Thursday, November 4, 2010

Lessons From Geese, Inspirational Poems, Touching Stories

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Fact 1: As each goose flaps its wings, it creates an up-lift for the birds that follow. By flying in a "V" formation, the whole flock adds 71 percent greater flying range than if each bird flew alone.

Lesson 1: People who share a common direction and sense of community can get where they are going quicker and easier because they are traveling on the thrust of one another.

Fact 2: When a goose falls out of formation, it suddenly feels the drag and resistance of flying alone. It quickly moves back into formation to take advantage of the lifting power of the bird immediately in front of it.

Lesson 2: If we have as much sense as a goose, we stay in formation with those headed where we want to go. We are willing to accept their help and give our help to others.

Fact 3: When the lead goose tires, it rotates back into the formation and another goose flies to the point position.

Lesson 3: It pays to take turns doing the hard tasks and sharing leadership. As with geese, people are interdependent on each others' skills, capabilities and unique arrangements of gifts, talent or resources.

Fact 4: The geese flying in formation honking encourage those up front to keep up their speed.

Lesson 4: We need to make sure our honking is encouraging. In groups where there is encouragement, the production is much greater. The power of encouragement (to stand by one's heart or core values and encourage the heart and core of others) is the quality of honking we seek.

Fact 5: When a goose gets sick, wounded or shot down, two geese drop out of formation and follow it down to help and protect it. They stay with it until it dies or is able to fly again. Then they launch out with another formation or catch up with the flock.

Lesson 5: If we have as much sense as geese, we will stand by each other in difficult times as well as when we are strong.

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Nursing Listservs, Nurse Listserv, E-mail Discussion Groups, Nursing Resources

Listservs or electronic discussion groups are the most popular means of communication on the Internet. You can exchange ideas via e-mail about topics in the health sciences. Leave the subject area blank when you e-mail your subscription, and when you get the initial subscription message from the listserv, save it because it will contain important information.

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CNS-L: - CNS-L is a discussion list that focuses on clinical nursing issues and topics.
To join, send an e-mail message to listserv@listserv.utoronto.ca
Text: sub CNS-L yourfirstname yourlastname. For example: sub CNS-L jane smith.

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GERINET: - GERINET is a discussion list for geriatric health care professionals.
To join, send an e-mail message to listserv@listserv.acsu.buffalo.edu
Text: subscribe GERINET yourfirstname yourlastname. For example: subscribe GERINET jane smith.

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GLOBALRN: - GLOBALRN is a discussion group for nurses, in general, and other interested health care professionals.
To join, send an e-mail message to listserv@itssrv1.ucsf.edu
Text: sub GLOBALRN yourfirstname yourlastname. For example: subscribe GLOBALRN jane smith.

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HOMEHLTH: - HOMEHLTH is a discussion list for topics in the area of management, operation and other issues of Home Healthcare.
To join, send an e-mail message to listserv@usa.net
Text: subscribe HOMEHLTH yourfirstname yourlastname.

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NPINFO: - Nurse Practitioner Information is a listserv intended for nurse practitioners in various specialties, nurse midwives and nurse anesthetists.
To join, send an e-mail message to npinfo@npl.com
Text: subscribe yourfirstname yourlastname.

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NRSINGED: English (USA):"The NRSINGED Discussion List is open to nurse educators and interested others. The intent of the list is to provide a forum for the discussion of topics and issues in nursing education. Discussion is meant to be wide ranging from teaching methodologies to philosophical issues, in order to meet the diverse needs of nurse educators."
To subscribe to the NRSINGED discussion list, please visit the URL:
http://lists.uvic.ca/mailman/listinfo/nrsinged

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NRSING-L: - Nursing Informatics is a discussion group with a focus on issues relating to electronic resources in nursing.
To join Nursing Informatics, send an e-mail message to listproc@listproc.listproc.net
Text: sub nrsing-l yourfirstname yourlastname.

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NSGINF-L: - NSGINF is also a discussion group focusing on nursing informatics.
To join, send an e-mail message to listserv@psuvm.psu.edu
Text: sub NSGINF-L yourfirstname yourlastname.

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NURSENET: - NURSENET is an unmoderated discussion group in the areas of nursing administration, practice, education, and research.
To join, send an e-mail message to listserv@listserv.arizona.edu
Text: subscribe NURSENET yourfirstname yourlastname.

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NurseRes: - NurseRes is a moderated discussion group for nurse researchers. NurseRes can also serve as a resource to get in touch with individuals in your area of interest for collaborative research.
To join NurseRes, send an e-mail message to listserv@listserv.kent.edu
Text: subscribe NurseRes.

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NURSGRAD: - NURSGRAD is for the discussion of topics related to graduate nursing education.
To join, send an e-mail message to listserv@ulkyvm.louisville.edu
Text: sub NURSGRAD yourfirstname yourlastname.

