“ Once you know yourself, in this living stillness, there is nothing in this world that is greater than you”
One of the elements of discovery is “stillness”… I am sure you are thinking, ” What does that really mean? As healthcare professional, how can I incorporate STILLNESS into my life when I have been trained to move and move fast because it is the difference between life and death?”
Guess what, IT IS POSSIBLE! Let’s break this down a little bit more.
Many people see the word “stillness” and automatically think it means to have no movement which is true to a certain point, but from the perspective of discovery, “stillness” is the state of being or being one with yourself. Not thinking about the kids, what you have to cook for dinner, the bills you need to pay, but can’t… the job you dread, the co-worker or friend that gets on your nerves, etc. I mean you DO NOT think about any of that, just simply BE!! In the state of being is where we really and truly get to “know thyself” and not what everyone else tells us about ourselves. In stillness we allow the voice of the holy spirit, which is our GPS navigation system, to guide us through the streets called life. In stillness we learn to quiet the mind and not allow anything that is going on around us affect us. So when you are in a state of stillness, it doesn’t mean that things are not going on around you, it means that they are not going on within you. Let me make it a little clearer for you, you can be at work on a 35 bed med-surg unit with 10 physicians and 3 respiratory therapist on the unit, family all over the place, a supervisor who is screaming at staff, and a co-worker who scrolling through her social media timelines chilling while you have 10 outstanding task and not let ANY, I mean ANY of it affect you internally. The key is to create an intention of stillness which can be achieved by having some intentionality about how you are carrying yourself in a given moment and focus on what is within your control.
Now that we have what stillness means from the perspective of discovery out of the way, I can hear you saying “ Nicole I don’t have time for that”, I have to take care of my family, walk the dogs, manage all the household chores, manage the financial accounts, and I am sure that the list could go on and on but guess what you CAN practice stillness through all of this (I am not telling you what anyone told me but what I know)!! And to be honest if you want to live a life purposefully as a healthcare professional according to Gods’ will then it is a non-negotiable.
So let me share 4 tips that helped me to begin my practice of stillness and make the practice of stillness a ritual in my life.
1. Deep Breath- Yep simply deep breath! I hear you saying “and what is that going to help”? When we take deep breaths it induces the parasympathetic system and slows down your heart rate, which leads to a state of relaxation (use this one when you have trouble going on all around you so that it is not going on in you).
2. Schedule Time to Be- Look lets keep it real we all live busy life’s that pull us in 50 directions and many us live by a Google calendar which tells where to be and when. Well guess what place your “Be Time” on there too. It has been proven that anything we do for 21 days becomes a habit.
3. Get off Social Media- Yep I said it!! Get off Facebook, Instagram, Snapchat, etc. stalking pages and looking at fairytale lives that often don’t exist and practice just “ Being” (I was once guilty of this one, LOL). With the hours we spend on these sites weekly, we can really get to “know thyself” and find our purpose as a healthcare professional.
4. Find a Location that brings you Serenity- Know I know I said the state of being can happen when trouble is all around you which means we can have stillness anywhere but to get to a place where we can do this, we can get practice by doing it in areas where we find peace. So that may be by the water, outdoors with the birds chirping, a certain room in your home, etc. Practicing stillness in a location that brings you peace prepares you to be able to do it anywhere.
These tips are the very tip of the iceberg for practicing stillness because stillness goes much deeper but I wanted to start with building a foundation for you to build upon.
Remember in Psalms 46:10 we were told to “ Be still and know that I am god”.
A law is defined as a system of rules that are enforced through social institutions to govern behaviors. As citizens of our respective countries we all try our best to abide by the laws that have been set forth by our government so we can avoid any havoc in our lives and remain in a state of freedom. But what about laws for success and or to navigate this thing called life…do we have a system of rules in these capacities? According to Deepak Chopra there is a system of rules that have been set-forth to govern our path to success and life. In the book titled “ The Seven Spiritual Laws of Success” we are presented with a set of laws that serve as a practical guide to the fulfillment of our dreams.
My first thought when reading the title of the book was “ok so now I have another set of laws that I must adhere to if I want to be successful and have a fulfilling life, here we go with more rules and regulations”. However, after reading the statement “ Success is a journey, not a destination” and that “the law of success and life is the process by which the unmanifest becomes the manifest; it’s the process by which the observer becomes the observed; it’s the process by which the seer becomes the scenery; it’s the process through which the dreamer manifest the dream” in the introduction alone, I knew there was something different about these laws. I had a sense that these laws were getting ready to go into a deep spiritual space in which I honestly knew needed to be rattled up within me, so I dived in head first.
