By The Gypsy Nurse

January 10, 2013

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Cervical Health Awareness Month

January is Cervical Health Awareness Month.  In support, The Gypsy Nurse will feature several articles throughout January in an attempt to raise awareness.

Cervical Health Awareness:

According to the CDC:

“All women are at risk for cervical cancer. It occurs most often in women over age 30. Long-lasting infection with certain types of human papillomavirus (HPV) is the main cause of cervical cancer. HPV is a common virus that is passed from one person to another during sex. At least half of sexually active people will have HPV at some point in their lives, but few women will get cervical cancer.”

The CDC also states that:

“Cervical cancer used to be the leading cause of cancer death for women in the United States. However, in the past 40 years, the number of cases of cervical cancer and the number of deaths from cervical cancer have decreased significantly. This decline is largely the result of many women getting regular Pap tests, which can find cervical precancer before it turns into cancer.1″

1National Institutes of Health. Cervical Cancer. NIH Consensus Statement. 1996;14(1):1–38.

 Resources:

Forums:

  •  Cancer Forums

 Blogs:

Organizations

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

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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

November 8, 2012

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Nursing Care Plan: Whinorrhea

Whinorrhea

As with any disorder or disease process, a Nursing Care plan is essential.  When caring for patients and co-workers with a diagnosis of whinorrhea, it’s imperative to have specific nursing interventions in place to prevent the spread or outbreak of whinorrhea.

Nursing Diagnosis:

Whinorrhea the state of the frequency of whining. More than 3 times (per shift) for patients and more than 4 times for co-workers.  Whining can be intermittent or consistent.  In patients, whining can be centered around comfort, timeliness, or a myriad of other items.

In co-workers, whining is primarily centered around the work environment, co-workers, patients, or home life.

  • Deficient Fluid Volume (thirst) is related to excessive fluid loss through oral disruptions.
  • Acute anxiety related to whinorrhea
  • Deficient Knowledge about the condition, prognosis, and treatment needs related to limited exposure information, misinterpretation of information, and/or cognitive limitations.

Nursing Interventions

  • Assess for the ‘root’ of the whining.
  • Remove the ‘root’ problem (if possible)
  • Provide appropriate distractions for yourself or the person suffering from Whinorrhea
  • Bring earplugs or headphones to work.
  • Change the subject by asking the whiner what’s going well.
  • If you’re stuck listening to a whiner, retreat mentally and imagine yourself in a peaceful setting you enjoy.
  • Ask the whiner what he or she intends to do about the problem (co-worker) or find out what you can do for the whiner (patient)

Evaluation:

If your interventions didn’t prove effective: Pray for the Serenity to “Change the things that can be changed and accept the things that cannot be changed.”
Have you suffered from Whinorrhea?  How did you manage to get out of it or change your mindset?  Comment them below.

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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

September 24, 2012

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Nurse Board Websites

Having the resources you need at your fingertips as a travel nurse is very important. We have put a list together with all state’s Nurse Board websites for your convenience. We hope that this will be a valuable resource for you now and in the future.

State Nurse Board Information

StatePhone NumberWebsite Address
Alabama800-656-5318Alabama Board of Nursing
Alaska907-269-8160Alaska Board of Nursing
Arizona602-771-7800Arizona Board of Nursing
Arkansas501-686-2700Arkansas Board of Nursing
California916-322-3350California Board of Nursing
Colorado303-894-2430Colorado Board of Nursing
Connecticut860-509-7603Connecticut Board of Nursing
Delaware302-744-4500Delaware Board of Nursing
D.C. Boards202-442-9200D.C. Board of Nursing
Florida850-245-4125Florida Board of Nursing
Georgia844-753-7825Georgia Board of Nursing
Hawaii808-586-3000Hawaii Board of Nursing
Idaho208-577-2476Idaho Board of Nursing
Illinois888-473-4858Illinois Board of Nursing
Indiana317-234-2043Indiana Board of Nursing
Iowa515-281-3255Iowa Board of Nursing
Kansas785-296-4929Kansas Board of Nursing
Kentucky502-429-3300Kentucky Board of Nursing
Louisiana225-755-7500Louisiana Board of Nursing
Maine207-287-1133Maine Board of Nursing
Maryland410-585-1900Maryland Board Nursing
Massachusetts800-414-0168Massachusetts Board of Nursing
Michigan517-241-0199Michigan Board of Nursing
Minnesota612-317-3000Minnesota Board of Nursing
Mississippi601-957-6300Mississippi Board of Nursing
Missouri573-751-0681Missouri Board of Nursing
Montana406-444-6880Montana Board of Nursing
Nebraska402-471-4376Nebraska Board of Nursing
Nevada888-590-6726Nevada Board of Nursing
New Hampshire800-735-2964New Hampshire Board of Nursing
New Jersey973-504-6430New Jersey Board of Nursing
New Mexico505-841-8340New Mexico Board of Nursing
New York518-474-3817New York Board of Nursing
North Carolina919-782-3211North Carolina Board of Nursing
North Dakota701-751-3000North Dakota Board of Nursing
Ohio614-466-3947Ohio Board of Nursing
Oklahoma405-962-1800Oklahoma Board of Nursing
Oregon971-673-0625Oregon Board of Nursing
Pennsylvania833-367-2762Pennsylvania Board of Nursing
Rhode Island401-222-5960Rhode Island Board of Nursing
South Carolina803-896-4550South Carolina Board of Nursing
South Dakota605-362-2760South Dakota Board of Nursing
Tennessee615-532-5166Tennessee Board of Nursing
Texas512-305-7400Texas Board of Nursing
Utah801-530-6628Utah Board of Nursing
Vermont802-828-1505Vermont Board of Nursing
Virginia804-662-9909Virginia Board of Nursing
Washington360-236-4703Washington Board of Nursing
West Virginia340-744-0900West Virginia Board of Nursing
Wisconsin608-266-2112Wisconsin Board of Nursing
Wyoming307-777-7601Wyoming Board of Nursing

