By Bree Parker

August 14, 2013

16230 Views

ADVERTISEMENT

A Travel Nurse Relocating to Australia: Trials and Tribulations

As a Travel Nurse relocating to Australia is a scary prospect.

I’d thought I’d had greater culture shock in Miami, but starting my Australian nursing position changed my mind. Traveling halfway around the world with the uncertainty associated with moving to a new country can be overwhelming.

Although Australia is an English speaking country, their English may not be your English. Beyond deciphering the accent, one must understand the slang and acceptable verbiage. Culture shock is inevitable. When you think of your experiences as a travel nurse, culture shock might be a way of life for you. It might be dependent on your experiences or your background, but when one relocates to a different country…Everything might be different. 

There are many things to consider prior to accepting a job and relocating to another country. 

The populations are as diverse as any you might see in the United States. It’s normal to hear many languages as you walk down the street in the city.

Do you want to live in a rural or city setting?

In Australia, the large cities are located on the coast, and beyond the cities and suburbs are extremely rural areas. For instance, Sydney and its suburbs are sprawling. The Blue Mountains are approximately a two-hour drive from the central business district. After the blue mountains are the bush, you might drive 100 km without seeing anything other than kangaroos.

Housing is another consideration.

Sydney is one of the most expensive cities to live in. Did you know rent is paid weekly in Australia? Finding a home or apartment to rent can be time-consuming and very expensive. Prior to your move find a serviced apartment. These apartments are fully furnished and short term leases are available.  A corporate studio in Sydney can be as little as $350 per week to as much as $700 per week AU or more. It is location dependant.,  While Australia has a relatively low crime rate, there are still undesirable areas to live in. Another option to look into is renting a “holiday” property, but these can be very pricey.

Be wary of sites like Craig’s List, many travellers have lost money due to scams on Craig’s List. If you are interested in using the site, wait until you’ve arrived in Australia. This will allow you to actually view the rental property.

When you arrive in Australia, you will be overwhelmed and exhausted. The flights are long and the time difference is great. Currently, Sydney is 14 hours ahead of New York City and in the summer it’s 16 hours. Settling into a hotel or corporate apartment will make the transition easier. The last thing a traveler wants to worry about is where they will stay upon arrival. If you come to Australia via a medical recruitment company, they will assist in setting up a house for the first 3 months.

Try to arrive a week or two prior to starting work.

Adjusting to the time difference can take awhile. I arrived on a Monday morning. While I didn’t go to sleep until 9 pm that night, my body rebelled against every moment I was awake. Because I was excited to arrive, I had difficulty sleeping on the flight over. When I was in the United States, I rarely slept more than six hours a night, but for my first month in Australia, I slept 12-14 hours a day.

Availability of Transportation

Finding housing near public transportation is necessary. While you can drive on your American Driver’s license, actually jumping into a car and driving on the “wrong” side of the road can be rather stressful. There is traffic to contend with and the public transportation system in Australia is amazing. In my suburb of Sydney, I can go to 8 different bus stops within 600 meters from my apartment. The ferry wharf is a 10-minute walk. The buses will take me to the central train stations in approximately 15 minutes. I can take a train anywhere in the city.

Do not get an International Driver’s License. It’s a waste of time and money. You can drive on your US license while you are here. You cannot get an Australian license until you’ve been here six months unless you haven’t had a license prior to arriving. Licensing is in stages here. If you have only had an international license for a year or less, you will be granted provisional P1 privileges and if you’ve been licensed for less than three years, you’ll be granted a P2 license.

Each has restrictions such as speed limits and alcohol consumption. If you have a P1 license, you may not consume alcohol for 24 hours prior to driving and your top speed is 90 km/hour.

Telephone

Is your smartphone unlocked? You can purchase a SIM card for any of the mobile carriers at any of the shops. The SIM card is a $2 purchase. When I arrived, my fiance bought me SIM cards for all the carriers. It cost less than $10 AU. While in the United States, a majority of the population are in contracts with the major carriers, in Australia, the majority use prepaid plans.

Review the sites for the carrier and decide what you want. I spend $30 per month (far less than I did in the United States on my contract) I have 250 minutes to use. These can be used on international calls as well, plus data with free data on social networking sites.

Which mobile carrier you choose is up to you, but check which SIM card will give you the best service. In my first apartment in Sydney, I had no service with my current carrier.

Food/Groceries and Shopping

A trip to the shops will cost you far more. Groceries are much more expensive here, but you can still find deals. Since I use public transportation, I order my groceries online and have them delivered. The fees are minimal, but this offers me the opportunity to shop at the larger stores and purchasing the store brands will save a great deal of money

For instance, a case of coke costs $27.83. When I was home, I would normally buy a 24 pack of soda for work, taking two cans a night. I’ve since broken that habit.

Also You cannot bring any food into the country. You are able to find some American foods at grocery stores, but typically you can find an American “Lolly” (candy) store where you can purchase items like PopTarts or Hershey Kisses. Surprisingly, there are items I’d always taken for granted in the United States such as Crisco Shortening. You can use something called Copha, but it’s nothing like cooking with Crisco.

While there is no Walmart in Australia, there is Kmart and Big W. If you are looking for inexpensive household items, these two stores are the best place to shop. Although Target is available, it’s far more expensive than in the United States.

Banking/Legal

When you arrive in Australia, you need to apply for a bank account within 12 weeks of arrival. An application can be completed online or on a mobile site and only takes a few minutes. You will have to venture into a bank at some point to verify your identity.