After being intrigued by the introduction, there laid the seven spiritual laws to success which were The Law of Pure Potentiality; The Law of Giving; The Law of “Karma” or Cause & Effect; The Law of Least Effort; The Law of Intention and Desire; The Law of Detachment; & The Law of “Dharma” or Purpose in Life. Each of these laws made me have a “ That’s Right ”moment as they went deeper and deeper into my spiritual space.
The law of Pure Potentiality let me know that I need to be still! Often times with the daily hustle and bustle of life and all the different moving pieces of our lives we don’t have to time to just sit in stillness. God has an assignment for each one of us and wants to give us special spiritual instructions to carry out our divine assignments, to go in the direction he wants us to go, or operate in the capacity in which he wants us to operate in but we are not in a state of stillness to hear from him.
The law of giving impressed upon me that I am not given money, joy, peace, etc. to hoard it, but rather I am given these things to share with others and every time I encounter someone I must GIVE! I must give a prayer, a compliment, a word of encouragement, or a flower. My giving can be material or nonmaterial but the bottom line is I must give something.
The law of “Karma” or cause and effect made me realize that before I perform any action, I need to ask myself two important questions, which are “what are the consequences of this choice that I am getting ready to make? and will this choice bring fulfillment and happiness to me and those involved?” and if the answer to these questions are not favorable then I need to stop in my tracks and consciously rethink my actions.
The law of least effort made me aware that I am not obligated to defend my point of view to anyone, but rather take that energy and put it toward something more purposeful.
The law of intention and desire provided me with a sense of ease as it let me know that my attention needs to be in the present, then my intent for the future will manifest because my future state is being created in my present state, as I must accept the present as it is.
The law of detachment forced me to come out of my comfort zone and to go into the area of uncertainty which is where all possibilities are located. When we detach from the norm then we are no longer attached to the things in which we are truly fearful of because in attachment lies our fears and insecurities.
The law of dharma or purpose in life encouraged me find my divinity. I was created for a purpose that me on only me can fulfill. It doesn’t matter how many other people do what I do, only I can do it my way with the talents and gifts that I express only the way that I can express them. Once I had the courage to truly get to know thy self then I was able to serve humanity by living on purpose.
To sum up what these laws have done for me is simple, they are ensuring that I am a law-abiding citizen who lives on purpose!
If there’s one question that I frequently get asked by nursing students, it is how to properly study to pass nursing tests and exams and make it out of nursing school alive. During nursing school I tried different ways to study and it took trial and error for me to finally find what worked best for me. Here are my top study habits to help you get those A’s and tackle nursing school exams.
Best Study Habits:
1. What type of learner are you?
First and foremost, determine what your learning style is. It’s imperative that you’re honest with yourself about the type of learner you are to get the best results from studying. Learning styles typically fall into 3 categories: visual, auditory or tactile/kinesthetic learning. Each learning style retains and processes information differently. So before signing up to be a part of that study group session find out if it works for you. Some students are able to study in only quiet places while others can concentrate around loud noise. Here are two educational websites that offer free learning assessments to help you determine which learning style fits you the best: https://www.how-to-study.com/learning-style-assessment/ and http://www.educationplanner.org/students/self-assessments/learning-styles-quiz.shtml
2. Be organized.
Before you begin studying collect all of your essential tools such as notecards, pens, highlighters, coffee, and wine (just kidding). There’s nothing worse than being in your groove when studying and you realize that you’ve forgotten your favorite pen or highlighter. Have a plan of what you want to study for each session and a realistic expectation of how long it will take to go over the material. Give yourself adequate time to review each subject and include break times for each study session. According to a study recently done by Microsoft the average adult has a concentration span of only 8 seconds. That is less than that of a goldfish! So studying straight for hours without any breaks will not help you retain the information more.
3. Set goals.
You had a goal to get into nursing school and you have a goal to graduate, so why not set goals when studying? If there is a particular topic that is a weak area for you take out your planner and set a goal for when you want to fully master that material. Create a study outline with exact dates, time and even the location for when you will study each material. This will help you avoid having to cram for exams. Your class syllabus should have dates for when exams and texts will take place so don’t wait until you’re two weeks into the class to begin setting your study goals.
