Summer Nursing Trends

The summer is here and summer sunburns, heatstrokes, and poolside accidents will be filling up urgent care centers very soon. People who usually have no experience being patients start to have all kinds of unusual scrapes and need urgent care and referral appointments at an alarming rate. This, and the heat and healthcare insurance contingencies can make managing a nursing work week challenging. The Emergency Room staff and associated referral specialists will growing their practice at the same time they are trying to go on vacation. Travelers will want healthcare in places they never came to ask for services before.

Medical Providers of all types should be ready for sudden increases in full schedules. Patients may have not been seen for months may suddenly have new conditions and medical problems created by the heat. Many diseases and health problems tend to emerge when recreational activities and unusual sports and trips make new kinds of injury risks proximate. And aging people are still trying to do things they never had a problem with before.

   Seniors living alone can have especial  health risks in summer heat if they do not have a functional living environment with proper ventilation, HVAC, and hygiene standards. They may try to drive when they are tired or suffering from heatstroke. Seniors may be too impatient or forgetful to take necessary medications, causing blackouts, faintness, chest pains, and the like. Blood pressure due to excitement, drinking, indulgence in recreational medication or drugs can turn a family event into a midnight trip to Urgent Care. Emergency Rooms see a lot of unusual things during the summer, when the heat can overwhelm good judgment and put personal safety and health regimens at risk.

A variety of nursing opportunities will be heating up here and around the world. Summer means travel, and travel for many people with physical disabilities or medical conditions means an opportunity to go somewhere new and stretch their tourist dollars. And many families who have spent a lot of time looking after a relative or patient at home must make other arrangements. This is a good time to engage a part-time gig that fills in the time between regular nursing scheduled hours.

When the summer starts, family and business responsibilities fade. Home health nurses and career nurses can change their schedules to match the needs of others, and this occurs just as many student programs end. A lot of new hires sudenly come a cheaper hiring option for many career nurses. The drop in hours can be made up with private working assignments in the field. The staff roster of many a hospital and long-term care facility will start to change every week. Soon a regular nursing schedule begins to look like a checkerboard, with vacation days, medical appointments, special occasions and personal days across the staff calendar.

This leaves hospitals, nursing homes, and teaching clinics empty of staff and but needing faculty to service patients and intake volumes throughout the summer. The progression of many nurses to new jobs, new places of residence, and new coursework can rearrange even the most stable group of staff nurses. These are the highs and lows of the occupational field of nursing. Highly capable and skilled nurses should scan the job listings and keep abreast of new opportunities in the nursing world.

The high volume areas for new hires in summer nursing positions are hospital emergency rooms near beaches, resorts, scheduled athletic events, and places where a given sports recreation area holds regular events. This type of place is where the bulk of intakes from one event can fill the E.R. locally and back up into nearby clinics. And there are urban areas where one car crash an hour can fill an entire local Emergency Room with victims.

These days, emergency can occur anywhere and any time. Incidents make a neighborhood hospital anywhere the subject of national scrutiny. preparedness is the watchword. Metropolitan areas will need emergency room staff specialists, phlebotomists, nursing attendants, dialysis and feeding-tube techicians in great volume. These nurse staffing volumes are the ones that demand critical care staff as well as secondary staff, like nursing attendant and RN specialists for best quality in  continuing patient care.

New student nurses come to the end of their labors in June. Before the new grad rush starts, it may be helpful to solicit referrals from professors or instructors. Their experience with your skills can open doors. The nursing community sees ritual posting of job ads come the end of summer from all over the country for this reason. Many facilities look over thenew crop for skills and personalities that fit their vacancies. But in asking the staff present of these hospitals the question of whether or not there is a permanent vacancy or the temporary space needs filled can be a riddle.

No nurse, especially one new to the field wants to play hospcotch in the critical early years of their career. But summer work opportunities can fill out a resume, even if they are at the intern or junior assistant nurse level. Longevity in certain key positions can  lead to enhanced responsibilities and advanced pay grade status.

 

 

 

 

 

 

 

 

 

 

 

 

Nursing Burnout & Occupational Nursing Careers

 

Too often the reality of working in the real nursing world can make the most ardently committed young student nurse turn her back on her skills. Listlessness and fatigue build up, occupational frustrations accrue, then nursing burnout ensues. This leads to a casual disregard of the most basic nursing principles. Laziness and inattention soon follow. A nurse can be cited for errors, poor attitude, and slipping up on the job. The world of the academic nursing phase of their career can seem years off, instead of only months ago. This is a common element in a young nurse’s career, and there are several ways to cope.

A young nursing intern, student nurse, or newly minted graduate nurse may have no one they can trust to talk to. Peer review may be in the hands of older people the nurse may not fully trust. The work load is too crushing, the schedule is too hard, and the money is too low. The rewards that seemed so promising while a student nurse seem very far away, from every perspective. And many hospitals and nursing homes have very little in the way of employee support. Human relations in nursing institutions often only adds up to timecard processing. Occupational support networks are key.

The current occupational nursing professional will undergo a learning curve when first joining the official working world of nursing. Many call the eroding relationship a new nurse has with the employer as a”poor fit”. But as a nurse comes to realize her (or his) own strengths, their maturity may result in them outgrowing their current working assignment. While it may be a profitable relationship from a working perspective, (The Registry makes money, the facility gains a great worker), the nurse’s own interest in their work flags. This is not ideal, as it is the nurse’s own personal commitment that keeps them in the nursing field.