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PERIOP: - PERIOP is an electronic forum for perioperative/OR/theatre nurses world wide.
To join visit: http://mailman1.u.washington.edu/mailman/listinfo/periop

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PICU: - PICU is a discussion list for pediatric intensive care unit health care professionals.
To join, send an e-mail message to listproc@its.mcw.edu
Text: subscribe PICU yourfirstname yourlastname.

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PNATALRN: - PNATALRN is a discussion list for perinatal nursing.
To join, send an e-mail message to pnatalrn@ubvm.bitnet
Text: subscribe PNATALRN yourfirstname yourlastname.

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PSYNURSE - This is a discussion list only for psychiatric nurses; you will be asked to fill out an on-line questionnaire pertaining to your work.
To join, send an e-mail message to listserv@sjuvm.stjohns.edu
Text: sub PSYNURSE yourfirstname yourlastname.

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SCHLRN-L: - SCHLRN-L is the school nurse network discussion list.
To join, send an e-mail message to listserv@listserv.acsu.buffalo.edu
Text: subscribe SCHLRN-L yourfirstname yourlastname.

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Last updated by Andrew Lopez, RN on Wednesday, September 29, 2010

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Legal Eagles

Feature Article

Legal Eagles

Put nursing, law and business together and what do you get? The exciting field of legal nurse consulting!
by Barbara Marquand
Gloria Blackmon, RNC, BSN, LNC, LNHAGloria Blackmon, RNC, BSN, LNC, LNHA

Gloria Blackmon, RNC, BSN, LNC, LNHA, never met the young man who lost his legs, but after reading over his medical records, the compassion she felt for him was as strong as if he had been her own patient. The young man had been living in an intermediate care facility for developmentally disabled adults when circulation problems in his legs became so severe that both limbs had to be amputated. His parents sued the facility and it was Blackmon’s job, as a legal nurse consultant for their attorney, to review the records and determine if they had a valid case.

In poring over the reams of documents, she discovered signs that the staff had overlooked the classic early symptoms of circulation loss. Had they addressed the problem sooner, the young man might be walking today. Blackmon’s findings strengthened the family’s case, which led to a substantial settlement.

“It was one of those cases that spoke to my heart,” says Blackmon, principal of Blackmon & Associates, a legal nurse consulting business in Topeka, Kansas.

Although legal nurse consultants don’t work directly with patients, their behind-the-scenes work on medical-related legal cases can make a huge impact on the quality of health care patients receive.

“The most rewarding part of this work is being able to help somebody, whether we find merit in the case or help the person move on with their life by validating that the doctor and the staff did everything they could,” says Rose Clifford, RN, CLNC, a legal nurse consultant in Cynthiana, Ky.

Legal nurse consultants put their nursing backgrounds to work in the legal arena. They work on contract or on salary for attorneys, insurance companies, government agencies and risk management departments, and they can provide a variety of services. Among other things, they review records to identify standards of care, conduct research and summarize medical literature, identify and apply regulatory requirements, educate attorneys about medical issues, assist with depositions and trials, and screen initial cases to see if they have merit.

“You can draw from all your bodies of education,” comments Rosalyn Harris-Offutt, CRNA, BS, LPC, BCETS, CLNC, a legal nurse consultant in Greensboro, N.C. “No one knows medical care in terms of the service provided for patients better than nurses.”

Through her consulting business, Prima Medical Legal, Harris-Offutt is a testifying and consulting expert on medical malpractice, product liability and workers compensation cases. Her background as an advanced psychiatric nurse and licensed professional counselor with expertise in post-traumatic stress disorder enables her to also testify in personal injury and criminal cases. In addition, Harris-Offutt—whose father was Cherokee and African American and whose mother was Creek Indian—strives to bring cultural competence to her consulting work. She networks with minority attorneys to serve their clients and provides consulting to Native Americans both on and off reservations. “That work is important to me because it allows me to serve all my people,” she explains.

Making a Real Difference

“Many people think it’s a new specialty, but nurses have been doing legal consulting for decades,” says Donna Cardillo, RN, a career adviser and creator of “Career Alternatives for Nurses,” an audio and video cassette educational program.

Rose Clifford, RN, CLNCRose Clifford, RN, CLNC

The field has grown more prominent in the last 10 to 15 years as more nurses have gone into full-time private practice and demand for their services has risen. “Lawsuits definitely have been on the rise, and nurses are also looking for alternatives to bedside nursing,” Cardillo points out. Nurses’ specialized knowledge and experience are highly regarded and respected in the legal arena, she adds.

The American Association of Legal Nurse Consultants (AALNC), founded in 1989 and headquartered in Glenview, Ill., has more than 4,000 members. Another professional association, the Houston-based Medical-Legal Consulting Institute, Inc., claims to have trained more than 20,000 legal nurse consultants since it was founded in 1985 by Vickie Milazzo, RN, MSN, JD. Yet many nurses remain unaware of the opportunities this specialty offers.