If you are a new travel nurse or looking into becoming a travel nurse:

Travel Nurse Guide: Step-by-Step (now offered in a PDF Downloadable version!)

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

July 4, 2012

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Specialty Nurse: A SALUTE TO The ARMY NURSE CORPS

Today’s Specialty Spotlight is a previous co-worker of mine and a much respected ARMY NURSE.  I want to thank all of those currently and have served in the past in our Armed Services for the freedoms that we hold dear.  The dedication of these individuals and their strength of character go far beyond what we as civilians could ever expect.

An Army Nurse with the US Army Nurse Corp

Meet Army Nurse: 1st Lt. Rose, RN BSN

Name: 1st Lt. Rose, RN, BSN
Job Title: United States Army Nurse with Army Nurse Corp

List your education/certifications:
Registered Nurse, Bachelor Degree in Nursing Certifications: SANE (sexual assault nurse examiner)

Where do you work:
Landstuhl Regional Medical Center, Landstuhl Germany
Medical/Surgical
14 Bed Unit

How long have you worked this Specialty?
I have been at Landstuhl for three years, minus some time while I was deployed to Afghanistan

How/Why did you get involved? Was there someone/something that inspired you to choose this specialty?
My brother inspired me. He is in the National Guard and had been deployed to Iraq several times. I had so much respect for him and his soldiers, and I wanted to help.  The primary reason I joined the Military is that I wanted to take care of soldiers. I did not choose to work in Med/Surg, and the Army picked that for me. I am going to ER training in a month, but for now, I am enjoying med/Surg.

What is an Army Nurse Corp Nurse?

This is best defined by the Army Nurse Corp Creed:

Army Nursing Team Creed

I am a member of the Army Nursing Team. My patients depend on me and trust me to provide compassionate and proficient care always.

I nurture the most helpless and vulnerable and offer courage and hope to those in despair. I protect the dignity of every individual put in my charge. It end to the physical and psychological wounds of our warriors and support the health, safety, and welfare of every retired Veteran.

I am an advocate for family members who support and sustain their Soldier during times of War. It is a privilege to care for each of these individuals and I will always strive to be attentive and respectful of their needs and honor their uniquely divine human spirit.  

Finished the travel nursing guide and are ready to look for an assignment?

Check out our travel nurse jobs!

We are the Army Nursing Team  

We honor our professional practice standards and live the Soldier values.

We believe strength and resiliency in difficult times is the cornerstone of Army Nursing.

We embrace the diversity af our team and implicitly understand that we must maintain a unified, authentically positive culture and support each other’s physical, social, and environmental well-being.

We have a collective responsibility to mentor and foster the professional growth of our newest Team members so they may mentor those who follow.

We remember those nursing professionals who came before us and honor their legacy, determination, and sacrifice.

We are fundamentally committed to provide exceptional care to past, present, and future generations who bravely defend and protect our Nation.

The Army Nursing Team: Courage to Care, Courage to Connect, Courage to Change

What Does an Army Nurse do?


As an Army nurse I take care of service members and their families within the military health system. Our hospital takes care of all service members in the local area of Europe, as well as patients coming in from Afghanistan, Africa and the Middle East.  I take care of soldiers and family members who are sick enough to be in a hospital, but stable enough to be out of the ICU.

Because of the unique mission of my hospital, I deal with many patients coming in from Afghanistan.  Every day soldiers come in on the Air Evac flight, and most days I am getting patients ready to fly back to The States.  Because we are the first stop for patients from combat zones, much of my work is based around helping patients feel comfortable and safe. Nurses on my unit give out phone cards, help patients get onto the internet and Skype to talk to family. We share our movies, run to the snack machine for soda, and generally go to great lengths to help our patients feel human again.

A gratifying moment

What about your job makes you proud to be a nurse? Is there a specific situation that stands out to you as a gratifying moment?
I am so proud of the patients I take care of. Even after going through debilitating injuries, so many of them want to get better and go back to serving. They are so dedicated to their team of soldiers, I am proud to take care of such dedicated people.

