Tag Archive for 'Nursing Career'

Study Nursing and a Second Language

i_student_1Nursing students who either speak or are willing to learn to speak another language are in a good position for professional success. One of the biggest challenges facing the health care community today is the difficulty in helping patients who don’t speak English. Unless medical professionals can communicate about care, procedures, and even symptoms, there is a good chance that a wrong diagnosis will be made or the incorrect treatment regimen will be undertaken.

Hospitals have so far done a good job bridging the communication gap by hiring translators, using translation services via phone, and by printing medical instructions in several languages. However, this doesn’t always work. Translators tend to be costly, phone services can be unreliable, and there are often complicated and rare medical procedures that need to be discussed. Having a nurse on staff who not only has the education needed to provide care, but who can also translate medical terms and procedures on site, is rapidly becoming a must-have in the medical world.

Nursing and Native Bilingual Speakers

If you speak a second language fluently, or if English is your second language, use it to your advantage starting with nursing school. When you learn complex medical terms, take the time to learn both forms of it: your native language and English. This way, you’ll become a valuable part of a health care team, since you’ll be one of the few individuals who can translate complex medical procedures for those who don’t understand English.

In fact, you can use this to your advantage during the hiring process. In many cases, hospitals and doctor’s offices will pay a large sign-on bonus for nurses who can provide this service. You might also find greater opportunities for advancement or for travel nursing to high-need areas.

Learning a Second Language in Nursing School

If you want to learn a second language while you’re at nursing school, it’s a good idea to select a language that’s predominant in your area. For example, if there is a large Hispanic or Russian population where you live, learning these languages can make you more employable at area hospitals. Although you aren’t likely to become fluent in your two to four years of nursing school, you can learn basic conversational skills that will help put your patients at ease and improve the quality of care you provide.

In most cases, you’ll need to attend a four-year university or community college in order to take foreign language classes at your school. Most private, vocational nursing education facilities don’t have the staff or capabilities to teach a foreign language.

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What To Do If You Don’t Pass the NCLEX

i_nursing_student_2As a nursing school graduate, one of the most important tests you’ll ever take is the NCLEX exam. This test, which is the national standard for getting a nursing license, takes all the knowledge (both clinical and textbook) you have acquired and ensures that you are ready to handle nursing in a real-world, professional capacity.

Ideally, you’ll pass the NCLEX with flying colors and move on to the next step in your nursing career without a hitch. However, a passing score isn’t guaranteed, even if you attend the best nursing school in the country and spend weeks studying for it. If you do fail the NCLEX, you can take it again. And again. And again—as many times as it takes to get your license and start working.

If you don’t pass the NCLEX, you will be required to wait three months before you can take it again. Use this time to brush up on your studying and take test preparation classes so that you are even more ready next time around.

According to estimates, roughly 15 percent of nursing students in the United States and 48 percent of RN candidates who were educated internationally fail the NCLEX the first time. Although no one likes to talk about these numbers, they can and do happen. The best thing you can do is chalk it up to experience and try again.

Like any test, the NCLEX gauges not only how well you know the material, but how good you are at taking tests. Some people get flustered when faced with a series of multiple choice questions, and it has nothing to do with their intelligence or knowledge base. Fortunately, the more you take the test, the more comfortable with it you’ll be. Oftentimes, simply knowing what to expect can help you direct your studying and to feel less flustered the next time around.

Consider your circumstances, as well your educational shortcomings. Life often gets in the way of our professional goals, and that’s okay. Whether you waited too long after graduation to take the test, or if a family emergency made it difficult for you to concentrate, your circumstances will be different the second time you take the test. Try to schedule ut for a time when you know you’ll be able to study and rest up before the big day.

Realize that failing the NCLEX isn’t the end of your career. Chances are, your future employer isn’t going to care how many times you took the NCLEX—in fact, they probably won’t even think to ask. As long as you earned your degree from an accredited program and you’re dedicated to always learning and growing as a nursing professional, you can succeed in this field. Play up your strengths (maybe you have a great bedside manner or you think fast on your feet) and remember that the test is only a small portion of your skills and dedication as a nurse.

You will have to pay for your NCLEX test each additional time you take it, and adhere to the same rules regarding location and test time. For more information, please visit the National Council of State Boards of Nursing at https://www.ncsbn.org/nclex.htm.

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Nursing School Requirements: Update Your Immunizations

i_nurse_female_needleNurses work on the front line of health care—and their health is often at risk as a result. Whether it’s due to the potential for bloodborne or airborne illnesses that come with working so closely with those who are sick, or if it has more to do with the long hours that put a necessary strain on the body, nurses have a higher risk for illness than many other types of professionals.

Nursing students are just as much at risk, especially once you near the end of your education and start doing clinicals, where hands-on care and patient interaction are the focus of everything you do. That’s why nursing schools are among the most strict when it comes to keeping student records and immunizations up to date. In fact, more and more schools (and employers) are requiring annual vaccines for the flu and other common maladies.

Nursing Students and Proof of Immunization

Most of the immunizations needed for nursing school are similar to those needed for any college-level education. Although exceptions may be provided in extreme cases, most nursing students should expect to regularly update their immunization records in order to keep themselves (and their families) safe and healthy.