“A doctor told me I’d be very good at this, but at the time I didn’t know what she was talking about,” recalls Rosie Oldham, RN, DS, LNCC, president of the AALNC. She had been a director of nursing at a children’s psychiatric hospital, responsible for risk management and quality improvement, when she heard about legal nurse consulting. After researching the field and networking, she started her own business, R & G Medical Consultants, Inc., in Phoenix, which now employs three nurses plus 15 who work as independent subcontractors. Oldham works with attorneys and insurance companies on cases involving medical malpractice, toxic torts and product liability; she specializes in large class-action suits, which can involve hundreds of individual cases at a time.

One of the greatest rewards of the work, Oldham says, is the knowledge that she is making a difference. For instance, there was the case that involved a 45-year-old woman who had died because the abnormal results of her mammogram were never relayed to her doctor. One year after the test, her cancer was discovered, but by then it was too late. Through Oldham’s research of the medical records, she was able to determine that someone had filed the mammogram results away before the doctor had a chance to see them. As a result of that case, Oldham says, Phoenix-area hospitals changed their notification procedures for mammogram results. Now hospital radiology departments, which used to notify only the doctors’ offices when there was an abnormality, also notify patients of the test results and direct them to their physicians.

An important part of Blackmon’s career is the work she does for advocacy groups for the elderly. These groups represent medically underserved clients who have little or no financial resources and whose cases would probably not be addressed without the assistance of attorneys and expert consultants who are willing to work pro bono or on a sliding fee scale. While Blackmon says she approaches this work with the same level of objectivity that legal nurse consultants must bring to all their cases, these special efforts provide the extra reward that comes from helping people whose voices might otherwise go unheard. “The same assistance legal nurse consultants bring to the legal world needs to be brought to the pro bono and advocacy world as well,” she believes.

 

Variety Is the Spice of LNCs

The work that legal nurse consultants do varies according to their interests and backgrounds. “I love what I do,” Oldham asserts. “Every case is different, so you never get bored.”

Blackmon became a legal nurse consultant five years ago after working in nursing management at long-term care facilities. In her consulting work, she focuses primarily on long-term care and rehab nursing issues. Much of her work involves reviewing patient records to determine what really happened. The work is intense and full of surprises.

“Every record I receive is like a mystery novel,” she says. “You never know the answer until you get to the last page. Sometimes I’ll find something in a lab report that makes me go back and realize that the case is much more complicated than I first thought.”

A patient fall, for instance, at first may appear to be a case about whether a facility took proper safety precautions. But the records may reveal that it was, in fact, related to overmedication of the patient.

Legal nurse consultants work in a variety of settings as well. About half of the AALNC’s members are in independent practice, 25% work in law firms and another 25% are employed in industry, government, HMOs, hospitals or insurance companies. Many legal nurse consultants work part-time when they are first getting started and then switch to full-time once they have built a client base, according to the association.

Milazzo says fees range from $60 to $150 an hour for independent legal nurse consultants, while salaries for LNCs who work for employers are comparable to nursing salaries in a clinical setting.

Legal nurse consultants must be RNs, and Milazzo recommends that they have at least three years of nursing experience. They can become trained and certified in legal nurse consulting through the AALNC or other educational programs, such as Milazzo's institute. (See “The ABCs of Legal Nurse Consulting.”) But certification isn’t mandatory.

Both Clifford and Blackmon say the education and mentoring they received through the Medical-Legal Consulting Institute gave them the tools to get started in the field. But nurses should shop carefully before they spend money on LNC training. They should make sure the programs are nursing-based, Oldham advises, and run by legal nurse consultants. Some paralegal training programs market themselves to nurses, but they train students to do paralegal work, which pays less than legal nurse consulting and includes legal areas that have nothing to do with health care, such as divorce.

How to Succeed in Business

Cardillo thinks the opportunities in legal nurse consulting are greatest for nurses who work as independent contractors: “I know many nurses who have built successful [LNC] practices, and they tell me they have more work than they know what to do with.”

Milazzo adds that the door is wide open, whether nurses want to work for employers or independently. However, those working for themselves, she notes, have greater autonomy and never have to worry about being downsized. “There’s no limit. You can take it wherever you want to go.”

But success doesn’t happen overnight. “Just like any consulting practice, you have to build a business and develop a clientele,” Cardillo emphasizes. And that’s not always easy.

“Nurses aren’t taught how to be businesswomen and businessmen,” Blackmon says. “There is a language of business and behavior of business that is brand new to us. Legal nurse consultants often find that the marketing aspect of the business can be challenging.”

Clifford agrees. Starting a business was scary, she relates: “I hate making cold calls.”

Clifford worked nine years as a consultant for a law firm before starting her own business six years ago, focusing on medical malpractice, Medicare fraud and product liability. She has built a client base mostly through word-of-mouth referrals. She also strategically places ads in legal journals and keeps her name in play by producing a newsletter that provides snippets of useful information for attorneys.

Because of this entrepreneurial focus, legal nurse consulting isn’t for everybody. To thrive in the specialty, nurses should be self-starters, strong communicators and have highly tuned critical and analytical thinking skills. Some cases are obvious, Harris-Offutt says, but many require reading between the lines to find hidden nuances.