Every facility , hospital, or home health work space will have its challenges. it is a nurse’s choice which one she chooses to work in. Some nurse trade off their nursing duties, working part-time for a formal nursing institution like a long term care facility or assisted living environment, and a few days a week doing Home Health on the side. A Home Health nurse can choose her patients. Building up a rapport with a trusted few can add to income and augment a nurse’s salary with more mutually respected nursing relationships.

One avenue for a nurse to revive their occupational interests to undergo certification training in a specific specialty service. Knowledge of therapies and alternative treatments can offer a nurse’s patients options. Counseling with a specialty nurse can orient your schedule to more challenging occupational work. One thing is for sure, it’s a better thing to find your niche before your superiors notice your work is sliding. They won’t always be sensitive enough to ask why. You may just be shown the door before the burnout gets the best of you.

 

What Nursing Students Need to Know-The Ancillary Tasks Expected on The Job

Student nurses are taught the ways to absorb and retain key nursing modules of knowledge and practical skills in blocks. But the actual practice of nursing is not so easily compartmentalized. Often skills can be packaged to fill overflow needs that become just part of every nurse’s workday. Student nurses can study their sections better when they understand how the interaction between knowledge and their job description intersect.

  1. MDS Documentation

The Medical Data Sheet comprises all of the elements of a patient’s case history and present conditions. The treatment history and current condition of the patients, the statistics of the vitals and the medication schedule are also cited. These are painstakingly compiled details that are critical in allowing the insurer to evaluate the patient’s case and future coverage, as well as the facility’s ability to perform required services. A nurse that can absorb this work when needed is a hiring gem.

The career path for a MDS Coordinator allows a nurse to train specifically for this position, although man nurses are assigned this duty as a matter of course. Resident assessment in long-term care is a monthly reporting process whereby a facility must sustain an error-free technique and perform a  mechanized reporting schedule that repeats every month for every patient in the facility. While  a specialist in MDS coordination can do this work full-time, in case of staff shortages or peak reporting times (like then end of the month), various nurses may be asked to volunteer for these tasks.

  1. Patient Scheduling Coordination

A hospital, skilled nursing unit or long-term care facility houses patients who need specialist and off-site services frequently. Even patients who receive Home Health or in-home nursing need professionally handled schedules from medical offices used to speaking with trained nurses who know how to deal with authorizations, No-Prior-Authorization providers, and patient needs. And confirmation of appointments and transportation is key to maintaining and improving patient health.

Nurses learning how to schedule patient appointments will learn to be patient with busy switchboards, other duties, and multi-tasking confirming and informing the appointment dates with the patient or case manager. Student nurses might think, “I’m not a secretary!” But a mere secretary cannot be trusted with HIPPA data and patient confidences, or make such calls, without a license. And only nurses can be allowed contact with patient chart medical data and the documents and information needed to complete this task.

  1. Pain Assessment

A pain assessment is triggered by observation of symptoms of pain in a patient, or by patient’s request, or by a scheduled recurrence for a patient suffering acute or chronic reported pain. Nurses are trained observe the symptoms of pain in  a patient, such as nonverbal sounds, vocal complaints, and facial expressions. Clenched teeth and wincing matter. Shortness of breath, rapid breathing, and other indicators of pain can be valuable, especially when endorses to other nurses to make them watchful of the same.

An attentive nurses picks up on these things. Patients who perform protective body movements or postures, or actual repeated complaints and nurse’s recorded and reported highest pain scores of pain ranges. The chart data for pain assessment can be extremely valuable when planning a pain management therapy strategy. And the integrity of thematically chart for the patient’s record can be maintained.

  1. Incident Reporting

The documents fabricate a narrative for evaluation and discussion. Staff at a nursing home often review the chart and an incident report can be valuable in planning the environment and actual care and nursing acuity for specific patients. Accuracy of simple facts like dates and times, clarity of writing, overall commitment to highest and best practices and student nursing preparation from the beginning of their career will allow the patient the best chance at an accord to the benefit of all.

  1. Health Insurance Case Investigation

Often patient or anonymous complaints generate a grievance or abuse allegation. Utilizing these grievance processes does not prohibit the legal rights of a patient, but will commit a facility to relate facts known and committed o the medical chart. Confidentiality is of the utmost concern in these situations. Nurse known to be capable of keeping secrets and handling important situations with poise and skill will be noticed for promotion and special recognition.

  1. Public Oversight Agency

The oversight agencies such as the Ombudsman programs involve the prompt and detailed investigation of any incident or claim. The recommendation of a case manager or family member can prompt further investigation of abuse claims or environmental violations. Civil code violations for patient care become a matter of record when allegations are substantiated by the investigating agency.

  1. Law Enforcement Testimony

During the course of any nursing shift, extreme incidents will arise. Patients will have altercations that become violent or abusive. Residents rights demand that such extreme incident be reported to local law enforcement. Often a patient’s family or a relative will be an outcry witness if they are present. To build a strong case, the attorney will review the police record. What a nurse says at this time will be key or the plaintiff or the defense.

So, when student nurses hear about MDS Documentation, they should understand that will be them someday. The first time they have to stay on hold for a doctor’s office longer than twenty minutes, to schedule one appointment, they should have anticipated this as part of a nursing career. When student nurses see a co-worker or stranger complain of pain or evidence nonverbal complaints, they should feel the prompt to perform a pain assessment.

     All of the book work and practical exams, intern ships and training sessions must combine to deliver skill sets that measure up to these challenges, as well as regular nursing chores. And student nurses should understand from the outset, that in any nursing career, that command of the facts is pivotal. A nurse managing information related to patient incidents, nursing investigations, and medical facility’s oversight agency communications are of ultimate importance. These combined tasks and skills,  as well a nursing student‘s learned abilities on the job, will make any nurse outstanding in her field.