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sirI, MSN, APRN, NP Admin 117,381 Views

Joined Jun 24, '05. Posts: 106,402 (17% Liked) Likes: 27,613

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  • 1:27 pm

    Whether you are a new grad or a tenured nurse, finding the perfect job to advance your career takes work. You will have to search online, tap into your network, and apply to many opportunities to find the right fit. This can be a frustrating journey for many nurses.

    Could it be time to turn to a career coach?

    If you have a leaky toilet, you will call a plumber. Or if the garage door no longer raises when you push the button, you won't go out there alone to fix it. (Well, some of you may!) The vast majority of you will need to call in the professionals.

    Why should career advice be any different? Hiring a career coach does not show weakness. In fact, it shows that you know your limitations and reach out for help when needed.

    4 Times You Should Hire a Nurse Career Coach

    Feeling Unfulfilled

    Have you ever gone to work and quietly wondered to yourself, "How did I get here"? Did you get a job and forget to create a career with goals and advancement?

    If this describes you, it may be time to reach out to a nurse career coach. Feeling unfulfilled in your job often bleeds over into your personal life. Before you know it, you are unhappy all the time. You may feel hopeless and not even know where to begin to find a new job that fits your needs, wants, and current skill set.

    A nurse career coach understands the current job market for nurses. They can do an assessment to help identify what area of nursing will be the best fit for you. They can help you get credentials, experiences, and networking opportunities you need.

    You have Become a Job-Hopper

    No one intends to be a job hopper, but one bad job choice can quickly lead to another. Before you know it, the dates and long list of jobs on your resume overpower your skills.

    Nurse career coaches know how to create resumes that downplay job hopping and showcase your skills. Without this expertise in resume writing, you won't know the best way to keep your resume at the top of the pile. The coach can work with you to create a list of impressive skills that attract future employers.

    You Are in the Job Application Tilt-a-Whirl

    Your resume has so many revisions you barely recognize it. You send it out and get a few callbacks. You have even had an interview or two. But, the job offers are not flowing.

    Your head is starting to spin with all this activity and your frustration levels are rising. You need a job coach.
    Many nurses looking for a new job don't know how the process works today. Most employers use resume scanning software. This chooses resumes based on keywords before a live person ever lays an eye on it.

    A nurse career can help you create a career plan. They can take a look at your resume and aligned it to your target market. They can also give you networking ideas that will have you landing interviews and getting a new job in no time.

    Networking Makes You Queasy

    Many nurses don't like to talk to nurses from other units. So, the thought of calling upon nurses from your past is downright dizzying. If this is you, you probably avoid networking altogether. This can be a big issue when you are looking for new opportunities.

    You must get comfortable with reaching out to people in your network. You will also need to create new relationships with nurses and other staff working at facilities that catch your interest. You need to understand what the hiring managers are looking for to create a resume that gets their attention.

    If this is too far outside of your wheelhouse of skills, it may be time to hire a nurse career coach. They can help you find groups and individuals to connect with. They help you create a template message you can use to send to new contacts Linkedin, Facebook, and other social media platforms.

    If you are in any of these situations with no end in sight, reach out to a career coach. Your friends and family can only help so much in this category.

    Do you have a positive experience with a career coach you would like to share? Are you looking for a new job, but reaching a dead end? We would love to hear more about your career search experiences. Comment below to get the conversation started.

  • 11:28 am

    Last call! To share your captions before we announce the Top 8.

  • 7:57 am

    Thanks for calling attention to this event, amoLucia.

    You mentioned two photographs that became uuniversal symbols of the time.

    Quote from amoLucia
    Many well recognize the iconic photo of several Marines raising the flag as the deadly battle waged near the end of WWII.
    1/400ths of a second...

    Attachment 26189

    Quote from amoLucia
    memorable photo of the sailor kissing the nurse in NY Times Square.
    Attachment 26190

  • 7:57 am

    On 2/23/1945, the US flag was raised on Mt Suribachi, an enemy-held volcanic island off the coast of wartime Japan.

