Nursing Specialties

Nurse Practitioner Jobs

Posted in Nursing Jobs, Nursing Specialties

What is a Nurse Practitioner?

A nurse practitioner is a nurse who has completed an advanced level of training in diagnosis and disease management. Nurse practitioners work closely with a patient’s regular physician, and can even serve as a patient’s primary health care provider. Nurse practitioners can write prescriptions and are also often solely responsible for first line diagnoses. Nurse practitioners can order diagnostic tests, arrange treatment plans and provide counseling. Additionally, nurse practitioners focus on individualized patient care. Rather than merely treating the illness, nurse practitioners can also provide education and analysis of a patient’s home life in order to prevent further health issues. Nurse practitioners can practice almost anywhere, in all fifty states, in places varying from hospitals to private clinics to school nursing staffs. Many nursing homes have a nurse practitioner on staff, and nurse practitioners can even practice independently. Most nurse practitioners also have a specialty that they focus on in their training, for example, neonatal, pediatrics, or occupational health.

How can you become a Nurse Practitioner?

In order to become a nurse practitioner, you must first have a BS in nursing, and preferably be a registered nurse, although there are some training programs which take those who have the BS but are not registered. Most nurses work for about two years before beginning their training as nurse practitioners. After working as a registered nurse for several years, you can apply for a Masters of Science in Nursing, which also generally lasts about two academic years. While studying, most nurse practitioner candidates also choose an area of specialization, although some choose to remain general nurse practitioners. In addition to the Master’s degree, nurse practitioners must also be licensed in the state in which they want to practice. Each state has different requirements, so you should check your local nursing organizations for more information about practicing in your state.

Nurse Practitioner Jobs

While being a nurse practitioner is extremely rewarding, because of the nursing shortage, some are finding it difficult to get the training they need for certification. There is a shortage of nursing teachers, which limits the number of candidates accepted into training programs. However, once accepted, there are many different job opportunities for nurse practitioners. Because of the varied nature of the job and the degree, nurse practitioners have a lot of options when it comes to choosing how and where to practice. There are numerous web sites advertising nurse practitioner jobs, and it is always worth a try to look at your state board of nursing and local nurse practitioner association. When looking for a nurse practitioner job, be sure to check out the required credentials, as they do vary from state to state. It is also good to search for a nurse practitioner job by your specialty, as this will really narrow down your search, and help you find a job more quickly. Be sure to remember to check local nursing forums as well for the inside information on the job you’re considering.

Great Recession is Temporarily Slowing the Nursing Shortage

Posted in Nursing, Nursing Jobs, Nursing Specialties, Permanent Placement, Travel Nursing

The nursing shortage has always been a cyclic issue. For instance, consider the fact that just about 25 years ago there were actually too many nurses and it was quit difficult to find a job. Many of those who became nurses then are now in their 50’s and seriously thinking about retiring today, but for now the economy has slowed them down.

Nursing is one of the most physically and emotionally challenging professions and consequently many nurses are quite ready to retire in their 50’s. When the economy really began to sour last fall, and retirement plans such as 401Ks took a nose dive, many nurses decided to delay their retirement.

In addition, many nurses found themselves returning to the profession because their spouses had been laid off. As a result of these two factors coupled with lower hospital censuses, the shortage of nurses has actually begun to shrink.

This may be a fix to the nursing shortage right now, but it’s quite temporary. When the economy recovers, there may be an even larger mass exodus of nurses than previously expected.

Take for example the fact that the average age of nurses in California is 47, and 45% of those nurses are actually over the age of 50. Potentially 45% of the nurses in California could be retiring very soon.

California is near the bottom of the number of nurses per capita at 647 RNs for every 100,000 persons. The national number is 825 per 100,000. Only Utah, Arizona, Nevada, and New Mexico rank lower than California. California is also one of the states with a mandatory nurse-to-patient ratio. Arizona is considering this type of legislation as well.

The number of new nurses cannot keep up with the number leaving the profession, even with the slower pace of retirement. It’s certainly not for lack of potential students as many thousands are turned away each year because of the lack of nurse educators. Schools just cannot compete with the salaries nurses can earn working in a hospital versus teaching.

Some hospital groups have invested in nursing programs to help them expand and accept more students in an effort to forestall the shortage which will be presented by a mass exodus of nurses. This has helped, but it’s going to take a lot more to make a dent in the potential crisis.

As health care reform efforts make progress, the potential for an additional 46 million currently uninsured Americans to have improved access to health care will also make a dramatic impact on the nursing shortage as demands for care increase.

So for those nurses who are having some difficulty finding jobs right now, don’t get too discouraged. As the economy begins to recover, there will soon be no shortage of jobs for nurses.

Opportunities for travel nurses should begin to pick up again and those nurses who have a large repertoire of skills and experiences will be able to command offers like never before.

Nurses should take advantage of these times and expand their knowledge base and skills set to prepare for the future.

