If you consider yourself highly empathetic, adaptable, and patient, crisis nursing might be the right field for you. This ever-growing nursing niche involves administering care to patients experiencing issues with mental health, substance abuse, trauma and co-occurring disorders. Each day, crisis nurses hop into action to help de-escalate and diffuse crisis situations while providing essential medical care, proving that some heroes wear scrubs, not capes. But we already knew that!
Before you determine whether this is the right nursing job for you, you want to figure out what crisis nursing is all about and do a deep dive into some of the things these patient professionals do daily. Read information on crisis nursing and discover some of the key skills, traits, and qualifications below to help you determine if you should become a crisis nurse.
What Is a Crisis Nurse?
To put it simply, crisis nurses work in situations of emotional turbulence and disturbance, such as when a person is depressed, suicidal, grieving, or displaced from their home. Additionally, crisis nurses are often asked to travel to provide care after natural disasters and health care emergencies, such as during a particularly destructive hurricane or during the COVID-19 pandemic.
These nurses are adaptable enough to fit in where needed and can help address some of the unique challenges of patients suffering through a crisis, from grief and suicidal thoughts to traumas such as job loss and homelessness. Like standard travel nursing assignments, crisis nursing jobs typically last for 13 weeks, but they can be anywhere from eight and 26 weeks long, depending on the specific needs of the area.
Yes, It Pays More
So does crisis nursing come with a monetary incentive? Yep! Because of their willingness to adapt, travel, and work in turbulent situations, crisis nurses earn a higher salary than nurses who work in non-crisis environments. In fact, many nurses in these roles earn something called a “crisis rate” or “crisis pay” which can be up to $20 more per hour than the standard rate for the hospital.
This makes crisis nurses among the highest-paid nurses. But higher pay doesn’t automatically mean a better situation. As we learned from the measurable spike in nurse burnout during the COVID-19 pandemic, crisis environments can take a serious toll on health care professionals. It’s not for everyone, but if you’re willing to hop in where needed and know how to manage feelings of burnout, the additional pay may be worthwhile.
How Do You Become a Crisis Nurse?
The required qualifications of crisis nursing vary widely from one system to the next, but all employers require you to start out by obtaining your registered nurse (RN) degree and license through an accredited nursing program. From there, you may be required to complete at least a year of related work experience in a role within psychiatric, addiction, or mental health. You’ll also want to prepare yourself for the potential of periodically relocating and how that could affect your personal life and housing.
Qualities Required of a Crisis Nurse
All RNs know that even non-crisis nurses occasionally face crises in virtually every health care environment. It just comes with the territory of working in medicine and no one should become a nurse without understanding that. With that being said, crisis nurses are specially trained in things such as de-escalation, passive non-compliance, and trauma-informed care. Some of the key personality traits required for these skill sets include:
The willingness to be ready for anything. Because of the aforementioned crisis pay, these kinds of nursing positions are highly competitive and get snatched up quickly. One of the key characteristics of a successful crisis nurse is his or her ability to drop everything and spring into action to fill a vacancy.
Empathy. Crisis nurses can’t just be in it for the money. They have to be willing to relate to what patients and their families are going through in order to provide adequate care. Empathy is key for nurses because it helps them build trust with patients and in turn strengthens communication, which is extremely critical during those essential crisis moments.
Interpersonal skills. Knowing how to communicate with others—especially those who are in states of crises—is crucial to helping people in these scenarios because it helps with de-escalation, motivation, and understanding key indicators of broader issues. Plus, like having empathy, it helps patients and their family members trust you so that you can provide adequate care.
Physical fortitude. All nurses need to be able stay on their feet—and their toes—for long shifts, but a good pair of comfortable nursing clogs are designed to help those working in crisis scenarios. This field puts nurses in the most demanding and busy workplaces, so physical endurance is key.
Adaptability. One of the many things we learned during the COVID-19 pandemic is that health care systems require extremely flexible and adaptable staff during crisis situations. For example, as many individuals opted out of elective surgery, the demand for critical care nursing grew and nurses had to hop into the chaos wherever they were needed.
Good judgment. Things move fast in crisis scenarios, and providing successful patient care requires nurses who are able to think critically on their toes, making good decisions along the way. They need to know how to respond and when to bring in additional resources.
