Wednesday, October 25, 2017

Managed Care Nursing Leader of the Year Award 2017



The 2017 Managed Care Nursing Leader of the Year Award Winner is
Michelle Greene Rhodes, MHS, RN, CCM, CMCN!



Michelle serves as an Independent Coach and Consultant, focusing on Diabetes prevention through lifestyle change. She has partnered her business with the CDC as a Diabetes Prevention Provider, in which she participates to decrease obesity in her community. 

In addition to offering Life, Health and Business Coaching to Nurses, Michelle serves on the Mayoral African American Advisory Council for the City of Tampa, and she also serves as the Co-Chair of Health with The National Coalition of 100 Black Women. 

This year, she has authored two books that offer advice for the Nurse Entrepreneur. She also serves as a Nurse Mentor strategizing on career, business, and life goals with her 6 Mentees.

Michelle is an active speaker at various healthcare workshops. Ultimately, her goal is to decrease the health care dollars spent while improving the quality of life for her clients.

The Managed Care Nursing Leader of the Year Award is regulated by AAMCN's Leadership Council and is presented annually at the Fall Managed Care Forum held in Las Vegas, NV. Join AAMCN to participate in next year's 2018 Managed Care Nursing Leader of the Year Award competition! Visit www.AAMCN.org to join.

Wednesday, August 30, 2017

Carbon Monoxide (CO) Poisoning Prevention

When power outages occur after severe weather (such as severe storms, hurricanes or tornadoes), using alternative sources of power can cause carbon monoxide (CO) to build up in a home and poison the people and animals inside. 

Every year, at least 430 people die in the U. S. from accidental CO poisoning. Approximately 50,000 people in the U.S. visit the emergency department each year due to accidental CO poisoning. There are steps you can take to help protect yourself and your household from CO poisoning. Change the batteries in your CO detector every six months. If you don’t have a battery-powered or battery back-up CO detector, buy one soon.

CO is found in fumes produced by portable generators, stoves, lanterns, and gas ranges, or by burning charcoal and wood. CO from these sources can build up in enclosed or partially enclosed spaces. People and animals in these spaces can be poisoned and can die from breathing CO.

CO poisoning is entirely preventable. Protect yourself and your family by acting wisely in case of a power outage and learning the symptoms of CO poisoning.

Flashlight 
 

How to Recognize CO Poisoning

The most common symptoms of CO poisoning are headache, dizziness, weakness, nausea, vomiting, chest pain, and confusion. People who are sleeping or who have been drinking alcohol can die from CO poisoning before ever having symptoms.

CO Poisoning Prevention Tips

  • Never leave the motor running in a vehicle parked in an enclosed or partially enclosed space, such as a garage.
  • Never run a generator, pressure washer, or any gasoline-powered engine inside a basement, garage, or other enclosed structure, even if the doors or windows are open, unless the equipment is professionally installed and vented. Keep vents and flues free of debris, especially if winds are high. Flying debris can block ventilation lines.
  • Never run a motor vehicle, generator, pressure washer, or any gasoline-powered engine less than 20 feet from an open window, door, or vent where exhaust can vent into an enclosed area.
  • Never use a charcoal grill, hibachi, lantern, or portable camping stove inside a home, tent, or camper.
  • If conditions are too hot, seek shelter with friends or at a community shelter.
  • If CO poisoning is suspected, consult a health care professional right away.

CO poisoning is entirely preventable. You can protect yourself and your family by acting wisely in case of a power outage and learning the symptoms of CO poisoning.
For more information, please visit the Carbon Monoxide Poisoning website. 

The original article can be found on the Center for Disease Control and Prevention's website at https://www.cdc.gov/features/copoisoning/

Monday, August 7, 2017

URAC Public Comment Period



URAC is pleased to present draft lists of proposed performance measures under
consideration for addition to the Health Plan Accreditation program, Pharmacy Suite of Products (Community Pharmacy, Drug Therapy Management, Pharmacy Benefits Management, Specialty Pharmacy and Mail Service Pharmacy), and the Telehealth Accreditation program for your review and feedback. URAC invites you to review these proposed measures and share your comments and recommendations with them during their public comment period, which begins July 18, 2017 and ends on August 31, 2017. Click the links below to view the measures and submit comments.


URAC regularly reviews and revises its measures to consistently align with current market needs, government regulations, and industry trends. By doing so, URAC demonstrates commitment to measuring and reporting on performance to offer greater transparency and increase consumer empowerment.

The American Association of Managed Care Nurses would like to encourage you to review the URAC programs under revision and give constructive comments. You do have a voice in healthcare and its standards, so let it be known!

Thursday, July 27, 2017

Managed Care Nurse Leader of the Year 2017

Every year, the American Association of Managed Care Nurses (AAMCN) awards an outstanding member of their association who demonstrates great leadership skills and has made an impact on managed care nursing. The award is presented at the annual Fall Managed Care Forum. This year, the forum takes place in Las Vegas, NV and is being held at the Delano-Mandalay Bay Resort on October 25-27, 2017.  

2016 MCNLOY award winner: Clare Jarrard, RN, PhD, CMCN (center).

AAMCN members who are nominated must demonstrate trust, individual consideration, intellectual stimulation, courage, dependability, flexibility, integrity, judgment, and respect for others.