    Many well recognize the iconic photo of several Marines raising the flag as the deadly battle waged near the end of WWII.

    Short time later, the atomic bombings occurred and then V-J was soon declared. (And another memorable photo of the sailor kissing the nurse in NY Times Square.)

    So much history is being lost or forgotten. A short Wikipedia review is a good resource for a refresher.

    A heartfelt TY to any remaining Veterans. And a 'thank you for your service' to subsequent military.

  • Feb 22

    February 22 is National Red X Day. This is called the "End It" movement; it is an effort to help victims of human trafficking escape.

    The US State Department estimates there are approximately 20-30 MILLION slaves in the world TODAY, and the US has approximately (grossly underestimated) 600,000 - 800,000 trafficked across the borders every year, with the average age 12-14 years old in sex trafficking. Did you know a life expectancy of a child who is sex trafficked is only 7 years from the first sexual assault? The reason sex trafficking is such a huge trade is because the children are... Reusable. This is a simple business math equation. If you sell drugs, you can only sell them once and you don't have any more to sell. A person can be sold over. And over. And over. Some children are sold 10-20 times in one day. Yes, one day.

    The National Human Trafficking Hotline (1-888-373-7888 or text HELP or INFO) is the number to call if you suspect trafficking. Did you know that they receive more calls from Texas than any other state? The highest trafficking area in the nation is Los Angeles, San Francisco, and San Diego, California? The business profit is greater than $32 billion every year internationally?

    Traffickers target children in particular. Children who are at the mall, school functions (e.g, sporting events, etc), schools, bus or train stations, group homes. Classmates can be recruiters, family members can be predators, siblings can traffic siblings, and so on.

    What are the signs and symptoms you should know?

    Red Flags in Physical Appearance of Sex Trafficking Victims
    (This is not a complete inclusive list - these are JUST SOME of the signs and symptoms you may see):

    • Signs of physical abuse (bruises, broken bones, burns, scars)
    • Traumatic brain injury (TBI), memory loss, dizziness, headaches, numbness
    • Skin or respiratory problems caused by exposure to chemicals
    • Infectious diseases or reproductive health issues (TB, hepatitis, pelvic inflammatory disease or other sexually transmitted diseases, urinary tract infections, miscarriage(s), forced abortions)
    • Drug and/or alcohol addiction

    Psychological & Behavioral Clues

    • Helplessness, shame, guilt, low self-esteem, self-blame, humiliation
    • Shock & denial, PTSD, phobias, panic attacks, anxiety, anger
    • Withdrawn behavior, depression, fear
    • Emotional numbness, detachment, dissociation
    • Sleep problems or eating disorders
    • Drug/alcohol abuse or addiction
    • Stockholm Syndrome – a victim feels an attachment to the abuser. This makes it difficult for law enforcement to break the bond of control a trafficker holds over the victim.
    • Avoiding eye contact, memory gaps, resisting being touched

    Sex Trafficking Signs

    • Stockholm Syndrome
    • An older "boyfriend" or "girlfriend"
    • Unexplained absences or a sharp drop in grades
    • Frequently running away from home
    • Social isolation from friends and family
    • Drug addiction / may show as bad behavior
    • References to frequent travel to other cities
    • Signs of physical abuse
    • Health issues (see red flags)
    • Lack of control over schedule and/or documents
    • Hunger or clothing not suited to the place/weather
    • Coached or rehearsed responses to questions Sudden change in behavior, relationships, or material possessions (e.g., expensive clothes or accessories)
    • More than one mobile phone
    • Hotel keys and many fast-food restaurant receipts
    • Uncharacteristic promiscuity or references to sex that are inappropriate for the age
    • Highly sexual clothing or online profile
    • Poor personal hygiene Tattoos or burns (branding) displaying the name or moniker of the trafficker (e.g., "Daddy's Girl")

    If you ever suspect a person is in danger of trafficking, please report it!