©2009 by UltimateNurse.com All Rights Reserved. By Kathy Quan RN BSN. Kathy is the author of four books including The Everything New Nurse Book. She is also the owner/author of TheNursingSite.com.

Happy National Nurses Day and Nurses Week

Posted in Nursing, Nursing Jobs, Nursing Specialties

Well it’s Nurses Week again. Have you gotten that huge raise you were looking for? Or a magnificent all-expenses paid vacation? Probably not. Well don’t despair. Celebrate the fact that you are a nurse and you make a difference in someone’s life everyday!

Like any other day (or week) of the year, it’s up to you to find your own rewards in your nursing career. Nursing isn’t like a lot of other professions where you often see the end result of your efforts.

Your patients are usually with you for a very short term basis and then they go back to their own lives. You don’t get to see them recover fully, or even continue to struggle with a chronic disease. If you live in the same neighborhood, you might run into them at the grocery store or local shopping mall, but that can be an awkward moment, especially with HIPAA regulations.

So it comes down to the here and now and making the most of it. Some nurses prefer settings such as the ER because they don’t want to get too attached to their patients, but they do remember some who end up there often or who stick out in their mind for one reason or another.

Some nurses love the hospice setting because they want to help patients transition from life to a peaceful, dignified death as well as to offer support to their loved ones through this unhappy time. Others love the challenges of home health care and teaching patients to assume responsibility for their own care such as post acute care needs.

Some like the ICU for its fast pace and life or death critical thinking challenges. And God love them, there are those who love the NICU where they can help the tiniest babies with a multitude of tubes and wires find a way and a will to live.

There are those who love to teach and choose to educate nurses so that they can provide the best quality care possible, or maybe become nurse educators themselves.

Some nurses prefer to work behind the scenes in fields such as research, forensics, information technology, quality assurance, or as insurance case managers. Some become life or health coaches, and long term care managers.

Nursing offers such a wide variety of specialization and caregiving opportunities. The challenges are many. The working conditions are not always pleasant or supportive. This is one of the most physically and emotionally challenging professions. But nurses are also repeatedly found to be some of the most ethical and trusted professionals.

As you take a moment in your busy day this week. Don’t grumble about how no one noticed it was Nurses Week, or maybe how they gave you some silly token gift. Pat yourself and your colleagues on the back and say Thank You for a job well done!!

Nurses are the backbone of the health care system. Take pride in who you are and the job you do everyday. Know that you matter and that someone’s life is better today because you cared. Happy Nurses Day everyday!

©2009 by UltimateNures.com All Rights Reserved. By Kathy Quan RN BSN. Kathy is the author of The Everything New Nurse Book and is the owner/author of TheNursingSite.com.

Nurses Position Yourselves for Future Opportunities

Posted in Independent Contractor, Nursing, Nursing Jobs, Nursing Specialties, Per Diem, Permanent Placement, Travel Nursing, Travel Nursing

The state of the nursing profession currently reflects the state of the economy. With unemployment hitting record levels, many non-active nurses have returned to the profession and others have taken on more shifts in order to meet the needs of their families.

Hospitals have been hit hard in the pocketbook by the fact that many patients are putting off elective procedures and anything that isn’t of an urgent nature. It has been a slow flu season and therefore the number of children, elderly and chronically ill have not required hospitalization for complications of flu.

Jobs are in Middle America
The number of nurses available for travel assignments has grown and therefore with simple economics of supply and demand, those who are more flexible and have more experience are getting the premier travel assignments. The east and west coasts have been more affected by the economic crisis than middle America and consequently the opportunities in these regions have been affected as well. The jobs now are available in the middle of the country, not Florida and California.

The good news is that the economy will turn around. How soon is being debated. Some predict a few months and others at least a couple of years.

The other factor is that in the next few months, we will see more nurses taking time off from taking on extra shifts or returning to work and being overworked and burned out. This will open up more opportunities.

Gain Experience and Improve Skills
For nurses who are employed or have current travel assignments, make the most of what’s available to you. Extend travel assignments as possible and look for opportunities to polish skills or to gain more experience in specialty areas. Continue your education.

Some travel nursing companies are looking for a minimum of 2 years experience in a specialty area, and making changes right now might even be a negative, but think further into the future and get the experience you want and need. The one thing that is happening across the board for nurses looking for permanent or travel opportunities, is that nurses with very little experience beyond basic med surg are having a harder time finding jobs.

As the economy improves, all those patients who have delayed procedures and care are going to need to have it done and the system is going to be overwhelmed. The nursing shortage has not been solved. There is still going to be a shortage of nearly one million nurses by 2020. Nurses who have positioned themselves to meet the challenges of the next couple of decades will be way out in front.

Post Acute Care Will Grow
Post acute care, especially home health care, is expected to be the fastest growing branch of the nursing profession over the next few years according to the Bureau of Labor Statistics. Nurses who have excellent skills in a wide variety of patient care will be able to make this transition more easily.