4. Less is more.
One of the biggest mistakes you can make when studying in nursing school is using too many books or resources at once. Determine which resources are necessary for each exam and study that content. Professors typically outline which books or resources are appropriate to use for each course so use that as a guide on what to use when studying. If not you may run the risk of studying information that contradicts what you were taught in the classroom. Seek guidance from your professor when choosing to use other resources aside from what is required.
Nursing school is probably one of the most stressful and rewarding things you’ll ever go through in life. Help make things easier for yourself with the four study tactics I listed above to help you prepare for every test and ace those exams. Always remain positive and remember to relax before an exam. You’ve got this!
Stay connected with other nurses just like you! Facebook: Fierce Expression and Instagram: @fierceexpression.
Get Your Supplies Together
Vision boards are an excellent way to visualize your best life, goals, and dreams. Vision boards are a creative way to generate a visual of the things that you want to see manifested in your life, and a way to provide yourself a daily reminder of why you work so hard, and what your outcome will be. Creating a vision board does not have to be a tedious process. This can be a fun opportunity for a girls night, wine, and some creativity
Here is what you need to host your vision board party:
-Poster boards/Paper or Cork Board
-Most Importantly Some Good Wine/Vino
Have a Method to Your Board
There is no right or wrong way to do this. I tend to divide my poster board into sections by category. Divide you vision board into 9 different sections. The top three sections of the board (from left to right) should be prosperity, reputation, partnerships/love. The second row should be family, health, and unity. The third row should be self-improvement, career, and travel. You can see a visual example of several options on Pinterest.
It is important to remember that you can change or update your vision board as much as you deem it necessary. I typically opt for the cork board version of the vision board because it is easier to modify. If you are hosting the vision board party and would like to utilize the cork board, it may be more cost-effective to collect those funds from your guests in advance, or request that they bring their own if they would like to use that.
Don’t have the time or resources to buy supplies for everyone? Get digital with your vision boards. There are several different ways that you can complete a vision board digitally by downloading simple apps from App Store from Apple or the Android Market. I particularly like the Success Vision Board Application by Jack Canfield, the creator for chicken soup for the soul. You can also create one online at www.dreamitaliave.com.
Remember the law of attraction! Hang your vision board somewhere you will see it daily. Use it to inspire you and generate positive energy at the beginning of your day. Live and work towards your dreams every day.
Photo by keepitsurreal
Medical Malpractice is defined as the improper, unskilled, or negligent treatment of a patient by a physician, dentist, nurse, pharmacist, or other health care professional. Let me help make this a little bit clearer for you and share a few interesting facts and figures about medical malpractice:
- The belief that malpractice suits are filed with the intention of making a lot of money is false. A study done between 51 New York hospitals showed that poor, Medicaid, or uninsured patients are significantly less likely to sue for malpractice.
- The ratio of the number of people that die due to preventable mistakes and the number of people who file a lawsuit is low. According to the Institute of Medicine, about 98,000 die each year due to preventable mistakes, and hundreds of thousands more are injured because of them. However, only one in eight people actually file a lawsuit.
- The states with the highest per capita malpractice payouts are New York, Pennsylvania, New Jersey, Massachusetts, and Connecticut. While the lowest states are North Dakota, Texas, Wisconsin, Mississippi, and Indiana.
- It seems like a no-brainer that medical malpractice is preventable, but it’s the third leading cause of death in America. According to the Journal of the American Medical Association, 80% of events in the healthcare system are the result of human error.
- Malpractice suits usually deal with serious injury, and most people don’t bother suing over small accidents that don’t leave any lasting harm. In 75 different countries, 90% of malpractice suits involved permanent injury or death.
- Although nurses are usually in charge of nursing homes patients, many states have adopted special procedures for nursing home issues that don’t fall under malpractice.
- While the number of doctors has increased, some doctors still feel they’re handling too many patients. According to the Maryland Practice Team, 40% of doctors feel their patient volume can lead to errors.
- America spends $2.2 trillion a year on healthcare, and only $7.1 billion on defending claims and compensating victims. While that seems like a lot, it only accounts for 0.3 percent of healthcare costs.
- There are two common reasons for a malpractice suit. For inpatient errors, 34% of malpractice suits were because of surgical errors. For outpatient errors, 46% of malpractice suits were the result of errors in diagnoses.
- Only 7.6 percent of doctors found guilty in two or more malpractice suits were punished, and only 13 percent of doctors who were guilty in five or more malpractice suits were punished.
