From January 22 to 28, the American Association of Nurse Anesthetists (AANA) is sponsoring National CRNA Week to honor nurse anesthetists.
John Bing, BSN, CRNA, AANA Region 6 director, and national AANA board of directors member, says most people don’t quite understand what a nurse anesthetist does and, in fact, there are not very many of them.
Many people believe a nurse anesthetist puts them to sleep, leaves, and then returns to wake them. Far from it, says Bing. “The job of a nurse anesthetist is always assessing,” he says. They are with the patient all the time, from the moment they greet the patient, through the entire procedure or surgery, and when they are brought out of anesthesia.
The job, says Bing, is like no other. “We are there pre-, inter-, and post-op,” he says. But he understands why the job is mysterious to some. Even Bing’s mom thought he just gave people a pill to make them go to sleep, he says with a laugh.
But nurse anesthetists appear happy with their jobs. On the just-released 2017 U.S. News and World Report Best Jobs list, a nurse anesthetist’s job placed fifth on best health care jobs and placed sixth on the best jobs overall. The reported salary median salary is $157,140.
Bing says he appreciates being able to develop a relationship with a patient in such a short amount of time. Being present through the entire procedure gives nurse anesthetists the ability to monitor every nuance of the patient’s reactions and behavior, he says. And the interactions before the anesthesia is administered means nurse anesthetists have the chance to build up trust and get to know a patient as a person. The patients remember that, says Bing, and you get to know them as a person.
And this field rarely gets stale, he says. CRNAs have to be recertified every four years, so continued learning is mandatory. One of the special draws for nurse anesthetists is the ability to work with people from the moment they are born until the day they die, says Bing. These nurses work with all ages and have to know the intricacies of how the human body reacts to the anesthesia at each age and with virtually any condition. “We get everybody,” says Bing. “And it is all acute.”
As a group, nurse anesthetists stick together, says Bing. With as high as 89 percent reporting approval for their job satisfaction, he says, they enjoy the work. And the AANA doesn’t encourage sub groups, he says. The group acts as one. “Eighty-five percent of our professional nurse anesthetists belong to our parent professional organization,” says Bing. “We don’t want to go out and have splinter groups. We are better together.”
The AANA is urging nurses to spread the word during National CRNA Week and suggests things like career days in schools, inviting legislators to a breakfast or coffee gathering, or even casual and formal public speaking opportunities to let people know about the profession. And use #crnaweek to spread the word o a wider audience.
It’s also a good time to celebrate what nurse anesthetists do. “In this country 100,000 people give anesthesia,” he says. “That means there are 3.5 million people per anesthetist. That makes [them] pretty special.”
On January 25, IV Nurse Day celebrates the infusion nurses who complete the high-tech and exceedingly patient-sensitive process of infusion care.
The 2017 theme, “IV Nurses: Outstanding Skills. Outstanding Care.” gives acknowledgment to the specific skills IV nurses bring to a care team. Sponsored by the Infusion Nurses Society, this day has been an annual international event since 1980, says Mary Alexander, MA, RN, CRNI, CAE, FAAN, and chief executive officer of the society and of the Infusion Nurses Certification Corporation.
The IV Nurses Society has 7,000 members across the globe in more than 40 countries and territories outside the US. Approximately 3,500 of the members are certified as well. And they work in many settings—about half of infusion nurses work in hospitals and the other half work in alternate sites like infusion centers, physicians’ offices, or in home care settings.
“The care we provide is something all patients can relate to,” says Alexander. “Patients go into a hospital and almost everyone gets an IV.”
While IV certified nurses are not the only ones who can place an IV, the additional training gives the nurse the skills and the experience to do it well, she says. To place an IV properly, nurses must asses the patient, determine the appropriate device, and the proper management of care once the IV is in place.
As some patients can have an IV for a few short hours or in extraordinary circumstances for the rest of their lives, proper placement and care is paramount to patient comfort and safety, says Alexander. Infusion nurses are also then responsible for patient or caregiver education upon discharge. They need to convey accurate information about how to care for an IV and why it’s important for the patient to have it.
