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If you made it this far--thanks for visiting. My name is Joe. I'm allnurses.com's Chief Information Officer. I'm the tech behind the scene. I'm in charge of everything that makes allnurses.com tick. Isn't she a beauty! I consider myself to be extremely fortunate, because I love what I do.

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  • 9:42 am

    Hello,

    I know this will vary greatly by region, but what is the average pay for an entry-level nurse (right out of school) with an Associates in Nursing versus a Bachelors in Nursing? Has anyone found that it has been difficult to find a job if you have an ADN? I'm trying to figure out the best educational path, while juggling a full-time job and small child.

    Thanks!

  • Nov 30

    This is a legitimate concern: (I say as I sit here eating my XXL stuft burrito). My local hospital systems test for cotitine which is the nicotine by-product - it goes back 3 months.

    They also offer discounted health insurance premiums for those that maintain a BMI under 29.

    Here is some more info:

    Support the program’s objectives in all facets of your business, e.g., healthy foods in cafeterias, vending machines, meetings and business-related events.
    Allow employees time for healthy activities. For example, extend lunch breaks for on-site health-related activities, such as fitness classes, yoga, walking clubs and cooking lessons.
    Encourage work/life balance, e.g., urge employees to take their vacation time.

  • Nov 30

    Two-thirds of the U.S. population falls into the overweight and obese categories, and nurses have the same struggles as the general public.

    Since only a small minority of nurses are normal weight, hospital systems and other employers that implement pre-employment weight requirements may end up with extreme difficulty attracting good candidates to work for their organizations.

    My point is that a nurse's body weight is not an accurate indication of his/her education, skills, judgment, intuition or intelligence level.

  • Nov 30

    It's a touchy subject for some. However, this article and the author's tones are light-hearted, sincere and informative.

    Nothing wrong with bringing this topic up again IMO. I think it needs to be spoken of openly more often actually.

    I mean... I'm a size 14/16... Hips to spare. But I know being healthy is important. Especially for those of us with families at home. I'm open to the truth of my weight and how it may effect my health and how I might work to change that because it's a positive thing. It is anything but shameful (shaming).

    And pertaining to the patients not respecting an overweight nurse... There will always be patients that won't listen. It can go either way. If a slender nurse is giving advice to an obese patient regarding healthy living, you think he/she is gonna have their listening cap on?? Not likely... more likely, the patient will be defensive and feel as though this slimmer individual could not possibly relate. Hence, my opinion that this subject in general needs to be discussed more.

    I don't understand why people get so frazzled over the idea of taking better care of their bodies. That's really all that it is. Living a better quality of life. Leading fam/patients by example.

    Like the aforementioned comments, I do agree that an employment screening based on weight is very unlikely in the near future. There are just way too many factors that come into the mix in this light.

    Take it or leave it. But snarl at the helpful hands that are trying to feed you sustainable knowledge and insight... Well that's just self-destructive.

    Rant complete.

  • Nov 30

    The world’s largest nursing website has partnered with one of the largest insurers of individual nurses in the country to provide affordable and trusted medical malpractice insurance. Provider CM&F and allnurses.com have created aMMP. A fancy acronym for allnurses.com Medical Malpractice program, this is just another way the teams from allnurses.com and CM&F are helping nurses from across the United States to protect themselves from lawsuits.

    You can always hope that your employer would stand behind you in the unfortunate event of a lawsuit but when they have their own financial interests to protect, the importance of carrying your own medical malpractice coverage becomes very clear.

    Let’s face the facts: medical errors – no matter how cautious and thorough you are – do happen. The price of protection is equal to two or three cups of coffee from your favorite shop. You wouldn’t drive your car without insurance and working in the nursing profession shouldn’t be any different.

    In business since 1947, family-owned CM&F specializes in providing nurses with trusted, reliable and affordable insurance to safeguard their livelihoods and futures. For less than $10.00 per month, almost every nurse in the country can have $1,000,000 in personal medical malpractice insurance coverage. In a world where it has become every man, woman and child for his or herself; protecting yourself should be priority number one.

    How do I apply?

    Applying for allnurses Medical Malpractice Insurance is easy through our online application process. It only takes about 5-10 minutes to get through the entire application and you receive your coverage documents immediately after that. Simply hit the "Apply Now" button.

    Protect Yourself Now!