Persistence is critical, not just in unraveling cases but in building a business, according to Milazzo. She feels that “it’s important to feel passion about what you’re doing. That’s what will help you make it through the rough times.”

Blackmon says nurses who decide to go into business for themselves as legal nurse consultants also need to be realistic, and shouldn’t enter the specialty just for the money. Although independent LNCs can make more than $100 per hour in some areas, they also have to bear the expenses of running an office, subscribing to industry magazines and training a staff. What’s more, the workload can fluctuate dramatically. “The work doesn’t come in regular eight-hour shifts,” Blackmon explains. “You will either have so much work you can’t see straight or you’ll have no work at all. There are times when I work 12, 14, even 16 hours a day, but there are also days when I have very few billable hours.”

 

How Do I Get Started?

Does legal nurse consulting sound like a career change you’d like to pursue? If so, here are some tips for how to get started in the field:

  • Read about legal nurse consulting. The American Association of Legal Nurse Consultants’ Web site (www.aalnc.org) is a good place to start. It has general information about the specialty, listings of educational materials and conferences, and information on how to contact local chapters and at-large directors. Also check out the Medical-Legal Consulting Institute’s site at www.LegalNurse.com.
  • Network with other legal nurse consultants. Oldham suggests joining a local AALNC chapter to meet others in the field. This is a good way to learn more about the specialty as well as an opportunity to begin building a client base. Oldham recommends bringing your resume to the first meeting as a way of introduction. If there is no AALNC chapter near you, try contacting an at-large association director to get help in finding legal nurse consultants in your state.
  • Get to know attorneys. Doing volunteer work through the local bar association is a good way to network with attorneys, says Oldham.
  • Consider gaining experience by signing on with a company that specializes in providing LNC services, such as Advanced Nurse Consultants (www.medical-legal-nurses.com) or Legal Nurse Consulting Services (www.lcinfo.com). To find more such firms, do an Internet search on “legal nurse consulting.”
  • Save three to six months’ worth of salary before quitting your job to start a full-time legal nurse consulting business, Blackmon advises. It will take at least that long to build a solid client base that will provide a decent income.
  • Find a mentor or coach. Oldham recommends that new legal nurse consultants hire coaches to guide them through their first few cases and check their work. Some LNC education programs also provide mentoring services.

The ABCs of Legal Nurse Consulting

Confused by the different legal nurse consultant acronyms mentioned in this article? Here’s a quick guide to what the “alphabet soup” is all about:

LNC = Legal Nurse Consultant (general term for a nurse who has completed an education program that provides the skills needed to work as a practicing legal nurse consultant)

CLNC = Certified Legal Nurse Consultant (professional certification conferred by the Medical-Legal Consulting Institute, Inc.)

LNCC = Legal Nurse Consultant Certified (professional certification conferred by the American Association of Legal Nurse Consultants)

Barbara Marquand is a free-lance writer based in Reno, Nevada.

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Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
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856-415-9617, (fax) 415-9618

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Hospital Privacy, Nursing Cartoons, Hospital/Medical Comics

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Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
http://www.howtostartanursingagency.com
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Doctors are quietly opting out of medicine

by Nancy Pando, LICSW

Dr. Ryan Flesher was working his usual shift in the Emergency Department that night in July of 2006.  The hospital was short-staffed, per usual, and patients continued streaming through the revolving doors.  Neither the people at the front desk nor the nurses saw Dr. Flesher slip quietly down the hall that night.

The following is a true story that occurred well before healthcare moved to its national platform, leaving uncertainty in its wake. The main character’s name could be substituted by half of the physicians across the country. But, for now, we will start with Ryan Flesher, MD.

His chapter one

The youngest of 6 in Huntington, West Virginia, Ryan’s Dad was a foreman at a truck body shop and his Mom was a homemaker. Ryan was an above average student with a mind for science and a simple desire to help people. Compassion, according to any study ever conducted, is the number one reason why individuals choose careers in medicine.

What happens to these young, altruistic people who enter the field of medicine? We toss them into medical schools and residency programs, many of which are run like medieval tournaments designed to undermine the confidence of each player and destroy all sense of collegiality. Med students and residents most commonly describe their medical training as follows: “They beat the good stuff out of us”.

In a recent commencement speech at Stanford University, Atul Gawande, MD, MPH acknowledges, “There is no industry in the world with 13,600 different service lines to deliver.  It should be no wonder that you have not mastered the understanding of them all. No one ever will.”  But the world will expect of them nothing short of mastery and perfection.

Free falling

Newly licensed to practice medicine, Dr. Ryan Flesher joins his fellow colleagues as they step onto a conveyor belt that is heading straight for a cliff. Whoops. Nobody built a fence.

Stumbling to their feet, young doctors often find themselves confronted by administrative and regulatory officials armed with clipboards. New hires come to discover that one’s training in the art of medicine and bedside manner pales in comparison to one’s business acumen. The plans they had of sacred time they would spend building relationships and caring for patients. Imagery, dreams.