    Resources (there are SO many, but here are a few):

    National Human Trafficking Hotline

    Chicago Alliance Against Sexual Exploitation - End Slavery Now

    Coalition Against Trafficking in Women

    Human Trafficking 101 for School Administrators and Staff:

  • Feb 22
  • Feb 20

    Just subscribed!! Thank for all of the great content.

  • Feb 20

    You did great. These moments are sacred. Never forget that. It is just as much part of what we do to grant a "good death". You did that. That family will not remember everything that happened that day. But they will remember the nurse who was there for them and that she cried with them in empathy for their suffering and loss.

    Sending you love and light.

  • Feb 20

    Room 4
    I need to hang this mannitol, like, right now. Now he ordered 3% saline, isn't that for brain swelling? Oh my god, I hope this patient doesn't herniate. He just added an epi drip... we already have 4 pressers on this patient. Now he wants us to take her to CT. Do I have to go alone? Will the vent even fit in there? What do I do about all these drips...there are twelve pumps running... Where's her family right now? What if I can't handle this?

    I stand at the bedside, watching the blood pressure cycle again. The last one was 32/10, that can't be right, can it? The doctor is in the room shouting orders at me and my preceptor. We're going to lose this patient. The med student has the patient's legs at almost a ninety-degree angle, trying in desperation to get blood flow to her core and brain. "You need to squeeze that bag, now!" I shove the blue key into the pump with normal saline running and rip the tubing out of the guide. I hold the bag over my head and squeeze as hard as I can with both hands. "Call a rapid response!" The doctor yells. "We are the rapid response, what do you want me to do?" My preceptor calmly replies. I can see the worry in her eyes. We're in the CCU; we are the rapid response team. Respiratory is here, she can't do anything else to help. "Come on you guys, what H's and T's are we missing?!" Well, she's obviously hypotensive, I think to myself. Other nurses flood in, doing things I don't even know they're doing. One is recording everything on a piece of paper. I've never seen her before, she must work out on ACU. My bag is running out, I yell that I need another bag of NS and someone says they'll grab more. Someone takes over for me because there are orders literally flooding my screen now. I run to the med room and grab two pressure bags.

    These things suck, I think to myself. They're plasticky and poor quality. I'm back in the room and look at orders. Mannitol, norepinephrine, mag sulfate, bolus, bolus, head CT STAT, the list goes on. Before I can even leave the room, someone hands me a primed bag of 3% saline. I check it against the order and hang it, moving as fast as I can. The patient has a triple lumen central line, no available ports. What can I put this line on? It's saline, I can probably put it with the pressers, I think to myself. I don't have time to check the IV compatibility, this patient is dead or dying. I hang the 3% and Y-site it into the maintenance NS after guiding into the IV pump and programming it. Then someone hands me a primed bag of mannitol. Then the mag sulfate.

    The patient had a bowel movement right at shift change, we haven't even cleaned her up yet. The doctor says "Alright, she's stable enough, we need to get her to CT." My preceptor chimes in "We're about to get her cleaned up because she's had a BM... can we do that before we take her?" The doctor looks annoyed. "I really think she needs to go now, you guys, come on, time is brain!" He has a good point, I think to myself. Respiratory comes because she's on a vent; we can't take the vent with us so she's forced to bag this patient all the way to CT and back.

    Outwardly, I look mostly calm and confident. Inside, I'm terrified. What if I can't handle this? Maybe I shouldn't have gotten into nursing. There are no new orders right now, just a few antibiotics to hang. We get the patient cleaned up and her family comes in. I'm hopeful. Maybe she'll pull through. Or maybe that bowel movement at the beginning of the shift was when it all ended for her.

