6 Ways to Increase Your Nurse Salary

Even during touch economic conditions there are strategies you can employ that will increase your nurse salary. Keep in mind that you need to consider the total compensation package and not focus solely on hourly pay. For example, is tuition reimbursement offered? Are you looking for CEU / CME reimbursement? What is the scope of Health Benefits and how big of a percentage does the employee pay vs. the percentage you pay? Are there Retention Bonuses? Do they offer Performance Incentives? What are the Shift Differentials? What about 401k contributions?

Method # 1: More focus is now being placed on nurses who are at the “mid-level” provider level. Certain practice areas, such as Certified Certified Nurse Anesthetist (CRNA), Certified Nurse Midwife (CNM), Certified Nurse Practitioner (CNP), and Doctor of Nurse Practitioner (DNP) all earn higher salaries than other specialty areas. These and other mid-level positions are helping to fill in the void created by the reduced numbers of primary care physicians.

Method # 2: Look for in-demand shifts. Nurse salary differentials can range from $ 0.50 to $ 10.00 or more per hour. This range is tied to your area of ​​practice, shift and certificates. Many night and weekend shifts increase nurse salary along with such high need specialties as ICU, CICU, CVICU, obstetrics, and OR.

Method # 3: Do not forget to consider all benefits to be additional compensation when looking at nurse base salary. As costs rise, many employers shift a greater portion of your health insurance premium cost to employees. In many cases the split is 80/20. This shift results in a lower of actual take-home pay. In a few cases, employers may pay 100% of the premium to compensate for a rigid salary structure.

Method # 4: Find out if the employer provides sign-on bonuses. If so, ask that this be spread out over time rather than given in one lump sum so that your actual nurse salary is increased. You may also be eligible to receive an annual bonus for meeting certain performance measures.

Method # 5: There may be reimbursements for CEU / CMEs and college or graduate level coursework that is job related. This can affect nurse salary over both the short and long term. Over the short term the obvious benefit is that you incur no additional expenses for continuing your education. In the long term you will be eligible for an across the board salary increase upon completion of an advanced degree of specialty training. Advanced training can also lead into administrative or leadership position, as well as a mid-level role.

Method # 6: Employer contributions to a 401k can be one of the most valuable benefits you can receive. When they match money that you contribute you gain in multiple ways. First, the money you contribute is pre-tax money. If you're in a 25% tax bracket every dollar you put in is equal to a dollar and a quarter in pay. The same for the money they match. You will not be taxed on that money as regular income. Then there are the gains on investments. This compounds and just grows and grows. This is an incredibly valuable benefit. Please do not discount this in favor of a few dollars more in each paycheck. As time goes by you will be very happy you have this.

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NCLEX Review: 3 Narrowed Down Techniques To Crack Your NCLEX-RN Exam

NCLEX review guides are a must have requirement if you want to become a registered nurse. This is an exam that will give a verdict to your nursing career. Thus, you need to pass this test. There are numerous study guides for this NCLEX-RN. You can see a good number of NCLEX review sites that are now made available on the internet.

For sure, you are fully aware that modern exams are assessed automatically by machines. Computers play their role in the NCLEX review. They will make the results easier and faster. Thus, the NCLEX uses Computer Adaptive Testing method.

Computer Adaptive Testing

CAT or the Computer Adaptive Testing does not really focus on your theoretical knowledge. But, it focuses on your critical thinking and analysis in different cases and scenarios. Therefore, computerized exams will not evaluate on how much you know as a professional person does. This is very true in the NCLEX-RN review.

Talking about critical thinking and analysis, Computer Adaptive Testing loves multiple- choices. Of course, you know this type of test, right? You'll be exhibited with different choices and one of them is the best answer. In some part, this is really good. But, people found out that multiple choices can be very tricky and will really stress you out. You need to really think critically and analyze the choices which one will be the best to pick out.

The Effective NCLEX Review Techniques

Now, why not consider these three tips and techniques to best handle the NCLEX RN review questions? These are the narrowed down techniques to pass:

1. Use knowledge first before relying on the choices.

This should be the first thing that you should consider. For sure, you'll not take the test if you have not really studied. In that sense, you have your stored knowledge. Thus, after reading the question, use your knowledge first and do not immediately immediately on the choices. This technique will certainly avoid the confusion in your head. It's tested and proven that test takers have typically encountered confusion in these types of test. But, if you'll just use your head first before looking at the choices, you'll save your time and points.