You will need to apply for a Tax File Number. The application is simple and you’ll receive your number within 28 days via post. In order to be paid, you must have a TFN.

Other things to think about

  • Everything is more expensive.
  • You should have a decent nest egg. You’ll have to pay a bond (security deposit) for your apartment, plus weekly rent.
  • Transportation costs are high. A multi-ticket for public transportation can cost up to $61 per week depending on the zone chosen. Though if you are using only one type of public transportation, such as the bus, you can purchase a prepaid ticket for 10 trips.
  • Purchasing a car is costly. While there are many sites that post advertisements for cars, all cars are far more expensive here than in the United States. For example, a 2014 Kia Sportage runs about $18, 500 in the United States while in Australia, the same vehicle costs $37, 990. Buying a “cheap” car will cost you approximately $5000. If you are lucky, the registration will have will go for several months. When you register your car here, you must also pay for one year of insurance. Plus, if you finance a vehicle, you must purchase comprehensive insurance as well.

If you use an agency to relocate to Australia, they will help you through the overwhelming process. Either way, you’ll be in for the experience of a lifetime.

Join The Gypsy Nurse Nation

Discover new travel nurse jobs, subscribe to customized job alerts and unlock unlimited resources for FREE.

Since just recently joining The Gypsy Nurse, I have had so many questions answered about the world of travel nursing. This has been an excellent resource!
—Meagan L. | Cath Lab

By The Gypsy Nurse

August 6, 2013

31250 Views

ADVERTISEMENT

Ask A Travel Nurse: How do I avoid Pet Quarantine in Hawaii?

Gypsy,

What does it take for a travel nurse to take a pet to Hawaii?  I’ve heard so many different stories, I don’t know what to believe? Can I avoid the pet quarantine in Hawaii?

Tonya

Taking a pet to Hawaii requires some pre-planning but it isn’t impossible. Many believe that “The dog will probably have to be quarantined for a month before he can live with you.” There is some truth to this statement and the quarantine can actually be as long as 120 days!. Don’t despair, there are ways to get around the ‘mandatory’ pet quarantine in Hawaii.

Because Hawaii is a rabies-free Island, they have strict rules governing the import of pets in order to maintain the Island(s) as rabies-free.  You can’t blame them for wanting to protect the island from this disease!

So….how do you avoid the mandatory quarantine?

Hawaii has procedures in place for a “5-day-or-less quarantine”  This reduced quarantine does enable you to potentially take your pet ‘home’ once it’s cleared by the Animal Quarantine Holding Facility if all of the requirements are met and verified. 

  • The pet must have been vaccinated at least two times for rabies in its lifetime.
  • These rabies vaccines were administered more than 30 days apart.
  • 90 Days must have elapsed after the last rabies vaccine before your pet arrives in Hawaii
  • The dates and type of vaccine must be listed on the pets Health Certificate

Our Facebook Network Group member Amanda just successfully arrived in Hawaii with her furry friend and avoided the Pet Quarantine (May 2017)

Amanda recommends:

“As far as the original rabies vacation papers go they require an original ink signature, the vaccines name, lot or serial number, booster interval, vaccines date and lot expiration date. My vet had to call the vaccine company because they did not put the lot expiration date on the paperwork. So people need to make sure that the paperwork has all the needed information.”

Read More: Amanda Delaney‎Travel Nurse Network – The Gypsy Nurse

  • The pet must be microchiped. This must be done before the OIE-FAVN (see below) is drawn.
  • Microchip must be able to be verified. (Have your vet check)
  • The pet must have blood drawn for a OIE-Flourescent Antibody Serum Neutralization Test (OIE-FAVN).
    • This test assesses for the adequate response to the rabies vaccine. The test takes 120 days to process. Your pet must complete the required 120 waiting period from the day after the approved facility receives the sample before it can enter Hawaii in order to be eligible for the reduced quarantine.
    • There are only 2 approved facilities for this test in the US. Kansas State University or the DOD Food Analysis and Diagnostic Laboratory in Texas. If you are not near one of these facilities, your local lab will have to send the sample to one of these facilities.
    • The day after the approved facility (above) receives your pets sample must be at least 120 day and not more than 36 months from the date of the pets arrival in Hawaii.
    • NOTE: The waiting period begins the day after KSU or DOD received the blood sample for the OIE-FAVN test.
  • Original copies of all documents, including:
    • Completed and Notarized Import Form AQS-278
    • Both recent rabies vaccines (originals)
    • Health Certificate (completed within 14 days of arrival in Hawaii)
    • Veterinarian treatment for ticks within 14 days of arrival in Hawaii

Hawaii Animal Quarantine Information FAQ

5 Day or Less Quarantine – Checklist

The rules are quite specific.  The above is simply a summary of the process. I would recommend that you print the guidelines and checklist and take them with you to your Vet to help the process move a little smoother.

As you can see from the above summary, getting your pet to Hawaii is a long enduring process.  It’s also quite expensive.  You may want to consider finding a responsible friend or loved one to care for your pet for you while you enjoy a 3-month working vacation in Hawaii. 

TIP: The quarantine center is only open till 4:30. If you want to take your dog home the same day you need to get in earlier otherwise the animal has to stay overnight. – Amanda

I love hearing the opinions of my readers.  Your opinion could be the perfect solution for someone.  Please share your thoughts below in the comments.  Do you have a question?  Feel free to contact us.

Join The Gypsy Nurse Nation

Discover new travel nurse jobs, subscribe to customized job alerts and unlock unlimited resources for FREE.