While I was deployed we had two soldiers come in after an IED blast hit their vehicle. My patient had an injury to his eye, and blast fragments to his legs and his right arm. His buddy was in the ICU, he had lost both of his legs. When the ICU guy came out of surgery my patient asked if he could go see him. So, i loaded him in a wheelchair and brought him to ICU. for 8 hours he sat there holding his buddies hand, refusing any pain medication. He only came back to his bed when we flew his buddy out.

Off-Hour Calls

What (if anything) do you get called about on your off-hours?
I get called on my off duty hours all the time, usually about some training I am required to do. I also have extra duties for my ward, and I get frequent calls about that. The army is a 24/7 responsibility.

What is something a nurse who does not work in your particular field might find surprising about your job?
How much of my job is about patient movement. I often joke that part of my job is being a travel agent. On a daily basis I am coordinating with the Air Force to get patients onto air evac flights back to the states. Also, there is the army side of my job, things that have nothing to do with being a nurse, like going to the range, taking PT tests and participating in army training.

Additional Training

Did you position require any extra training besides on-the-job training that you were required to complete?
My job on the (med/surg) ward only required on the job training. I also am trained as a SANE nurse (sexual assault nurse examiner) and that involved a special class. This summer I am also going to 4 months of training to be an ER nurse.

An Army Nurse Experience

When I was in Afghanistan I took care of an 8-year-old boy. He was an orphan who had been recruited by the Taliban to plant and IED. In the process of planting the IED the boy was blown up and eventually ended up loosing his leg. Because he had no family with him we could not send him to the Afghani hospital, so he was with us for several months. The nurses I worked with had to be both nurse and parent for him, it was challenging. Before we left Afghanistan we wanted to get him a prosthesis, but because we could not transfer him to another hospital this was impossible.

We decided to build him a prosthesis out of materials on hand in the hospital. The cast technician, surgeon, two nurses and a tech got together and built an artificial leg out of a cane, casting plastic and foam. Our little patient tried out the prosthesis, and found that walking was of course still very difficult. For more than an hour he tried to get the hang of it, enjoying the attention of so many hospital staff.

Later, after everyone left, he took the artificial leg off, and threw it against the wall. It was the first time he realized we were not going to be able to make him perfectly whole again. I went over and picked him up, he curled up in my lap and cried. I wished with all my heart I could bring him back to America where he would be safe and loved. A few days later the FET team located the boys uncle who came to the hospital to pick him up. I don’t know what happened to him, but I will pray for that boy for the rest of my life.

Advice from an Army Nurse

Is there any specific advice or words of wisdom that you would give a nurse pursing a career as an Army Nurse?
The army is a great place to be as a nurse, we have better nurse/patient ratios than the civilian side, and we do a good job of orienting our new nurses. That said, the army requires a lot of patience and dedication. If you’re not willing to work for many hours in conditions that are too hot, too cold, to dusty or too far from home, the army is not going to be for you.

If you have a specific area of nursing you would like to work in, like ICU, ER, PEDS, whatever, be prepared to wait several years before you can get into your chosen specialty. No matter what area you want to work in, leadership is part of the army. If you would like to stay as a bedside nurse forever, the VA might be a better choice. The army wants you to take on leadership roles as soon as possible. before joining, find a real live army nurse to talk to, they can provide you with tips that will help you get where your trying to go.

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, 2012

9289 Views

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Understanding the Nursing Shortage

Everyone has heard that there is a Nursing Shortage.  The nursing shortage provides a never-ending supply of Travel Nurse Assignments.  A continued nursing shortage is primarily a cause of the following factors:

  • The average age of RNs projected to 44.5 years by 2012. Nurses in their 50s are expected to become the largest segment of the nursing workforce, accounting for almost one-quarter of the RN population.
  • According to the July 2001 report, Nursing Workforce: Emerging Nurse Shortages Due to Multiple Factors (GAO-01-944), a serious shortage of nurses is expected in the future as demographic pressures influence both supply and demand. The future demand for nurses is expected to increase dramatically as the baby boomers reach their 60s and beyond.
  • Nursing colleges and universities across the country are struggling to expand enrollment levels to meet the rising demand for nursing care.
  • According to a May 2001 report, Who Will Care for Each of Us?: America’s Coming Health Care Crisis, released by the Nursing Institute at the University of Illinois College of Nursing, the ratio of potential caregivers to the people most likely to need care, the elderly population, will decrease by 40% between 2010 and 2030. Demographic changes may limit access to health care unless the number of nurses and other caregivers grows in proportion to the rising elderly population.
  • In the March-April 2005 issue of Nursing Economics, Dr. Peter Buerhaus and colleagues found that more than 75% of RNs believe the nursing shortage presents a major problem for the quality of their work-life, the quality of patient care, and the number of time nurses can spend with patients. Looking forward, almost all surveyed nurses see the shortage in the future as a catalyst for increasing stress on nurses (98%), lowering patient care quality (93%), and causing nurses to leave the profession (93%).
  • According to a study in the October 2002 Journal of the American Medical Association, nurses reported greater job dissatisfaction and emotional exhaustion when they were responsible for more patients than they can safely care for. Researcher Dr. Linda Aiken concluded that “failure to retain nurses contributes to avoidable patient deaths.”

What are your thoughts on the nursing shortage?  Do you agree with the experts above?

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