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JanineKelbach

JanineKelbach

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  1. Hi everyone, I am a frequent writer here for allnurses.com, but I also recently took a part-time educator position in our labor and delivery unit. I will be in charge of the new orientee process... Right now, we have everyone learn LDRP + OR in 12 weeks ( I think it's a lot, but that's what they say). Personally, when I learned, we had an LDR + PP model. I learned in 12 weeks, but it was different 15 years ago...no electronic charting etc. Any tips, advice, anything that works/doesn't work? I would love to hear some opinions!
  2. JanineKelbach

    My Journey from Nurse to a Freelance Writer

    Thank you!
  3. JanineKelbach

    Working as an online nursing tutor

    Have you ever thought of freelance writing instead of tutoring?
  4. JanineKelbach

    Non bedside nursing Option ... and a side question bout Nails?

    So many nurses branch away from the hospital to start something new. Personally I became a freelance writer :) It pays me more than nursing and I love it. I still work in the hospital because I love what I do and I love my patients. Writing is just a different way to use my brain.
  5. JanineKelbach

    Unexpected Side Effects from the Side Gig

    Great article, Maureen. As a fellow freelance writer, I have always had a side job as an RN, even before writing. I don't know where I will be in 10 years, but I know I won't be doing floor nursing my entire career. I don't feel it's safe...
  6. JanineKelbach

    Per Diem?

    How about starting a job outside of nursing? I am a freelance writer who now runs a business from home, making more than I do in the hospital... Just a thought.
  7. JanineKelbach

    Non-nurse midwives?

    I think what's said about this post is that NURSES don't know the difference and that we expect patients to. Working in L&D for 15 years, I know that we get the disasters that non-nurse midwives have. Therefore, it's the only opinion I have. Delivery in a hospital with a certified midwive under the direction of a physician is the safest route if midwifery is what the patient desires.
  8. Freelance remote work has been a growing trend since the early 2000s. Companies are understanding that employees can work well in a remote environment. Of course, as a bedside nurse, it's not possible to leave and work from home, but a side job, like freelance writing can let you. Many freelancers I know are introverted. The definition of an introvert is a shy individual. I, too, am an introvert, and it's easy to stay in my bubble. As a business owner, as much as you are your favorite person and you're okay with hanging out with just you, you have to branch out and network. Networking is one of the best ways to keep your business moving forward. Resourcing and networking are also the best ways to land clients. Networking Keeps You Learning Every relationship through networking I have learned from. When you work the floor as a staff nurse, you see the different skill sets everyone brings to the table, and it's the same in freelancing. Some have been running their remote businesses for many years, which can eliminate the trials and errors of beginning freelancers building their businesses. You can learn from others by attending conferences, webinars, joining groups that require a coach to help you take your business forward, and more. The possibilities are endless when you open your mind to it. Networking Keeps You Not Feeling Lonely Loneliness is one of the biggest complaints of freelancers. You are your own worst critic. If an editor butchers a piece you wrote, you're by yourself, with no one to tell you, "Chin up and try again." The World Wide Web is a giant place, and without looking around, it can become very lonely. Some freelancers can go without talking to anyone all day long. Networking with others will help you never feel lonely in your business. Networking- It's all about WHO you know Ever heard the phrase, "It's all about who you know?" It's a common phrase when someone is curious about a new job or opportunity. Technology is incredible. A couple decades ago, looking for work as a freelance writer consisted of running an ad in the newspaper, and lots and lots of prayers. Nowadays, there are many job boards online to find jobs, but it's a sea of freelancers applying to them. There are many companies out there that need freelance writing services that you can chat with, grow the relationship, and have as a client. Think of networking as a snowball. The more people you add your network, the bigger the ball gets. When a snowball gets bigger, it gains power. Think of the power being the referrals from your network. It's simple. Once you provide amazing work for a client, that client will tell someone they know and you will get another client. It really does work. How to Start Networking You're probably thinking, "What? I don't have a network. I'm a new freelancer! How can I possibly have a network?" Don't be scared my fellow introvert, you will have to come out of the bubble for this. Start With Who You Already Know Beginning to network can start with those around you. Do you have a Facebook account? LinkedIn? Share what you are doing and see if anyone close to you needs your services. Check your local newspapers and magazines to see if they need a writer, but be sure to mention how you are an avid reader and appreciate their work. Outside Events Another way to network is to attend a MeetUp or networking event in your area. "Janine, no way. I cannot just go up to people and talk." Ok, ok, try going with a friend and challenging each other to talk to other people. Come up with some conversation starters, and remember to smile. Social Groups Online The last way is to look into Facebook and LinkedIn groups. There are Facebook and LinkedIn groups for every interest out there. Look in your hometown to see what groups you can join. Don't just post for yourself, engage and help others. The favor is returned when you help others. Allnurses has an amazing group of entrepreneurs as well. Engage on the forums, message some authors, keep building your knowledge on your business. Networking isn't hard, once you break out of your bubble. Trust me, I know it is hard sometimes, but you can do it. If you know it will help your business, and it's free to do, why not try it out? I challenge you to because it will leverage you forward. Try to connect with me, not only on Allnurses, but my other social media channels. I can help you become connected, and the writers I have connected with and the most generous people I have ever worked with.
  9. JanineKelbach