Since just recently joining The Gypsy Nurse, I have had so many questions answered about the world of travel nursing. This has been an excellent resource!
—Meagan L. | Cath Lab

By Bree Parker

June 25, 2013

41735 Views

ADVERTISEMENT

The How-To Guide for Australia Travel Nurse

Getting Registered in Australia.

Are you considering Australian travel nursing?  Below you will find information on the process to begin Australian travel nursing to help you on your way.

The process of getting registered is a bit cumbersome, but once the applications are filled out, it’s just a matter of following the Agency’s instructions.

In Australia, Registered Nurses are registered through the Australian Health Practitioners Regulation Agency (AHPRA). There are offices in the capital city of each state. Although it’s a similar process to applying for licensure from state to state in the United States, the Agency has several additional requirements and fees for overseas applicants.

Firstly, the process is long. If you are considering traveling abroad in the next year, I’d recommend you start on the application immediately. When I sent my application to AHPRA, I was on assignment in Miami, Florida. I mailed it in early August knowing I had a flight scheduled to leave the United States in late October. By the time I had left, I hadn’t received any feedback from the Agency.

It was several months before AHPRA contacted me via email with a list of necessary documents Mine had not been specific enough for their requirements.

AHPRA requests verification of employment from your current job and certification of work experience for the past five years, plus a certification of your licenses from all states the nurse has been licensed in the past five years. Their requirements for letters from an employer are very specific: the length of time the nurse worked for the organization, whether it was full time or part-time, and it must be on company letterhead. A resume or CV is required as well with your signature on each page.

My waiting process was long due to the fact that I was in Australia when I received notification requesting more specific letters. All but one of my letters had left out “full or part-time”. AHPRA only accepts the original letters and mailing anything to Australia takes time.

I made several trips to the AHPRA office in Sydney over a few months. After I’d turned in all the required paperwork to what I’d hoped would be their satisfaction, I’d received another email asking for a letter from my high school stating my education was in English and requesting details of my clinical time.

My frustration peaked. I’d given the Agency transcripts of my undergraduate and graduate education, all in English and I’d graduated from high school over 19 years ago. It is my luck that my parents still live near my high school and were able to fetch such a letter.

When traveling abroad as a nurse, you are often required to take the IELTS or International English Language Testing System exam to provide evidence of education in English.

Australia allows exemption from such a test if you are from Canada, New Zealand, Republic of Ireland, South Africa, United Kingdom, or the United States of America. If you are a citizen of one of the above countries, you need to provide evidence of your education being taught in English.

I took the exam about two weeks prior to received my registration. My reason for taking it was to help with my visa process. I was warned the exam was difficult, but if your education was in English; the test was akin to an eighth-grade test.

The fees associated with the application for Australia are $576 AU. It’s difficult to find an exact fee for an applicant from overseas on the AHPRA’s website, they will contact you prior to charging your credit card.

I mailed my registration application in early August and I was granted registration in March. When I spoke to my recruiter, I was told that this is a typical timeframe.

Lessons learned

  • International mail is slow and expensive; keep that in mind when filing your application.
  • All letters must be specific as to when you worked for an organization. The letter must be on company letterhead, including the dates you worked, and your status: full time or part-time.
  • Include a letter from your high school or take the IELTS, academic module. You’ll need to score a minimum of 7 in all three categories.
  • Any paperwork forwarded to AHPRA must be certified. All forms can be found online.
    • What does this mean?
    • Along with the application, you are required to send a photocopy of your licenses from the past five years, passport, and transcripts. Each page needs to be certified as a copy of the original. You’ll have to see a notary and the seal must be on each page submitted. If you happened to be in Australia when you submit the application, the employees at AHPRA will certify your documents.
  • Understand that the process is long and frustrating. Read any communication from the Agency carefully. The Registration Agents will give you instruction. For example, when I submitted the letter from my University with my clinical hours detailed, the administrator writing my letter used the course title similar to this: Care of the Young Adult, theory hours 75, clinical hours 125, but the Registration Agent wasn’t able to determine what this meant. She stated I didn’t have Medical/Surgical clinical in Nursing school although I clearly had. The terminology isn’t the same in Australia. Makes communication in any form is as specific as possible.

After you have been registered, you can now apply for jobs.

You must be sponsored by an organization that is allowed to sponsor employees from overseas. Many positions are listed in forums such as this: http://nswhealth.erecruit.com.au/ or you can contact companies that will find jobs for you, like Plexus Medical or Geneva Health. The application process is very simple. You send in your resume and they’ll contact you for an interview.

  • When I was interviewed, it was just a few questions. The recruiter wanted to know where I was currently; in Australia or outside Australia. She asked after my experience and what I was looking for. Within a few days, I had an interview at a Private hospital near Sydney.
  • If you are out of the country, they will do a phone interview or a skype interview. Most recruiters are privy to job postings that have not been offered to the general public. If you chose not to go through an agency, the process is similar but more time-consuming. It takes much longer to hear back from these postings.
  • The process for applying for a job through the recruiting sites is very much the same as applying for travel positions.
  • When you have been offered a position, a migration specialist from your new employer will contact you to assist with applying for your work visa. They’ll be able to direct you to the correct visa application.
  • If for some reason, your organization doesn’t have a migration specialist, you can use the Visa Wizard on Australia’s Immigration website.
  • Visas have online applications and aren’t too difficult to fill out. If you are outside Australia, the processing time is currently three months.