Nominations are currently being accepted until September 29, 2017. Members of AAMCN may nominate themselves or another member. Winners will receive an award trophy and one year of free membership with AAMCN. Contact April Snyder at asnyder@aamcn.org for a copy of the nomination criteria or apply at:
https://www.surveymonkey.com/r/mcnloy2017

Wednesday, June 28, 2017

Words from the CDC on Improving Health and Quality of Life After Cancer

While cancer survivors are living longer after their diagnosis, at least one-third of the more than 15 million survivors in the United States face physical, mental, social, job, or financial problems related to their cancer experience. These psychosocial and physical concerns may affect family members, friends, and others who provide comfort and care to survivors.

Through data, translation, and partnership, CDC works to address these and other challenges faced by cancer survivors and improve survivors’ health and quality of life.

 

Physical Health Concerns

Some behaviors, experiences, or other factors increase some survivors’ risk of having their first cancer come back, getting a new cancer, and having other health problems. Factors that increase such risks for cancer survivors include—

 

What Can Be Done?

After treatment ends, cancer survivors should get follow-up care—routine checkups and other cancer screenings. Follow-up care can help find new or returning cancers early and look for side effects of cancer treatment.

Survivors also can lower their risk of getting a new or second cancer by healthy choices like—
  • Avoiding tobacco.
  • Limiting alcohol use.
  • Avoiding too much exposure to ultraviolet rays from the sun and tanning beds.
  • Eating a diet rich in fruits and vegetables.
  • Keeping a healthy weight.
  • Being physically active.

Making Our Health a Priority

Photo of Pam B.

Breast cancer survivor Pamela Bryant says, “Having cancer forced me to understand the importance of making my health a priority, and I challenge each of you to do the same.”

 

Mental Health Concerns

Cancer survivors may experience mental health concerns that affect their emotions, behavior, memory, and ability to concentrate. For example, cancer survivors may feel emotional distress like depression or anxiety about their cancer returning. Recent research found that 10% of cancer survivors have mental health concerns, compared with only 6% of adults without a history of cancer.1 Cancer survivors who have other chronic illnesses are more likely to have mental health problems and poorer quality of life.

Fewer than one-third of survivors who have mental health concerns talk to their doctor about them, and many survivors don’t use services like professional counseling or support groups.

 

What Can Be Done?

  • Survivors should talk to their health care providers about their mental health before, during, and after cancer treatment.
  • Survivors should talk to their health care providers about mental health screening to check for and monitor changes in anxiety, depression, and other mental health concerns.
  • Psychologists, social workers, and patient navigators can help survivors find appropriate and affordable mental health and social support services in both hospital and community settings.
  • Physical activity has been linked to lower rates of depression among cancer survivors.2

 

Concerns About Work and Money

Cancer survivors may struggle to pay for medical care and are more likely to declare bankruptcy than people without a cancer history. They also face work-related concerns because of their cancer experience. While many survivors return to work, about one-third cannot work at all or have less ability to work due to mental and physical health problems.3 4

 

What Can Be Done?

Photo of a senior couple paying bills
To help address money problems and make the return to work easier, survivors can learn more about—
  • Changes in health care in the United States and options for affordable health insurance.
  • Ways in which their employer may be able to help, like a non-traditional work schedule, employee assistance programs, and options for employees to donate unused paid time off to sick coworkers.
  • The Family and Medical Leave Act and short-term disability leave.

 

References

1Weaver KE, Forsythe LP, Reeve BB, Alfano CM, Rodriguez JL, Sabatino SA, Hawkins NA, Rowland JH. Mental and physical health-related quality of life among U.S. cancer survivors: population estimates from the 2010 National Health Interview Survey. Cancer Epidemiology, Biomarkers and Prevention 2012;21(11):2108–2117.
2Zhao G, Okoro CA, Li J, White A, Dhingra S, Li C. Current depression among adult cancer survivors: findings from the 2010 Behavioral Risk Factor Surveillance System. Cancer Epidemiology 2014;38(6):757–764.
3Ekwueme DU, Yabroff KR, Guy GP Jr, Banegas MP, de Moor JS, Li C, Han X, Zheng Z, Soni A, Davidoff A, Rechis R, Virgo KS; Centers for Disease Control and Prevention (CDC). Medical costs and productivity losses of cancer survivors—United States, 2008–2011. MMWR 2014;63(23):505–510.
4Dowling EC, Chawla N, Forsythe LP, de Moor J, McNeel T, Rozjabek HM, Ekwueme DU, Yabroff KR. Lost productivity and burden of illness in cancer survivors with and without other chronic conditions. Cancer 2013;119(18):3393–3401.

This article originally appeared on: https://www.cdc.gov/cancer/dcpc/resources/features/cancersurvivorship/index.htm

Thursday, May 25, 2017

The Best Career Advice From 30 Leaders In The Nursing Field


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Original article can be found at: http://nurse.org/articles/career-advice/

Ask a nurse you admire how they got to where they are and more often than not, they'll point to a mentor or preceptor who helped them along the way.
Advice from someone who has overcome the challenges that go along with being a nurse can be invaluable in helping you succeed.
We asked 30 influential nurse leaders to share some of their best career advice for our readers. Here's what they said.

