Archive for the 'Nursing Career' Category

Attending Nursing Conferences

i_nursing_jobsOne of the best ways to get the nursing continuing education credits you need while also doing a bit of networking (and having some fun) is to attend nursing conferences. Professional nursing conferences are most commonly offered by hospitals, nursing specialization boards, the American Nurses Association, and the National League for Nursing. Providing education, conference speakers, and the chance to develop new skills, these conferences run the range of week-long affairs to an afternoon or two a few times per year.

Why Attend a Nursing Conference?

For many nurses, conferences aren’t optional. Whether you are in need of continuing education credits, or if your place of employment requires it, some nurses might be required to attend a certain number of conference hours each year. Local or national nursing associations might also require members to attend once or twice in order to keep the membership current.

Not everyone who goes to a conference has to be there; in fact, for many working professionals and student nurses, this is a unique chance to meet others in the field and to develop contacts and relationships for the future. The chance to boost your education is a great draw, as well, since part of being a great nurse is always growing and developing within the profession. In some cases, attending conferences can help boost you toward a goal of a specialty certification.

How Much Do Nursing Conferences Cost?

Because these are highly organized events, often including famous educators and speakers, there is almost always a registration cost associated with a conference. Additional considerations include travel and hotel costs, meals, and time spent away from work—all of which can add up to a large investment. For some nurses, these costs are covered by a hospital or other place of employment; for everyone else, it is a tax-deductible purchase.

Depending on how far you travel and what type of conference it is, you can pay anywhere from a few hundred dollars to a few thousand. Some local nursing associations offer scholarships to help pay for the trip, and even the conferences themselves might have discounts or payment waivers for those unable to cover the whole costs.

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Nursing Opportunities in Public Health

i_adminstratorIf you enjoy nursing as well as the more business-oriented side of health care, you might be suited for a nursing job in public health. Public health nursing jobs tend to offer more stable hours, greater professional autonomy, and the chance to make a real impact in your community. By working for the government to enhance education, safety, and health services for everyone, you can keep one foot in nursing and the other in health administration and advocacy.

What Types of Jobs are There in Public Health?

Many of the jobs available in public health organizations are similar to those you find in any hospital or health care setting. Nursing assistants, licensed practical nurses, registered nurses, and nurse managers all have a place here, and much of the work will include traditional nursing activities. For example, a nursing assistant will answer health questions, prepare patients to be seen, perform routine tests, and take a patient’s vital signs. Once you have been on the job for a few years, you might be promoted to provide at-home services to patients with communicable diseases or provide outreach education to schools or community centers.

You’ll also find even more opportunities for mid- to high-level management. For example, you might be a public health supervisor, a public health consultant, or even a public health outreach works. These professionals do everything from developing care plans (for individuals or families) and developing policies and procedures for public education to helping foster partnerships between area health care companies.

Where to Find Public Health Nursing Jobs

Many rural areas and larger metropolitan areas have a high need for public health nurses. These areas tend to have a large population without insurance or access to regular health care, which puts them at risk not only for disease, but for lower quality of life overall. Many of these individuals are uneducated about basic nutrition and wellness, or may not know how to connect with other resources that can make their lives better. Even vaccines for kids can be difficult, and it’s the job of the public health nurse to make sure that everyone has a chance to be healthy and happy.

In most cases, you need at least an RN license to begin working in public health at the administrative level. A few years of experience working in a busy hospital setting can also be helpful, since it will demonstrate your ability to work long hours and connect with different types of patients.

The pay for public health nurses is fairly average for nurses as a whole, with greater opportunities for advancement and promotion with higher levels of education. You can expect between $40,000 and $60,000 per year to start at the RN level.

Public health nurses will continue to be in demand as the Baby Boomer population ages. And because it is a government job, there tends to be great stability and benefits, as well.

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What is Radiology Nursing?

i_xray_nurseRadiology nursing, also known as radiologic nursing, is a field in which nurses work with medical imaging equipment to help diagnose illnesses. As is the case with most types of nursing, the radiologic professional works with a team of health care workers to provide the best care. In most cases, this means a radiology technologist, radiology technician, a radiologist, or a cardiologist—all of whom are also trained to work with imaging technology.

How is Radiologic Nursing Different from Traditional Nursing?

Most nurses in a hospital or long-term care setting provide care to the same patients for an entire shift, as designated by their assignment for the day, week, or even longer. In this way, they are responsible for monitoring patient levels and making assessments based on their knowledge.