One other interesting tidbit about Australian registration. Being registered as a nurse in Australia allows for registration to be transferred to New Zealand. Again, it’s similar to transferring your licenses from state to state.

Good luck if you chose Australian Travel Nursing. The process might be frustrating, but it will lead to the adventure of a lifetime!


Want to learn more about Australian Travel Nursing….


Join The Gypsy Nurse Nation

Discover new travel nurse jobs, subscribe to customized job alerts and unlock unlimited resources for FREE.

Since just recently joining The Gypsy Nurse, I have had so many questions answered about the world of travel nursing. This has been an excellent resource!
—Meagan L. | Cath Lab

By The Gypsy Nurse

June 20, 2013

12106 Views

ADVERTISEMENT

Nurses “Eat Their Young”?

I did a phone interview the other day for a Healthcare Magazine in Chicago. The interviewer asked me about the saying, ‘nurses eat their young? and what does it mean?’  She also wanted to know where/why this term started.  I was stumped.  How do you explain this type of behavior within your profession? It’s actually embarrassing…

I began to reflect on this question after the interview was over, and I still can’t say that I understand the ‘why.’  Is it jealousy?  Perhaps we don’t want to see others succeed?  Maybe it’s just a rush to get our own work done under stressed-out, short-staffed conditions?  

The morning of the interview, I had just completed a pretty challenging (for me) hike with a new friend here in Panama.  If you know me, you know that I’m not a great hiker.  I love to hike, but I’m certainly not in ‘hiking’ shape.  My skills are that of a brand new nurse comparatively.  The hiking friend “Richard” was forewarned and agreed to support me through this hike.  Richard gave me the option to take a flat hike without a view or a ‘more challenging’ hike with a great view.  Of course, I choose the great view.  Warning Richard of my lack of skills…he was supportive, and off we went.

How did the hike go?  

I made it as far as I could….with a lot of verbal support, a little hand-holding, and lots of patience from Richard. He slowed his hike to keep my pace, gave me tips and pointers along the way, and exhibited a grand attitude of teamwork and camaraderie.  In turn, when it got to a point where I couldn’t go any further, I encouraged Richard to go ahead and get the ‘great view.’  We worked together, both supporting and respecting the skill levels each possessed.  He held back to help me gain a little experience, and I let him forge ahead when I knew I had reached my limit.

I didn’t’ reach the summit that day…

I did, however, gain some great experience and confidence as well as a wonderful view.  I finished the day feeling motivated, energized, and encouraged.

Why am I telling you about hiking?

Later that afternoon, while reflecting on all of the day’s events, I began thinking about how the hike with Richard and working with a new nurse are very similar.  Like me (when it comes to hiking), a new nurse needs lots of encouragement, support, a little hand-holding, and a lot of patience.  I’ve been on hikes where the others forged ahead, left me behind, and didn’t work with me to help build my hiking skills, and these hikes were never enjoyable.  Not only were they not enjoyable, but they also left me with a feeling of defeat and want to give it up.  We’ve all seen nurse preceptors that will forge ahead with their work, never stopping to explain or allow a much slower new nurse an opportunity to attempt a skill or procedure. I’ve worked with nurses who will completely ignore questions from a new nurse while forging ahead to get their tasks completed.

The lack of camaraderie in nursing is disheartening and embarrassing.  It pains me to be associated with a career of ‘carers’ who carry a stigma of ‘eating their young.’  

I would encourage you, the next time you encounter a new or inexperienced nurse; think of my hike and the support provided by Richard and help that new nurse reach her summit, it only takes a bit of your time, and perhaps one by one, we can attempt to change the culture from “Nurses Eat Their Young” to “Nurses support their young…” Let’s work together to help the new nurse walk away from her shift feeling motivated, energized, and encouraged instead of defeated.

Do you have any insight into why many believe ‘nurses eat their young?’

Join The Gypsy Nurse Nation

Discover new travel nurse jobs, subscribe to customized job alerts and unlock unlimited resources for FREE.

Since just recently joining The Gypsy Nurse, I have had so many questions answered about the world of travel nursing. This has been an excellent resource!
—Meagan L. | Cath Lab

By The Gypsy Nurse

June 19, 2013

12860 Views

ADVERTISEMENT

What?! There’s a Conference for Travel Nurses?!

Did you know there’s an Annual Conference for Travel Nurses (and travel medical professionals).  If you haven’t heard about it you are missing out; I’m here to give you the ‘low-down’ the ‘scoop’ or whatever you want to call it!

What is the Travelers Conference?

According to the official website: “The Travelers Conference is held annually and has grown into the largest single gathering of healthcare travelers in the United States. Organized by volunteers who are themselves current or former travelers, the sole purpose of this event is to provide a relaxed setting that gives travelers an opportunity to network with other travelers and industry insiders, earn some excellent CEUs, meet agency representatives in a relaxed, low-pressure setting, and plainly enjoy a tax-deductible Vegas trip.”

The Travelers Conference is now in its 6th year (as of the publication of this article).  It is growing in recognition throughout the Travel Staffing Industry, mostly through word of mouth.  The Travelers Conference is highly supported by Industry Experts such as PanTravelers, TravelTax, and (you guessed it…) The Gypsy Nurse.

Who attends?

The Travelers Conference is attended by Nurses, Physical Therapists, Respiratory Therapists, Occupational Therapists, Nursing Students, and what I like to call “Dreamers,” those that are in the medical field and exploring the idea of traveling for a living.  The majority of the attendees are female and nurses, representing the industry demographic as a whole. Age ranges of the attendees are varied across a wide range from early to mid-twenties to those nearing retirement. Travel Medical Professionals and anyone interested in learning more about this unique specialty are all welcome to attend.