Clareen Wiencek, PhD, RN, ACHPN, ACNP 
President
American Association of Critical-Care Nurses (AACN)


Don’t be afraid to speak up. Whether it is because you don’t know something, see something that makes you uncomfortable or have a fresh “outsider’s” eye for something that can be improved. When nurses lend their voice to their colleagues, it is powerful beyond measure.
Be an active member of a community of exceptional nurses. Join your professional association; engage in the local chapter, network and have fun. It will change your life plus someone will always have your back.
Know that there will be highs and lows. Learning and gaining experience takes time – be gentle and patient with yourself.
Identify trusted colleagues for various purposes. A solid clinical preceptor with whom you feel safe to ask questions and show what you need to learn; perhaps a “coach”, mentor or other trusted colleague with whom you can let your hair down and share thoughts, fears, frustrations; a good friend who will remind you to relax and laugh and unwind.
Remain curious. Asking questions demonstrates your willingness to learn from others and allows you to be heard through inquiry. Curiosity is a welcome trait in nursing.
Know that learning as a nurse is truly life-long. That will challenge and enrich your days as a nurse.  
"When nurses lend their voice to their colleagues, it is powerful beyond measure." -Clareen Wiencek Tweet This

Georgia Elmassian, MSN, MA, APRN, CPSN, CFLE
President
International Society of Plastic and Aesthetic Nurses(ISPAN)


Looking back on my career—in the field, as an educator, and as a leader and activist—I have a breadth of experience from which to draw upon for new nurses.  I see nurses today and am awestruck by how far our profession has come in terms of technology, innovation, and education.
While new nurses might use different tools and technologies, the pieces of advice I would give them are those that we have fundamentally practiced for generations: your patients are your priority, and teamwork is critical for their care!
As nurses, we never fully know what patients or their families are thinking; so empathy, compassion, and respect are so important in times of distress. Treat patients and their families as your own, and never treat a patient as though they are just a number on a chart. Communicate clearly and compassionately with them, and remember that “listening” is 50% of open and interpersonal communication.
Beyond communicating with patients, communicate with your fellow nurses. You are playing on the same team, so don’t be afraid to ask questions, help a colleague, seek sound solutions together, and be open to learning from others.  Beyond patients, our professional success is measured by empowering others.
"Beyond patients, our professional success is measured by empowering others." -Georgia ElmassianTweet This

Jacqueline Cole RN, MS, CNOR, CPHQ, CMCN, CHC, CHPC, FNAHQ, FAHM, FHIASBoard of Directors
American Association of Managed Care Nurses (AAMCN)


Welcome to a wonderful career. Congratulations on making it through and obtaining your license! Great first step! The best advice I can give to any new nurse is to never stop learning. Technology and the profession continues to grow and expand. You are the resource for the lives you touch. To be the most effective and greatest resource for each patient is to keep your knowledge fresh. Even if your state doesn’t require continuing education to renew your license, please challenge yourself to obtain the specialty certification in your area or areas of specialization. When you do, your profession transforms into your passion. When it becomes your passion, the term ‘job’ transitions to ‘joy’. I wish you a long career filled with joy.
"When it becomes your passion, the term ‘job’ transitions to ‘joy’." -Jacqueline ColeTweet This

Maureen Swick, MSN, PhD, RN, NEA-BCAONE CEO and SVP, CNO
American Hospital Association (AHA)


When it comes to giving career advice on nursing, for me it tends to be a bit more personal. Both my son and daughter are nurses and if you were to ask each of them about where they get career advice from, I am sure you would get a resounding “from our mom.”
I am a strong proponent of education and I have advised them both to return to school soon after graduating from their nursing program. Whether one choses to stay at the bedside or move into leadership, advance practice nursing or academic positions, education will provide you with both options and opportunities. The last thing I would advise new nurses is to seek out a mentor, someone you admire that could help coach you as you progress in your career.
"Seek out a mentor, someone you admire that could help coach you as you progress." -Maureen SwickTweet This

Susan Hassmiller, PhD, RN, FAANSenior Adviser for Nursing
Robert Wood Johnson Foundation (RWJF)


You have chosen a very important and honorable profession; there is no greater privilege than providing physical, emotional, and spiritual support to others.
Be aware of the varied career possibilities that will enable you to best use your unique passion and gifts, whether it is at the bedside, home or community, or as a teacher or researcher, and eventually in board rooms and in political offices.
Find mentors to enhance your clinical experiences and leadership skills, and be sure to mentor others as you become a more seasoned nurse.
Support one another always.
Never consider yourself “just a nurse”. Speak up for your sake and for the sake of those in your care. You have knowledge and solutions for improving care, and you bring the compassion that you readily share with people, families, and communities.
Don’t ever let this compassion leave you. It is what makes you a nurse!
Remember to take care of yourself by eating well, sleeping enough, and exercising – you need to be strong physically, emotionally, and spiritually to best take care of others and to model wellness for the people you serve.
"Speak up for your sake and for the sake of those in your care." -Susan HassmillerTweet This

Tracey Gaslin PhD, CPNP, FNP-BC, CRNIExecutive Director
Association of Camp Nurses (ACN)