    Healthy Weight Week

    New year, new you! You see the slogan throughout the media, brochures, and hear it in conversation. It's a new year and time to make a change. A healthy weight is important for your to boost overall health, lower disease risk, and keep you energized. Assess your Why, then your Weight Assessing your why means to look at the "whys" in your life that make you want to lose the weight. Some may include: To Live Longer for my Children To move Faster at Work To Feel Healthy To Look Better To Lower my Disease Risk You can add to the list, but this is a start. Understanding your why will help motivate you into losing the extra pounds. Assessing your weight number is upsetting to everyone who knows they have to lose weight. Remember having those amazing barbeques over the summer, large holiday meals, and ice cream treats? Your weight didn't increase overnight. After you stand on the scale, jot down the number, but don't focus solely on it. A scale is a tool to give you a starting point. You have to look beyond the number and look at the other tools like your Body Mass Index (BMI), wrist, and waist circumference. Why the BMI? A Body Mass Index (BMI) is calculated by a person's weight in kilograms divided by the square height of the person in meters. The calculated results give a number. If the number is in the low range, it can be an indicator of low body fat. Whereas, if the number is in the higher range it can indicate higher body fat. It is only a screening tool, and therefore, does not diagnose the health of an individual. According to CDC.gov: If your BMI is less than 18.5, it falls within the underweight range. If your BMI is 18.5 to 24.9, it falls within the normal or Healthy Weight range. If your BMI is 25.0 to 29.9, it falls within the overweight range. If your BMI is 30.0 or higher, it falls within the obese range. BMI Calculator Waist Circumference The National Institute of Health provides a simple to use BMI calculator on their website. This can help you start to set a goal for your weight. Obese on the BMI Calculator Many people use the BMI calculator and end with the negative feeling of being labeled, "obese". The one consideration the BMI calculator does not include is the different body types. The three body types include the ectomorph, mesomorph, and endomorph (left to right in the picture.) If you are an ectomorph, you may not have to lose weight, but you have to gain muscle. Whereas the endomorph (most women), have higher BMIs, but may not necessarily need to shoot for the stars when it comes to a lower BMI. The endomorphic body should never be a 19 BMI, or they will be considered underweight. When you look at your body what shape do you see? Wrist Circumference Some calculators can determine a small, medium, and large body frame by measuring your wrist. To do this, measure the wrist with a tape measure and use the following chart to decide whether you are small, medium, or large boned. Women: Height under 5'2" Small = wrist size less than 5.5" Medium = wrist size 5.5" to 5.75" Large = wrist size over 5.75" [*]Height 5'2" to 5' 5" Small = wrist size less than 6" Medium = wrist size 6" to 6.25" Large = wrist size over 6.25" [*]Height over 5' 5" Small = wrist size less than 6.25" Medium = wrist size 6.25" to 6.5" Large = wrist size over 6.5" Men: Height over 5' 5" Small = wrist size 5.5" to 6.5" Medium = wrist size 6.5" to 7.5" Large = wrist size over 7.5" If you happen to be the small bone type, and an ectomorph, your goal should be on the lower end of normal for a BMI. If you are a large frame and an endomorph, you can be on the higher side of normal BMI and be considered healthy. Waist Circumference Measuring your waist is another way you can assess if you are at a health risk. The CDC mentions that higher abdominal fat and waist circumference can correlate with an increased risk of Type 2 Diabetes, high blood pressure, and coronary artery disease. How to Measure your Waist Circumference According to the CDC, measuring your waist circumference should start with a tape measure. Then: Stand and place a tape measure around your middle, just above your hipbones Keep the tape horizontal around the waist Make the tape snug around the waist, but not compressing the skin Breathe out and measure your waist. If your measurement for a man is over 40in and 35in for a woman, you are at a high risk for obesity-related conditions. Embrace YOU and You Will Succeed You may have read this article to get ideas on how to lose weight, instead of gaining clarity on why it's important. Every diet that is out there, that actually works, is based on two principles: Diet and Exercise. Those who lose weight, and kept it off, use those two principles. Fad diets don't work. As soon as you stop the fad diet, weight piles on. Diet Tips Smaller plate, instead of measuring smaller portions Add more vegetables and fruit, and make your meat a rewarding meal at the end of the week Pack on the go snacks like pretzels, apples, and carrots Exercise Tips Find an exercise accountability partner Take a challenge, or challenge yourself Set goals that have intention (add "when" when you say "Go to the gym") The process of losing weight is a marathon, not a race. Most people spend years putting the weight on, so it will take some time to take it off. Love who you are and you will succeed, according to research. Stanford University School of Medicine did a study and found that 63 percent of participants who had a positive body image were more successful at losing and maintaining weight for a year compared to a 26 percent success rate for those who were discontent with their bodies. When you set weight loss goals, start small. In January, people set huge fitness goals, and by March, the gym is empty. Set small, attainable goals, then increase over time. You can do this, when you think you can't, go back to your why.
  10. JanineKelbach