    More info at allnurses Medical Malpractice Insurance Program (aMMP)

  • Nov 28

    Premature birth is categorized as an infant born prior to 37 weeks gestation. This is a world-wide issue. Statistics from the World Health Organization:

    Key facts

    • Every year, an estimated 15 million babies are born preterm (before 37 completed weeks of gestation), and this number is rising.
    • Preterm birth complications are the leading cause of death among children under 5 years of age, responsible for nearly 1 million deaths in 2015.
    • Three-quarters of them could be saved with current, cost-effective interventions.
    • Across 184 countries, the rate of preterm birth ranges from 5% to 18% of babies born.

    There sub-categories of prematurity based on gestational age:

    • extremely preterm (<28 weeks)
    • very preterm (28 to <32 weeks)
    • moderate to late preterm (32 to <37 weeks).

    Globally, prematurity is the leading cause of death in children under the age of 5. And in almost all countries with reliable data, preterm birth rates are increasing.

    Inequalities in survival rates around the world are stark. In low-income settings, half of the babies born at or below 32 weeks (2 months early) die due to a lack of feasible, cost-effective care, such as warmth, breastfeeding support, and basic care for infections and breathing difficulties. In high-income countries, almost all of these babies survive.

    Infants born prior to 37 weeks can experience a host of difficulties. Premature infants often require care in the Neonatal Intensive Care Unit (NICU) and can remain in-patient for many weeks and often months. In the NICU, ICU nurses and providers care for these tiny children. Much specialized equipment is utilized to care for these patients. Prematurity can result in death and many life-long complications including:



    The March of Dimes has extensive research into premature birth, prevention as well as post-birth interventions. They have developed five research centers in the US to help combat this devastating complication:

    The first Center was launched in 2011 at Stanford University School of Medicine, followed by the March of Dimes Prematurity Research Center — Ohio Collaborative in 2013. In 2014, two more centers were launched. On November 10, the March of Dimes Prematurity Research Center at Washington University was established in St. Louis, Mo. The next Research Center was opened at the University of Pennsylvania in Philadelphia, Pa. The final center, March of Dimes Prematurity Research Center University of Chicago-Northwestern-Duke was launched in 2015. Together, this network of five research centers leverage specific and complementary strengths to accelerate productivity. Collective progress will translate into diagnostics and treatments to prevent premature birth.

    Most poignant are the personal stories of parents and their infants. GE Healthcare provides the following:

    Thru these parents’ words of wisdom and daily interactions with the Neonatal Intensive Care Unit (NICU) staff, they tell their stories. Prematurity is one of the main foci of the National March of Dimes. Their campaign, Healthy Babies are Worth the Wait, emphasizes the need for solid and continuous prenatal care as well as access to the NICU if premature birth or other birth complications occur.

    AN and GE Healthcare bring this hot topic to focus via the following stories about prematurity. NICU nurses and parents who have experienced prematurity are sharing their words of inspiration on this Pinterest board for parents who may be experiencing the NICU journey today. The impact on the family as a whole and the care required for these infants is phenomenal. The stories of the following NICU patients and families will give you a glimpse of the prematurity experience.

    Mae Davis and her Twins - Born 15 weeks early, weighing 1 lb 9 oz and 1 lb 10 oz. Multiples have a higher risk of being born premature due to a host of maternal and fetal complications.

    Another set of twins born at 26 weeks: Ashley Piche

    Prematurity is a worldwide epidemic. Here is a story of Baby Yohannes.

    Closer to home is a story from Indiana: For This Mother, the Third Time was Golden

    As research continues to reduce the number of premature births in the US and worldwide, the personal stories will always be in the forefront of researchers and companies that develop equipment to care for our most fragile infants.

    References:

    Baby Center

    GE Healthcare

    March of Dimes

    World Health Organization

  • Nov 25

    Crab legs, shrimp, roasted potato, corn, and lots of champagne. And chocolate cheesecake. Might have pasta later.

  • Nov 25

    Turkey, cornbread/sage dressing, cranberry sauce, candied yams, green beans, shoepeg salad, rolls, pumpkin pie, lemon meringue pie.

    HAPPY THANKSGIVING everyone.

  • Nov 24

    Home made potato salad, porked collard greens, 7-layer dip n tortilla chips, deviled eggs, green bean casserole and of course good old Turkey n stuffing!!!

  • Nov 24

    Ham, deviled eggs, stuffing and green bean casserole

  • Nov 24

    I was gonna go to visit my in-laws but I'm too pregnant (aka too sick) for that. So it will just be a quiet day at home.

