On March 19, nurses everywhere can honor the extra work they have put into getting certified as the nation celebrates Certified Nurses Day.
Sponsored by the American Nurses Credentialing Center and the American Nurses Association, Certified Nurses Day offers a chance to acknowledge nurses’ extra efforts to gain the board certification that establishes advanced knowledge and specialization in specific areas.
Nurses can earn certification in everything from national healthcare disaster certification to cardiac rehabilitation to nursing case management, sharpening their skill set and therefore improving the patient care they provide. But certification takes work. Nurses must pass a credentialing exam and complete continuing education to maintain certification every few years.
Registered nurses are able to practice nursing, but nurses who earn certification status in various specialties are valuable to employers for additional reasons. Their extra motivation and willingness to become certified signals a dedication to nursing and to patient care. Earning certification shows they pursue their passions to advance their skills and go above and beyond typical job duties.
According to the ANCC, Certified Nurses Day is celebrated on “the birthday of Margretta ‘Gretta’ Madden Styles, the renowned expert of nurse credentialing. An accomplished advocate for nursing standards and certification, for more than two decades Styles advanced nursing practice and regulation worldwide.”
Nurses who are board certified in any specialty can help educate other nurses of the value of obtaining this extra designation. And the healthcare settings, patients, employers, and others for whom nurses form an invaluable part of the team can bolster the efforts and recognize the extra work it takes to earn and keep that certification.
If you don’t have certification in a specialty you’re particularly interested in or if you want to obtain another certification, the ANCC can help answer questions. Each certification has different testing and renewal requirements, so it’s best to check what you’ll need.
Many certified nurses appreciate the expertise recognition their certification confers. If you are especially interested in an area of nursing and have knowledge that people turn to you for, getting certified makes your knowledge and professionalism recognizable to others. Some nurses say they are reluctant to take the credentialing exam as they aren’t sure if they will pass. If that is your concern, take the extra time to study. If you don’t pass, you can take it again. Not everyone passes credentialing exams on the first try, but that doesn’t mean you shouldn’t refocus and take it again.
On Certified Nurses Day celebrate yourself and your colleagues who have obtained this extra education. Make plans to go out to lunch or just to say thanks to your colleagues who are making an effort to improve nursing care and their own professional skills. If you are thinking about getting certified in a specialty, take steps today to get the process started. You’ll advance your knowledge, your career, and your profession while providing the best possible patient care.
Although patient safety affects each and every one of us, it’s not always a topic people dwell on. But nurses do and they will join the National Patient Safety Foundation (NPSF) in celebrating Patient Safety Awareness Week from March 12 to 18.
“Everyone is a patient and patient safety is a public health issue,” says Sara Valentin, CMP for NPSF, assistant vice president and program lead for Patient Safety Awareness Week. “But unless you are in the health care field or a patient or a family member of someone who has experienced medical harm in some capacity, you wouldn’t know about it.”
Patient Safety Awareness Week aims to educate and inform people about patient safety with tips for taking charge of your own health or for working in a health care setting. “Preventable medical harm is one of our top issues we focus on,” says Valentin. “Wouldn’t that be wonderful if that never happened again?”
One look at the news shows new systems and approaches have significantly reduced the instance of medical harm, but it still happens. “We have made progress, but we still have a lot to do,” says Valentin. “This is a good time to stop and pause and look at the work people have done.”
NPSF generally chooses a few topics to focus on during each annual Patient Safety Awareness Week and communication and medication safety are especially noted this year. And while there are lots of events to participate in and educational and practical tips to learn and share, Valentin says the NPSF also says a little levity helps keep the topic fresh. The organization is encouraging anyone to spread the word that “We are all patients” by posting photos of themselves in hospital gowns or in patient care settings using #WeAreAllPatients.
NPSF is celebrating National Patient Safety Week in many ways. They will host a Twitter chat (@theNPSF), “Patient Safety: What Patients Want (and Need) to Know,” on Tuesday, March 14, from 1 to 2 pm (ET). Use #psaw17chat to participate.
According to the NPSF website, a free webcast, “The Voice of the Patient and the Public,” is set for Wednesday, March 15, from 2 to 3 pm (ET) and includes several prominent panelists. Registration is required online at http://bit.ly/psawweb17.
According to Valentin, “Medication itself is a big topic.” NPSF plans to offer information, resources, and facts to help people protect themselves from medication errors and to make anyone handling medications aware of where things could go wrong.