    CRNA Week

    Certified Registered Nurse Anesthetists (CRNA) Week starts Jan 21-27, 2018 and focuses on celebrating the nation's 52,000+ Certified Registered Nurse Anesthetists and student registered nurse anesthetists! According to the National CRNA Website, these CRNAs provide approximately 43 million anesthetics each year. This article will help you understand why we celebrate, why you should consider the field of anesthesia, and how to become a nurse anesthetist. Why do We Celebrate? National Nurse Anesthetists Week has been celebrated since 2014. It helps create awareness of the role and credentials CRNAs have worked so hard to achieve. The theme for this year is, "Making a Difference, One Patient at a Time." The importance of Nurse Anesthetists to the healthcare team is the focus of the week. As an essential role to the healthcare team, the CRNA works closely with surgeons, anesthesiologists, dentists, podiatrists, and other qualified healthcare professionals. With vast amounts of advanced education, the CRNA becomes certified to deliver high-quality, safe, and cost-effective patient care. This week you can follow the hashtag #crnaweek to learn and celebrate our CRNA nationwide! Why Become a CRNA There are several reasons a nurse chooses to become a CRNA after becoming an RN. Compared to a Registered Nurse, the CRNA has a lot more autonomy and responsibility of the patient. This is the reason programs need RNs to have acute care experience. Nurse.org predicts that job growth for CRNAs is estimated at 31% between 2014 and 2024, which is faster than the 16% expected job growth for RNs. The CRNA is used often in rural areas and this trend is increasing to save on costs of an Anesthesiologist. Compared to the national average wage of RNs in 2016, according to Nurse.org of $72,180, a CRNA doubles that. The average CRNA makes $157,000. When compared to an anesthesiologist at $364,000, there's no question that the CRNA helps in cost savings in healthcare. How To Become a CRNA Becoming a CRNA is a challenging, but rewarding profession, that includes advanced education and rigorous training. Anesthesiologist vs CRNA - Patients and healthcare professionals sometimes struggle with the differences between an anesthesiologist and a certified registered nurse anesthetist (CRNA). An anesthesiologist has a medical model of training while the CRNA has a nursing model of training. A large difference in the pay scale exists as well (doctor vs nurse wages). In most situations, but not all, nurse anesthetists have to have supervision at the start of anesthesia during surgery. Most CRNAs start the path to CRNA by first obtaining a Bachelors of Science in Nursing or BSN. Then, you have to become licensed to practice as a Registered Nurse by passing the nursing boards, or the NCLEX exam. After that, the certified registered nurse anesthetist programs require training in an acute care setting, like Critical Care or an Intensive Care Unit for typically one year or more. After obtaining the required pre-course work, the student can apply for the doctorate program for CRNAs which is accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs. This program is a full-time commitment to gain the hands-on experience, time to test in a classroom setting, and time to practice various anesthesia techniques. After completion of the program, the graduate is eligible for the national certification exam. Upon passing the exam, the CRNA can practice. Renewal for the certification is required every two years to keep up the certification. Renewal is completed by obtaining CEUs. With the increased demand, and increased registered nurse interest, becoming a CRNA is popular now more than ever. Becoming trained as a professional CRNA is rigorous, but rewarding. If you have a desire to work in anesthesia, shadow a local CRNA and watch their role. You may be drawn into your next career path! Nurse Anesthetist (CRNA) Salary and Jobs Guide - UPDATED 217 Medscape: Medscape Access
