include:

  • Pathophysiology
  • Pharmacology
  • Medical Assessment and Diagnostics
  • Integrative Practicums/Clinicals
  • Nurse Educator
  • Nurse Midwifery
  • Nursing Administration
  • Psychiatric/Mental Health Nursing
  • Women’s Health
  • Nurse-Anesthetist
  • Health Care Management
  • Health Informatics

Nurse practitioners are required to be licensed to perform just about anywhere in the United States. An exam and license through the American Academy of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC) is typically required upon completion of an accredited nurse practitioner program.

Related Topics:

Getting a Master’s Degree in Nursing Online

Find a Nursing Program in Your City

High-Tech NCLEX Studying