It’s Time to Get SMART

It’s Time to Get SMART

Wow!! Can you believe that the first month of the new year is almost over? Many of us made resolutions that are probably already broken. So, what is a resolution? It is when people make a decision to do or not do something.  It has become a ritual to make them on Dec. 31st and usually by Jan 31st they are no longer being followed. Often, those decisions are generalized and vague. Here are some examples: I plan to exercise more, I am going to eat more healthy, or I am going to save money. No wonder by the end of the month people revert back to their old ways.

Instead of making “resolutions” we need to set goals that are more attainable and realistic. An acronym that works is to set SMART goals, which can be measured and determine if they have been reached. Using this principle can be applied to anything that you do and all aspects of your life (personal or business). Following is a breakdown of the elements of effective goals:

SMARTS-specific: who, what, when, where, why; simple yet significant.

M-measurable: How will you know that it has been reached? meaningful & motivating.

A-achievable: Can this happen and how? Can this goal be attained?

R-relevant: How does this help you overall to meet the goal? Is it realistic and reasonable?

T-time-bound: set a deadline or time-frame, when will this happen?

So those same resolutions set as SMART goals would look like the following:

  1. I will walk for 30 mins. each day for one month.
  2. I will avoid sugar and eat more vegetables for one week.
  3. I will start saving $50 each pay period for two months.

Make goals and establish how you will get there. You must keep track of your progress and evaluate and review them. Goals should be things that you actually have control over. With this format you can establish goals that will hopefully last until the end of the year or longer.

Never Give Up

Never Give Up

Over the past few months there have been several postings of nurses that have passed their Board or certification exams. Congratulations to you all.  Unfortunately, there have also been nurses that have not passed and have been discouraged. This is a message to you to “never give up.” You are not a quitter, you have taken the initiative to choose a rewarding field and have studied long and hard for two to four years.

You made it through course work and clinicals so don’t let this defeat you. Everything happens for a reason, even though we may not understand it. Take this time to step back, regroup, and refocus. Most people do not realize that failure can be a stepping stone to success. During this time you learn about your life, goals, and other things that make you who you are. Failure will actually make you stronger and wiser. You will have more knowledge and will find ways to achieve your goals and success.

There have been several people that failed, but never gave up: Take Bill Gates, at an early age his first computer company failed, but he did not give up and he made billions and gave us Microsoft, Windows, Excel PowerPoint. Colonel Sanders failed at almost everything, but at age 65 he developed his famous chicken recipe that was rejected by over 1,000 restaurants, but was finally accepted by one. Dr. Seuss wrote his first book and it was rejected 28 times, but he did not give up. At the time of his death he had sold over 600 million copies of his books.

Although these people were not nurses, it shows you that even though they failed, they did not stop. According to the National Council of State Boards of Nursing (NCSBN), you can retake the exam 45 days after failing and up to 8 times a year.

The real FAILURE is never trying again, so NEVER GIVE UP!!

Celebrate Nurses 365 Days

Celebrate Nurses 365 Days

We just recently celebrated National Nurses Week and everyone has returned back to their normal work routine. During Nurses Week many received breakfast, lunch, cookies, candy, pens, t-shirts, and other trinkets from their nurse managers or facility. Unfortunately, many nurses did not receive anything. Now that the week is over, does that mean that all of the celebration and appreciation is over?

It is sad that nurses have spent years going to school to obtain degrees and certifications and spend more time with their patients than their own families. Nurses work 365 days out of the year, yet they are only celebrated for seven days. Nurses focus on taking care of patients, being caregivers, nurturers, teachers, and counselors; in addition to providing treatments, performing procedures, and administrating medications. Sometimes they are yelled at by patients, families, doctors, and often by their own colleagues.

Nurses endure a lot of stress on a day-to-day basis. This is not to say that all days are bad; because there are plenty of days when you feel happy and proud to be a nurse. Although money would be welcomed by every nurse, sometimes it is the little things that make a difference. A thank you from a patient when you take the time for a brief moment just to sit and talk with them, from a family member who notices the care that you give their loved one, from a doctor who is notified by you regarding a critical lab value or assessment on a patient, or by your colleagues when they noticed you doing a task well.

Oftentimes nurses take care of others, but forget about themselves or their fellow nurses. There is no rule that says nurses should only be celebrated for one week. Nurses should be appreciated every day. Nurses should find ways to celebrate each other. You do not have to wait for one designated time of the year or wait for management to give recognition.

Although most nurses would welcome a monetary gift, sometimes the simple things are more valuable. Every nurse should start a “Nurse Appreciation” project. This can be done daily and is not limited to your unit. Make it a point to recognize a nurse daily. If you notice great customer service or patient care, let that nurse know immediately. If they help others or volunteer for special projects without being asked, show your appreciation. Create a “Nurse Spotlight” bulletin board, many people like to see their name in print and it shows other staff and patients the positive aspects of the unit. This project could also boost the morale of the unit, thereby increasing nurse satisfaction, which would have a positive effect on patient care.

Thank you all for your compassion, knowledge, and expertise. Let’s make a change and have “Nurses Year” and celebrate each other for 365 days.