  11. Those who set goals in businesses are more successful. Setting goals is like creating a care plan for a patient. There is a checklist, actions behind their diagnosis, and when it is complete, patients are discharged. As a nurse entrepreneur, this guide will help you assess your business, make goals, and implement an action plan for optimal results. Start With Intention Goal setting with intention is essential. In fact, the British Journal of Health Psychology found that 91% people who planned their goal intending to lose weight by writing down, when and where they would exercise each week, ended up following through. That just means putting the when and where into setting a goal. When a person says, "I want to lose 10 pounds." It doesn't give any specifics. When that person says, "I want to lose 10 lbs by going to the gym at 10 am Monday, Tuesday, and Thursday." That adds intention on the goal. You can translate this into your business as well. Getting ideas for goals is easy, breaking them down into actionable, intentional steps are the hard part. You have to look at the big picture. Goals can change through the implementation process, and that is okay. Last year, I met someone in my business, and they helped me make a pivot, and my goals changed. Yours may too, the more you network, the more you niche down into your business, you become clear on your goals. Become Accountable If we set goals, it's often hard to come back to them if they are too big. For example, I wanted to write a book. That is a giant idea to me because I have never written a book. I joined the Healthcare Marketing Network and started networking with other writers. They helped me take the next steps to book writing, like finding a publisher and an editor. When I would put the idea to the side because of other client work, I had friends in the group always checking in with me, keeping me accountable for the next steps in the writing process. Stay Motivated & Know Your Why Working on non-paying work is hard for me, and I imagine most people. When you have non paying work, you need to have motivation. Every project I do, I ask myself, "Which goal will this accomplish or help me take the next step forward?" For example, recently I had to redo my website because it didn't have a very clear homepage. I did this, with the help of my friends in the Healthcare Marketing Network, and It took action. Two hours later, I knew exactly why I had to redo it. I shared it on LinkedIn, and I had three new newsletter subscribers within the hour. That tells me, it needed to be done, and now my next step to gaining a client is there. Always know why you are doing a project, it should still align with your goal. Goal Setting Process Now that you have a background about what goes into accomplishing goals let's look at how to set goals that stick. It is a three-step process, and I offer a free worksheet on my website if you need more. Assessment of your Business First, look at your full picture. Ask yourself, where do you want to be next year. If you don't like massive goals, you can break them down into quarterly goals, monthly, or even weekly. I use a tool called the Passion Planner. It's a paper and pen planner that assists me with setting goals from yearly, to quarterly, monthly, weekly and even daily. We're going to use a broad goal for an income goal in this scenario. Watch how the Assessment, Planning, Implementation, and Evaluation of the nursing plan works here. Goal for the Business "Make enough money to cover one day at the hospital." Assessment The first step of this goal is to ask yourself: How much can you make? Think of a budget and where you want to be financially and make it attainable. Planning Next, Write an action plan Staying focused on the goal is why you have to create action and intentional steps. Evaluate them often to see if you need to change it up a little. Think about how you're going to get that action done. "I will pitch ten clients a week." Make specific steps daily that you're going to do to achieve your goal. 