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Marketable Nurse
read more »I am an LVN that currently markets for a DME (durable medial equipment company). One of the great things about being a rep is all of the people you get to mee...
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Become an RNFA: Make $$ for yourself and save money for surgeons
read more »[This is a guest post by Heather Pennington.] I have been a RN for 16 years with experience as an office nurse (cardiology, oncology, general surgery), emergen...
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7 things you need to know about nursing school.
read more »7) Not everyone gets in. This means you have to be better than other people. Yes this includes better grades. There are numerous pre-requisite classes and the m...
VIP patients

I do not know if this is a practice in most hospitals, but where I work it is. Some patients are considered “very important people” when they come in to the hospital and this allows them to pretty much do as they please. There really are no rules for these patients or their families. You might say…but that is unfair…everyone should be treated the same…what makes them more important than grandma? Well, apparently money and influence go a long way. I personally do not agree with this practice. Administration rarely show face in the units….but when VIPs are present…look out cause they will be in your room all day. They are catered to and given special privileges when it is others that could use the help more. I noticed one of the administrative team took a VIP patient’s husband to lunch one day…and I was thinking… but that other young girl down the hall has been eating off extra trays because she doesn’t have any money to buy food. And I am not blaming these patients for receiving this treatment, most of the time it has nothing to do with them asking for it.
I know hospitals need money to run and these people have money and influence and are possibly contributors to the cause…but still it just isn’t right to treat one patient one way and another a different way just because of an income difference.
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Scrub nurse tips

When I read Rachael’s new post on how to be a better scrub nurse, it got me thinking about how many cases we have done together and she left out something I thought was very important. What did she forget to mention? A great scrub nurse will learn as much as they can from their surgeon. Most of the surgeons I worked with were amazing teachers. I wanted to know why they were using a vicryl tie rather than a silk. Why did they choose the sh needle? Why the 6-0 prolene on a bv-1? I always asked a ton of questions, I studied my instruments and, I did my best to learn my surgeons technique. One thing that would always crack me up is when the surgeon would say “I do this the same way every time”. When you scrub for multiple surgeons who each have their “own way” of doing the same procedure, sometimes your ESP doesn’t always work but, if you read their preference cards you might save yourself an ass-chewing.
Another tip for being a good scrub, learn your surgeons personality, this doesn’t take long. If they don’t like to talk…then shut up. If they like classical music and you don’t then…shut up. If they have been on call for three days straight…then shut up. It’s the surgeons room, not yours, just go with the flow. Your reason for being there is to take care of your patient. My surgeon should be able to focus all of their attention on the patient, they should not have to stop to ask for things that they obviously need. Not a hard concept. If blood is going all over the place, get more laps. If the bovie falls onto the floor, get another bovie. Well, you get the point.
As nurses, whatever specialty we are practicing in: operating room, emergency room, obstetrics, home health, office etc. if we take a little extra time, to learn a little more (and not just those mandated c.e.u. hours), it ensures we are bettering ourselves as caretakers.
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Lucky Charms/Honey Nut Cheerios

Lucky Charms/Honey Nut Cheerios
Ok, even I was a bit shocked by this….but these two cereals are practically identical if you look at the nutritional information….seriously look for yourself!
|
Lucky Charms |
Honey Nut Cheerios |
|
| Calories |
110 |
110 |
| Calories from fat |
10 |
15 |
| Total Fat |
1g |
1.5g |
| Saturated fat |
0 |
0 |
| Cholesterol |
0 |
0 |
| Sodium |
190mg |
190mg |
| Potassium |
45mg |
115mg |
| Total Carbohydrate |
22g |
22g |
| Dietary Fiber |
1g |
2g |
| Sugars |
11g |
9g |
| Other Carbohydrate |
10g |
11g |
| Protein |
2g |
2g |
All the vitamins and minerals were identical except that Honey Nut Cheerios has slightly more magnesium and phosphorus…but who needs those anyway?
I just thought this was unbelievable, that you might as well have a great bowl of Lucky Charms with all those nice colorful marshmallows instead of forcing down a bowl of Honey Nut Cheerios (which I would add sugar to anyway….).
So here is my proof that just because there is an animated leprechaun on the box with magical lucky charms in the shapes of rainbows, stars, and horseshoes…it doesn’t meant they are bad for you!!!
And if you look real close…I think the Honey Nut Cheerios may be a bit harmful to your health…I’m just sayin
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Mammogram controversy

As a nurse who has worked in the surgical field for 11 years I am baffled by the new recommendations from the U.S. Preventative Services Task Force. One of the new guidelines is women should not be taught to do self breast exams. Another is that mammograms are not recommended until age 50, instead of age 40; they are to be done every two years rather than yearly. Herein lies my confusion; the American Cancer Society does not agree with these new recommendations. I have assisted with hundreds of breast surgeries ranging from simple biopsies to full mastectomies.
My grandmother had breast cancer (key word here…HAD), her tumor was diagnosed early from a yearly mammogram. She quickly underwent surgery and a lumpectomy was performed. This is where they remove the tumor and surrounding tissues, instead of removing the whole breast. The removed lump is sent to the lab to be screened for cancerous cells around the margins of the tissue. Luckily my grandmother had clear margins and she did not have to undergo chemotherapy nor radiation. She has been cancer free for over 15 years now.
I realize I am no physician but, I do have common sense. Why as a woman, or man for that matter not continue self breast examinations? It’s a simple concept, whoa, there’s a new lump…what to do? Well, I guess now if you find a new lump, bump or abnormality it’s no big deal, after all most lumps are not cancerous if you are under 50. We sure know that young women or men never develop breast cancer…oh that’s right…YES THEY DO!! So I think I will stick with the advice of the American Cancer Society and go see my physician. I will let my Dr. decide along with the proper measures i.e. mammogram, needle aspiration, ultrasound rather my “lump” is benign or cancerous. I don’t know about you but I would much rather undergo a lumpectomy vs. a mastectomy!! What do you think?
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Early signs of pregnancy