2. Look for cues that will point the incorrect option.

Another technique to narrow down the choices is to find the correct option. Look for cues that will point the incorrect ones. For sure, you'll agree that multiple choices are very hard to analyze. It seems that almost all of them are the correct answer. However, you need to consider the fact that only one option will certainly stand out. Words like “never” and “always” are two of the words that means same thing or exactly opposite. These two words will certainly twist the meaning of the whole sentence even if they appear to be alike. Thus, you need to consider carefully these two indicators. They are usually pointing the incorrect options.

3. The secret behind “all of the above” and “none of the above”.

Of course, who's not miss to read these two choices? These two makes more the choices very easy or more analyzing. However, if you'll see either of these two options, do not pick it easily. You need to consider if more than one of the given choices complies with the question. That, that's enough to rule out the other options.

Although you have gained these three techniques in your review for the NCLEX-RN, you also need to consider the most essential technique. That's your experience and practical knowledge. Find reliable NCLEX review online site by registered nurses who passed and you'll be fine.

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NCLEX Study: The Best Way To Study For The NCLEX-RN

Are you aiming to become a licensed nurse someday? Well, if you are, then you should do NCLEX study for the RN test. Since there are so many ways to do the preparation, why not try reviewing online? With online review sites, you will be able to learn tips and techniques on how to pass the RN exam with flying colors.

Since the National Council of State Boards of Nursing is aiming to produce quality and competent nurses, expect the exam to be a much more challenging than the previous exams you have taken during your RN study. That is why if you want to become a licensed nurse, you need to pass the exam.

It is best to have an NCLEX study plan during your review. This way, you will be able to know what topics you need to focus on. This will also ensure you that not a single topic will be missed during your NCLEX RN study. During your review, it will be very helpful to use the best review materials.

Search For The Best And Effective Review Materials

Since there are a lot of review materials available online or even in the market, it is best to choose wisely. You may conduct a research on forums that endorse books that can be very effective to use during your NCLEX study. You may also ask anyone you know who have taken and successfully passed the exam. Do not hesitate to seek advice from them on what materials and what books they can recommend for you to use during your NCLEX review.

In order to test yourself if you are really that prepared to take the RN exam, try answering some NCLEX study questions. By answering study questions, you will be able to familiarize yourself as to the patterns and types of questions which are commonly given during NCLEX exams.

Use NCLEX Study Test Review Materials

When searching for the review materials, you should also consider if there are practice test questions included in the NCLEX study material. This will be a big help for you to assess whether you are really prepared to take the test or not by simply answering the practice test part. If there are questions that you're not sure if you've got the right answer, you can focus more in researching on that topic.

Furthermore, it is best to use review materials that are updated and in the latest edition. You should consider the most popular NCLEX study materials and mostly recommended by those people who have passed the exam.

You have to apply your four years of education during the exam. It's not just merely memorizing the theories but also the application of those theories in real life situations. Always think positive and conquer your fear. With the right review tools, you will be able to pass the exam with flying colors and that's for sure. To become the licensed nurse you have long been dreaming of is not an impossible dream after all.

Want to become the next NCLEX passer? Just visit these online review sites and look for the best NCLEX study materials and you're on your way to be a newly registered nurse.

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Nursing Mom Diet – Too Many Calories or Too Few?

Wow! Last night was a little crazy. We went to Heritage and then decided to do a little shopping while in the cities. We did not think it would take very long, so we decided to eat dinner when we got home. Heritage ended around 6 – 6:30 pm, so we figured we'd be home no later that 7:30 – 8pm.

Boy were we wrong! Why does shopping always take longer than you think? I was getting soooo hungry, because we usually eat dinner around 5:30 – 6pm. So, luckily I had some granola bars with me. I ended up eating THREE of them over the course of the shopping evening! I was a little worried about that, because I did not want to overdo it on calories for the day. I'm trying to eat just enough for me and for nursing the baby, so that I can get rid of these few extra pounds of pregnancy weight.