'I will find the clients through referrals, LinkedIn, and my network." Implementation Educate yourself by finding different resources on your business topic. Send some emails to people that are already doing what you're doing to see if you can get a mentor to help you along. Many of us who have started a business are willing to give our advice for free! Evaluation Evaluating your goals comes in to play when you see the income rising in your business. Tweaking the goals in the evaluation phase may be needed many times. Take a second after you make your business goals and breathe. Take it one step at a time; it's easy to get into burnout mode if you are not careful. Many entrepreneurs do this in the morning hours before they start their day, relax, meditate, journal or exercise can help in the self-care of the business owner. Good luck this new year in all you do, stay focused and you will succeed!
  12. OH man. It happened. The rarest thing in labor and delivery to happen --- happened...when I was in charge. She was not my patient, but I was her nurse 4 years ago with her son. SUCH A SWEET PATIENT! She brought us food (so we like her even more, right?) and demanded me take a pic wither 4 year old and the new baby when he comes out. Unfortunately, we never would have predicted how he was brought into the world. 1602. It happened. I was hanging IVPB #3 dose of PCN on my GBS pos patient who was 6cm and a multip. We were joking as I went to hoist her numb leg onto the peanut ball..then..vocera went off. "I need you in here NOW" (Her membranes were ruputred artifically at 1545) - Cat 1 tracing, ctx q3-4 min pt's bp 124/74 5 minutes prior) I abandoned my patient with a smile and ran! The patient who I took a picture with and joked with that very morning was in total respiratory arrest with a pulse of 30bpm. She "felt funny" and passed out per the nurse and family. No FHR was heard and an airway was the concern. We immediately called a code blue and started to suction and bag the patient. Everyone was at the bedside. We crashed her. He cut her abdomen T shaped and no blood...I always remember hearing....no blood when cut is death. She was dead. Baby was lifeless...dead. ::This can't be happening:: but it was. "I think she's going into DIC, she oozing and blood is showing in her foley." 2 minutes after the baby was out. LOOOOOONG story short (and I would be happy to share). She is alive. Her baby, 6/8 apgars. A miracle...2 miracles. And we are not a trauma/teaching hospital. A small community hospital with amazing teamwork is all we are. I had to vent a little. I want you to hear and know it can happen....to anyone. We drew a blood test while she was in DIC Called a Fetal Squamous Cell test. It showed she indeed suffered an amniotic fluid embolism. Lots of prayers for them and their recovery.
  13. Starting the world of freelance writing can be overwhelming. When you land your first client, you are alone in the celebration if you are not a part of a community. As you continue to gain clients, you may feel disorganized, and a constant overwhelm. These tips will help the new, and advanced writer stay organized in their thoughts and projects in their freelance writing job. Start with a space and a computer When starting your journey as a freelance writer, I urge you to start with a quiet space and a computer. A quiet space gives you a place to become inspired, and within the space, your mind will know it is time to work. The traveling laptop is tough because you don't have a place to keep it. Try to create a space, even if it is a corner desk in a room. This will keep your mindset as work. Organize with Google Drive I recommend to organize your clients and projects with Google Drive. I have tried a variety of tools like Dropbox, Asana, Trello, and I keep going back to Google Drive. It has the capacity to hold a lot of projects and information, so you don't run out of space. The number one reason