Basic immunizations include:

  • Tetanus
  • Rubella
  • Rubeola
  • Mumps
  • Meningitis
  • Pertussis
  • Chickenpox
  • Tuberculosis (skin test)
  • Hepatitis B

Most nursing students will also be asked to get an annual flu vaccine. In recent years, nursing and medical staff have reduced their rates of flu immunizations by almost 50 percent, even in the face of particularly virulent strains like H1N1.

This is a statistic that worries many health care employers. That’s because in addition to safeguarding their own health, nursing students and nursing professionals are expected to be advocates for the immunization process. In recent years, there has been quite a bit of contention over the safety of immunizations, and the result has been outbreaks of long-suppressed illnesses in schools and health care facilities.

Different nursing programs and schools will have different immunization policies, so it’s important to check with the admissions office before you apply. Although most students will already have all the traditional immunizations up to date, bi-annual tuberculosis tests and annual flu shots might require that you visit your health care provider before you take your first class.

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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 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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Switching Nursing Schools Halfway through a Program

i_student_1Because going to nursing school is such a large time investment, ranging from two to six years in all, it can be difficult to organize your life around your school schedule. After all, what happens if your spouse is transferred to a new city for work? What if your family needs you back at home? What if you simply can’t afford a more expensive educational option in one city, but still want to keep pursuing your nursing degree somewhere else?

Although most schools discourage it, you can transfer your nursing credits from one school to another—provided you are going moving to and from nursing schools that have regional accreditation. Vocational schools and those with national accreditation may vary in how well their credits transfer, so if you know that moving is a possibility, you may want to choose a regionally accredited school right from the start.

The Admissions Process

Although it will be easier to transfer to a new college than to apply to and be admitted to college for the first time, you still have to go through the admissions process and possibly even face the chance that you might not get in.

Your first step will be to talk with the school you would like to transfer to about their specific requirements. In addition to filling out an application (and possibly including letters of reference, paying the application fee, and writing a nursing essay), you will need to ask about their individual credit transfer policy and have your official transcripts sent over.

There may be restrictions regarding what types of credits can be moved. Factors might include GPA, core curriculum requirements, and the usefulness of the class as a whole. For example, a course in nursing ethics might not move seamlessly from one school to another since the two schools might focus on different aspects (especially if you’re considering schools with a religious mission or focus). Be prepared to duplicate classes or even lose several of the credits you’ve already acquired. Although you may be able to contest the school’s policies or test out of certain classes, this is a common occurrence for transferring students.

Other Transfer Options

You may want to consider long-distance or online courses in place of a school transfer. Chances are, your existing school wants to see you stick around and finish out your program with them. If they have an online nursing program or are willing to work with you for the last few credits, be sure and explore these options. This is especially true if you’re nearing a milestone. For example, if you are close to getting your LPN license, do what you can to finish it. That way, you can enter an LPN-to-RN program at your new school without necessarily worrying about which credits will transfer.

Nursing school takes time, money, and quite a bit of hard work. If you find yourself facing a move or change of venue, do what you can to hold on to as much of that hard work. Your admissions counselors (at both schools) should be able to help you make the transition.

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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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What is a Post-Master’s Nursing Certificate?

i_anesthesia_nurseEducation for nurses is an ever-continuing thing. Even after you receive your RN license or complete your RN-to-BSN degree, there are plenty of opportunities to advance your education and, by extension, your career. One way in which many professional nurses are doing this is by moving beyond the MSN (Master’s of Science in Nursing) degree to including post-Master’s nursing certificates.

Note: These certificates are only open to professionals who have successfully completed a Master’s level program. Most Master’s nursing programs build on an existing BSN degree with an additional two years of schooling.

How Do I Get a Post-Master’s Nursing Certificate?

There are a limited number of post-Master’s nursing programs nationwide, though more and more opportunities are opening up as online nursing courses are becoming more accepted. Many top-ranked nursing schools now offer post-Master’s certificates that can be accomplished either completely or mostly online, and you can complete them in as little as two to four semesters.

The eight post-Master’s certificate options include:

  • Adult Nurse Practitioner (ANP)
  • Neonatal Nurse Practitioner (NNP)
  • Nurse-Midwife (NM)
  • Nurse Anesthetist (NA)
  • Clinical Nurse Specialist (CNS)
  • Nursing Leadership (NL)
  • Family Nurse Practitioner (FNP)
  • Nurse Educator

In these courses, you will learn advanced practices and theories, which will make you eligible to sit for the corresponding national certification exam. As is the case with any nursing program, you will also have to apply and be accepted to the program you wish to enter. In some cases, this may require a GRE or MAT test, as well as considerable experience working in the field.

Benefits of the Post-Master’s Nursing Certificate

Once you complete the course and earn your certificate by passing the national exam, you become qualified to work in your chosen field. You will be able to command higher rates of pay, gain more autonomy in the workplace, or even open your own practice. In many cases, you can also earn more than one certificate, making you even more marketable as a nursing professional with advanced skills.

Due to the highly specialized nature of these certificates, and because they require a fairly large educational investment, it’s important to find the right program and prepare accordingly. Distance learning and online nursing programs are making it easier than ever before to accomplish your goals, and opportunities to find employment in the field are only expected to increase over the next twenty years.

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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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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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