  • Nov 21

    Do you like to write? Sure, we’ve all written papers for school, maybe even tried our hand at poetry, but have you ever pictured yourself being a published writer? A published writer???? Who me???

    You may have a journal or a personal blog. But have you ever ventured out and written for others to read?

    If you’ve ever thought about becoming a freelance writer but don’t know where to start…..how about starting right here on allnurses.com? We certainly have a large audience. I’m sure you’ve seen the articles written by our members on the Home Page. These writers were just like you…..they wanted to write for others….and one day they took that first step. Sure it’s a bit scary thinking about sharing your thoughts with an audience of unknowns. But it is exciting too.

    You may wonder…..what can I write about? We all have stories to tell. Stories that others can relate to. Stories that share some of the challenges we’ve been through, in our nursing experiences as well as our personal journey through life. There are many nursing-related stories in the news everyday. So there really is not a shortage of topics.

    The first article may come slowly, but you will learn and grow as a writer with each article you write. You can see what works and what doesn’t work for your audience. Feedback is helpful, even when it isn’t always the kind of feedback you want to hear. Even negative feedback can be a teacher. You can learn how to respond to the critics…..instead of giving up. You can be determined to quiet the critics with your next article.

    If you want to know more about how to write great articles, go to the allnurses Nurse Innovator’s Hub where some of our seasoned “expert” writers can answer your questions and give you tips. Read through the threads and posts. Feel free to post your own questions. You can also message any of the writers and ask their advice.

    Allnurses welcomes articles from writers of all skill levels, from novice to novelist. We are always having an article contest, with a prize of $150 for 4 lucky winners. That should give you some incentive for testing out the waters.

    In order to submit an article for allnurses, you must be a member. Registering is easy, and membership is free. The following criteria must be followed for article submissions.

    • All articles, as well as anything posted on allnurses, must comply with the Terms of Service, or rules of the site.
    • Articles must be your own and cannot be posted on other sites, including your blog.
    • Articles must be at least 600 words.
    • Advertising or self-promotion is not allowed.
    • All articles will be reviewed and approved by staff.

    For more information about submitting an article, read How to Submit an Article.

    As Community Manager, I am always willing to answer your questions and assist you in any way that I can with articles. Just send me a private message or post your questions here.

    As the largest networking site for nurses and nursing students, allnurses is the perfect place for nurses to begin or enhance their writing careers. With almost one million registered members, over 5 million unique visitors each month, and 1 million Facebook followers, allnurses has a huge online presence. To a writer, exposure is everything. Imagine your article having this type of exposure. And it can. All you have to do, is put your thoughts into an article and push submit. What are you waiting for???

  • Nov 17

    Nurses would do just about anything for an extra day off. We exchange days with fellow Nurses, volunteer extra shifts, and some might negotiate when hired. But, choosing the "mystery" patient behind a Monty Hall-like door is probably not the deal we want to make. LOL! What deal have you made to get an extra day off?

  • Nov 17

    You've made it! You passed all of your prerequisite courses, started nursing school, and you're about to begin your very first clinical rotation. What should you bring? What should you do? What if it seems like you're doing nothing? This guide will help you answer those questions, as well as help you to get all you can out of your clinical rotations to give patients and their families the very best care possible when you enter practice and continue learning as a new graduate.

    In nursing school you will participate in a number of clinical courses that have a lecture component as as well as a clinical rotation where you apply what you learn in lecture. Typically, this will include fundamentals, medical-surgical nursing I and II, psychiatric-mental health, maternity/OB, pediatrics, community health, and a preceptorship capstone. Each clinical has peculiarities specific to that area, however these tips will help you in any of them!

    Research the Clinical Area!

    This is something I always did in nursing school. Once I knew the specific unit that the clinical would take place on, I did some background reading on the patient population, types of diseases/disorders seen, interventions done, etc. That way, when I walked onto the unit, I had at least some idea about what I would encounter. You may not know this until after your first day, but that still gives you the opportunity to do a quick review of areas relevant to the clinical area you're in. You'll look like a rockstar if you know a little about the patient population, and that can only help when you participate in patient education.

    Come Prepared!