“It’s vitally important that clinicians are experienced and know what they are doing,” says Alexander. Because the lines bring solutions directly into a patient’s bloodstream, any complications can be life or death.
Patient safety is every nurse’s top concern, but infusion nurses also have a direct impact on patient satisfaction. Alexander says when patients are asked about their hospital stays, some surveys indicate the quality of food and the experience a patient had with an IV as the top influences of their overall satisfaction with the hospital.
IV Nurse Day recognizes all the work infusion nurses do, says Alexander. “We are all over the place,” she says, “You won’t find us in one specific place. We are an important part of the health care team when we are looking at the overall care of the patient.”
As part of the team, IV nurses can educate others on the team as well. Having an IV nurse on the team means the other team members are able to focus on their own tasks. Because of their experience, IV nurses save costs and labor because they generally get an IV placed correctly on the first attempt. That improves cost, reduces the risk of complications, and makes for a much happier patient.
If newer nurses are interested in this certification, Alexander strongly suggests getting some overall clinical experience prior to fulfilling the IV nurse certification process. And for nurses who are not yet certified, but interested, the Infusion Therapy Standards of Practice outlines some of the common guidelines for this specialty.
“The more you do it, the better at it you get,” says Alexander. “It’s good to recognize infusion nurses do a fabulous job and patients appreciate what we have to offer.”
Alexander notes that while some might expect IVs to eventually be replaced by a different process, she doesn’t see that happening in the very near future. And IV nurses also bring an extra component that’s hard to quantify. “To me, it’s high-touch, hands-on caring as well as high tech,” she says. “That’s extremely important.”
Nurses today enjoy excellent career prospects with high job demand and nursing jobs opening up in many specialties. But nursing jobs tend to blossom in regions and if your region isn’t one of them, you might not be feeling a lot of job security.
If your position seems a little perilous, what’s your best plan? Always be prepared. Even if rumors of layoffs and reduced hours are just rumors, the stress they inspire in a staff cannot be understated. If you’re one of those nurses, the daily worry about if you’ll have a job or even enough hours to keep you gainfully employed is exhausting and can negatively impact your job performance.
Throughout your career, the best thing you can ever do is be ready for a job change. And that’s not always because you expect something bad to happen. You could also have an unexpected and fantastic job opportunity arise. In that case, you shouldn’t have to scramble to get your resume and your LinkedIn profile updated while also preparing for an interview panel.
Here’s how to always be ready for a change – expected or not.
1.Update Your Resume, Even If You’re Not Job Hunting
Keeping your resume and your LinkedIn pages updated and current is just smart business practice. You cannot predict what’s going to happen next, so you want to be ready for anything. And if you update everything as you go, you won’t forget a project or a skill that could be important enough to trigger an interview request.
2. Keep Learning
You might have the same job you had 10 years ago, but your skill set is different. With new technology, additional seminars, and on-the-job training, you have learned more. As a nurse, if your skills aren’t constantly refreshed, you’re falling behind. Don’t let that happen. Actively pursue an additional degree, even if it is one class at a time. Go for certifications in your specialty or a specialty you’d like to move into. Being ready for any opportunity increases your chances of success.
3. Network Every Chance You Get
When you’re actively looking for a job, networking will help you. The more networking you do, the more chances you’ll have to find a good match. But even if you aren’t looking, keeping up with others in the industry keeps your name, skills, and capabilities front and center. Someone might ask you to join a committee or to help spearhead a new campaign. Saying yes and working with peers opens up your nursing career.
4. Stay on Your Toes
Don’t get lazy when you aren’t directly working with patients and on patient care. When you’re at work or at an event with people from work, keep your professional attitude. Be someone who can make excellent and authentic small talk with everyone—from the person who delivers the packages to your floor to the CNO—and then do it.
5. Boost Other Nurses
Be the person who champions nurses and helps others understand all the things nurses do. Spread the word about nursing as a career. Enthusiasm is contagious and others will join you. You might not get a job offer, but you’ll get a great reputation as someone who is a positive force in the world of nursing.