The willingness to support your coworkers. Being a team player is absolutely essential in crisis nursing when things are changing rapidly and there isn’t always enough support. The willingness to dive right in and assist where needed is especially important in situations where you’re brand-new to the environment and your coworkers may not automatically be comfortable leaning on you.
A Rewarding Nursing Niche
You already know that our communities are facing a large, looming nursing shortage, and it’s likely that the shortage will involve a lack of nurses trained in crisis and trauma. For nurses who want to work directly with the community and make a measurable difference in their patients’ lives each day, crisis nursing is a fantastic opportunity!
A critical part of treating patients is identifying exactly what injuries and ailments they are struggling with. To that end, medical professionals rely on a great many diagnostic tools to help them accurately identify patients’ health conditions. Some of the devices are multipurpose, while others are more targeted—but all are important tools in a clinician’s diagnostic kit. Here are nine essential diagnostic tools that all clinicians in scrubs should have.
No clinician can be without their trusty stethoscope. These devices allow medical professionals to listen to the heart, lungs, and other vital organs, helping them give more accurate diagnoses and better treat patients. There are many different types of stethoscopes available for every budget. If you’re looking for something more technologically advanced, you can also look into getting a Bluetooth stethoscope, which offers capabilities such as audio amplification and recording clips. Bluetooth stethoscopes are an especially good choice for providers who have hearing impairments or loss, and thus struggle to use a traditional stethoscope.
2. Pulse Oximeter
Once an afterthought in some circles, pulse oximeters are now experiencing a time in the spotlight due to the ongoing coronavirus pandemic. (Low oxygen levels are an early warning sign that medical intervention may be needed in COVID-19 patients who otherwise seem to be doing well.) Pulse oximeters measure the percentage of blood hemoglobin carrying oxygen by passing a beam of red light through the fingertip and assessing how much light is absorbed. You should absolutely have one of these diagnostic tools in your nursing bag, especially if you work with patients who are likely to have COVID-19.
Speaking of tools that can be used to diagnose coronavirus, you should definitely have a thermometer on hand as well. There are many different types of thermometers available. The fastest and most accurate is a digital thermometer, which uses a metal probe to take the temperature, which it displays on the digital screen readout. However, infrared “no touch” forehead thermometers are also getting a lot of attention these days, as they cut down on the risk of transmission. Whatever type of thermometer you decide on, make sure that you thoroughly clean it before and after each use, even if it doesn’t actually touch the patient.
4. Reflex Hammer
The humble reflex hammer can be used to diagnose joint reflexes as well as bone fractures in the joint. Go with the classic triangle-head Taylor hammer, or choose from several other designs, such as the Buck and Babinski hammers. Most hammers cost only a few dollars apiece, so there’s really no excuse for not having one among your clinical supplies.
5. Blood Pressure Cuff
Blood oxygen levels aren’t the only thing about the blood that can help you diagnose health conditions. Blood pressure is also an indicator of heart disease and stroke risk. Combined with a stethoscope, a traditional blood pressure cuff will help you measure both the systolic and diastolic blood pressure. Alongside a stethoscope, this is one of those diagnostic tools that you should never be without.
Another affordable yet essential diagnostic tool, penlights are used to assess pupil response and check for injuries such as a concussion. They can also be used in a pinch to look into cavities, such as the ears and throat, though dedicated diagnostic tools are more convenient for that. Most pens come with a pupil gauge on the side to help clinicians quickly assess pupil size. If you tend to lose your penlights, look for one with a clip that will help it stay put.
An ophthalmoscope is a specialized light that allows you to look directly into a patient’s eyes—or rather the back of their eyeballs—which can be used to assess the health of the retina, optic nerve, vasculature, and vitreous humor. This specially designed light lets clinicians examine the eye without blinding the patient. Ophthalmoscopes are often sold in a set with otoscopes. These two devices should not be confused for each other, despite the similar names. Otoscopes should not be used in place of ophthalmoscopes and vice versa, as the eye is a very delicate organ that needs to be examined carefully.