Why is it important to the industry?

The Travelers Conference is an important asset to the Travel Medical Staffing Industry.  It allows travelers to connect, share information, meet, and develop a peer network; it’s important for the educational value.  Being a travel medical professional is a unique specialty in nursing or therapy positions.  Not only do you need to know your job as a nurse or therapist, but many other skills and modalities play a major role in a successful career as a traveler.

Some of the topics covered in previous years have included:

  • The real scoop on what is involved in becoming a traveler
  • Tax basics for travelers
  • Traveling in an RV…is it right for you?
  • Standards of practice for travelers
  • Financial Planning
  • New resources available for travelers
  • Travel Healthcare Industry Update – Where Are We Going?
  • Apples to Apples – Choosing the Right Company
  • Contract Negotiation – The Nuts and Bolts
  • The Power of Choice – A Personal Story (Reon Schutte)
  • Hawaii…How to succeed…
  • How Is The Money Allocated? Travelers Want To Know…
  • License and Record Management
  • Mission To Honduras:  How One Traveler Can Make a Difference
  • Housing-Know all your options
  • PanTravelers – A Resource for Travelers

Please plan to join us this year for the 2013 Travelers Conference.  Registration is now open, and you can register via the official website today!

Join The Gypsy Nurse Nation

Discover new travel nurse jobs, subscribe to customized job alerts and unlock unlimited resources for FREE.

Since just recently joining The Gypsy Nurse, I have had so many questions answered about the world of travel nursing. This has been an excellent resource!
—Meagan L. | Cath Lab

By The Gypsy Nurse

May 8, 2013

11021 Views

ADVERTISEMENT

History of Nurse’s Week

A Brief History of National Nurse’s Week

1953

Dorothy Sutherland of the U.S. Department of Health, Education, and Welfare sent a proposal to President Eisenhower to proclaim a “Nurse Day” in October of the following year. The proclamation was never made.

1954

National Nurse Week was observed from October 11 – 16. The year of the observance marked the 100th anniversary of Florence Nightingale’s mission to Crimea. Representative Frances P. Bolton sponsored the bill for a nurse week. Apparently, a bill for a National Nurse Week was introduced in the 1955 Congress, but no action was taken. Congress discontinued its practice of joint resolutions for national weeks of various kinds.

1972

Again a resolution was presented by the House of Representatives for the President to proclaim “National Registered Nurse Day.” It did not occur.

1974

In January of that year, the International Council of Nurses (ICN) proclaimed that May 12 would be “International Nurse Day.” (May 12 is the birthday of Florence Nightingale.) Since 1965, the ICN has celebrated “International Nurse Day.”

1974

In February of that year, a week was designated by the White House as National Nurse Week, and President Nixon issued a proclamation.

1978

New Jersey Governor Brendon Byrne declared May 6 as “Nurses Day.” Edward Scanlan, of Red Bank, N.J., took up the cause to perpetuate the recognition of nurses in his state. Mr. Scanlan had this date listed in Chase’s Calendar of Annual Events. He promoted the celebration on his own.

1981

ANA, along with various nursing organizations, rallied to support a resolution initiated by nurses in New Mexico, through their Congressman, Manuel Lujan, to have May 6, 1982, established as “National Recognition Day for Nurses.”

1982

In February, the ANA Board of Directors formally acknowledged May 6, 1982, as “National Nurses Day.” The action affirmed a joint resolution of the United States Congress designating May 6 as “National Recognition Day for Nurses.”

1982

President Ronald Reagan signed a proclamation on March 25, proclaiming “National Recognition Day for Nurses” to be May 6, 1982.

1990

The ANA Board of Directors expanded the recognition of nurses to a week-long celebration, declaring May 6 – 12, 1991, as National Nurses Week.

1993

The ANA Board of Directors designated May 6 – 12 as permanent dates to observe National Nurses Week in 1994 and in all subsequent years.

1996

The ANA initiated “National RN Recognition Day” on May 6, 1996, to honor the nation’s indispensable registered nurses for their tireless commitment 365 days a year. The ANA encourages its state and territorial nurses associations and other organizations to acknowledge May 6, 1996, as “National RN Recognition Day.”

1997

The ANA Board of Directors, at the request of the National Student Nurses Association, designated May 8 as National Student Nurses Day.

Join The Gypsy Nurse Nation

Discover new travel nurse jobs, subscribe to customized job alerts and unlock unlimited resources for FREE.

Since just recently joining The Gypsy Nurse, I have had so many questions answered about the world of travel nursing. This has been an excellent resource!
—Meagan L. | Cath Lab

By The Gypsy Nurse

March 7, 2013

13479 Views

ADVERTISEMENT

Colon Cancer Awareness Month: Resources and Information

March is Colon Cancer Awareness Month. In support, The Gypsy Nurse has put together some resources with information. Below you will find this list of Colon/Colorectal Cancer Resources.

According to Cancer.org:

Excluding skin cancers, colorectal cancer is the third most common cancer diagnosed in both men and women in the United States. The American Cancer Society’s estimates for the number of colorectal cancer cases in the United States for 2020 are:

  • 104,610 new cases of colon cancer
  • 43,340 new cases of rectal cancer

They also state that “In the United States, colorectal cancer is the third leading cause of cancer-related deaths in men and in women, and the second most common cause of cancer deaths when men and women are combined. It’s expected to cause about 53,200 deaths during 2020.”