When one has sacrificed 14 years of one’s life in pursuit of a concept, not a reality…there seems no turning back. Resigned, Dr. Flesher joins the legion of other physicians in white coats with bulls eyes emblazoned across their backs.

A sense of disillusionment began to slowly curl itself around him and creep upward like a deadly vine.

Imperfect storm

Cognitive dissonance is a dangerous mix of chemicals when buried. That’s just what happened to Dr. Ryan Flesher on that infamous night in the small, tiled room.

Years of forbidden emotions erupt and spill across the floor like shards of glass. “I hate being a doctor,” he says to himself.   These are words no physician ever wants to say out loud.  Panic surges through him; “What will I do? What will my family say? Have I wasted my life? Is there something wrong with me? Is there something wrong with medicine? Do I Leave? Stay? Fight? Go?”

The exodus

Doctors are quietly opting out of medicine or they are leaving this life altogether. According to Medscape Medical News, as recently as March 2010, “The United States loses the equivalent of at least one entire medical school class (approximately 400 physicians) each year to suicide”.  In other words: one, sometimes two, a day.

People often respond to reports of physician dissatisfaction by saying, “Well, I don’t like my job either.” But the role of a physician cannot be paralleled by any other. They have the least amount of rights of any profession; they must sacrifice approximately 14 years of their lives to the study and practice of medicine and they are held to a standard of perfection that simply does not exist here on earth.

Cradle and all

One of the most dangerous things people can do is to question the integrity of honorable human beings. The repercussions can be prolific. Physicians, in general, are good people.  They are daughters, fathers, sons and mothers.  Loathe to the notion of pity, they simply want what is fair and just.

An entire healthcare industry profits off the backs of doctors and patients. Without them, there is no industry. Problem is this unsettling shift in the foundation of medicine has caused cracks to form. How is it nobody thought to look at the structural problems before they built the skyscraper?

Our children, loved ones, all of us; we are falling through those cracks. And when the bough breaks … who will be left to take care of us?

Nancy Pando is a social worker, author and lecturer. She recently produced the award-winning documentary, The Vanishing Oath.

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Wednesday, November 3, 2010

My Advice for New and Potential Nurses, by Pam Lowry

ShareThis Buzz up!2 votes

According to the American Association of Colleges of Nursing (AACN), “The United States is in the midst of a nursing shortage that is projected to intensify as baby boomers age and the need for health care grows.” They also state enrollments in nursing colleges are at a six-year decline.

According to JAMA there will be a shortage of 400,000 nurses in the U.S. by the year 2020.

AACN goes on to state there are declines in nursing faculty leading to limitations on enrollment, the population of R.N.’s is the lowest it has been in 20 years, and vacancy rates at hospitals are high.

President George W. Bush has just signed the Nurse Reinvestment Act, which has several provisions to try and help recruit nurses, keep the ones we have and assist with higher nursing education.

Does this all sound serious or what? The nursing shortage is a reality and if you are considering entering the profession I encourage you to do so. When I decided to become a nurse I was still in grade school. It’s what I had always wanted to do and even with all the ups and downs it’s still the best decision I made. There has been a lot of negativity shed on the nursing profession and I believe it has encouraged many to avoid it like the plague. Unfortunately a lot of this negativism is coming from our own kind.

There are many different fields of nursing available to new graduates and to veteran nurses alike. If you are new you really need to start with hospital nursing to get a grasp on what it’s like in the “real world”. Yes, you will most probably work swing shifts or straight nights but the experience you gain will lay the foundation for the rest of your career. You need to have some experience in emergency and trauma, critical care and also medical/surgical. If you can squeeze pediatrics or neonatal in there it’s even better. You must learn how to become a nurse, how to deal with patients and they’re family, physicians, ancillary staff and management and it starts with the basics. This is a career not merely a job. You will continue to learn and grow as long as you’re a nurse. It’s not something you perfect overnight so don’t expect to. However, if you’re dedicated and determined it’s a wonderful life.

Once you have completed your basic training experience you will now have a good idea of the wonderful rewards of being a nurse. Your family life may suffer slightly but if you remember to spend every available minute with them, and forget the housework for now, you will find an acceptable balance. Not to mention the personal benefits you will reap now that you are truly a nurse.

Now it will be time for you to branch out and find your niche. Mine happens to be home health. I have tried ICU, a telemetry unit that was an ICU step-down, corrections, private duty, long-term care, staff relief, and home health. This has all been over a period of thirteen years and I wouldn’t trade any of that experience for anything.

The ICU I worked in was in a rural hospital and wasn’t real exciting for me. Corrections would have been the perfect job. You get physician office, lab, med-surg, emergency, pharmacy and triage experience plus independent nursing decisions to treat common ailments. It was wonderful except for the constant harassment. It will finally get you down. I worked corrections two different times for two years each and that was all I could handle but I know some nurses who have been in it for many years.