An otoscope is a specialized light that clinicians use to examine the ears and sometimes also the throat. The light is focused using a disposable plastic tip, which also helps protect the light from unsanitary ear wax and other substances. Using an otoscope, clinicians can look directly into the ear to assess the health of the eardrum and ear canal, as well as check for any blockages or injuries. Make sure to change out the disposable tip after each time you use the otoscope to keep yourself and your patients safe.
9. ECG Machines
Historically, ECG machines have been large, clunky and expensive. However, thanks to technological advancements, ECG devices are now shrinking and becoming more portable and affordable. One especially exciting development is the Eko DUO Stethoscope, which combines the benefits of a digital stethoscope with the functionality of an ECG machine. With the DUO, you can listen to your patient’s heart and lungs and then immediately take a reading of their heart’s electrical signals. As technology continues to improve, we will no doubt see more and more accessible devices such as the Eko DUO stethoscope come onto the market for clinicians.
Diagnosing a patient isn’t always easy, but diagnostic tools can help aid the process and give more insights into a patient’s state of health. Whether you’re new to the medical field or a seasoned clinician, you should definitely include these nine diagnostic tools among your clinical supplies.
Due to the ongoing coronavirus pandemic, telehealth visits conducted via video calls are becoming more common than ever, and more insurance companies are covering them, too. The annual physical you once had in a doctor’s office may now be taking place over your webcam instead. You may be wondering how you can make the most of your telehealth appointment and make it easier for your nurse, doctor or other professional in cotton scrubs. Here are seven things that you can do to improve the experience on both sides.
1. Know what you want to talk about.
Just as with an in-person visit, you should come to your telehealth appointment prepared to discuss your health concerns. Make a list of everything that you want to cover, and prioritize them from most to least important. If you’ve been exhibiting symptoms, track them in the weeks leading up to the appointment and keep a log of them so you can note any trends over time. Have your notes with you, as well as a working pen or another way to jot down things during the appointment. This will maximize your appointment time and help your doctor or nurse treat you more efficiently.
2. Test the telehealth service beforehand.
If you’ve never had a telehealth appointment before, download the software or create an account and log in before your appointment begins. You won’t be able to actually video chat your provider until the appointment starts, but you can familiarize yourself with the platform and make sure that your camera is working. Depending on what service your provider uses, you might also be able to message your providers, schedule an appointment without having to call and more. If you have any trouble with the platform, contact tech support and try to get it resolved before the day of the appointment.
3. Get a strong internet connection.
Video calls require a strong internet connection, so run a speed test to ensure that your internet connection can support your video call without dropping. If your internet connection is weak, you might need to ask other people in your household to refrain from streaming videos and other activities that take up bandwidth when you’re in your telehealth appointment. If your Wifi is still weak and you’re the only person on it, you might need to look into upgrading your plan, getting a better router or installing a signal booster to extend the range of the Wifi.
4. Choose a quiet room.
Selecting the right room is equally important to having a good internet connection. Choose a quiet space with a door that can close so you won’t be interrupted. If you have pets, put them in their kennels or a separate room for the duration of the call. Let your partners, roommates, and children know that you’ll be on a call and that they shouldn’t interrupt you. Make sure that the room is clean, double-check that the background behind you is plain and professional (a blank wall is fine) and confirm that you have good lighting so your provider will be able to see you clearly.
5. Log in early.
Don’t wait until the last minute to log into the platform in case you have any unforeseen technical difficulties. Five to 10 minutes before your appointment is supposed to start, get set up in your room and go ahead and log in. There may be a virtual waiting room where you can chill. If not, you can just sit on the platform. Try not to get distracted by social media or other websites. You don’t want to miss the start of your appointment! If you have any medical devices your provider will need to look at, set those out on the table so you can easily access them during the appointment.
6. Volunteer to offer feedback.
Many health care providers have only recently installed telehealth platforms, and may still be working out the kinks. You may receive a survey after your appointment asking you how the telehealth visit went. If you’d like to help your providers improve the platforms, be sure to fill that out and let them know how it went from the patient side. If they aren’t sending out a survey, you can suggest the idea to them, or offer to provide more informal feedback via email or another way. After all, the whole point of health care is to improve patient outcomes–so as the patient, your opinion matters.