So whether you’re wondering about layoffs or happy in your job, there are some things you should do as routine career maintenance. Being prepared helps your career whether you’re just starting out or 40 years in. And if you are worried about a career change, you’ll know you’re ready for anything.
You’re a nurse and you probably talk all day long. You interact with patients, colleagues, and families from the time you get into work until the time you leave. So with all that talking, do you really need to excel at public speaking?
Any professional benefits from public speaking, but especially nurses. If you want to advance in your career or just be a better nurse, communicating effectively is an essential skill. You have to sum up your thoughts, ideas, and solutions faster than most other professionals. If your job (or your dream job) requires any kind of presentation or even mingling, public speaking skills will help you.
Many nursing students have taken a public speaking class or some kind of seminar that helps them polish their presentation skills. Some organizations even offer classes where attendees can sharpen their already good skills or where novices can learn how to not only find their public speaking voice, but to use it effectively.
Even with some public speaking training, stage fright is a real thing. You might be very comfortable speaking in small groups or with people you know, but if you’re put into an unfamiliar situation or in front of many people, you freeze. While that might be common, it doesn’t mean you shouldn’t try to overcome it.
Nurses who are at ease speaking in front of others are in high demand and this skill can open your career prospects greatly. If you’re at ease with public speaking, that means you’re more likely to volunteer to give a talk to colleagues. It might also mean your boss will turn to you to help with a conference workshop on your specialty. You might even be asked to speak by an organization. All of these opportunities get you out in front of people, make you valuable to your employer, and boost your career prospects and experience.
To get started, just look for a local class in public speaking. You can find them at local adult education centers, local schools, organizations, like Toastmasters, or even private coaches. If you think colleagues would be interested, gather some information about teachers, costs, possible times and locations, and present the idea of holding a class at work to your company. You’ll get bonus points for organization and initiative.
And by getting a little professional advice, you’ll also learn tricks and tips to make presentations easier. You’ll discover the way props like slides, photos, and videos can help you feel less pressured. And you’ll probably hear inspirational stories from people who flubbed a big presentation, recovered, and turned it into a success despite the mistakes.
The more practice you have, the more at ease you’ll be with speaking in front of others. And, as a nurse, you need to be able to speak calmly and clearly in an emergency. The more time you have invested, the less time you’ll spend on thinking about what you’ll say and the more time you’ll have to get the the heart of the matter.
Nurses know first hand just how exciting, unpredictable, and satisfying the career can be. No two days are the same, you’re constantly learning new things, and you have opportunities to connect with and help people in ways you never imagined.
But how can you explain all that to kids so they think of nursing as a career?
Sharing your excitement and your satisfaction over your career is the first step. And then letting them know the detailed reasons (given their ages, of course!), is the next step.
The easiest advice is to just start talking with the kids in your life. Ask them questions. What do they think nurses do? What equipment do they think nurses work with? What do they think might be interesting about a nurse’s job?
A great way to spread the word about nursing is to offer to give a presentation in a local school, library, or youth organization. You would have to tailor your words to the specific ages, but there are lots of ways to do that.
Bring relevant and approved equipment and show kids how it is used. Bring in books (Dr. Scharmaine Baker’s Nola the Nurse books are great for the younger kids) and coloring pages.
While some kids know what nurses do, many don’t have a real understanding of the job and duties. You can explain there are different types of nurses. Talk about your specialty and how you help people. Think of one or two stories that really show how your job is meaningful.
Teens will appreciate stories with more intensity, especially if they can relate to it somehow. You could even base part of the presentation on media images of nurses. The Truth About Nursing is a great resource for that topic. And everyone loves something that will make them laugh, so if you can offer up a story that shows the job is fun, that’s an attention getter.
Make sure kids know what it was like to be in nursing school. Describe what clinicals are like and how you can be out doing real work during your college years. Some kids are especially drawn to the “doing” more than the books, so if you can work in how your student nursing work really helped you and related to what your professors were teaching, it makes the idea of nursing school that much more appealing.