Radiologic nurses are a little bit different. Because a radiology department works like a physician’s office, in that many different appointments and clients are scheduled, there is more of a focus on diagnosing and treating specific diseases, rather than the patient as a whole. Job duties include:

  • Starting IVs
  • Educating families and patients on procedures
  • Coordinating scheduling
  • Assisting with diagnostic imagining procedures (ultrasound, nuclear medicine, computed tomography, MRI, and x-rays, among others)
  • Keeping patients calm and comfortable during procedures
  • Caring for patients during the recovery period
  • Helping the doctor/radiologist make diagnoses

Because it is such a specialized nursing field, most professionals must get certified as an RN first and a radiologic nurse second. The Association for Radiologic and Imaging Nursing offers more information on the field and what you can do to specialize and become certified as a radiologic nurse.

How is Radiologic Nursing Different from a Radiology Technician?

If you are interested in radiologic nursing, you may also want to consider a straight career as a radiology technician or technologist. In many cases, the education is about the same (four years—the same as a BSN), and the work is similar in that you work with imaging technology. However, unlike nursing, you are qualified to make many of the diagnoses on your own, and you run most of the machinery without needing a direct supervisor.

Nursing tends to be a better choice if you would like to keep a broader range of options. If you earn a degree as a radiology tech, you are qualified for just that: radiology. A radiologic nurse, however, has double training, both as a traditional nurse and as a radiologic specialist. If you one day decide to change fields, you will have an easier time, since you’ll have the RN degree to fall back on.

If you’re interested in either field, it’s best to talk with the nursing school advisor or even job shadow both professionals for a few days to get a better understanding of your own professional goals.

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What Does an Operating Room Nurse Do?

i_nurse_femaleIf you look at the lists of top-paid nursing positions and best nursing opportunities in the United States, you’ll probably find operating room nurses somewhere near the top. This RN specialty is one that is popular among professionals who enjoy a little bit more autonomy and a little more direct patient interaction than more traditional nursing. Although you will always be working under the supervision of the operating team and surgeon in charge, this position is one that requires you to be able to make assessments and think on your feet in a high-stress situation.

Operating nurses are responsible for patient care in all phases of a procedure: the preoperative, intraoperative, and postoperative stages. Although the tasks will vary depending on the exact procedure, you can expect some combination of the following:

Preoperative Assessment: An operating room nurse is the individual who will have the most contact with the patient as he or she is preparing to enter surgery. The nurse may be responsible for communicating with the patient and family about what to expect, and ensuring that the patient acts in accordance with the pre-surgery guidelines. Additional tasks include monitoring the patient’s vitals, taking a medical history, verifying paperwork, and discussing the various stages of recovery and what they entail.

Operation Preparation: The best operating room nurses know the individual quirks of the surgeons they work with every day. They know exactly how the surgeon prefers the room to be set up and equipment to be positioned. The nurse is also there to continue to allay patient fears and anxieties. Because the operating room nurse has already built a rapport with the patient, he or she can be the determining factor between a happy patient and an unhappy one.

Working as Part of the Surgical Team: There are many different health care professionals in the room when a surgery occurs. A circulating nurse, scrub nurse, surgeon, and anesthetist are among them—and the operating room nurse must work as part of the team.

Advocating for Patients: In a surgical setting, there are often many different viewpoints and opinions sharing the same space. Because the operating room nurse is the most familiar with the patient and family, he or she may be called upon to clarify the patient’s plan of care.

Postoperative Care: One of the most “nurse-like” jobs of the operating room nurse is to care for the patient during the postoperative period. This includes monitoring vitals, administering medications, and checking for any signs that the patient’s condition is worsening.

Becoming an Operation Room Nurse

If you’re interested in becoming an operating room nurse, you will first need to become a registered nurse (most often with Bachelor’s of Science in Nursing). An additional six months to one year of training will be required. In order to become certified as an operating nurse, you’ll need an additional two years and 2,400 hours of experience. You can then sit for the certification exam.

Operating room nursing is a great field if you want to step away from routine care and work more in patient advocacy and communication. Competition for positions can be a little fierce, though, so you’ll want to be sure and become certified to boost your chances of employment.

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What Factors Influence Nursing Salary?

i_nurse_pediatricsOne of the common themes of any discussion of the nursing career is that the field is one of the most stable and fastest-growing in the entire country. Job outlooks over the next ten years will only continue to increase, and nursing salaries are expected to increase right alongside them.

However, that doesn’t mean that what one nurse earns working as an RN in New York is going to be the same as a BSN in Ohio. There are many different factors that influence nursing salaries, and your annual pay will be dependent on all of them.

Level of Education: LPNs make less than RNs, and NPs make even more than them both. An RN with a Bachelor’s degree can typically command higher rates than an RN with an Associate degree. Depending on your degree and your license, the amount of money offered to you will vary.