So when we FINALLY got home, it was about 10:30! All the kids were starved to death and so was I. We scarfed down dinner and then watched “Gulliver's Travels” with the kids. Silly movie, but they got a laugh out of it!

After the kids went to bed I decided to do a calorie count of my day's food consumption. I had not done that since starting my P90X fitness program, so I was curious as to whether I was eating too much or too little. My projected calories should be around 2100 according to Beachbody's Meal Plan Wizard, but I figure I should add about 400-500 calories to that since I'm a nursing mom. I read somewhere that nursing mom diet needs to include extra calories because the baby consumes around 500 calories each day! So I calculated everything I ate, and I ended up with only 1945 calories for the day … that included the 3 granola bars I ate! So I guess I do not have to be too worried about getting too many calories. Instead, I should be careful to get enough! That's a nice thing to worry about, if you ask me!

Now all I need to do is make sure those extra calories are good and healthy ones. It would be so easy to just eat junk food to make up the extra calories, but I'm going to try to stay on track and eat right. Maybe an apple or a few carrot sticks?

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A Closer Look at the Structure of the Heart

The heart is a hollow, muscular organ about the size of a closed fist. Located between the lungs in the mediastinum, it's about 12.5 cm (5 “) long and 9 cm (3” “) in diameter at its widest point. It weighs between 250 and 285 g (8.8 and 10 oz).

Where's your heart?

The heart spans the area from the second to the fifth intercostal space. The right border of the heart lines up with the right border of the sternum. The left border lines up with the left midclavicular line. The exact position of the heart may vary slightly with each patient. Leading into and out of the heart are the great vessels:

  • inferior vena cava
  • superior vena cava
  • aorta
  • pulmonary artery
  • four pulmonary veins.

Slip and slide

A thin sac called the pericardium protects the heart. It has an inner, or visceral, layer that forms the epicardium and an outer, or parietal, layer. The space between the two layers contains 10 to 30 ml of serous fluid, which causes friction between the layers as the heart pumps.

Chamber made

The heart has four chambers – two atria and two ventricles – separated by a cardiac septum. The upper atria have thin walls and serve as reservoirs for blood. They also boost the amount of blood moving into the lower ventricles, which fill primarily by gravity.

Blood pathways

Blood moves to and from the heart through specific pathways. Deoxygenated venous blood returns to the right atrium through three vessels:

  • superior vena cava – returning blood from the upper body
  • inferior vena cava – returning blood from the lower body
  • coronary sinus – returning blood from the heart muscle

Get some fresh air

Blood in the right atrium empties into the right ventricle and is then directed through the pulmonary valve into the pulmonary artery when the ventricle contracts. The blood then travels to the lungs to be oxygenated.

Share the wealth

From the lungs, blood travels to the left atrium through the pulmonary veins. The left atrium empties the blood into the left ventricle, which then pumps the blood through the aortic valve into the aorta and through the body with each contraction. Because the left ventricle pumps blood against a much higher pressure than the right ventricle, its wall is three times thicker.


Valves in the heart keep blood flowing in only one direction through the heart. Think of the valves as traffic police at the entrances to one-way streets, preventing blood from traveling the wrong way despite great pressure to do so. Healthy valves open and close as a result of pressure changes within the four heart chambers.

Matching sets

The heart has two sets of valves:

  • atrioventricular (AV) (between atria and ventricles) – tricuspid valve on the heart's right side and mitral valve on its left
  • semilunar – pulmonary valve (between the right ventricle and pulmonary artery) and aortic valve (between the left ventricle and aorta).

On the cusp

Each valve has cusps (leaflets), which are anchored to the heart wall by cords of fibrous tissue (chordae tendineae). The cusps of the valves act to maintain tight closure. The tricuspid valve has three cusps, the mitral valve has two cusps and each of the semilunar valves has three cusps.

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How To Find The Best CNA Program In Your Area

Becoming a certified nursing assistant can be one of the most fulfilling jobs you will ever have. It requires a sense of commitment to others and a strong dedication to the work you are doing. In order to point your career in this direction, one must find a good CNA program in order to become certified and able to work.

You should take note that this kind of job is not for everyone because not everyone has the ability to do it. It takes a special type of person to care for people who are sick and unable to care for themselves. You should make sure that this is the type of job you want to do, and for the right reasons.