You Will Never Know How Far You Can Fly Until You Spread Your Wings

You Will Never Know How Far You Can Fly Until You Spread Your Wings

I have been a nurse for 30 years and have worked in various areas of nursing: Oncology, Gyn-Oncology, Home Health, TeleHealth, Legal Nurse Consulting, Teaching, and Endoscopy. During nursing school and as a new nurse I thought that I could only work in a hospital as a floor nurse or in a nursing home. As I gained experience and began to grow, I found that there were many other areas that needed to be explored. Nursing is a constantly changing field and in order to grow, you must move and spread your wings. You should never stop learning. Nursing is a rewarding career and if you always remember why you became a nurse (other than for the money), it will help the bad days appear better. If you ever get to the point that you feel stagnate, don’t give up, GET MOVING!! Some ways to help you grow is to go back to school and advance your education, change your specialty, and gain new knowledge and experience.

Too many times nurses are quick to give up after a few years in practice, but with anything that you want to perfect it takes time, commitment, and patience. There is no rule that states that you have to stay in a certain area for years. Oftentimes, nurses stay in the same area and they become frustrated and burned out. This can have an untoward effect on the care that is delivered to patients and affects the morale of the nurse and the unit. These are the nurses that are angry and complain, but they are afraid to change. Often these are the same nurses that are selected to be preceptors for new nurses. This is not a healthy environment for the new nurse, because this can cause them to question if they want to stay in the nursing field.

So as nurses, we need to explore other options to work, without giving up on the career we worked so hard for. One positive change that needs to be implemented in nursing school is for instructors to inform students that there are multiple fields available to them. There are several non-traditional areas to choose, such as doctors’ offices, walk-in clinics, school clinics, insurance companies, and you can even work with attorneys, where they rely on you for your health care background.

If I had never realized that I could work in other areas, without giving up nursing, I probably would not have been a nurse as long as I have. Even at this point in my career, I am still seeking and searching for new learning opportunities. I want to expand my knowledge and experience, and I would encourage other nurses to remember to spread your wings so that you can grow.

Am I The Picture of Health? Confessions of A Stressed Out Nurse

Am I The Picture of Health? Confessions of A Stressed Out Nurse

I had never received the backhanded compliment of “oh, she has such a pretty face” until recently. That was a compliment reserved for fat women. I did not consider myself fat at all. I would describe myself as overweight, but never fat. If I could still purchase clothing out of regular department stores, I did not believe myself to be obese. Even when I was hospitalized last year and the doctor’s notes said “…obese, 47yrs old female,” it did not truly register. However, once my vanity was attacked it hit home.

Sometimes, I see myself in the mirror and wonder how did it get to be this way. I am 5’4″. I weigh 210 lbs and am a Registered Nurse! Euphemisms like “thick,”” full-figured,” and ” healthy” only mask what I know to be the truth. This body that I live in is well on its way to diabetes and hypertension. Thankfully, in this moment I do not have any of those diseases, but it is just a matter of when, not if.

Being overweight has affected my self-esteem, my sense of self-worth, my self-love. It feels like a self-inflicted punishment. When I think back to when I was slim and feeling good, it almost brings me to tears. I start asking myself how did I let it get this out of hand? Why didn’t I just get up from the table? Stop eating at fast food restaurants? Continue to exercise? I am not a fat person who does not know how I got fat. I know exactly what I did, which I think makes it all the worse.

There are times I find it difficult to teach my patients about health and wellness. I wonder if they are looking at me and finding me a hypocrite. Or are they realizing that I, too, understand how hard it is to walk that path.

The heavier I became, the more crap I accepted from the men I dated. I no longer felt I that should be respected or loved entirely. Glad that they were in my life was enough. Trust me, when you do not love you, no one else does either. I stayed with a man who told me that he did not usually date “big girls.”  So, I sat wondering, should I feel special that you chose me? I found myself always trying to overcompensate for not being thin, for not being his ideal of beauty. I was showing him that my love was not worth it because it did not come in a perfect size 4, 6, or 8. I was depleted walking out of that one.

So now at this juncture, I am ready to lose the weight. I mean do what is necessary to get to where I feel comfortable in my skin. This is not simply about my vanity, but about my life, my health, and self-love. So, I am inviting you on this journey with me. Come along.

Hi, I’m Erika.

Ciao Bella!

Why Women in Healthcare Are An Endangered Species

Why Women in Healthcare Are An Endangered Species

Women represent nearly 80% of the healthcare workforce, and they represent 77% of hospital employees. Also, 26% of hospital and health system CEOs were women in 2014. Statistics show the number of women in healthcare is rising, but there are still challenges. One of the most widely talked about challenge is gender inequality, including the lack of women in leadership positions. While gender inequality is important, this issue is not why women in healthcare are an endangered species.

Women in the healthcare industry are just as likely (if not more) to suffer from anxiety, stress, depression and other mental and emotional issues. Like most healthcare workers, women who are physicians, registered nurses, home health aides and more enter the field with a passion to help others. But if you fall into these categories, how many times have you neglected your own needs? Shouldn’t you treat yourself with the same care as a patient?

While the term endangered is normally used in reference to animals, you’re surrounded by just as many threats as a leopard in the wild. For decades, women in healthcare have suffered from stress, fatigue, strain due to schedule, insufficiency in internal training, and injuries from physical tasks. According to the American Foundation for Suicide Prevention, female physicians die by suicide at a 400 percent higher rate than women in other professions. One article posed the question “who takes care of the caregivers?”

The answer is YOU!

There are some issues in healthcare that is a work in process, but you have the power to positively influence your well-being today. Your patients need you. Your family needs you. And, you need you. So, treat yourself with proper rest, prayer, stress management techniques, supportive relationships, and be the first thing on your to-do list by adhering to your discovery checklist.