Experience: Most health care settings work on a seniority-type scale. The longer you work for the organization, and the more experience you have, the higher rate of pay you can command. This is especially true if you move into a managerial or supervisory role.

Unionization: In many states and hospitals, nurses cannot work unless they join the local nurses union. In most cases, being part of a union means higher rates of pay (though you will have to pay annual or monthly union dues in return). In a union setting, you can also command much higher rates of pay for work done overtime.

Your Shift: In a hospital setting, nurses who work graveyard shifts (11pm to 7am) tend to make more than those who work swing shifts (3pm to 11pm), who, in turn, make more than those who work day shifts (7am to 3pm).  Although this isn’t written in stone, most employers change the rate of pay depending on the desirability of the hours worked.

Employer: Nurses in a hospital setting tend to earn the most money, followed by those who work in doctors’ offices. Nursing home and home health care tend to provide the lowest salaries of all. Other opportunities, like working for a government entity or as a travel nurse, can also provide different pay rates.

Types of Nursing: Specialized work typically commands a higher rate of pay. For example, if you work in an emergency room or operating room, the high stress and increased skills mean you can earn more each year. Advanced specialties in fields like orthopedics or pediatrics can also help you move up the ranks.

Location: Perhaps nothing influences nursing salary so much as where you live—and for good reason. Cost-of-living expenses in larger metropolitan centers are much higher than what you would expect in smaller cities. For example, an RN in New York can expect between $54,000 and $76,000 per year, while the same professional will get between $45,000 and $65,000 in Atlanta, Georgia.

Getting a nursing degree is a great career move—regardless of where you live or what your specialty. However, if increasing your pay is a priority, there are plenty of advancements and opportunities you can take advantage of.

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Nurses Without Borders

i_vaccineOne of the most famous health care employers in the world is Doctors without Borders. This organization, which was founded in 1971, provides medical aid to nearly 60 countries worldwide. The populations served live in areas where conflict, epidemics, malnutrition, and natural disasters jeopardize the health and wellness of the majority of the residents.

Despite its name, Doctors without Borders isn’t all about doctors. In fact, many different types of health care professionals, including nurses, can participate. If you are just graduating from nursing school, or if you’re deciding on an area of study, you may want to consider joining this worthwhile organization. Like travel nurses, a post here will help you fill a need in the medical community and enjoy incredible life experiences while you do it.

Remember, though, that this job isn’t one to take lightly, or to take on as part of an exploration of what type of nursing you’d like to get into. Most nurses who work for the organization attend nursing school with the goal of becoming part of an international team of health care workers, and tailor their education accordingly. Whether this means pursuing a nurse practitioner degree in tropical medicine or spending several years working in a high-intensity metropolitan ER room, it can take years to prepare for the admissions process.

Nursing Requirements

The process of becoming part of Nurses without Borders is a competitive one, requiring lots of preparation as well as a long-term commitment of at least a year. The basic recommended requirements include:

  • Nursing degree (BSN or NP)
  • Current nursing license
  • Two years experience with direct patient care
  • Supervisory/management experience
  • Tropical medicine training, infectious disease training, or public health training
  • Foreign language skills

Training as a nurse midwife or nurse anesthetist can also increase your chances of entering the program, since these NP-level professionals are needed in many of the locations served.

Is the Nursing Program Right for You?

Nurses without Borders comes with inherent risks, and it isn’t for everyone. The work being done worldwide takes place in areas where there is heavy military conflict, where infectious disease and a lack of resources magnifies the death rate, and in places severe weather and other natural disasters can make life uncomfortable.

Although the employment potential of a nursing school graduate might seem fairly small, the truth is that there are many different types of places where you can start and advance your career. If if get a Bachelor’s degree in nursing or higher and would like to include adventure as part of your resume, Nurses without Borders might be the perfect place to find your way.

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Nursing in the Chiropractic Field

chiropractic nurseThere are many different avenues open to nursing graduates: you can work in a hospital, work in a doctor’s office, continue your education, or find employment in any number of government and health care facilities. One less common path is to turn to holistic medicine or alternative care therapies. Although many types of holistic medicine are looked down upon by the medical profession as a whole, many people swear by therapies like massage, acupuncture, herbalism, and even chiropractic medicine.

What is Chiropractic Health Care?

Chiropractic medicine is a type of complementary and alternative medicine (CAM) that emphasizes the importance of the spine and the musculoskeletal system in overall bodily health. By manipulating the spine, joints, and tissues, a chiropractor hopes to heal different disorders and promote a healthier, more active lifestyle.