Finding nursing assistant programs are reliably easy once you know where to look. One of the best places to start your search is on the internet by doing a search in a search engine. There are many websites that you can surf onto that will give you an idea of ​​what is required, and what the program entails.

You can also find these programs at your local community colleges and learning centers. They are usually posted on bulletin boards in common areas of these places and are easily accessible. Hospitals are also a good resource for nursing aid programs coming up in their facility, and they offer the added bonus of not having to go into a traditional school setting.

If you choose to use an online school, you have the added benefit of studying at home, and moving at your own pace. This is good if you already have a full time job and your flexibility is limited. The only thing you would have to do outside of your home is any kind of clinical instruction that would need to be done in a health care facility.

If you already work at a hospital, you may be able to get this training for little or no cost to you. Hospitals frequently offer these programs to enrich the staff that they already have in their employ. This would also give you the added benefit of getting paid while you are learning a valuable career in health care.

Once you graduate from accredited programs, you will have a wide range of jobs that will open up to you immediately. Some people enjoy the fast paced world of hospital work and they choose to stay there and practice what they have learned. Others decide that working out in the community as a private nursing assistant and going into the homes of people who are infirm is what they feel most comfortable doing.

Finding a CNA program is easy once you have decided this is the job you want to do. Most nursing assistants must be certified in order to work, so if you want to continue working as one, you must take the classes. It is a very good job for those people who have an abundance of dedication and compassion.

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Assessing Types of Burns and Their Severity

A burn is an acute wound caused by exposure to thermal extremes, electricity, caustic chemicals or radiation. The degree of tissue damage caused by a burn depends on the strength of the source and the duration of contact or exposure. Around 250,000 people per year sustain burn injuries in the UK (NBCRC 2001). Because of the specialist care burns require, they are considered here separately from other traumatic wounds.

Types of burns
Burns can be classified by cause or type. Knowing the type of burn will help you to plan the right care for your patient.

Thermal burns
The most common type of burn, thermal burns can result from virtually any misuse or mishandling of fire, combustible products, hot fluids and fat or coming into contact with a hot object. Playing with matches, pouring petrol onto a BBQ, spilling hot coffee, touching hot hair straighteners and setting off fireworks are some common examples of ways in which burns occur. Thermal burns can also result from kitchen accidents, house or office fires, car accidents or physical abuse. Although it's less common, exposure to extreme cold can also cause thermal burns.

Electrical burns
Electrical burns result from contact with flowing electrical current. Household current, high-voltage transmission lines and lightning are sources of electrical burns. Internal injury is often significantly larger than is apparent externally.

Chemical burns
Chemical burns most commonly result from contact (skin contact or inhalation) with a caustic agent, such as an acid, an alkali or a vesicant.

Radiation burns
The most common radiation burn is sunburn, which follows excess exposure to the sun. Almost all other burns due to radiation exposure occurs as a result of radiation treatment or in specific industries that use or process radioactive materials.

Conduct your initial assessment as soon as possible after the burn occurs. First, assess the patient's ABCs. Then determine the patient's level of consciousness and mobility. Next, assessment the burn, including its size, depth and complexity.

Determining size
Determine burn size as part of your initial assessment. Typically, burn size is expressed as a percentage of total body surface area (TBSA). The Rule of Nines and the Lund-Browder Classification provide standardized and quick estimates of the percentage of TBSA affected.

Memory Jogger
To remember the proper sequence for the initial assessment of a burns patient, remember your ABCs and add D and E.

  • Airway – Assess the patient's airway, remove any obstruction and treat any obstructive condition.
  • Breathing – Observe the motion of the patient's chest. Auscultate the depth, rate and characteristics of the patient's breathing.
  • Circulation – Palpate the patient's pulse at the carotid artery and then at the distal pulse points in the wrist, posterior tibial area and foot. Loss of distal pulse may indicate shock or constriction of an extremity.
  • Disability – Assess the patient's level of consciousness and ability to function before trying to move or transfer them.
  • Expose – Remove burned clothing from burned areas of the patient's body and thoroughly examine the skin benefit.

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Nurses – Strategies to Help You Solve the Needy Patient Problem

If you read, “3 Questions to Ask Yourself Before Solving the Needy Patient Problem, then you are ready to take the next step. go back and read that article first before continuing.