Defining “success” for individuals is a daunting task as we each see that in a different light.  I think that whatever your dreams and aspirations may be, the best advice is to be open, be flexible, and willing to try new things.
It is often easy to “snuggle down” into our comfort zone and not push ourselves to try new opportunities that challenge us and may require us to answer questions with “I don’t know.”  There is no disgrace in not knowing an answer, but rather in not trying to find the answer.
Life is the pursuit of what creates joy for ourselves and for our patients.  If you are not creating joy, you are not nursing!
"There is no disgrace in not knowing an answer, but rather in not trying to find the answer." -Tracey Gaslin
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Sherrie Dornberger, RN, CDP, CADDCT, GDCN, IP-BC, CDONA, FACDONAExecutive Director
Nursing Administration in Long Term Care (NADONA)


For nurses to be successful, I believe they should pick a specialty organization, for instance for Long term and post-acute care, Nurse leaders within those facilities would join NADONA to find resources, mentors etc.
If you have a specific problem, most likely one of your colleagues have run across that problem too and through networking with your peers you can find an answer to your ‘problem’, and by the way this also helps reduce turnover!
The second thing I would say is to get certified in your specialty, our organization has six specialty certifications. Becoming certified proves your dedication to your field, and proves your knowledge base. The credentials also assist with adding to your resume for the future!
The one things is nurses tend to eat their young, be supportive of every nurse new or seasoned! We need to be each other’s best support, not their worst nightmare!
"Becoming certified proves your dedication to your field, and proves your knowledge base." -Sherrie Dornberger
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Melanie H. Simpson, PhD, RN-BC, OCN, CHPN, CPEPresident
American Society for Pain Management Nursing


I would encourage every nurse to get involved in their specialty organization. From attending a local or national meeting to running for office.
This is a great way to learn about what is going on in your area of specialty both locally and nationally. It allows you to get to know the thought leaders and learn from them first hand.
Of course, knowledge breeds curiosity which sets you up to continue to question and learn about your practice. You benefit personally and professionally and your patients and your institution benefit greatly. This will improve your career satisfaction and ensure your success in a wonderful profession.
"I would encourage every nurse to get involved in their specialty organization." -Melanie H. Simpson
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Beth Mattey, MSN, RN, NCSNPresident
National Association of School Nurses 


1. Find your passion and enjoy what you do.
2. Step out of your comfort zone and be open to new opportunities.
3. Stay true to your word and accountable to others.
4. Join your professional organization and participate.
5. Create and share in a professional learning community on social media (Twitter & Blogging)
6. Actively listen and take an interest in the people in your life.  
7. Don’t judge others and don’t gossip.  
8. Value your team; others don’t think exactly the way you think and will bring different lived experiences, views, ideas and thoughts. This will ultimately lead to the best teams and best decisions.
9. There is usually more than one way to do something.
10. Someone else will always be smarter, more articulate, older & wiser, more knowledgeable, more experienced, have more degrees, etc. Always value what you bring to the table. Your viewpoint is important and needed, but be sure to learn from those who cross your path!  You have what other’s don’t have - you are the only you.
11. You can always improve and learn more.
12. Take time to re-center yourself and ask the question, “Why am I doing this?”  Always start with why.
13. Spend meaningful time with your family and friends.
14. Take care of yourself.  Exercise, eat a nutritionally sound diet and get enough sleep.
"Always value what you bring to the table. Your viewpoint is important and needed." -Beth MatteyTweet This

Linda Groah MSN RN CNOR NEA-BC FAANCEO/Executive Director
Association of PeriOperative Nurses (AORN)

Define your goals and then develop an action plan with steps to achieve the goal.  Seek  out a mentor who will assist and guide you on your journey.
 

 

 

Angeline Bushy, PhD, RN, FAANProfessor & Bert Fish Endowed Chair
Community Health Nursing


Be flexible; you will learn more in the first 6 months than through your entire program of study.
An advanced degree is critical for progression in the profession and an ‘investment’.
When deciding on a focus, think long term.
Consider your career trajectory 10 or 15 years down the road; what is the future of the health care system and how will nursing fit?
Be open minded. An area of practice disliked as a student, should the employment opportunity present, may be an area of practice in which you will thrive.
"An area of practice disliked as a student may be an area of practice in which you will thrive." -Angeline BushyTweet This

Nadine Miller, RN
President
School Nurses Organization of Arizona (SNOA)


In any specialty area a nurse chooses to work it is important to understand that the nurse is part of a team and collaborative, patient centered care is key to successful outcomes.
Ones continual efforts towards gaining knowledge and understanding is an ebb and flow process which should be exemplified, offered and supported throughout a career.
Always remember why we entered the field of nursing and whether you are working as a floor nurse, administrator, research or management; the ultimate goal is to support the efforts of your organization in providing evidenced based, goal oriented, patient centered best practice.
An important aspect of being able to play a role in providing care for others is to be mindful; which takes practice and involves taking care of ourselves as well.  We cannot give guidance, offer education and provide hands on care for another if we are not 'healthy' ourselves...well, we can, and many times do but it is at those times it is important to acknowledge it, and refocus.
Last, I have two things. First, you will make a mistake. Granted in nursing, those mistakes can cause harm, but no one is above owning up to one.  It is by recognizing the imperfections in ourselves, systems or processes that things can be identified and thereby initiating a process of change. It takes a much stronger person to acknowledge a mistake than to pass it by or cover it up and it is what you do with that mistake that speaks to character.  Second, laugh and enjoy what you do, be able to laugh at yourself and with others...laughter is good medicine.
Understand and ask questions regarding the policy and procedure guidelines.  Are they supported by the Nurse Practice Act of your state. Knowing policy and procedures will provide confidence and understanding why you are doing something for the patient and what the potential risks are and what the potential outcomes will be.
If you are unfamiliar with a procedure or medication, stop, research it, know potential side effects and clarify any orders before you administer. Seek the support of seasoned team members to support you during this process.
"It takes a much stronger person to acknowledge a mistake than to pass it by." -Nadine Miller Tweet This