To the medical community, chiropractic medicine presents a bit of a conundrum. On the one hand, the idea that working with the spine can “cure” ailments not directly related to the nervous system hasn’t yet caught on with standard Western medicine teachings. On the other hand, many people swear by the practice and really do reap valuable benefits from it. For nurses, this presents an even bigger problem: by becoming a chiropractic nurse, you straddle the line between the medical community and holistic medicine.

Should I Become a Chiropractic Nurse?

Straddling the medical boundary can be a difficult place to be, especially if you have gone through all of nursing school and are now a registered nurse with an advanced college degree and a license. Do you stay true to your education and work in a legitimized health care field, or do you work in a field that you believe in, even if it means stepping away from the health community?

No one can answer that question for you. As a chiropractic nurse, you will most likely be doing much of the same work you would be doing in any other setting, preparing patients for their sessions with the doctor, answering questions, and patient charting. However, because chiropractors are not doctors, they don’t prescribe medication or keep patients overnight, which will considerably reduce your job responsibilities and experience.

And because there are no formal courses that will allow you to specialize in chiropractic nursing, you will be on your own when it comes to continuing education within your field. In fact, because the level of education is fairly similar in length, you might be better off not going to nursing school and simply becoming a chiropractor instead.

Additional Nursing Options

Fortunately, there are alternate options if this is a field you’re interested in. You may work with osteopaths, orthopedic doctors, physical therapists, sports medicine providers, or other professionals who deal in the skeleton and muscle tissue, but within a more traditional medical setting. However, if you do have an interest in holistic modalities and how you might be able to combine your formal medical education with alternative options, chiropractic nursing might be perfect for you.

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Nursing Jobs that Aren’t in a Hospital

i_nurse_geriatrics_2Many nursing school graduates will go on to work in a hospital or other large health care center. According to the Bureau of Labor Statistics, 28 percent of the employees in a hospital setting are registered nurses; they are the backbone and the support staff needed to ensure everything runs smoothly. And because they offer great benefits packages, one of the highest average annual salaries for nurses, and flexible schedule, most nurses are happy to sign on for employment with these major corporations.

However, if working in a hospital isn’t in your plans, there are still plenty of nursing jobs out there. Here are just a few nursing careers you can consider:

Community Health Organizations: All big cities (and most small ones) have some type of community health center. Funded by government bodies or non-profit agencies, these organizations are responsible for providing health resources, education, and outreach to the population. This may include providing disease testing, giving parenting classes, visiting local schools, or even helping in emergency situations.

Holistic Health Care: Although your nursing degree will be in Western medicine techniques, some nurses go on to work in a more holistic nursing capacity. Whether you work for a provider of alternative health care options (such as massage, acupuncture, herbalism, or reflexology) or you go on to specialize and get advanced degrees, you may find that going beyond traditional medicine is more your style.

Correctional Facilities: Working in a prison or juvenile detention center might not be everyone’s dream-come-true, but it can be a great place for those who want autonomy in their nursing career as well as great benefits and pay. Most of these jobs are unionized, and may be difficult to get.

Insurance Companies: More and more insurance companies are keeping registered nurses on staff. Doing everything from helping manage policies and selling insurance to providing 24-hour over-the-phone assistance to families who have policies with the company, these nurses can develop a truly unique career path that includes a large helping of business and administration.

Educational Setting: Whether you go on to get a Master’s degree in nursing to become an instructor, or if you simply want to work in a high school setting as the school nurse, there are plenty of opportunities for work in the educational field. Nursing instructors typically have advanced degrees and work for a college or university, and school nurses often travel between locations to care for a large population of students. Either way, the hours tend to be good, and the physical strain on the body lower.

Although this is a good starting list for nursing careers outside of the hospital setting, it’s certainly not all of the options. As more and more people look outside traditional avenues to achieve an active, healthy lifestyle, qualified medical professionals have increased career opportunities. Sports teams, private consumers, social welfare organizations, and big businesses are all finding ways to use nurses on their staff.

As long as you get a good education from a reputable nursing school, get licensed in your state, and stay current with your continuing education credits, your career has ample of opportunity for growth.

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The Doctor-Nurse Relationship

i_nursing_student_2If you’ve watched any of the popular television shows of the last two decades, you’ve most likely come across one that deals with the topic of the relationship between doctors and nurses. Dramatized, turned into a comedy, and filled with inaccuracies, these depictions can make it difficult for nursing students to know exactly where they stand. Although the best training is a few years on the job, many nursing schools make it a point to teach the best ways to navigate the hospital and health care system—including how you should treat the doctors you work with every day.