Lastly, think of a quick elevator pitch that can be used for kids. We all know how you should be able to sum up what you do and why it’s important in a quick elevator pitch to colleagues or at a networking event. But if you’re in your scrubs and a youngster unexpectedly asks you what you do, it’s great to have a response. Start by saying, “I’m a nurse. Do you know what a nurse does?” Then sum it up in one or two sentences.
Getting kids interested in a nursing career helps the younger generation understand nursing. More importantly, getting them interested will help ensure a steady pipeline of younger nurses to meet the real growing need for qualified nurses.
A new year often inspires us to think about fresh starts, new opportunities, and big changes. Some people use the clean calendar for the push they need to get them into a new or more satisfying career or role.
But if you like your job or aren’t quite ready to make a big change, there are ways you can make your old job seem new to you. It’s not always about your job duties, as it is the attitude you use to approach each day at work.
Here are a few ways you can make your old job feel like new.
Remember What Brought You to Nursing
What made you apply to nursing school in the first place? Try to revisit all the reasons you knew a nursing career was a good fit for you. Reflect on the positive experiences you have had that just affirm what you knew when you started on this path.
Recommit to Your Career
Vow to stop feeling lackadaisical about going into work. Take a new approach to decide that you will actively seek out experiences and opportunities that will make you a better nurse. Either change or make the best of the job duties you don’t love, but really enjoy the ones where you get the most satisfaction.
Treat Today as Your First Day
Imagine today is your first day on the job. What are you looking forward to? What do you like about the organization you work for? What are you unsure about or confident about? Asking all those questions can sometimes give your attitude a jolt.
Talk to Nursing Students
Students offer a lot of enthusiasm and energy for the job. Talking with them and hearing their thoughts, their new approaches to tasks, and their hopes for nursing’s future can inspire you in your own career path. They might show you a new way to do something or you might be motivated to even become a nurse activist.
Find Your Weakness
Be honest with yourself – what is your weakest nursing skill? If you can identify it (and everyone should be able to), then it’s time to fix it. We can all get better at something. Find what you can improve and do it. It will make you a better nurse and give you a confidence boost. And you’ll probably improve your work reputation, too.
You don’t have to change your job to make things feel different and new. Take the time and energy to bring a different approach to each day and you might be surprised at the long-lasting and positive results.
A recent poll has once again handed nurses nationwide a reason to celebrate this holiday season. For the 15th year in a row, the nursing profession has been ranked as the most trusted in a long list that includes everything from senators to college teachers.
In the recent Gallup poll, 84 percent of Americans polled rated nurses’ honesty and ethical standards as high or very high, besting other professions. By comparison, pharmacists earned the second spot on the list with a 67 percent in the same category and members of Congress came in at the very bottom with 8 percent of respondents ranking them as high or very high in the ethics category.
In general, those in professional health care fields were seen as more honest and ethical than many other professions. Medical doctors earned a 65 percent and dentists earned a 59 percent rating.
Gallup first held this poll in 1999 and nurses have topped the list every year since then except for one. In 2001, firefighters were included on the list in the wake of the 9/11 attacks and they came out at the top of the list.
It’s no surprise to nurses that they are at the top of the rankings. Nurses have always been advocates for their patients and have the patients’ well being and interests as their top priority. In addition to holding a common outlook, nurses in the field are well prepared in school to tackle dilemmas they might never have expected. There are nursing codes of ethics to uphold, confidentiality to protect, and a sense of duty and a responsibility to do what’s right that nurses share.
In nursing school classes in ethics examine tricky situations nurses might encounter in a real scenario. With all that training, even the newest nurses are ready to handle themselves with the highest level of professional conduct.
Congratulations to all you hard-working nurses on this important recognition. Ranking as the top profession for honesty and ethical standards is something to be proud of in the new year!
In the past, most nurse roles on television were played by women. Just as the number of men in the nursing profession in real life is increasing, we’re likewise starting to see more men in nursing roles on television.
We chose some of our favorites—because we either loved or could barely tolerate them or they made an impact during their time on the small screen. Here they are, in no order of preference.