1. How did you answer the question “What are your expectations of patients?”

Did you conclude that patients who are sick and in pain may at their worst behavior? They are not intentional acting a certain way to give you a hard time. You do not have to take their actions personally.

2. Did you learn more about yourself by asking “What kind of patients do you like and dislike?”

Did you find what patients you are drawn to say more about you than about them? Do you use the same strategies with similar people in your personal life as you do with these patients? You are now ready to use approaches that work depending on the need of your patient.

3. What did you discover about yourself when you asked “How do you see your role as a nurse?”

As nurses, we assess the physical and emotional needs of our patients and do our best to fill those needs. Some needs are easy to describe and meet. If patients are cold, we give them a blanket. If they have a wound, we dress it. Their emotional needs may be more difficult to figure out, especially when they are acted out and not verbalized. All behavior is motivated, but it can be difficult to know what that motivation is. Nurses need to determine the need or motivation behind our patients' behavior. Then we can define the real problem and move towards a solution.

Let's go back to Sue from the first “needy” patient article. Sue is an elderly patient who rings her bell constantly. She wanted to change position. She asks to go to the bathroom. She does not want you to leave when you have met her immediate needs.

What do suspect is Sue's motivation for behaving the way she is? Pain? Anxiety? A bladder infection? What else could you do to figure out what is wrong? If she can not tell you what the problem is, and you can not figure it out, what interventions could you put into place to help Sue? If you label her as a “needy” patient and just keep answering her bell, then you have not done anything to address her problem.

Patients who are “needy” have problems that we must address. If we do what we do best: assessment, diagnosis, plan and evaluate, then we can turn “needy” patients into patients who are better because they have had their needs met. Then we can stop labeling them as “needy.” Remember if patients do not have needs, then we do not have a job or a profession.

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Nurses – 3 Questions to Ask Yourself Before Solving the Needy Patient Problem

Sue is an elderly patient who rings her bell constantly. She wanted to change her position in bed. She asks to go to the bathroom. She does not want you to leave when you have met her immediate needs. She may be described as a “needy patient”. What can you do?

Do you ever say that a patient is “needy?” What exactly does that mean? Does it describe the patient who is on his call bell on the time? Is he a difficult patient? The definition of needy is “Wanting or needing affection, attention, or reassurance, especially to an excessive degree.” Before considering what to do about “needy” patients, ask yourself these questions.

1. What are your expectations of patients?

How do you think patients who are sick should act? Do you expect them to always be nice and friendly? Say please and thank you? What are you like when you are sick or in pain? Are you holding patients at a higher standard? Do you want them to act a certain way to make it easier on yourself? Do you think of patients the same way you think of your neighbors?

2. What kind of patients do you like and dislike?

Do not know the answer? Think about the patients in the past or the ones you know right now. Which ones are you drawn to and look forward to seeing each day? Which patients do you talk about in the back room with other nurses and dread answering their call light? Why do you gravitate towards some patients and away from others? What causes you to feel that way about them? Do they remind you of someone else in your life who you love or who irritates you?

3. How do you see your role as a nurse?

As a nurse you give medications, dress wounds and manage staff. Do you see yourself as assessing patient's problems and planning interventions to solve them? Do you expect your patients to have needs? Do you see your job as a nurse to fill those needs? Do you only fill the needs of the patients you like? Is it your job to remember the needs of your patients even if they do not / can not verbalize them?

Now that you've answered these difficult questions, you're halfway to solving the problem. You identified what your expectations are of patients. You are better aware of what patients you like and dislike and why. You have looked at what you see as your role as a nurse. The article, “3 Strategies to Solve the Problem of” Needy “Patients”, will show you how to deal with patients who are demanding of your time and energy.

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Master The Profession With The Use of A CNA Skills Video

A CNA skills video usually presents as an option specifically for those who wish to learn more about the different tasks and responsibilities of nursing assistants in the workplace. Because videos are more comprehensive sources, they serve as good references for those who desire to master the varied responsibilities assigned to nursing assistants.

A CNA or Certified Nursing Assistant is responsible in making sure that patients are comfortable during their own stay in the hospital. As CNAs, they are fully equipped with skills that are needed for them to offer quality care to patients. For this reason, they must be knowledgeable with all procedures stated in their job description. These tasks are usually supervised by registered nurses and licensed practitioners.