Jason E. Farley, PhD, MPH, ANP-BC, FAAN, AACRNPresident
Association of Nurses in AIDS Care (ANAC)


1. Show up, participate and be an active member of the research team, even when there is no salary support. It will pay many dividends.
2. Write as many grants as possible, even small grants.  Diversity in funding portfolio is a great thing and will move your science forward faster.
3. Integrate your clinical practice, research and teaching as much as possible.
4. Be careful not to over commit and under deliver.
5. If a senior faculty member offers salary support to be part of a larger team, take it.  Use the experience as a learning opportunity.  There is always more to learn.
6. Publish, publish, publish.
7. Find and join your professional organization in your area.  This not only offers opportunities for national service, it will connect you with colleagues in the field that can serve as great referees and external examiners for your promotion portfolio.
8. Work closely with doctoral students and post docs if your institution will allow junior faculty to do so.  This offers great opportunities for students and faculty, so find the win-win.
9. Ignore the, “You’re not ready” advice.  Know yourself, know your field and go for that grant, award, recognition when you think you are ready.
10. Create circumstances that offer both you and the school a win-win.  For example, perhaps that new grant can fund a post-doctoral position or student research assistants. Increasing the opportunities for students is always a good thing and can be an important demonstration of mentorship for you.
"Ignore the, 'You’re not ready' advice." -Jason E. FarleyTweet This

Colleen R. Walsh, DNP, RN, ONC, ONP-C, CNS, ACNP-BCPresident
National Association of Orthopaedic Care (NAON)

You have to love what you do. If you do not get joy out of your work, then you need to find that niche where you will find the passion and drive to be the best you can be.

 

 

Michelle Podlesni
President
National Nurses in Business Association (NNBA)


My best advice for new nurses to be successful in their careers involves two things.
First, understand the financial, legislative and socio-economic drivers influencing healthcare. By having this knowledge, new nurses can position themselves to take advantage of the unlimited opportunities available to nurses. For example, Value Based Care places strong emphasis on decreasing readmissions. This has created an increase in nurses involved in transitional care and increased needs for patient education. Healthcare is ‘big business’ and nurses that are aware of the dynamic forces affecting health care are better able to protect their career’s longevity.
And the second thing is, new nurses best resources are the nurses standing right next to you. Seeing how colleagues that you admire perform their work is invaluable to your learning and incorporating those qualities you would like to emulate.
"Seeing how colleagues that you admire perform their work is invaluable to your learning." -Michelle Podlesni
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Denise Knoblauch BSN RN COHN-S/CMExecutive Director
American Board for Occupational Health Nurses (ABOHN)


Entry level in to occupational health nursing generally requires some years of general nursing experience; a background in emergency room, ambulatory care or orthopedics would be helpful.
Occupational health nursing is a specialty practice that provides for and delivers health and safety programs and services to workers, workers’ population and the community. This practice focuses on preventing illness and injury, promoting and restoring health, and protection from hazards at work. A competent occupational health nurse documents care, identifies the need for case management intervention, has awareness of pertinent regulatory issues which impacts the nursing profession as well as the worksite, coordinates health surveillance and screening, is fiscally responsible, able to provide health and safety training, and performs health needs assessment of the individual as well as for the workforce.
The OHN must be comfortable working independently but be a team player and have a strong knowledge base of environmental assessment and regulatory issues affecting practice. The nurse should strive to obtain certification in occupational health nursing when he or she is qualified which demonstrates additional competency in the field.
"Be comfortable working independently but be a team player and have a strong knowledge base." -Denise KnoblauchTweet This

Susan Marks, DNP, RN, ANP-CPast President
Nurse Practitioners Association of Long Island


I recommend your first nursing job should include your basic nuts and bolts experience of medical patients. Whether in an acute, rehab or long term care setting, gaining this experience with the basic chronic morbidities and comorbidities will allow you to build up to care for patients in any specialty and setting you may choose.
Gaining your foundational expertise with common medications and acute on chronic management is a critical component of good nursing.
As nurses we see more and more complex medical issues in all patient populations. Once you have honed your nursing skills, and developed your nursing confidence in excellent patient care, this solid toolbox of basic medical expertise will be your career foundation to work from.
It is also essential to continue reading and studying, learning new care protocols and always looking up anything you are not familiar with or don’t clearly recall. It is every nurse’s professional responsibility to always remain abreast of anything that affects the care and safety of their patients. As a nurse you will be a lifelong learner. Identify your best resources and become comfortable with using then often.
"Your first nursing job should include your basic nuts and bolts experience of medical patients." -Susan MarksTweet This