Fictional Character: Thor Lundgren
Played by: Stephen Wallem
Show: Nurse Jackie
Everyone loved Thor—he was smart, strong, and funny as heck. And he tried to help Jackie. If he wasn’t shooting the breeze with Jackie in the chapel, he was dealing with Zoey. But in a moment’s notice, he was right there, saving patients. We’d want him as our nurse.
Fictional Character: Peter Petrelli
Played by: Milo Ventimiglia
With all the challenges they face, nurses in real life may often feel like they need superpowers. In the TV show Heroes, the nurse actually had them. Peter Petrelli, played by Milo Ventimiglia (who’s now starring on the hit show This Is Us), was working as a hospice nurse when he realized that he was evolved and could absorb the powers of other humans who were evolved. Wouldn’t that be great to do when working a double shift?
Fictional Character: William Dell Parker
Played by: Chris Lowell
Show: Private Practice, a Grey’s Anatomy spinoff
While he worked as a receptionist, Dell Parker was a qualified nurse and began training to work as a midwife. Unfortunately, his character was killed off in a car crash. But the time he had on the show, he made quite an impression
Fictional Character: Rory Williams
Played by: Arthur Darvill
Show: Dr. Who
As a nurse in a coma ward, Rory Williams is a close companion to the 11th Dr. Who, played by Matt Smith. Hey, he gets to help people and go in the TARDIS? What’s not to love?
Fictional Character: Clark Beavers
Played by: Jonathan Slavin
Show: Dr. Ken
Clark Beavers is hilarious. He calls Dr. Ken (played by Ken Jeong) his “work husband,” walks with a group at the mall, and really loves shrimp. But the reason we love him is because he makes us laugh.
Fictional Character: Jesus Velasquez
Played by: Kevin Alejandro
Show: True Blood
When he comes to work as a nurse for Lafayette’s mom, Jesus Velasquez ends up becoming the fabulous one’s boyfriend. He then introduces Lafayette to witchcraft and being a medium. While they worked well together, Jesus gets killed off, although he did return in a future episode as a ghost.
Fictional Character: Paul Flowers
Played by: Ricky Schroder
Even though he only graced us with his presence for a few episodes, nurse Paul Flowers made a big impression. He put up with Dr. Kelso’s nasty remarks, “That’s a woman’s job, son.” But he also dated Dr. Elliott Reid, played by Sarah Chalke. While she gets embarrassed by being with a male nurse who has been known to wear pink scrubs, Paul tries to show her the error of her ways. Unfortunately, she dumps him, and Paul was no more. But he showed how male nurses could be comfortable with their masculinity while they cared for patients.
As the end of the year draws to a close and you start thinking about resolutions and a fresh start, consider a few professional steps to boost your career.
At the top of your list should be your resolve to go to networking events and to make a lasting impression at each one.
You don’t have to be the life of the party and you don’t have to schmooze with each and every person there. Networking is a good way to meet others in your industry while also sharpening your professional communication skills.
If you’re a natural extrovert in social gatherings, networking events shouldn’t be too difficult for you. Introverts might have a harder time, but they can still be successful networkers.
No matter what your own networking personality is, there are a few things to remember that will help you work a room like a pro.
Practice Your Talking Points
You can, and should, practice your networking efforts. Invite some friends over and practice introducing yourself and making small talk that is meaningful. Practice with coworkers at lunch. Stand in front of a mirror and read off prepped cards. Practice until you are comfortable holding a conversation that has real impact with someone you just met.
Investigate the Event
Do a little legwork so you know what you want to accomplish. Do you want to meet a specific person? Do you want to find out about a new trend in nursing? Are you looking for information about certification? Decide what you want to find out and choose at least four people who can help you so you can introduce yourself.
Looking friendly doesn’t mean you have to plaster a smile on your face. But a natural smile helps when you are talking to others. Mingle. Chat with the person next to you. Do not stand against a wall or sit at a table silently. Be genuinely interested in what’s going on around you and people will catch onto that feeling.
Have a Prop
Some people feel especially uncomfortable if they don’t have something in their hands. If you relate to that, by all means grab a plate of food, a glass of water, or even just a small stack of business cards. Just don’t do more than one at the same time or it will get in the way of you being able to shake hands with people or hand out your business cards.