I worked an extremely busy telemetry unit. One hall was post- PTCA patients, one hall was post- CABG, or other cardiac surgery after 24 hours or less in ICU. The middle was all of our regular tele patients. They could range from any kind or cardiac med IV drip to cardioversion, which was done on our floor at the bedside, to post- cardiac cath patients. It was a whirlwind of busy nurses flying around but it was the best experience. Even after my 12 hour shift when my feet hurt and I desperately needed a shower because I had sweated all day from “running the halls”, I still reflected fondly on it all and kept going back, until a better home health position became available.

One of my best memories from my tele days was the time my 60’ish male patient stopped me in the hall and thanked me for taking the time to talk to him about his hypertension and diet. He said no one had ever taken the time to do that for him. I felt great and still do knowing I made a difference in his life that day.

This is what nursing is all about. When you have bad days, and they may be often, please remember why you have chosen this profession and the difference you will make in someone’s life today. Rather it’s holding a patient’s hand during a procedure, crying with a family who has just lost someone, helping to bring a new life into the world, being successful at CPR or having that feeling of accomplishment because you had time to do some good patient teaching, it’s all worth it. Who else will take care of your family and mine except us nurses.

I am recommending the nursing profession to all who will listen or who ask my advice on the subject. The old days of experienced nurses making it hard for the up-and-comers needs to come to an end. If you talk to a nurse who’s been around for a while and all you hear are complaints, gripes and whining then pick a different nurse to talk to. If you talk to someone who is miserable in his or her life and career you will not get a clear picture of the joys and heartaches of nursing, you will only get their biased opinion. If a seasoned nurse gives you hard time remind them they were once in your shoes and you’re quite sure they would like to retire some day so to please reconsider their position and show you how to insert that suppository.

The Shortcut URL To This Section Is: http://www.nursefriendly.com/views/

In this section, you can hear from Registered Nurses, Licensed Practical Nurses, etc, new and old on why they would or would not recommend going into Nursing as a career. Our articles are frank, uncensored and brutally honest. We hope they'll help you make your decision if you're unsure about nursing being for you.

It is not our intent to "scare you off" from Nursing, some of our reviews are quite positive. It is our intention to help you go into Nursing with "open eyes" and aware of what you can reasonably expect as students and entry-level nurses.

Do you have questions or comments about our articles? Like to express an opinion? Visit our forums and make it known!

See also:
Licensed Practical Nurses, http://www.nursefriendly.com/lpn
Registered Nurses, http://www.nursefriendly.com/rn/
To Stay In Nursing or Not: http://www.nursingdiscussions.com/stay

Nursing, Not For Everyone, Not For Most People by Andrew Lopez, RN
Nurses are Licensed Professionals who's practice is regulated by Nurse Practice Acts, and the State Board of Nursing of each State. Nursing is a ...

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The Beauty of Nursing by Rebekah Hinton, BSN, RN, Virginia Nurses Views of The Nursing Profession:"I have been a caretaker for as long as I can remember. I am the oldest of four daughters and have always been a second Mother to my siblings. Going into nursing seemed to be a logical choice for me. As a student I was eager to learn and worked very hard to get the best education possible. I entered into a Bachelor of Science in nursing program without knowing the difference between a RN program and a BSN program."

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Nursing: How Do I Find Out If It's For Me? by Angela Eichenlaub, RN, BSN:"The face of nursing has changed" or "Nursing is not what it used to be" are phrases I often hear from seasoned staff. I wish I knew what nursing "used to be" so I could compare! My own personal advice to anyone considering a career in nursing is to take your reason for entering the profession into account. Some go into nursing for money, some because they have always wanted to and some people go into nursing because they don't know what else to do."

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To Be Or Not To Be, by Sharon Jones, RN, Ohio Nurses Views of The Nursing Profession:"To Be…Or Not To Be… was never the question for me. I had always been a caretaker of sorts even at a very young age. The decision to return to work was based more on a career that I could relate to and be employed at. To be it was… and I started school at a local college for a Registered Nurse program. Almost two years into school, all my pre- req. courses completed and a waiting list to get into the nursing classes (a very unbelievable thing looking back- too many students- many had to wait) forced me to change course of action that lead to LPN school."

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Twenty Years of Nursing by James E. Meekins, North Carolina Nursing Views:"Thirty years ago I walked into the Navy recruiters office; laid off, without a real skill and signed up to be a Navy Hospital Corpsman (medic). I learned basic patient care---and basic first aid; and learned to work under the direction of a physician or nurse. I enjoyed what I did, the pride of being part of a team; accomplishment of a common goal, first aid in the field with Marines, or care of a patient in the hospital. . . ."