Nancy Lawton, MN, ARNP, FNPPresident
ARNPs United of Washington State


There are many, varied opportunities, think about what you love and target that for what you want to do; if you love kids, look for pediatrics, if you love the excitement of critical decision making, look at intensive or emergency care. Listen to your heart.
You won’t know everything upon graduation and you will learn quickly at your new job. Don’t be afraid, be kind to yourself, and seek mentors who are excited to help you learn. Don’t let anyone make you feel bad if you don’t know everything– use your newness to seek the best resources to enhance your training.
Keep learning – a benefit of nursing is the range of what is available – work with kids or adults or elderly or women’s health or gender non-conforming, in acute or urgent or long term care facilities, work overseas in foreign countries doing refugee relief or training in the global south – over the course of your career you can do it all.
After you have gained mastery, it’s your turn to lead – nurse leaders need to represent us in our workplace, in government and in our communities.
"Don’t be afraid, be kind to yourself, and seek mentors who are excited to help you learn." -Nancy LawtonTweet This

Lisa Ginapp, MSN, RN, AGACNP-BC, WCC, DWC
President-Elect
Gulf Coast Gerontological Advanced Practice Nurses Association


Don't be lazy or apathetic! Try to learn one new thing everyday because no one knows everything. We tend to get comfortable in our roles and then we get lazy, bored and apathetic.
The great thing about nursing is that you can work anywhere in the world and there are so many ways to serve patients in a variety of settings. The new nurses I meet today are apathetic and seem to have no desire to learn new things because they are just glad to be out of school. Then they learn shortcuts from old nurses and that does not translate into good care.
In the past 35 years, I have changed fields almost every 2 years to push myself to learn something new. Now I work for myself and make a great living with great quality of life. Anyone can do it if they work hard, show initiative and stay educated.
"Try to learn one new thing everyday because no one knows everything." -Lisa GinappTweet This

Lorraine Bock, DNP, ENP-C, FNP-C, PHRN, CEN, FAANPPresident
Pennsylvania Coalition of Nurse Practitioners


Nursing is a dynamic field with many opportunities for growth, job satisfaction, and a sense of accomplishment. New nurses will face many obstacles during their first year and may even question their decision to become a nurse.
It is well documented that "eating our young" is a phenomenon that is prevalent in some institutions. This can color a new nurse's perspective on the choice to become a nurse and sometimes cause them to leave the field.
While this negativity occurs in some places, new nurses can avoid becoming a victim by talking honestly with the interviewer about how the institution addresses this, speaking with the preceptor nurses on the floor(s) where they might be working, and to recent new hires about their experiences.
Choose an institution that supports new nurses, if they have a new nurse internship take advantage of it, the institution is actively involved in mentoring new nurses and wants you to be successful.
Find a good mentor early in your career and use that person to find support, encouragement, and direction during your first year or two out of school. Nursing is the best profession in the world and you have chosen wisely, use the assessment skills you have learned to make a good choice for your first job. After 22 years of nursing I still contact my mentor for support.
Find a good mentor early in your career and use that person to find support, encouragement, and direction. -Lorraine BockTweet This

Thomas E Stenvig, PhD, MPH, RN, NEA-BC, FAAN
President
South Dakota Nurses Foundation


As best advice for new nurses who want a successful career, several thoughts come to mind.
First, recognize that your current educational credential should not be an end point, it should be the start of an educational journey that spans your entire career.
Being a nurse requires a commitment to lifelong learning. It is also important to consider and prioritize advanced education early in your career before other forces in life interfere. Education always entails sacrifice, but it also opens doors to personal and professional growth and unseen opportunities often unrealized until after the education is completed.
Second, get involved in your profession outside of your employment, including membership in professional organizations. It is unfortunate many nurses don’t belong to anything, which is a sad commentary about their professionalism suggesting nursing is only a job.
Professional organizations provide opportunities for continuing professional education, mentorship, networking, and leadership development. Like many things in life, by getting involved you will reap rewards according to how much effort you decide to invest.
Further, through membership in professional organizations we can advocate for nursing as a profession more effectively than what anyone can do as an individual.
"Consider and prioritize advanced education early in your career before other forces in life interfere." -Thomas E Stenvig
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Brandy McCrary, NPVice President
South Georgia Association of Nurse Practitioners


The best advice I can offer new graduates pursuing a nursing career is to continue to learn and ask questions. The power in taking care of people is remembering that diseases/complications/illnesses affects people very differently.
Broaden your career by wanting to learn and not getting into a routine of treating everyone the same. If you question in your mind then seek guidance and direction for a solution.
"The power in taking care of people is remembering that diseases/complications/illnesses affects people very differently." -Brandy McCraryTweet This

Tresa Zielinski, DNP, RN, APN-NP, CPNP-PCPresident-Elect
National Association of Pediatric Nurse Practitioners


When caring for a patient, you are not only caring for them but also their family and loved ones.
When going to work, think of what you want the first impression of you to be. You only have one chance.  Think of what you may need to tell or provide for a family.
Say yes to opportunities that are presented to you. You will be surprised at what you can do when nudged in the right direction. Sometimes we all need to be challenged.
Consider a job to be a two year commitment. The first year you learn how to do a job and the second year you learn how to do it well.
When going for a job, dress for the job you want not the one you are interviewing for.
"The first year you learn how to do a job and the second year you learn how to do it well." -Tresa ZielinskiTweet This 