This is not an all-inclusive listing; just a little something to help you get started.

Resources and Organizations:

CDC 

Colon Cancer Prevention Project

Fight Colorectal Cancer

Awareness Forums:

Support

Cancer Survivors Network

Health Boards

Blogs:

Chris 4 Life

Adventures in Colon Cancer

The Stolen Colon

What’s Up Your Butt?

If there are other resources that you use or know about and would like to recommend, please list them in the comments!

Join The Gypsy Nurse Nation

Discover new travel nurse jobs, subscribe to customized job alerts and unlock unlimited resources for FREE.

Since just recently joining The Gypsy Nurse, I have had so many questions answered about the world of travel nursing. This has been an excellent resource!
—Meagan L. | Cath Lab

By The Gypsy Nurse

January 23, 2013

9526 Views

ADVERTISEMENT

My Cervical Cancer Journey – Guest Post by Kelly Creager

In recognition of Cervical Cancer Awareness Month, I sent out multiple requests to bloggers to find someone that would provide a personal story about this disease. Kelly responded and has provided the story below. I want to say thank you to Kelly for sharing her experiences.

When I first read what Kelly had written, I was brought to tears. We see patients in med/surg (the specialty that I work) only for brief amounts of time. As a traveler, we may never see these patients again. Full time staff nurses will sometimes follow these patients along their entire journey as they are in and out of the local hospitals. Having only a glimpse into the struggles of these patients (as a travel nurse), I appreciate hearing the entire story and feel that it has given me some insight into the ongoing struggles that can occur with diseases like Cervical Cancer.

Kelly’s story is also a great testament to the need for preventative care in relationship to Cervical Cancer. HPV vaccines which have recently come on the market as well as annual exams are a must for our female patients….let’s all remember to continue to encourage and educate our female patients to not take these issues lightly.

Here is Kelly’s story:

In early 2010, I had two major things going on. I had blown out my left knee due to Rheumatoid Arthritis (RA) and I had been bleeding vaginally constantly for about 4 to 5 months. The HPV had been found in late 2009. I went in for my annual exam and showed her a bump – she biopsied it and it came back as high-grade dysplasia. I had to make a decision – knee replacement or hysterectomy. I decided on the knee replacement first because I could not walk without severe pain. After discussing it with my gynecologist, she said it would be ok to wait on the hysterectomy.

A little background on HPV:

Almost everyone gets it. If their bodies are healthy, then the body is strong enough to slough it off in two to three years. If they are immunosuppressed, the body is compromised and usually is not able to slough off the HPV. There are four types of HPV that cause cervical cancer – mine was one of them. They did not type and screen it as it was clear that I had cancer. The RA meds make me immunosuppressed. So, my body was not able to fight it off. So on May 19th, 2010, I had a hysterectomy. She only took the uterus and cervix since I was so young (41). They left the ovaries so I would not have early menopause.

I barely remember the gynecologist coming in that night and saying something to the effect that things did not look good. I went home the next day – I am not a good patient and I hate staying in the hospital any more than I have to. The phone rang around 5 – it was the gynecologist. She called to tell me I had stage 2b cervical cancer. She was even crying. She said in the surgery room that she cut the uterus and cervix open and found the tumor in the cervix. I felt like the air had been knocked out of me. I immediately called my mom. She lives 5 minutes down the road. She came immediately. We were scared and just needed to be around each other for support.

Before I could see a genealogical oncologist, they wanted me to wait for my hysterectomy to heal. I was sitting on pins and needles waiting it out. I think my appointment was 4 weeks out. Close to the appointment, the doctor ordered a PT/CT scan. I wanted to see the results so bad. I called the records department and got a copy “to take to my doctor’s appointment.” I wanted to see if it showed anything about the cancer being in the lymph nodes. They were clear. I just sat there and cried with joy.

So, I was off to meet the oncologist around the second week of June. I was told that radiation was the workhorse for treating cervical cancer and that chemo boosted the effects of the radiation. I was then sent to see the radiation oncologist. The plan was for 6 weeks of radiation and 5 rounds of chemo. It finally got to the point in time to start the treatment. I first had a port put in to deliver the chemo. The first week was not so bad.

As the treatments progressed, I was to do weekly blood tests to make sure my body was strong enough to withstand the chemo treatments. The second week of chemo, I started going downhill fast. Radiation was kicking my butt. I had dropped 30 pounds. One of my weekly blood test came back not so good. The oncologist’s nurse called me and said go the ER immediately. Once there, they started doing blood tests and such and then all of a sudden they were coming in the room with face masks. They wore the face masks because my muscles, my brain, my immune system was wiped out along with other very serious issues. They gave me fluids and meds and I went home. I only went home because I begged and pleaded to get out of there. I am a very bad patient. We had to stop all radiation and chemo treatments for two weeks. During those two weeks, I had to wear a face mask anywhere I went. I was going to the hospital daily getting blood tests to see if my counts went too low and would need a blood transfusion. If the counts didn’t get low to the point of needing blood, they gave me shots to help boost my immune system.

I was finally nearing the end of treatments when I got a call from the radiation oncologist. She said they didn’t like how my right ovary looked and wanted to add eight more treatments. I just broke down and cried. I was so sick, could barely walk, used a wheel chair and could do little else but rest. All during this time, I had to go in for IV fluids. I was so low in my counts. I felt depleted and defeated. I had nothing else to give – my body was done in.