    Always come to clinical with everything you need. Generally, you should bring:

    • Stethoscope
    • Pens
    • Sharpie
    • Notepad
    • Penlight
    • Watch
    • Pocket Drug Guide
    • Lunch and/or a snack

    Depending on the rotation, you may bring other things, or not bring certain things from that list (you don't really need your stethoscope for psych clinical). I also have a small clipboard that has clinical information on the outside and that can keep all of my papers together in one place. Another item I liked to bring was a small clinical pocket guide relevant to the clinical area. Often, nursing textbooks have a companion pocket guide, and there are also the "Notes" brand of pocket guides. So, if I was on OB/maternity, I'd bring the OB/Maternity Notes pocket guide. That way, I could look up diseases/disorders my assigned patient had, look up how to do certain procedures and skills, etc.

    Remember, if you're not prepared, you won't do well.

    Focus on the Basics!

    As a nursing student, you don't know everything. As a new graduate RN, I still don't know everything. Seasoned nurses still don't know everything. Nursing school provides the foundation for you to continue learning and experiencing for the rest of your career. Therefore, now is the time to get comfortable with the basics. Chances are you won't be able to do certain interventions. In my first clinical rotation (fundamentals), we weren't allowed to administer medications. So what can you do when you have restrictions? Focus on the basics! To me, this is focused on two areas: patient safety and patient assessment.

    Patient Safety

    One of your main goals as a nurse will be to ensure that the patient is safe while under your care. As a student, you can participate in this endeavor. Learn to ambulate patients with IVs, foleys, wound vacuums, etc (as long as they have orders to be out of bed of course!). Learn how to use the bed and chair alarms. Learn when restraints are allowed to be used. You may not be able to administer IV medications, but learn with your nurse how to check to ensure the correct medication is running at the correct rate.

    Patient Assessment

    I'll never forget one of my professors emphasizing that assessment is probably the most important skill a nurse can learn, and that assessment can save your behind (and the behind of the patient). When in clinical, if you can't do anything else, practice your head to toe physical assessment skills. Practice getting a history from the patient. If your patient has certain devices, look at them, consider how they affect anatomy and physiology, and integrate that into your clinical picture of the patient. You're told your patient has a systolic murmur or a mechanical valve, so listen to their heart. Listen to lungs for crackles and other adventitious sounds. I was always told that you may not know what you're hearing or observing, but the most important thing to learn at the beginning is when something isn't normal. Perform a head to toe assessment on all of your patients, and always take a full set of vital signs (and while we're at it, practice taking a manual BP! Often if the BP is really low or high, you'll be asked to anyway in practice, so now is the time to ensure you know how to do it!).

    Make Connections!

    Think about it. You want to work in a hospital (or a clinic, or in home care, or some other clinical area). You're doing your clinical rotation in a place you think you want to work in. What should you do? Make connections! Talk with the nurses on the unit, and find out what they think about working there. Ask about the experience requirements needed. Bring your resume towards the end and leave it with the nurse manager. Many students receive job offers through the connections they made during clinical. Remember, this will only work if you follow my other tips: come prepared, know what you're doing, don't stand around doing nothing, be engaged, and believe me, the nurses and others on the unit will notice. Even if you don't get an offer, the nurses that notice how engaged you are will often bring you in to see one of their patients that has something interesting going on, and this only enhances your education.

    Don't Stand Around!

    This is the bane of existence of every clinical instructor. They hate to see students braced against the wall, chatting about the exam they have coming up, doing nothing. Yes, you'll probably have downtime on the unit. No, this isn't the time to just stand and do nothing. If you brought pocket guides, this is the time to review pathophysiology and nursing care related to what you're seeing. This is the time to go into the patient's chart and review their history and any notes written. This is the time you could ask other nurses if they need help with anything. Who knows, maybe they'll invite you to watch something interesting! This is also the time you could help the techs/nursing assistants. If they need help to change a patient, help out! If you're allowed to do finger sticks, volunteer to do the finger sticks if you aren't doing anything else. Answer call lights. Believe me, as a student there is plenty you can be doing to maximize the limited time you have when you think there's "nothing to do".

    Medication Administration!

    Ah, medication administration. This is probably something we all look forward to. Most schools have some sort of limitation on what students can do in the medication administration process, often related to hospital policies as well. For my school, we were not allowed to give IV push medications. Always remember to follow the rules with medication administration. The last thing you want to happen is you giving an IV push medication to a patient, something bad happening, and you weren't supposed to, but did because the nurse said, "just pull the curtain, I'm here, lets do it" (believe me, it happens). Always remember and follow the Rights of Medication Administration. And never blindly give medications. As a nurse, you will be a licensed health care professional that has a body of knowledge that impacts patient outcomes. You never give a medication without understanding its indication, side effects, monitoring parameters, etc. Remember to look up any relevant laboratory studies or vital signs prior to giving the medication. Even if the BP was checked 30 minutes ago, I was always encouraged to check my own BP right before administering a cardiac medication, just in case. Remember, patient safety!