Physicians as Employers: If you get a nursing job working in a doctor’s office or other small health care setting, there’s a good chance that the practice will belong to the physician or a co-op of physicians. This generally means that the physician is your boss, and you will report directly to him or her. Although your state’s nursing requirements and general medical ethics will dictate part of how you do your job, the doctor’s requests are just as important. This might mean that you have more responsibilities than you expected (perhaps overseeing a team of other health care workers) or less (maybe doubling as nurse and nursing assistant). If you aren’t happy with the relationship that exists in this setting, the only real solution is to find new employment.

Physicians in a Hospital Setting: If you are employed as a nurse in a hospital, the hospital is your employer—not a doctor. While doctors will almost always outrank you, the truth is that they can rarely order you around or ask you to do things that aren’t in your job description. This is where a lot of the doctor-nurse tension comes into play. For example, an orthopedic nurse with 20 years of experience might feel upset at being told to do something by a doctor who’s been on the job for 2 months. This becomes especially difficult when the doctor might spread his or her care over several hospitals as well as a personal practice. The nurse, who cares for the patient 8 hours of every day, might feel antagonistic toward a doctor who sees the patient for 8 minutes each week.

Unfortunately, there is no easy solution for this type of situation. A doctor’s orders will always trump a nurse’s, but doctors can’t do their jobs well if they don’t have a good working relationship with the nursing staff. And like any profession, both nurses and doctors will have their “favorites” when it comes to working with one another.

The best nursing schools teach students how to put the focus back on the patient, and not on any personal feelings between professionals. Many times, this will be covered in a medical ethics class, or during clinicals or an internship situation. Of course, experience is usually the best teacher, and you will continue to navigate these relationships as you move through your profession.

It may not be easy—and it may not be like it is on TV—but working together to save lives is the most important thing you can do.

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Uncommon Health Care Opportunities: Correctional Facility Nursing

Although the majority of nurses work in hospitals and doctors’ offices, the truth is that there are careers available in many uncommon places. One such place is within a correctional facility—a jail, juvenile detention center, or other government-run organization—where there is a large proportion of people confined in one place. A medical staff is required to be on hand to attend to everyday illnesses, preexisting health conditions, and the occasional emergency situation.

While a nursing career in a correctional facility certainly isn’t for everyone, the right candidate will find higher rates of pay, great benefits, advancement opportunities, and more professional freedom than what is offered in the typical hospital setting.

Why Choose a Career in Correctional Facility Nursing?

Although there is likely to be a physician on staff, many nurses in this setting work alone and independent of a direct supervisor. If autonomy in the workplace is something you enjoy, this could be a good fit.

The population you’ll be working with is very under-served when it comes to standard medical care. The care you provide can have a major impact on the quality of life for these patients, which comes with a high level of professional satisfaction. This is especially true when you work in a juvenile setting.

Simply put, the money is better. In addition to better benefit packages and advancement opportunities, correctional facility nurses enjoy an average of $60,000 their first year. This is often offered via a union position, which further protects and ensures your salary.

Job security is high in this field. Because it is one of the less competitive health care jobs, and because the longer you work within a correctional facility, the better equipped you are, people in this position tend to stay there for a long time.

Cons of Correctional Facility Nursing

Any job that takes place in a correctional facility is going to be dangerous. The threat of violence is always present, and there can be high rates of intimidation going on behind the scenes. However, correctional facilities do have careful measures in place to protect staff, and incidents of violence against nurses are rare.

Personal feelings are difficult to eliminate, and working in a correctional facility means you’ll be facing a variety of criminals. As a nurse, you’ll have to look beyond your own biases to remember that the incarcerated individuals are your patients first and foremost, and they should be treated accordingly.

Many of the patients come from backgrounds in which healthcare was not affordable or accessible. This means that illnesses and diseases may be advanced or complicated because they were neglected for so long.

In any confined setting, infectious diseases tend to spread faster and pose more of a risk. Many individuals in a correctional setting also carry other types of infectious diseases, especially if they are transmitted sexually or through shared drug use.

If you’re interested in becoming a correctional facility nurse, you will need to attain a high level of education and certification. The career field is overseen by the National Commission on Correctional Health Care, which recommends:

  • A Bachelor’s degree (or even a Master’s degree) in nursing
  • An RN license to work within the state
  • A Certified Correctional Health Professional certification (CCHP)

This career isn’t for everyone, and it isn’t the standard nursing job opportunity, but correctional facility nursing can be a lifelong profession for the right candidate. To learn more about the field, visit the National Commission on Correctional Health Care at http://www.ncchc.org/.

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