In September 2010, I was finally done with treatments. I bounced back pretty good – still fatigued but okay. The chemo did not make my hair fall out. It was the radiation – so my hair was pretty thin from malnutrition. I went back to work in October 2010. It wore me out but I did not want to show it. Things were strange at best at work as the company had been taken public. I got laid off in March 2011.

In January 2011, I started to have constant diarrhea and was not able to eat much or not at all. What I was able to eat I just lost it anyway. I had an appointment with my oncologist. He sent me to gastro doctor. In February, I had an endoscopy and a colonoscopy, only a little polyp was found and that was removed. Nothing was found to determine what was wrong with me. I just progressively went downhill.

After I was laid off in March 2011, I decided to take a month off and then look for work. At the end of March, I had my first intestinal blockage. If you have ever had one of these, you know how awful and painful it is. They put in a NG tube – they stick it up your nose and then down your throat to where the block is. It is nasty stuff they pull out of you. As uncomfortable as the NG tube is, it helps to relieve the pain of the blockage. I can best describe the pain as rolling sharp pain up and down my abdomen.

I was hospitalized twice more for blockages. The doctors did a laparoscopic surgery through my belly button and moved some things around and took out my appendix. The surgeon was trying to do as little damage as possible to try to fix it. After that, one of the tests I had to do was lay on an x-ray table for four hours and they would give you meds at intervals and see how it traveled down. I have a bad back – laying there about killed me. The fluids they gave me cause diarrhea – at the fourth hour, I had severe diarrhea – blockage solved. Finally my third block, the doctors decided it would be best to open me up and go inch by inch through my small intestines. They ended up cutting out 18 inches and re-sectioning my small intestines. It cured the pain but did not help my being able to eat without diarrhea. Also after the second blockage, they started me on TPN. It is delivered through my port – it provides a mix of protein, carbs, fats and vitamins.

In May 2011, I was diagnosed with bladder cystitis. This is another side effect of the radiation. It is like an UTI on steroids. My bladder hurts all the time. Rest and meds are the only things that help. I am on high doses of morphine and diazepam. Just sitting here now – I can feel it. I have been told by the urologist that it may stay as is or get worse over time.

After the re-sectioning, I started somewhat to get a little better. However, I did not get out of jail card very easily. I would have problems with my blood pressure going too low and I would pass out. Hurt myself pretty good on the tiled floors – much better to fall on carpet. I was on 12 hour TPN feedbags. I would get up at least every hour to tinkle. So my mom and I got a great idea to switch from night to day. We waited a couple of hours after my night time bag finished and then started my new routine. I blew up and gained 30 pounds overnight. They gave me diuretics and got rid of the excess fluid that my body did not know what to do with – it took about 3 days.

One morning I couldn’t breathe well, an ambulance took me to the ER. Theory was that the TPN fluid got caught up around my heart and lungs and made it difficult to breathe. I had to stay one night. Diuretics again and I was out of there. Other things happened- just can’t remember them all except the big one. All during this time, I got a total of three pints of blood. It is amazing how quickly a blood transfusion works. Thanks to everyone that can donate blood and do so.

It was a weekend. The kids were with their father. I wasn’t feeling great and checked in with mom and let her know. We made arrangements for her to call me around 8. My fever spiked to 105.5 – I know I should have just gone to the hospital then. I took naproxen and it brought down my fever to 101. I slept all day. I woke up somewhere between 7 and 8 – so thirsty. I made it to the kitchen and got my drink to the table. I then went down face first on the ceramic tile. I chipped two teeth, broke my right femur in 4 places and it all went down from there.

I remember the ambulance ride, I remember them cutting off my shirt and the last thing I remember is that I looked at the clock and it was 12:30 am and I could see my mom’s face in front of mine – she was telling me that she was going home since I couldn’t stay awake. This all happened on a Saturday night. I do not have any recollection until the following Wednesday. Shortly after I got out of the hospital, I went to see my internist. He told me I almost died from sepsis. My organs and brain were shutting down and I was lucky to have the ICU doc that I did. My internal med doctor said that the ICU doctor saved my life. I think this is why I lost Saturday night until the following Wednesday.

I hate going to the oncologist – it hurts.

When you have pelvic radiation, you are supposed to use dilators to keep the vaginal wall supple. If you don’t, your vaginal canal will shrink, in length and width, and skin will die. They have to put me under to do anything they need to do in the vaginal canal. I did not use them – very stupid decision. My canal is about an inch and a half long and barely any width. If you have had radiation to your pelvic region, please use the dilators or have intercourse at least 3 times a week. At this point, he said if I start using them I might get some width back but not any length. Almost every pap shows high grade dysplasia. This is one step away from cancer. At first, we tried a topical chemo. It burnt me very badly. I had to stop it quickly. So now, when I have pap comes back it always shows high grade dysplasia. Sometimes, I have to have an outpatient procedure so the doctor can cut out the bad parts.

“HPV is a nightmare that will not go away.”

I have checked the web for support groups and there are some in the San Antonio area, but I am not a support group person. I should go at least once to see what it has to offer. There is also a website that I like: www.cancercompass.com. From the research that I have done, only 10%-15% of patients that have radiation to their pelvic region get these side effects. Some have the side effects get better and others, like me, are chronic. So much has happened.

I never thought at 41 my life would turn upside down.