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Nursing: Pros and Cons by Christy Picton, RN, BSN, Illinois Nurses' Views of The Nursing Profession:"I struggle when asked whether I would recommend the nursing profession as a career. In the end it comes to down to a weighing of the pros and cons. Let me begin by introducing you to some of my patients, my "pros" so to speak. . . . "

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"One of The Lucky Ones" by Christine Cruz, Minnesota Nurses Views of The Nursing Profession:"My name is Chris. I have been an RN for ten-years. I have worked in a wide variety of nursing settings, from home care, long-term care to telephone triage, clinics and nursing management. Upon graduation from nursing school in, May, 1993, I had eagerly anticipated a new RN position at a local hospital, in one of its med-surgical units. . . ."

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You Want to Be a Nurse? -- Better Leave Your Heart Behind by Pennye Diane Morgan Shaw R.N., Texas Nurses Views of the Nursing Profession:"So you're thinking about being a nurse? You probably are a person who wants to make a difference, to help others, to be a compassionate healer. Are these are the same reasons I entered the nursing profession about 9 years ago. I had been through the emotional experience of watching my father being diagnosed with colon cancer. I had been by his side though radiation therapy, and though surgery and recovery. I watched as he struggled to cope with the drastic changes to his body as he tried to return to a normal life. . . . "

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My Advice for New and Potential Nurses, by Pam Lowry, Illinois Nurses Views of the Nursing Profession:"According to the American Association of Colleges of Nursing (AACN), "The United States is in the midst of a nursing shortage that is projected to intensify as baby boomers age and the need for health care grows." They also state enrollments in nursing colleges are at a six-year decline. According to JAMA there will be a shortage of 400,000 nurses in the U.S. by the year 2020. AACN goes on to state there are declines in nursing faculty leading to limitations on enrollment, the population of R.N.'s is the lowest it has been in 20 years, and vacancy rates at hospitals are high. . . "

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An Insight Into Nursing by Leah Stockdale, R.N., B.S.N. Maryland Nurses Views of the Nursing Profession:"Although I am extremely proud of being a nurse, I will have to say that I am not sure if I would choose the profession if I could go back. At the same time, I probably would not choose any career in the health care industry. In my opinion, as far as hospital nursing is concerned, the negatives outweigh the positives. That is why I am currently in the process of applying my nursing skills and education to another field. . . "

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A Letter To A Future Nurse by Kristina Rzanca, LPN, Michigan Nurses Views:"Being a Nurse is a career you can be spiritually, emotionally and financially satisfied with. In this day and age this is a unique opportunity, but it is not for everyone. A special person with qualities such as empathy, compassion, intelligence and above all patience should only apply. . . . "

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To Be A Nurse Takes A Special Kind Of Person By Vicky Oliver, LPN:"As an LPN for the last ten years I believe I could give some insight on my experience as a nurse. I am the type of person who is always doing something for others instead of me. My experiences in nursing consist of Medical Surgical, Doctors' Office, Emergency Room, Surgery, GI Lab, Urology, Utilization Review, Recovery Room, and the Nursing Home. Anyone that goes into the nursing profession needs to be a very caring person, someone who wants to give to others and someone that is very dedicated. . . "

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After Fourteen Years As An RN, I Am Not Sorry For My Choice By Lynn Kash, RN:"Would I recommend the nursing profession? That is a good question that requires a lot of thought. Nursing was not my first choice of careers. I studied accounting in college, and after working in the business world, decided it was not for me. I fell into a job as a nursing assistant and found patient care to my liking. I then started nursing school and the rest is history. . . .

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A New York BSN's Point of View, By Melina Begun, BSN, RN, Clinical Administrative Liaison Nurse:"Nursing is suffering. Thousands of caring people enter into this profession every year only to become disillusioned by its reality. When I first started to study nursing, I immediately felt a connection with its history and our potential to be leaders in the medical community. Excited by all of the knowledge and skills I acquired in my Ivy league nursing program, I was astonished by the harsh reality of nursing in today's hospitals when I started working as a staff nurse. . .

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Tips To A Good Start In The Nursing Profession by Diane Hartley:"My name is Diane and I have been in the nursing profession for 12 years. In those years I have seen very many changes with this profession. One of the first changes was in DRG's. This for those of you who do not know what they are is diagnosis related groups. . . "

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See Also: Certified Nursing Assistants, CNAs, Certified Registered Nurse Anesthetists, Disabled Nurses, Male Nurses, Men In Nursing, Legal Nurse Consultants, Licensed Practical/Vocational Nurses (LPNs/LVNs), Registered Nurses

Please choose from the following (Links will open up a new window):
Nurses Views Recommending The Profession,
Nurses views Not Recommending The Profession.

Choose Nurses Views by State: Alabama, California, Florida, Indiana, Louisiana, Michigan, Missouri, New Jersey, New York State, North Carolina, Pennsylvania Tennessee, Texas, Virginia Male Gender Bias - Entrance to No Mans Land by Nurseman
Are you a male and thinking about entering the world of nursing? Have you ever wondered why they're so few men in nursing? If you are young, single ...

Gender Bias Against Male Nurses:
http://www.nursingdiscussions.com/gender

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    Do I want My Daughter to be a Nurse by Raye
    I am not sure why I became a nurse. I enjoy the smile on the face of someone I have helped. I worked Emergency and got quick fixes and instant ...