Wow, so that was a lot right? Yes it was! These interesting facts and figures may have you wondering how can I avoid being apart of a medical malpractice suit where I am defending my actions as a clinician. Well I am glad you asked! I would like to share 5 tips to help you remain free and clear of being a defendant of a medical malpractice case:
- Document, Document, Document– As a legal nurse consultant, I can’t tell you how many nurse are not documenting properly. Remember the things we were all taught in nursing school ” if it was documented, it wasn’t done!! It is very hard to go before a court and say “Oh I did it, but I forgot to document it”. I can tell you this is a automatic strike against you. Also make sure your documentation is clear and concise. It should paint a very clear picture of exactly what happened while that patient was in your care and not leave anything to the imagination.
- Check Physician Orders a Minimum of 3 Times Before Carrying Them Out- Listen I know how it is to be on a floor with 6 patients, all of them needing IV pushes, 3 of them are on the call light, and the physician is giving you 10 orders; can you say frustrating!! But we have to slow down and verify physician orders and if they do not seem right, don’t be afraid to question the physician on the orders. I have witnessed countless medical malpractice cases where the nurse carried out incorrect orders or orders that should have made a light bulb go off in their head and say ” I don’t think this is right “, and they didn’t verify the order and carried it out which caused serious damages to the patient.
- Write Your Notes Legibly– For some of us we are not yet at a stage where we have the privilege to document on our patients in a computerized charting system through our respective employer. So we are still hand writing our documentation. The barrier with that is that notes can become extremely hard to read at times thus leaving a lot of room for questions should a patient that you ever took care of decides to file a medical malpractice suit. Now while you can definitely explain to a court what the notes says while in the middle of a medical malpractice litigation suit, why send yourself through that headache of having to do that when you can just write legibly.
- Communicate– Communication is key! We know this to be true in every area of our life and this is no different within the healthcare profession. To prevent from making any type of error on a patient that you are caring for, you must communicate with all parties involved in their care and that includes but is not limited to the physician, certified nursing assistant, charge nurse, radiology, social worker etc. Everyone has to be on the same page with what is going on with the patient and notify each other of any critical information that is going on with the patient. I have seen numerous cases where the clinican indicates ” Well I didn’t do xyz because no one communicated this information to me. NOPE, that is not going to fly!! We are licensed professionals that have taken an oath and we must act as so, so we must COMMUNICATE.
- Always be a Student– Like everything around us, healthcare is changing. Which means we must change with it, we must stay updated on the latest and greatest, on the practices that were once in practice that has now been eliminated, etc. Attend conferences, take that class you employer is offering, really pay attention in those continuing education courses. We are ultimately responsible as licensed clinical professionals to provide care that is current, up to date, and the standard for our profession.
Nicole Thomas, RN, MSN, CCM, LNC
Dasrine grew up in Jamaica and dreamed of going to college, but right after graduating from high school she was not able to afford it.
She moved to the United States and worked as an LPN for nine years before completing her RN. As she concluded her RN program, she determined she wouldn’t stop there. While researching BSN opportunities, she discovered the RN to MSN degree at Western Governors University, and decided it was the right opportunity for her. Around the same time she enrolled, she started a new job as a staff nurse and learned she was pregnant with her third child.
Dasrine and her husband were concerned that she was taking on too much at once. She consulted with her faculty mentor at WGU and together they created a plan to help her balance work, school, and family responsibilities, so that she could be successful in all areas of her life. She was able to take advantage of the flexibility at WGU, learning at her own pace and on her own schedule. The journey was definitely not an easy one for Dasrine, and she and her family were required to make a lot of sacrifices. But three years after she started, Dasrine completed her degree and last month celebrated at commencement festivities in Orlando, Florida. The moment was surreal for her, especially considering at one point she questioned how she would even be able to afford to go to college. And now she’s well on her way and living her dream.
With a busy and often hectic schedule, one would think that she would take a bit of a break, but think again. Dasrine is pursuing her Nurse Practitioner License from South University, in her ongoing quest to be the best nurse that she can be. During the process, Dasrine has set an example for those who follow in her footsteps, including her colleagues and her children, now ages 22, 12, and 2.
Looking back on her experience, Dasrine has some advice for nurses, young and old, who are starting in the health care field: “Take things one step at a time. Don’t get discouraged by how long it will take to earn your degree, or how old you are, or how long you’ve been out of school. Simply do it while you have the chance and you’ll create many new opportunities for yourself that you’ll be glad you did.”