For older nurses who cannot stand for eight to twelve hours a day, home health care may offer a new career path for many years past what they could serve in an acute setting. The key to survival in home health is being confident in your skills, having strong critical thinking skills and being able to work autonomously. Documentation skills are a very important issue in home health care as well.

© 2009 by UltimateNurse.com All Rights Reserved.
By Kathy Quan RN BSN. Kathy is the author of four books including The Everything New Nurse Book and author/owner of TheNursingSite.com.

Quick Guide to Selecting a Nursing Home

Posted in Nursing, Nursing Home, Nursing Specialties

In the Suburban Journals article “How to Select a Nursing Home,” author Eric Becker provides a useful “Quick Guide”:

 

Quick guide

1. Determine what level of care is needed. An individual that is relatively independent may not need a nursing home, but other service, such as an in-home assistant.

2. Research state and federal inspection reports and Medicare 5-star ratings for facilities you are considering.

3. Visit multiple homes. Be sure to speak with family members of residents, the director of nursing, and have the director of nursing address violations of regulations cited in inspection reports.

4. Take a friend or someone else who is not emotionally attached to the individual who needs assistance. He or she may provide a different perspective on each nursing home you visit.

UA Nursing School Offers Students Hands-on Experience

Posted in Nursing, Nursing Specialties

At the UA College of Education and Health Professions, the Eleanor Mann School of Nursing offers its students a progressive curriculum to better prepare them for the nursing profession.

After students graduate from an approved nursing program, they often receive on-the-job training, but those who graduate from the UA School of Nursing already have a strong background in hands-on experience.

Many of the courses offered by the UA nursing school incorporate experiential activities to give students a better idea of current issues in the nursing field.

The students in the UA program begin some clinical work experience as early as their sophomore year in the nursing school.

“All of our courses provide services to the individual client or community, as that is what nursing centers (are about), whether it is in the hospital, school system, community center, nursing home or other community agencies in which nursing is present,” said Nancy Smith-Blair, associate professor and interim director of the UA School of Nursing.

Read more in the Arkansas Traveler.

Case Management Nursing

Posted in Nursing Specialties

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There are dozens of areas of specialization in the field of registered nursing. Case Management Nursing is just one area in which an RN can specialize. Case Management involves providing development and implementation of patient case plans, as well as patient education, in settings such as hospitals, insurance companies, and clinics. Case managers provide services to hospitals and patients that ensure the highest levels of quality management while assuring that all protocols for services are met.

This can be a very rewarding areas of nursing and gives a Case Management Nursing professional a strong possibility for upward mobility in the health care management arena. It does require, however, a strong background in hands-on nursing practice and several years of experience prior to becoming a case manager.

Cardiac Cath Lab Nursing

Posted in Nursing Specialties

Visit our Cardiac Care Nursing Discussion forum.

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A registered nurse working in the cardiac catheterization lab specializes in assisting cardiologists in the diagnosis of heart disease in patients. Qualifications include being a registered nurse with special knowledge in cardiac care. Certification courses are available but not required in most states. They are involved with procedures like the implantation of pacemakers and cardioverter defibrillators and also in assisting in interventional procedures like angioplasties and valvuloplasties. Some of their duties include keeping up with cardiovascular technologies, special research projects, completing a thorough patient needs assesment, properly operating treatment equipment and medicating via IV treatments. Cardiac cath lab nursing not only places a nurse in the cath lab but could also place a registered nurse in the Intensive Care Unit or the Cardiac Care Unit, depending on the hospital.

Cardiac Care Nursing

Posted in Nursing Specialties

Visit our Cardiac Care Nursing Forum

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For those involved in the field of Cardiac Care Nursing, it is not unusual to provide patients with heart related problems the care needed inside of their own homes after a bypass or pacemaker type of surgery.

Cardiac Care Nursing often includes nurses who work as specialized Critical Care Nurses within a hospital setting. Due to the nature of heart disease, RN’s that have their BSN, with prior experience in defibrillation, electrocardiogram telemetry monitoring, and advanced cardiac life-support techniques are normally preferred for these home-care positions.

Specialty areas of Cardiac Care Nursing include by age-segmentations for children or senior care, with unique specialists found in fields such as cardiac research, cardiac rehabilitations, and within intensive care hospital settings.

While patients with heart disease often live long fulfilling lives, Cardiac Care Nursing options often include job situations where patient deaths occur.

Camp Nursing

Posted in Nursing Specialties

Visit our Specialty Nursing Forum to discuss Camp Nursing.

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Camp nursing positions are a great way to fill time between jobs and are a field of nursing that is sure to have to have a high need for nurses. Summer camps need to safeguard their clients – usually kids – and to do this, they need nurses. Thus, camp nursing positions are an integral piece of a camp’s make-up. Without a nurse, a camp may not be able to proceed with its programming. People get sick all of the time, and the camp nurse is the person who can help the staff and clients get through this time. If someone is looking for a surefire summer position, they should most definitely look into camp nursing position openings.