There are two major purposes of learning from videos, these would be:

1. Skills videos serve as continuous learning references for those who want to refresh their memory about the different skills assigned to nursing assistants. Nursing procedures may be basic and simple, yet, they are full of mechanisms and proper body techniques which should be performed fully in conjunction to the tasks assigned. For this reason, videos serve their purpose. They provide step-by-step processes which can fully bring back one's memory about the varied tasks usually executed as nursing assistants.

2. For those who have not yet taken their CNA exam, skills videos can prove beneficial in terms of educational resources. It is a well-known fact that the practical portion of the exam is the hardest part, involving seminars to perform varied procedures which are usually done by nursing assistants in the work setting. Examinees are given a certain amount of time to execute five procedures in front of a licensed examiner, upon which they are graduated if they have done them correctly. The hands-on test does not only require examinees to be skillful on a bedside level, but it also needs them to have complete presence of mind and mastery of nursing assistant basic tasks.

There are different sites which offer the complete lists of procedures which usually come out of the CNA exam. These are beneficial especially for those who learn well with the use of visual aids. Sites sponsored by health organizations are excellent choices for reference purposes. Up till now, the use of videos is one of the important sources of information with regards to mastery of skills before and after the CNA exam.

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Monetary Statistics Of The World Of Nursing

Nursing is a rather communal service where specialists dedicate themselves to the servicing of other people through their work hours. Not only is it a demanding work, but it drives the sweat out of the nurseries because they have to stay on their toes having a keep their eyes open at things from the starting to the end. The only high reward is the respect and the satisfaction that they achieve through the services they offer and provide. However the financial reward, in other words, nursing salary relationships up the age, the field of work and the regional location.

According to the latest data, nursing remuneration is remarkably increasing as the need for these nursing specialists improves with time. However, the remembrance can be divided into three major types to have more comprehensive information relating to how the nursing salons are distributed.

The very first type would be salary in accordance with job features. A nurse assistant earns up to 11.38 dollars per hour, a charge nurse earns around 29 dollars per hour, a registered nurse in the operating room has a pay scale of 28.66 dollars, an authorized nurse in the emergency room earns nearly 27.38 dollars, a certified practical nurse earnings 17.40 dollar on an hourly basis, a licensed nurse assistant has a pay scale of 10.42 dollars per hour and a regular authorized nurse earns around 25.68 dollars. Hereforth, it can be evidently observed that nursing remission is much higher for registered nurses as a result of their greater qualification as compared to nurses of other job characteristics.

Secondly, nursing salary can also be categorized according to specialization of expertise. Family practice nurses have the highest salary of approximately 72,000 dollars a year, while other nurses with specialization in operating room, pediatrics, case management, ICU and ER, acute care, geriatrics and medicine care earn within a range of 50,000 dollars to 61,000 dollars a year. Nurses with specialization in labor delivery are seen to have the lowest salary of about 49,000 dollars a year.

If you look towards other secondary aspects, a nurse's work experience and geographic venue also offers to play a high role in determining the nursing salary. According to statistics, nurses with over 20 years of work experience earn about 67,000 dollars a year. And as the work experience falls from ten to nineteen years and under five to ten years and so on, the pay check falls as well from around 65,000 dollars to 48,000 dollars for the completely inexperienced ones. As for the geographical areas, the variations can be extremely significant because a bunch of factors such as cost of living, standard of living and other financial factors come into action.

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Nursing Assistant Foundation Exam – A Short Overview

The rising demand and high employment benefits are just some of the factors that drive individuals in becoming a part of the medical team. Because of the rising demand for health care, more and more people are considering employment positions in the stable world of medical health. One of the most popular professions in this field includes that of nursing assistants.

CNAs or Certified Nursing Assistants are the ones offering individualized care to patients both in the presence and absence of registered nurses. They are entitled to practice their profession within the scope and limitation of their job description, upon which specifically involves bedside nursing and routine care. Because they work in a close environment with their patients, nursing assistants are capable of offering not only personal care, but emotional and psychological help as well.

If you are planning on being a nursing assistant, you must first take up CNA classes. Choosing a good CNA school is important in building a strong foundation for your education. Here, you are required to undergo training for a period of 3 to 6 months in a school accredited in teaching the profession.