Franchesca SevignyPresident
Student Nurses Association of Rhode Island


Remember to take care of yourself. Acknowledge and accept personal limits because that in itself reminds us that we are human. As much as we advocate for our patients to care for themselves and promote lifestyle changes, we must also do the same for ourselves. We can speak what is and what isn't, but our actions are far greater and that's what patients will remember.
"Acknowledge and accept personal limits because that in itself reminds us that we are human." -Franchesca SevignyTweet This

Kathy K Hager, DNP, APRN, FNP-BC, CDE,President
Kentucky Nurses Association


Learn as much as you can and love something about every person you touch. Once you feel that you have a good grasp of what you know, share it with every nurse and person who comes under your care. Your power will grow as you empower others.  Great leaders are walking behind the people they empower.


Karen Myers, ARNP, FNP-BCPresident
The Tallahassee Area Council of Advanced Practice Nurses


The best advice I can give to any nurse is to keep your options open.
There are so many jobs related to a career in nursing.  I should know, I have had many, and been successful in each.


 

 

HoChong Gilles, RN, MS, FNP-CPresident-Elect
Virginia Council of Nurse Practitioners


The best advice for new nurses who want a successful career in nursing is be proactive in developing strong leadership skills and invest in professional relationships.
You must commit to life-long learning after graduation by participating in continuing education and self-directed learning to enhance clinical growth and expertise. Effective leadership skills will evolve from active participation in personal and professional development.
Recognize and grasp opportunities to serve in leadership positions will result in meaningful connections and interdisciplinary collaboration needed to navigate throughout our increasingly complex health care system.  Determine your priorities and set specific goals while achieving a healthy balance managing your personal and professional life.
You will come across many mentors that will empower and assist you in achieving your highest potential. Nurture these professional and personal relationships for needed assistance and guidance along your future career path. Leadership skills and valuable relationships can promote a rewarding and successful career in the most trusted profession of nursing. Good luck!
"Effective leadership skills will evolve from active participation in personal and professional development." -HoChong GillesTweet This

Terry Reese, MSN, APRN, FNP-BCPresident
Missouri Nurses Association


One of the first things new nurses should do is join their professional association. The benefits are numerous to new and seasoned nurses alike but especially beneficial to new nurses. These benefits include:
Professional Development - by providing you workshops, conferences, webinars, publications, updates on industry trends and legislation, keeping you in the mainstream.
Mentoring - through the pairing of young/new professionals with more seasoned professionals providing guidance and support during those early professional development years.
Networking - providing you opportunities to mix and mingle with peers, share best practices, develop professional contacts and build friendships.
Job Opportunities - through job listings provided by the Association in publications as well as online.
Resume Enhancement - Membership in your professional association shows potential employers you are dedicated to your profession.
Be a Contributor -  your membership dues help to maintain a healthy profession.
Become certified in the area of nursing in which you thrive and continue to enhance your education through the lifelong learning activities of continuing education.  These two things show commitment and drive that you hold yourself to a high standard not only to your employer but also to your patients and colleagues.
"Become certified in the area of nursing in which you thrive." -Terry ReeseTweet This

John Armelagos, RNPresident
Michigan Nurses Association


My advice to new RN’s is that you don’t have to go it alone to improve your working conditions. The best way to ensure that staffing levels are sufficient to deliver quality care, that RN’s are not forced to work mandatory overtime, and that RN’s have a voice in their workplace is to organize by forming a union. A union is simply an organized association of workers, often in a trade or profession, formed to protect and further their rights and interests.
Collective bargaining enhances the ability for RN’s to achieve their professional goals such patient advocacy, RN clinical autonomy, and practice-environment improvement.  
For example, some RN collective bargaining Agreements contain provisions that govern RN-patient workload limits, ensure training and education when new technology or policies are introduced, or provide objectivity and review when promotional opportunities occur.
Collective bargaining also provides RN’s with workplace stability by establishing a formal and fair process to resolve disputes when those disputes occur.
Many unions also function as a professional association, offering CE’s, education, and opportunities to network with other RN’s.
If your workplace doesn’t have a union, consider organizing one. Nurses and our profession are stronger when we organize and unite.
"Nurses and our profession are stronger when we organize and unite." -John ArmelagosTweet This

E. Haley Vance, DNP, APRN, CPNP-AC
President-Elect
Tennessee Nurses Association


As a beginner nurse, I believe one of the most important things you should do is to identify a nursing mentor who can help you grow in your nursing career. Graduating nursing school is a huge accomplishment, but it is just the beginning. Having a nursing mentor allows you to gain knowledge and insight into the nursing profession from someone who has experienced this first hand. Your mentor is someone that you can go to with questions, with concerns, or maybe just to vent about your day. Your nursing mentor should be someone who challenges you to be the best and to achieve the goals you have set for yourself. Hands down, I would not be where I am today without the guidance and support of my nursing mentors.
"Your nursing mentor should be someone who challenges you to be the best." -E. Haley VanceTweet This

Betsy M. Snook, MEd, BSN, RN
Chief Executive Officer
Pennsylvania State Nurses Association