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    Is your life worth the BIG BUCKS? by SurgRN911
    Why are patients and families feeling they are getting less attention, and sometimes less than adequate care in a hospital setting? I wrote an ...

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    It's not all bad! by LauraRN
    Wow.. a chance to give my opinion on nursing.. here goes.. :) When I was in college, I thought I wanted to be a math teacher. As I got higher in ...

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    Requirement: Have an off-beat sense of humor by clooneyfan A review by of my favorite writers (SurgRN911) about the nursing profession prompted me to write my own review. You can read her original review at ...

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    Nursing Is In My Blood! by Dunkjam
    When I was a little girl I always thought that I would be a singer and marry Paul Anka! I thought I would live a glamorous life and travel around the ...

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    Where Are Our Leaders? by Moonflowerck
    I have been an R.N. for 28 years. My range of experience encompasses nearly all aspects of critical care and pediatrics. I am a bedside nurse; that is my forte. I give quality nursing care; I am a good teacher; I am empathetic and intuitive. However, I am not a leader. My experiences in various leadership roles during my career were neither fulfilling nor very productive.

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    Nursing: Is It A Career For You? by Bobstein
    When I was faced with choosing a career I wasn't clear exactly what I wanted to do with my life. I enjoyed the sciences and helping people, and with high unemployment rates in the mid-1970's I chose to enter the nursing profession.

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    10 CONCEPTS TO CONSIDER WHEN DECIDING IF THE NURSING PROFESSION IS FOR YOU
    by melissasrn
    Pros: The opportunity to make a difference in someone's life; decent pay; flexible schedules. Cons: Short staffing; floating requirements; little respect; dealing with bodily functions.

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    An LPN's Story of Progress by: NJNurse
    The Decision to Become A Nurse. When I was starting to decide on a career after high school I wanted to cry.

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    The Nursing Shortage: Reasons Nurses Are Leaving The Profession by Rebel5877
    All across America, There are shortages of Registered Nurses (RN's) and Licensed Practical/Vocational Nurses (LPN's/LVN's), and Nurse's Aides entering ...

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    Response to NJ's work in progress by jt1013
    There is a shortage of nurses. That is a given. I have a large amount of respect for LPN's. My sister is one in Kentucky. She has been one for 32 ...

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    My Opinion of The Nursing Profession, by emsopinion
    I have been a nurse for over twenty two years. In that time I have worked in many different fields of medicine.

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    Feast or Famine by lovepepsi
    Pros: the feeling you get when you helps someone
    Cons: short staffing, not being able to save everyone

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    "Burnout in my 5th year...another nursing statistic", Aboutmyjob.com:"I always knew I would end up in a helping profession. Nursing seemed like the perfect choice. It combined my natural curiosity about health and science with the giving, hands on, human interactions of bedside care. I also knew that nursing offers a great deal of flexability within the profession. You can change specialties, change shifts, and work in a variety of settings. Before I decided to study nursing, I considered teaching,conservation and journalism. Prior to becoming an RN, I worked in recreation/parks, the foodservice industry, and held a factory/production type job. I graduated a few years ago with my BS in Nursing. I certainly don't regret having gone that route, but to be honest I feel disenchanted with the health care environment and nursing in general.It certainly is nothing like what I thought it would be.The hospital setting is like a pressure cooker type of environment."
    http://www.aboutmyjob.com/main.php3?action=displayarticle&artid=575

    "I am getting out of nursing to become a teacher", Aboutmyjob.com:"Hi. I made the decision to get out of the nursing profession about two years ago. I have been an RN for three years. I have floated in ER, ICU, Med/Surg and Labor and Delivery. In the back of my mind I always thought, "working conditions will get better with the more experience I have". I finally have come to the conclusion that my working conditions are not changing, in fact, are getting worse. I come home every night with knots in my shoulders from the stress that I go through. I too get physically and mentally strained from being a nurse. Families are so insultive and expect things to happen ASAP. Do they not realize that I am running around with my head cut off trying to keep up with all the requests, duties, and paper work?"
    http://www.aboutmyjob.com/main.php3?action=displayarticle&artid=601

    "Unhappy in nursing profession too....10 year RN", Aboutmyjob.com:"I have been an RN for nearly 10 years now and I must agree with many of the others who wrote their stories. I always wanted to be a nurse, because I like people and thought I would really want to work helping them. But, the reality of the job is utterly overwhelming. I've tried long-term care,home health, dialysis nursing, physician office and now in-hospital on a Rehab unit. I have yet to really find anything I loved. We are almost always short-staffed both nurses and aides. We are being pulled to other floors now due to the shortage of nurses. I was pulled to a MICU and I've never done that type of nursing ever!! I was a nervous wreck, these patients were very high aquity, on tele, multiple lines etc. I received no orientation, just here are your 8 patients...go to it. It was nerve-wracking."
    http://www.aboutmyjob.com/main.php3?action=displayarticle&artid=554

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