7. Know when you need an in-person visit.
Telehealth is a great technology, and it offers many advantages over in-person visits. However, sometimes you simply need to see a medical professional in person. An emergency is an emergency, so if you have sudden chest pain, weakness on one side of the face or body, or sudden difficulty breathing, you need to go to the emergency room or call 911 immediately. Your doctor may also prescribe some in-person visits, such as bloodwork and other tests, that cannot be conducted virtually. Use common sense and schedule an appointment in the office when it can’t be taken care of virtually.
A nurse can’t listen to your lungs with their stethoscope via a telehealth visit, but there are many positive aspects of virtual appointments. Telehealth keeps both providers and patients safe from a contagion, and increases access to care for patients who have trouble leaving the house for one reason or another. If you’re new to telehealth, or just looking to have a good experience during your next appointment, follow the seven tips outlined here. Your provider will appreciate all the prep work that you did and you’ll be way more likely to have a positive telehealth appointment.
As if nursing wasn’t already tough enough, male nurses have to contend with a lot of negative, gender-based stereotypes whenever they don their cotton scrubs. These stereotypes make it more difficult for male nurses to do their jobs well, especially if patients are suspicious of their competence just because they’re male. Here are six male nursing stereotypes that need to be shattered.
1. All nurses are women.
While it’s true that women make up a very high proportion of active nurses, there are some men who work as nurses, too. Approximately 89 percent of nurses are women, and 11 percent are men. While this isn’t a high number, it does prove that not all nurses are women. Other numbers make it clear why nursing is an attractive profession regardless of your gender. The 2019 median pay for registered nurses was $73,300 per year, much higher than the median annual wage for all workers, which was $39,810. If you’re a man looking for a well-paying and fast-growing career in health care, nursing might be the ticket.
2. Nursing is an inherently female role.
Men are expected to be ambitious and career-driven, while women are expected to be caring and nurturing. As a result, caregiving activities are often associated with women’s roles. This includes child care, cooking, household chores, and tending to the sick. Some patients may assume that men lack the nature and bedside manner to be good nurses simply because of their gender, which just isn’t true. This stereotype is most apparent in OB-GYN specialties, since many female patients are uncomfortable with having a male nurse and don’t believe they can provide the care that they need.
3. Male nurses are failed doctors…
Since most nurses are female and most doctors are male, some people make the leap to conclude that any male nurses must have tried to make it as doctors, but couldn’t cut it. This stereotype is harmful because it treats nursing as inferior to being a physician, when, in fact, both roles are necessary to patient care. Without nurses to actually take care of patients and execute the day to day duties, doctors would be able to heal a lot fewer patients. Maybe a few people decided to enroll in nursing school because they couldn’t get into medical school, but the vast majority of nurses—both male and female—have deliberately chosen nursing.
4. …or studying to become doctors.
Some patients will also assume that any men wearing stretch scrubs must be doctors in training, a corollary to the above stereotype. They may ask male nurses how long they’re planning to work as a nurse before they become a doctor, or ask when they will be going to medical school. Again, this stereotype is fueled by the belief that nursing is inferior to practicing medicine. If patients make these kinds of statements, try to use it as a teaching moment to educate them about how nursing is not a gender-specific field and explain why nursing is just as legitimate as being a physician.
5. Men become nurses because it’s easier.
This stereotype is also related to the idea that being a doctor is superior to being a nurse. In this case, people believe that being a nurse is easier than becoming a physician and, therefore, assume that any male nurse was too lazy to try for a more rigorous health care career. Of course, as all nurses know, nursing is a physically, mentally and emotionally demanding career. No matter your gender, it takes resilience and toughness to make it as a nurse—and it is not automatically easier than any other health care profession.
6. Male nurses are a joke.
Media is to blame for this stereotype. Male nurses are either not shown at all, or they’re portrayed to be the butt of the joke. For instance, in the 2000 comedy Meet the Parents, Greg Focker (played by Ben Stiller) is a male nurse, and there are running gags throughout the movie that center on making fun of Greg precisely because he is a male nurse and doesn’t work in a more “masculine” profession. Treating male nurses as a joke, rather than taking them seriously, further contributes to stereotypes and undermines the serious work that nurses of all genders do.
These male nursing stereotypes harm male nurses and the patients they’re trying to treat. Help to do your part to dispel these myths by working to educate people whenever they express these stereotypes.