    Keep a Journal!

    I wasn't always good with this, but I know many that enjoyed keeping a journal of their clinical experiences. I used to work with a nurse that kept a journal as an RN, and would write down interesting experiences she had. I think journaling is a good idea, as you're able to write down what you saw for the day, and reflect on what you learned from those patient experiences. Journaling can help you organize your thoughts and grow as a practitioner.

    Critical Thinking is Key!

    This is one of my favorite things about nursing. As we know, nurses are not robots who blindly follow orders. We go through our education to learn how to assess a patient, determine problems and potential problems, make a plan of care, implement it, then evaluate the response of the patient to that plan. Wait a minute, that sounds like the Nursing Process! The nursing process is foundational to critical thinking. In your clinical rotations, read the patient's chart. Read the history and physical. Read the nursing and progress notes. Look at the lab values. Look at the radiology reports. Think about the head to toe assessment you did. Think about the medications you administered. By doing this, you see how the patient's disease relates to how they present, as well as how it relates to the problems you identify, as well as the medications prescribed. You will begin to anticipate potential problems, and ultimately learn how to advocate for patient needs.

    Care Plans are Annoying, but Helpful-Here's Why!

    This is related to critical thinking. We all dreaded doing care plans in nursing school. They were long, we had to use the nursing diagnosis book, and just weren't that fun. But looking back, I see how useful they are for nursing students and beginning practitioners. The care plan is how you implement your critical thinking skills and ensure that all of your patient's needs are being addressed. The care plan is the nursing process in action. So, while you may not like doing care plans, think about how much you learn about how to plan care for a patient, anticipate their needs, and how their clinical presentation affects the care you give as a nurse.

    The Preceptorship-It All Comes Together!

    Many schools will have a preceptorship capstone clinical in the final semester. This is where you are assigned 1 to 1 with a nurse and follow their work schedule for a set number of hours. This was hands down my favorite clinical rotation. I was assigned to a cardiac telemetry unit at a cardiac specialty hospital. I came in at 6:45am, listened to the morning huddle, got report with my nurse, and participated in everything that she did, until 12 hours later we gave report to the night nurse. The preceptorship is where everything comes together. Take advantage of this experience if you have it. You're now able to see what it's like to be a nurse for entire shifts instead of the limited time you had in other clinical rotations (often only 6-8 hours at a time). You are 1 to 1, so you see everything: the charting (I didn't realize how much was involved in charting a shift assessment until my preceptorship!), calling providers, preparing patients for surgery, receiving patients from procedures, admissions, discharges, etc. Now is your time to really be involved and learn as much as you can in this final experience. This is absolutely not the time to stand around doing nothing. Now is also your final time to make a really good impression and maybe even get a job offer at the end!

    Conclusion

    I hope this guide helps you! Clinical rotations are where you see what you've been reading about in your textbooks and learning in lecture. You perform the skills and interventions you practiced in the lab on real patients. You see and participate in what it's like to be nurse in the clinical area you're assigned to, and this is not an experience to throw away. Make the most of this experience, and you will always take away something that impacts your clinical practice as a new graduate, whether or not you're in an area you have no interest in.

  • Nov 16

    I am 25 years old and have been thinking about nursing for quite a while. Already have my BS in Psychology and have been accepted to a school to start knocking out the pre-reqs for nursing. I love to help people, and don't mind doing hard or dirty work if it is what is required of me and is what will help.

    That being said, I want the cold hard truth about the job. We all know the pay is good as are the employment opportunities but I want to make an informed decision on if this is really the right path for me. I have read so many different things about nursing that my head is about to spin off.


    Some of my particular questions:

    How hard is it to get into a field you want to...(I would like to work in ICU or ER or Surgery...although I know this might change after nursing school and being exposed to different areas)?

    What is the worst thing about the job?

    What is the best thing about the job?

    Are nurses looked down upon, or are they generally treated well?

    Are male nurses treated differently than female nurses?

    How many hours a week do you work on average, with and without overtime?

    If you could do it over again would you choose nursing again?

    Anything else I should know...?

    I'm sure I'll have more questions later lol

    Thanks guys!


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