I like it is because it is accessible on any device. I can go to the library computer and work on a project, or switch from my Ipad to my laptop. It is very convenient, and best of all, it's free! Google Drive is capable to create folders for different clients or projects, as well as the ability to save documents as Word docs or PDF files. You can also make presentations on Google Slides, surveys with Google Forms, and spreadsheets with Google Sheets. The possibilities are endless! Planner to PLAN My blog over at WriteRN.net is where I give a very detailed review of my favorite planner called the Passion Planner. I started with a simple calendar and moved it to a larger notebook. For 2018, I am using the Passion Planner. I chose this planner for a few reasons: There is an option for Eco-friendly (woo hoo) It helps me with my goal setting and actions I am a huge believer that those who create and carry out small goals, do better in their businesses. I believe this because --- I have seen it. I see it all around the Web, in different niches of small business. Ideal Work Week Have you heard of the Ideal Work Week? One of my influencers I follow, Jenna Kutcher, has a whole podcast dedicated to it. You might be thinking, "Sure, Janine. An ideal work week with a nurse job and my family, sure..." All I can tell you is try it. What you do is plug-in the days you work, then plug-in some client time. We know our 12-hour shifts are far from 12 hours, so I plug-in an hour or so in the morning for my client work. You may put exercise or sleeping in that column. Then, your days off, you make it work as a writer. For example, my Tuesdays are often after a stretch of 3 shifts in a row (my required weekend and a Monday). I know on Tuesdays, I can only handle some one-on-one coaching calls with nurses who want to become writers and a catch-up day with email and phone calls. Beyond that, I have dedicated catch up days for my home. I live in a home of 2 boys, a husband, and a Great Dane. There is always cleaning needed on Tuesdays, as well as the laundry catch-up and grocery shopping. On the other hand, Thursdays, I am usually off work and can really dig in on my client work. I set aside a lot of time on those days to dig into my work. If you want more information on how to set up your Ideal Work Week, visit my blog where I can take you step by step in an upcoming article. Or, reach out and chat with me. I love helping others become more productive. Mind Mapping Mind mapping is a technique I recently adapted for my organization and prioritizing. At first, I saw mind mapping as a chaotic visual tool and it made me anxious when I looked at it -- until I did it. Mind mapping helps you achieve goals and therefore keeps you organized in your thinking. How to Mind-map: Write your goal in the center of the paper Branch off the center and write the steps and tasks you must take to complete your goal Make those steps actionable and specific Write those tasks into your weekly/monthly layout. Accountability with Community A sense of community is a necessity to keep you in check as a writer. The benefits of becoming organized as a freelance writer are to keep achieving our freelancing goals. To become accountable for staying organized and achieving your goals is to join a community. I have made huge leaps in my business with being part of a community because they keep me accountable and motivate me to take my business upwards! The online world is enormous. It can be overwhelming when you are disorganized. Try these tips and keep yourself accountable by joining our writing community on Facebook called the Healthcare Writers Network. It is a community of like minded individuals that help everyone succeed in their writing endeavors.
  14. JanineKelbach

    My Journey from Nurse to a Freelance Writer

    ☺️ Thank you so much!!!
  15. JanineKelbach

    My Journey from Nurse to a Freelance Writer

    Thank you í ½í¸Š
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