    The shift goes on. There's so much to do constantly, I take a brief twenty-minute break to shovel some food into my mouth and rehydrate. Then I'm back in the unit, checking on my patient. Her family is never far away, they think she's going to be okay. "Can she hear us?" They ask, their eyes pleading for me to say yes. "Yes, and you should hold her hand and talk to her... tell her you love her and to fight." I'm lying, I think to myself. This patient is gone, she can't hear anything right now. It hasn't been confirmed yet, but I really think she had passed right when the shift changed. Respiratory therapy is back, putting an EEG on the patient. Looking for brain activity, I think to myself. The family asks what the leads are for. I've explained what the numbers on the monitor mean, what each and every line and tube connecting to the patient means. Respiratory quietly says the leads will check for brain activity. The doctor had explained that things don't look very good right now. The family remains hopeful. I check the EEG monitor. Almost every waveform is flat. "How does it look?" The patient's sister asks eagerly. "Well, I'm not trained to read these things, so we'll have to wait for the doctor to let us know what he thinks." The sister's face falls. "Oh, ok.

    Can I talk to her?" She gestures at her sister, lying motionless on the bed. She's not sedated, in fact, she not on any medications to keep her sleeping. "Yes, talk to her, hold her hand, you won't hurt anything, it's okay to touch her." The sister, fighting tears, walks to the bed and grabs her sister's hand. "Please, you have to fight, you have to come back to us..." I can't take this. I start tearing up. "You are not to cry in front of patients." The words of my clinical instructor in nursing school flood my mind. I excuse myself "be back in just a minute," and go sit at my computer at the nurse's station. Tears are flowing freely. I can't do this. Why did I pick this job? I can't handle this day anymore. The charge nurse asks if I want to go take a break. I have an enormous amount of charting to catch up on, I say, and wipe my eyes. "Do you want a hug?" She asks. I laugh bitterly and say no because I know it will make me cry harder. I don't want the family seeing this.

    I can handle grief. I've seen people die before. But, nurses are supposed to save lives. Why can't I save hers? Is there something else I should have done? What else can we do? The doctor is at my desk with my preceptor. There's another doctor next to him. They're going to test the patient to see if she has any brainstem reflexes. She won't, I think to myself. We gather supplies and go into the room. The doctor explains what they will do and why they will do it. The check her eyes for the doll's eyes; they don't budge when her head is jerked side to side. Failed number one, I think to myself. The other doctor, an emergency room doctor, uses a saline flush to squirt water into the patient's eyes to check the corneal reflex. No movement. I thought they usually to the cold water in the ears, I think to myself, but what do I know? She has no gag reflex at all. The family anxiously looks at the doctor. "She is not responding to our tests... I believe she is brain dead. I'm so sorry..." The family stands there, grasping what the doctor is saying. They all begin to cry. I can't help it, I silently cry with them. The doctor wants to extubate the patient. The family is in agreement.

    We prepare the family for it, what it will look like. The doctor suggests I draw up some fentanyl just in case, so I do and re-enter the room with my stethoscope around my neck. The doctor explains we are going to shut off all the medicines that are keeping her alive, and then pull the tube out of her throat. I shut off the cardiac monitor, knowing it will alarm asystole in mere minutes. We pull the curtain and shut the glass door to the room. The doctor nods at me and I begin shutting off all twelve pumps, one by one, quickly but not too quickly. Respiratory therapy is there, red-eyed and grasping the ETT. The vent is off. The doctor tells her to pull the tube out. She does, and we all watch to see if the patient will take any spontaneous breaths. She doesn't, just a small sigh as her lungs relax. My preceptor listens to the patient's heart with her stethoscope, shakes her head and I do the same. No heartbeat. The family erupts in wails, the doctor silently leaves the room. What am I supposed to do now? I cry with them, I don't care if we aren't supposed to. I hug the sister, the husband, not only for them but for myself as well. We give the family privacy to say goodbye.

    I cry the entire way home. I relive the shift, over and over and over. I have to go back tomorrow. Today was my Monday. I don't know if I can handle this. I cry myself to sleep. In the morning, I get up, shower, and get ready for the day. This is what it means to be a nurse, I think to myself. If this is what it is, I don't want to do it. I can't do it. But I do it, I go back. Because that is what it means to be a nurse.

  • Feb 20

    Subscribed and form completed!!

  • Feb 20

    subscribed and filled out form.

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