My best advice for new nurses who want a successful nursing career is to take your time finding your first and successive jobs by assessing the organizational culture.  One must find an organization with similar values so that one might have a successful, productive and rewarding work experience. This can be done at the interview process by listening for key words that are used often, assess if the interviewer is prepared, are they on-time, how are they treating you during the interview, etc. One can also ask questions about the organization by asking them to describe the culture, leadership and management styles, asking about attitudes towards continuing education or whatever is important to the prospective employee- it may be innovation. Since we all have to work, one should be sure that the culture that they enter into fits with their values, then going to work each day is a pleasure.
"Take your time finding your first and successive jobs by assessing the organizational culture." - Betsy M. SnookTweet This

Mona Cheung FNPPresident-Elect
North Texas Nurse Practitioner Association


As a graduate nurse it is best to start your career in a hospital where training and mentoring is provided.
These hospitals typically provide excellent comprehensive training of skills a student nurse may never be exposed to.
Don't be afraid of change try different areas of nursing until you find your niche.
Be a part of your community and professional organization - these will help build your resume.
Take part in continuing education and getting credentialed in your area of specialty.
Lastly, adopt a good attitude towards learning new procedures, devices, and new protocols. Be a team player and step up to volunteer.
"Start your career in a hospital where training and mentoring is provided." -Mona CheungTweet This

Susan Nokleby, MS, RN, LSN, NCSN
President
School Nurse Organization of Minnesota

Explore the different areas of nursing and find the area you are most passionate about. Nursing allows flexibility as it covers a broad spectrum from one on one care to education and research. Continue with your education through academic venues as well as meaningful conferences. Become nationally certified in your area of expertise. Become involved with your local, state, and national organizations. Find a mentor. Be a mentor. Take your place in a wonderful, rewarding healthcare profession.
"Explore the different areas of nursing and find the area you are most passionate about." -Susan Nokleby
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Lynley Fow, MN, ARNPPresident
Puget Sound Oncology Nursing Society


"When I think about all the patients and their loved ones that I have worked with over the years, I know most of them don’t remember me nor I them. But I do know that I gave a little piece of myself to each of them and they to me and those threads make up the beautiful tapestry in my mind that is my career in nursing." -Donna Wilk Cardillo
I love this quote because it is so true of oncology nurses. In order to be successful in oncology, you have to give something of yourself, because you spend a lot of time with your patients and their families. You really have to love them and get to know them to overlook the big picture- they may die despite every best effort and drug regimen you deliver. It is these patients and families that will teach you how to be the best nurse possible. And, what you give to these patients, you will get more in return. That is what is rewarding about oncology.
"In order to be successful in oncology, you have to give something of yourself." - Lynley FowTweet This

Judy Schmidt, RN, MSN, ONC, CCRNCEO
New Jersey State Nurses Association


My first piece of my advice for new nurses who want to have a successful career in nursing is to always remain open minded and flexible in your career decisions. Health care is a very dynamic field and is going through tremendous changes. A new nurse needs to think beyond traditional roles in the acute care setting and explore opportunities that will be emerging in the community setting. Second, educational advancement is a priority. Don’t be satisfied with your initial degree; continue to pursue advanced education and continuing education in your field of interest. Lastly, be a member of your professional organization. As a nurse you have a responsibility to your profession and your community that appropriate health care policies are developed and utilized. Your professional organizations are already involved in that policy development and can use your input.
"Always remain open minded and flexible in your career decisions." -Judy SchmidtTweet This

Mark Bielawski, APRNPresident
The Connecticut Advanced Practice Registered Nurse Society

To unlock your full potential in nursing, use the following keys.
1) Find a purpose. Money, hours, and benefits are important, but if you are not passionate about your position it will be harder to handle the stress and daily grind, leading to burnout. Seek a balance between financial compensation and personal satisfaction.
2) Find the right people. Nursing can be a challenge, so search for employers and mentors that care about your happiness both inside and outside of work. When interviewing ask for the contact information of several employees and speak to them privately about their experiences. Also, inquire about the length and makeup of your orientation as good training can be the difference between success and failure. Find a mentor who you trust and who supports you, and remember to help them in return. If you had a great mentor, you should eventually become a great mentor for someone who needs it.
3) Find the right progression. Many nurses eventually want to advance their careers by returning to school, but sometimes they find out too late that they chose the wrong degree and career. Be sure to ask questions of nurses with experience in the degree and area you are considering; be sure to shadow beforehand; finally be sure that no one forces you into something you are not passionate about.
"Search for employers and mentors that care about your happiness both inside and outside of work." -Mark BielawskiTweet This

Deb Tauer, LPN
President
Licensed Practical Nurses Association

As an LPN my best advice for a new nurse is to choose the career and field not just for finances but because you have a passion and want to care for people. All nursing careers are not for everyone. If you choose to be an LPN be proud of your role. It takes a team to care for patients in all settings and the LPN role is as vital as any other role. If you choose a nursing career you must also be aware that you will never stop learning. No two patients or clients are alike and caring for them and their families are never the same. Technology has taken over the nursing profession, computer documentation, medication scanning,fingerprint, and retinol technology evolve daily yet if you don't want the personal experiences with the patients, get another job because the direct care in all settings has to be done by a professional and dedicated nurse. There are new challenges and rewards daily and no matter how good you think you are, never stop learning.
"No two patients or clients are alike and caring for them and their families are never the same." -Deb TauerTweet This