I can’t eat or have a glass of wine. This has taken all social events with friends and families away. My whole social world has changed. I used to get up every morning, get my triplets up and we all would get ready. I would go out with friends and my ex-boyfriend. I am now 43 – soon to be 44. My life consists of taking care of my children with a lot of help from mom. I am so lucky to have her. She helps me with anything – I am forever grateful. I would like to work again someday and have a somewhat normal life. I am also grateful for all my prayer warriors.

Join The Gypsy Nurse Nation

Discover new travel nurse jobs, subscribe to customized job alerts and unlock unlimited resources for FREE.

Since just recently joining The Gypsy Nurse, I have had so many questions answered about the world of travel nursing. This has been an excellent resource!
—Meagan L. | Cath Lab

By The Gypsy Nurse

January 11, 2013

6912 Views

ADVERTISEMENT

Nurse Travel with A Spouse: The Original Self-Proclaimed Tag Along

I know that many travel nurses travel with a spouse or significant other and began wondering what it was like for those that tag along. There isn’t really any support system for this unique group of people, and I wanted to provide insight into what it is like and the daily challenges for this group of people.

What is a tag-a-long?  I originally found the term when I was researching travel nursing blogs.  I found a blog of a self-proclaimed tag-a-long and loved the term. 

Since the last Tag-A-Long Travel Nurse interview, I figured out where I had found the term.  Ryan S. blogs at TagALongNurse and has agreed to provide another Tag-A-Long interview.  I’m happy to have found the source of the term.  I felt a bit like I plagiarized, not being able to reference where I found the term.

Many travel nurses travel with a significant other, a spouse, a close friend, or other family members.  These are tag-a-longs. I wanted to find out what it’s like to live the Travel Nurse life as a Tag-A-Long, and here is what I found out.

Thanks go to Ryan, a self-proclaimed ‘tag-a-long” who agreed to answer a few questions.  Ryan has been tagging along since May 2012. He and his wife are pretty new at the Travel Nurse scene.

Here is what Ryan had to say about living the Travel Nursing Life as a tag-a-long:

Why did you choose to live a life of Travel Nursing?

My wife and I have always wanted to travel to see other places and people and experience how people live in different parts of the US and eventually the world. We both grew up in Texas, dated in high school, and got married after college. I got the chance to travel to Namibia, Africa, for a semester in college and absolutely loved it. I think my wife caught the travel bug from me after that.
 
The moment we officially decided to travel happened when my wife was coming up on her first 2 years of experience in nursing – what the agencies usually ask for. We had, of course, been discussing traveling for a while, but one night about a year ago, my wife said, “I’m ready to start traveling.” I said I was too, and we made it official with a spit shake. Haha, it was just a little bit impulsive.

Do you work from Home/Internet?

Right now, I’m planning on starting to work as an extra for TV and movies as we are on assignment in Los Angeles. For our first assignment in Las Vegas, I started working online for Leapforce doing web search optimization for Google and Bing. It turned out I would only get 5 or 10 hours of work a week, so I let that slide. I’m still trying to figure out what I can do to contribute something financially. As I said, I’m going to try being an extra here in LA, but for our next assignment, I’ll look for another online job, or perhaps something temporary in retail or Starbucks, etc.

What do you do when your Travel companion is working? Do you get bored? What do you do to keep active/entertained?

Besides looking for/thinking about work, I have just recently gone vegan a few months ago and really got into fitness. My wife and I go to an outdoor fitness camp called Camp Gladiator, which my wife started going to Texas. I’ve found that as a tagalong, having somewhere to meet people and make friends can really help, and Camp Gladiator has been one of those outlets for me. We have also found a church to attend, and they have been very open and accepting of us. For this assignment, we’re here for 8 months, so we have a chance to build these new relationships a little more than if we were here for only 3 months. However, for future assignments, I also plan to keep tapping into opportunities to make new friends.

Do you utilize local clubs or groups like meetup.com? What is the biggest challenge for you?

My biggest challenge so far has been keeping myself occupied and stifling boredom while my wife is at work. This was especially the case while we were in Vegas (our first assignment). Luckily lots of our friends and family came to visit us – imagine that – but for the most part, it was just our dog and me. I’m really into the video game franchise Call of Duty, so that definitely keeps me entertained. Fortunately, though, I get burnt out on it after a few hours, so it can only last so long. I’ve really enjoyed the opportunity to meet people in LA, so as I mentioned, I plan to keep on finding places to make new friends at other assignments.

What is the best benefit for you?

My biggest benefit is definitely the opportunity to see places I wouldn’t have otherwise been able to. We got to see Carlsbad Caverns, Roswell, NM, the grand canyon, Vegas, and now LA all in 6 months. I couldn’t think of a better way to get to see all of that.

What advice would you give to someone considering the life of a Tag-a-long?
For anyone considering tagging along with a travel nurse, I would say this: Try to figure out what you will do on the downtime beforehand if it is a job, volunteering, a workout group, or a local meetup group. This will greatly help to keep you stimulated and fulfilled. Take on whatever travel and household responsibilities you can. I’ve done my best to take on the role of house husband, and it seems to be working fairly well. I also plan out getting from location to location and what we’ll do while we’re on assignment. Most obviously, treat travel as an adventure. You might give up some of the structure and conveniences you left behind at home, but the payoff is worth it.

Join The Gypsy Nurse Nation

Discover new travel nurse jobs, subscribe to customized job alerts and unlock unlimited resources for FREE.

Since just recently joining The Gypsy Nurse, I have had so many questions answered about the world of travel nursing. This has been an excellent resource!
—Meagan L. | Cath Lab