Good communication is a significant deterrent to medical errors, but in the hectic health care world, it requires constant diligence from everyone. Patients can look at their relationships with health care providers as partnerships where they should ask questions and clarify instructions until they really understand what the final plan is.
Nurses can give their patients the time to ask questions. Even when it seems like you cannot squeeze one more minute out of the day, spending a few extra minutes to make sure a patient understands the proper medication, the correct dose, and instructions for taking it is essential. She says, “You can ask, ‘Do you have any more questions,’ or ‘Are you comfortable with what we have talked about?’” Some patients are especially easily overwhelmed in a medical setting and might not listen to each and every thing you are saying. Giving one last opportunity to clarify things can prevent mistakes.
And nurses can continually tweak their own processes. Nurses also need to listen to each other carefully to make sure they are both communicating and understanding everything that is needed and being said.
And while this one week will highlights the critical importance of avoiding errors, Valentin says nurses know it’s a 24/7 issue. “Every day is patient safety day,” she says. “This is a week to celebrate, but it’s something we work on every single day.”
During this year’s CRNA Week (#crnaweek), there are many nurse anesthetists who are remembering why they got into the profession, and even more are reflecting on how the face of the profession is changing.
John Bing, BSN, CRNA, American Association of Nurse Anesthetists (AANA) Region 6 director, and national AANA board of directors member, says one of his steadfast missions is to make sure the field continues to attract top nurses, but that it is especially welcoming to aspiring minority nurse anesthetists.
Bing knows first-hand how hard it is being a minority in the field. When he first started out, he was often the only African American in the OR, he says. At times, people assumed he was part of the housekeeping staff. Although he laughs about it now, Bing has made it a direct part of his mission to attract more minorities into this field.
He even takes on leadership positions with the primary goal of making sure he is representing the minorities in the field. “You need to see that in leadership,” he says. “If others don’t see that, they won’t see a place for them. I make sure they see it.”
“Many times you would go in and you were it,” he says of when he started out. “Maybe you were the only one in the hospital or the department. Now you go in and you see a fair amount [of minorities].”
As a president of the Diversity in Nurse Anesthesia Mentoring Program, Bing also makes sure his students know why he enjoys this profession so much.
One of Bing’s specific approaches is to make sure he talks to patients as the anesthesia takes effect. He finds out what they like so they can chat about it—sports, cooking, books, kids—anything that helps them relax. “That’s like a sedative,” he says. “It calms them down and they remember that.”
And while he’s monitoring a patient, Bing does exactly what he teaches his students—he assesses his patient over and over and over. “You must rely on your instinct,” he says. During travels with students to countries like Nicaragua, Bing teaches students that not every machine is calibrated the same or even correctly.
“The machine is a guideline,” he says. “You are ultimately responsible for anything that happens. You can’t blame the machine for anything. Look at the patient.”
Bing says that while he’s checking blood pressure every five minutes or so, he is constantly “circling the block,” as he calls it. All the machines are incredibly helpful, but they should only confirm what a nurse anesthetist is seeing, hearing, smelling, and touching.
And getting stale in this profession is not an option, he says. “I say to my students, ‘Tell me how this patient could die today,’” he says. That forces students to look at the big picture and not just look for complications, but to look for other factors that could impact that patient on that day.
Bing clearly enjoys working with his students, but he understands first-hand how sometimes they are not the ones who chose the profession. “The last thing I thought I would be was a nurse,” he says with a laugh. As an African-American, there were few role models that looked like him.
A chance look at a jobs list that revealed six pages of nursing jobs, convinced Bing, an athlete in high school and college, to take a look. Bing says he turned to his buddy he was working out with and said, “We get to be around girls and have a great job!” But he still didn’t expect to land in this field. Eventually, nurses in the recovery room where he worked nudged him to give it a try.
Now, Bing’s mission is to attract minorities into nurse anesthesiology. He speaks to kids in schools, paying special attention to making the field appealing to boys and young men. As it is, 49 percent of nurse anesthetists are male, he says, which is a high number considering less than 10 percent of all nurses are male.
But Bing lets kids know that there are chances to be out on a helicopter go team or even in the midst of trauma situations. “Men like that kind of stuff,” he says and it certainly gets the attention of younger kids who don’t know those possibilities exist.
Add in the good salary, the camaraderie, and the fair amount of autonomy, says Bing, and a career as a CRNA shows kids who might not initially consider a nursing career that the path is open to more possibilities than they ever imagined.
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.”
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.