Because you are networking to connect, you will surely leave a networking event with some business cards or at the very least some names and contact information. Follow up with people who can help you, those to whom you can offer your help, or just people you formed a connection with.
Growing your professional network takes work and part of that is just getting out and meeting people at events. Each event brings something different to the table, so figure out how your professional experience and skills can shine in different situations.
And remember, you have just as much to offer as anyone else there, so don’t think of networking as something you do to get something. Figure out ways you can offer to help others, too, and you’ll be much more satisfied and likely to form strong professional relationships.
The holiday season always reminds us how hard it is to shop for certain people. Whether you’re roaming around Target or scanning page after page on Amazon, the same questions cross your mind. “Oh god, what was that awful band Uncle Bill loves?” Or “Your sister’s favorite color is purple, right?” What’s even harder than shopping for the not so close friend or family member is finding the perfect gift for someone suffering from a major illness. You want to help any way you can. You want to make the person feel better, hoping your gift will somehow tell the cancer to go away. As an 11-year survivor of a difficult cancer with no cure, called mesothelioma, I’d like to share my most memorable gifts and gestures I received during my battle with cancer. Hopefully, my personal stories and suggestions provide guidance to anyone struggling to find that perfect gift!
1. Gear the gift towards the individual, not the illness.
Try to distract the person of their illness, even if it’s for a brief time. Maybe you grew up together and have a bunch of pictures from your childhood. Make up a scrapbook filled with silly pictures, fond memories, and a few stories of your favorite times together! It’ll be sure to put a smile on the person’s face and get their mind off their illness.
Gift cards were also a huge help. I had friends who gave grocery store gift cards and offered to take me shopping–anything to lighten the load was extremely impactful. The people I used to work with all pitched in and sent me a gift card to Nordstrom and said, “We know you feel terrible. Go shopping, It’ll make you feel better.” I did just that and guess what, I did feel better! It made me feel normal just knowing that they thought of me, and it wasn’t cancer-related. To this day I still keep in touch with an old client who paid my car payment for two months. Not having to worry about where the money came from made life that much easier during a really stressful time, not just for me but my husband as well.
Gifting time to friends undergoing cancer treatment to do their holiday shopping, run errands, wrap their gifts, decorate their home (e.g., Christmas tree, lights) is very much appreciated, says Sandra L. San Miguel, MS, program director of the Center to Reduce Cancer Health Disparities at the National Cancer Institute.
2. Avoid food-like gift baskets.
To be honest, I didn’t use anything out of those giant snack-filled gift baskets.It’s a nice gesture, and extremely sweet, but I wasn’t able to eat any of the food because I was so sick. The cookies looked great, but the smell made me sick to my stomach. Caffeine wasn’t allowed, so some of the tea was off-limits. I felt bad not being able to use much from these expensive baskets filled with goodies, but my body couldn’t handle them physically. On the bright side, my husband enjoyed some of the items!
With that said, gift baskets can still be a great idea; however, only if they contain meaningful gifts, such as journals, coloring pencils/pens, hand sanitizer, candies (to get rid of the awful chemo taste), puzzle books, coloring books, books with motivational sayings, and favorite magazines, says San Miguel. “These baskets are great as later on they can be used to keep by them with their medicines, TV remote control, books, tissues, snacks, agenda with med appointments, etc.”
3. Donate to a special cause in the person’s name.
A former client of mine donated to the Mesothelioma Applied Research Foundation in my name, and that to me meant more than anything. Getting a letter from MARF saying that a donation was made in my name was truly special, and something I’ll never forget. It’s a really rewarding experience donating to an organization or charity connected to the individual–plus it helps so many others also suffering from the same illness! It was my first introduction to the foundation that has become an important part of my life.
The key to giving this holiday season is to remember the person who’s sick is still the same person. They may have chemo overwhelming their body, and energy levels at an all time low, but they’re still the friend or loved one that you’ve always known. Their interests, hobbies, and passions aren’t lost when diagnosed; rather, they use those same sources of positivity to help make their fight more tolerable. Distract them, help them, and most importantly, provide hope.