Whether your classes were newly moved online due to coronavirus, or you’ve been enrolled in an online class from the get-go, nursing students all over the world have suddenly found themselves taking classes remotely. To help with the adjustment, here are our nine top tips for acing your online nursing classes.
1. Don’t assume online is easier.
Just because you can wear sweatpants, it doesn’t mean that online classes are a walk in the park. Plus, if you dress the part and wear your nursing scrubs, you’ll get into the nursing mindset. Some people make the mistake of assuming they can coast through an online class, believing that it will be easier than an in-person class. While online classes are certainly different from in-person ones, they’re not easier, just hard in a different way. Believing that you can slack off in your online classes purely because they are online will quickly lead to a failing grade. Taking it seriously from the beginning is the best recipe for success.
2. Get the equipment you need to succeed.
No, we’re not talking about clinical supplies. Take stock of what technology you currently have and what you might need to invest in. You’ll most likely need a reliable computer and other tools such as an external monitor, a mouse, and a keyboard as well. Test your internet connection and make sure that it can handle steaming lectures, video calls, and other high capacity tasks—the last thing you want is your internet cutting out in the middle of a quiz. If your internet isn’t up to the task, you might need to upgrade your plan or get a new router.
3. Embrace the possibilities of technology.
Online classes may be new and exciting territory for many people. They offer many fantastic possibilities for interactive learning that simply aren’t possible inside a physical classroom. In fact, many in-person classes still assign work that must be done online prior to class because the interactivity element of online programs can’t be reproduced. Online classes also allow you to connect with a much broader range of people from many different geographic areas, expanding your nursing network.
4. Participate digitally.
The words “class participation” probably conjure up images of raising your hand in class and speaking out loud to the group. While participation is definitely a part of online classes, it takes a different form. Usually, it means group forums where students host discussions on specific topics. It’s not the same as talking in person, but this format can actually be advantageous for quiet people who hate having to come up with comments on the fly. Due to the asynchronous nature of these message boards, you can read the discussion, take time to think it over, and post your comment when you’re ready.
5. Create a work from home space.
Even if you like to work from coffee shops or libraries, odds are that you’ll end up completing at least some of your classwork from home. If at all possible, try to create a work from home area outside your bedroom (you don’t want to associate schoolwork with your sleeping space). If that’s not possible, then at least set up a desk and chair so you’re not working from your bed. Try to place it near a window so you can take advantage of natural light. Be sure to set up some additional lamps, too, in case you end up working a lot at night.
6. Manage your time well.
Time management is one of the trickiest things for students to master during an online course, especially if the classes are pre-recorded and can be watched on-demand. Some people are distracted very easily, especially when working at home. They have every intention of watching that anatomy lecture and then end up spending an hour cleaning the house and folding laundry. Set aside blocks of time to work on your online classes and mark them off in your calendar, just like you would with an in-person class. Let your roommates or family know that you’re in school and ask them not to disturb you unless it’s an emergency.
7. Aim to turn your assignments in early.
Speaking of time management, turning in assignments early can help a lot with that. For in-person classes, you have to wait for the appointed day to turn in a physical paper. That’s not as much of a consideration for online classes. It’s a good idea to set a goal for yourself to turn in each assignment 1-2 days in advance. Even if you fall behind, which will happen eventually, you’ll still have that cushion built in so your assignment won’t truly be late.
8. Back up your work.
You should be doing this regardless of whether your nursing school classes are online or in person, but it’s doubly important for digital classes. Each week, if not each day, back up your work to an external hard drive as well as a cloud storage service such as Box, Dropbox, or Google Drive. If you must fill out quizzes or essays online, consider writing it in a separate document and then paste it into the field so you don’t lose your work if the submission doesn’t go through.
9. Ask for help.
Just because you’re physically alone in your house while you watch lectures doesn’t mean that you don’t have resources available to help. Your instructors should be able to help you via email, phone, or even video chat, and you also have your classmates to lean on. You might want to consider forming an online study group that meets regularly during Zoom calls to keep each other accountable. Don’t forget to explore any other resources offered for your classes, such as digital libraries.
Whether you’re taking online nursing classes by choice or not, digital courses are a new reality for today’s nursing students. Follow these nine strategies to knock your online nursing classes out of the park.