If you are wondering about this you are probably already anxious, nervous, and confused about what may or may not be happening to your body. I wanted to give a few clues to you that something more really might be going on. As a registered nurse completing my Nurse Practitioner degree in Women’s Health I wanted to share with you a list of the early signs of pregnancy.
1. A missed period. This is the most obvious sign of pregnancy, but it is possible for some women to bleed lightly or spot during pregnancy. Of course a missed period can be due to stress, extreme weight gain or loss, and other hormonal changes.
2. Tender breasts. This is usually one of the first signs of pregnancy. It may feel a lot like the tenderness many women get before menstruation, but it will last and be even more uncomfortable than normal. The areolas around your nipple will also become darker, and you may notice more veins that are noticeable in your breasts.
3. Fatigue. You will notice you are a lot more tired, and really want to sleep or take naps during the day when you usually do not. This could also just be from a hectic schedule or added stress in your life.
4. Headaches/Backaches. Some women have more frequent headaches in early pregnancy, and many experience backaches throughout pregnancy, but also very noticeable in early pregnancy. Both of these signs can also be explained as premenstrual symptoms.
5. Frequent urination. This typically does not start until after your first missed period. This could happen with an increased fluid intake or urinary tract infection. A urinary tract infection will often cause some burning with urination and very frequent urination with only limited output.
6. Morning sickness. Nausea with pregnancy can occur at most any time, but is more common in early pregnancy or the first trimester. Some report to have morning sickness for the duration of their pregnancy though. And just because it is called morning sickness does not mean it can’t occur and any and all times of the day or night. Another explanation could be a stomach virus.
If you feel that you may be pregnant it is important to get a pregnancy test as soon as possible so that you can start prenatal care.
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Debt consolidation and collection agencies

Nurses CAN talk turkey to collection agencies!
In the last post I told you to avoid debt consolidation agencies, but I really want you to understand why and not think I’m just prejudiced against these financial behemoths.
It seems like it would be such a wonderful relief to be able to hand over all those nasty and tense phone calls from creditors. But the reality is that the phone calls don’t stop just because you engage the services of one of these companies. The way they typically work is this: you pay them an up-front fee of $700-1000 and then you send them a payment every month which they save for you. Of course, you often have to pay a monthly “management” fee as well for the privilege of them saving your money for you. Once you start paying them, they tell you to stop all payments on your credit cards.
When you stop all payments, your FICO (aka Credit Report) score plummets. Your account will most likely be turned over to a collection agency who will continue to harass you with threatening phone calls. As your FICO score drops, you will end up paying more money for any loans you take on – if anybody is willing to lend you money at all! Your car insurance is also likely to go up as you are seen as a poor credit risk for them as well.
After about a year & a half or so, the consolidation company will take all of the money they saved for you and approach your lenders (or collection agencies depending on who now has your loan). They usually negotiate a payoff to the lenders equal to 40-60% of the original amount you owed. At this time they will collect from you one last fee which will be a percentage of the amount they settled for you (usually about 15%). The last insult is that you will likely low taxes on the difference between the original loan and the settled amount. For example, if you originally owed American Express $30,000 and you ended up settling for $16,000, you will have to pay taxes on the $14,000 difference just as if it were income you made in your paycheck.
So with a debt consolidation company you pay:
$700-1000 initial fee
monthly management fees
resolution fee of 15% of the total settled amount
the actual amount of money settled with the creditors
and federal taxes on the difference between the settled amount and the original amount!!!
All with the cherry on top of a ruined credit score making it almost impossible to take out any kind of loan again (for at least 7 years or so).
So just think about how much money you would save by dealing with the credit companies directly – thousands of dollars and you have a shot at saving your FICO score since you’re not defaulting on your debt for over a year!!!
But if you do this for yourself, there are several steps you need follow to avoid any unintended consequences after you think everything’s over and done with. For example…..
1) When you negotiate an amount with your creditors, do NOT pay them with a personal check. Only use a money order or cashier’s check. They do not need access to your the name of your bank or your account number (which is printed on all of your checks).
2) Make sure you write on whatever you use to pay with (money order or cashier’s check) the following sentence: “IF THIS CHECK IS CASHED, THAT MAKES THIS ACCOUNT (write down the account number#) SETTLED IN FULL.” You do not want any doubt that you owe any further money to anybody, whether it’s a collection agency or the original creditor.
3) When you’re negotiating your settlement amount with your creditors, make sure before you’re through that they agree to report the debt as “paid in full” to your credit agencies instead of reporting it as “settled.” “Settled” will tell future lenders that you had credit problems in the past and will serve as a red flag, making you extremely undesirable.
4) If you’re settling with a collection agency instead of the original lender, demand (nicely, of course) that they specify- in writing!- that you are to be released from any and all obligations to the original creditor. The last thing you want to do after settling a huge amount with a collection agency is to have VISA come back knocking at your door to collect the remainder. Or worse, you don’t want creditors to be able to garnish your wages for the remainder – which they’re legally entitled to do.
5) Last, but certainly not least, ask the collection agency or creditor if they will state in writing that you don’t owe any taxes on the difference between the original debt and the negotiated settlement amount. Sometimes they’re willing to do this and sometimes they’re not. However, if you are deemed insolvent by the IRS (i.e. you owe more money than you have) then you may be able to get out of paying taxes on the difference.
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Cool nursing statistics graphic
Nursing statistics
Here’s a great graphic representation of nursing statistics that includes the number of nurses, average salary, and other fun stats.
Image provided by Nursing School.org
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