After you are done with your training program, you are required to take an examination that measures your competency. The NNAAP or National Nurse Aide Assessment program is offered to examinees who are able to comply with the entire training as well as a 75-hour related learning experience in a medical facility under the guidance of a clinical instructor.

The NNAAP is a one-day examination and it is divided into two portions. These two portions basically measure everything that the examinees have learned during the days of their training program.

The written exam is composed of 60 to 70 items, all in the English language. This test is offered to test the knowledge and ideas of examinees in terms of the different concepts that should be familiar with as nursing assistants. However, for examinees who find it hard to understand and read the English written exam, they can still avail the oral test in lieu of this portion of the NNAAP.

The practical test on the other hand measures the examinees in terms of their mastery and expertise in performing procedures related to the profession. Here, examinees are required to execute 5 procedures in front of an examiner. These are graduated and combined with the other portion of the NNAAP to gain an average.

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CNA Skill – The Do’s and Don’ts of CNA Tasks

Knowing what CNA skill to perform at the right time is essential to being an effective and efficient Certified Nursing Assistant. Because CNAs serve as direct care givers in the medical setting, knowing how to satisfies patients in terms of health needs and comfort is important as a part of the profession. Here, certain CNA key points are discussed with regards to what nursing assistants should and should avoid in the workplace.

CNAs or Certified Nursing Assistants work in conjunction with registered nurses. They are responsible for ensuring that the convenience, hygiene and safety of patients are well-established during their own stay in the medical facility. For this reason, they are usually assigned to offer bedside nursing care in its simplest form. CNAs see to it that patient satisfaction is fully met, making them essential in terms of quality assurance.

Skills learned in training programs serve their purpose in the workplace. Even though CNA skills are basic, they have responsive techniques that have related rationales behind them. This is also a factor which makes bedside nursing not just a science, but also an art.

Here are the lists of basic tasks assigned to nursing assistants as a part of their job description:
• Obtaining vital signs
• Transferring patients from bed to wheelchair and vice versa
• Repositioning patients
• Monitoring input and output
• Assisting patients in personal care (eating and bathing)
• Offering complete bed bath
• Assisting patients in toilet needs (use of bedpan)
• Providing catheter care
• Weighing patient
• Replacing soiled bed linens and hospital gowns
• Maintaining patient safety
• Answering call lights of patients
• Offering hair and nail care
• Offering bed shampoo
• Assisting patients during mealtime and offering oral care thereafter
• Applying prosthetics
• Apply elastic stockings on extremities of patients
• Administering enemas and rectal medications

Here on the other hand are some of the procedures which are beyond the job description of nursing assistants:
• Starting a peripheral intravenous line
• Administering medicines
• Catheter insertion
• Dusting and cleaning (this still remains a controversial as nursing assistants in some facilities execute these procedures in the workplace)
• Performing wound care
• Transcribing doctor's orders
• Capillary blood glucose monitoring
• Attaching medical equipments on patients such as mechanical ventilators, cardiac monitors and infusion pumps
• Preparing patients for surgical procedures
• Performing patient discharge teaching
• Providing nursing diagnosis for patient
• Examining patients for delivery
• Counting and regulating intravenous fluids
• Applying devices such as colostomy bags and gravity drains
• Performing debridement of patient's wounds

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The Top 5 Nursing Career Options – Which One Is Right For You?

Is a nursing career option right for you? Have you decided what career to take after your high school graduation? Most of students consider taking up law, engineering, architecture, information technology, and other careers that may possibly give them a decent salary in the future. Many of these students believe in advertisements and hefty offers about these professions in landing a job. But have you ever thought of choosing nursing as your profession? Hopefully, these Nursing Career Options will be very helpful to you.

Lots of students considering taking up nursing nursing option in colleges and universities nowdays. The reason behind this sudden change of student's career preference is that they are now aware of the benefits and profits that they are going to get from nursing profession. Aside from being a noble occupation, a nurse is also equipped with high-quality care and compassion for their patients. This makes it easier for them to render services that will help and cure the sick and ill clients. With the increasing number of students obtaining a nursing profession, various career options expanded as a result of this growth. All of these practitioners are thoroughly studied by individuals so that they will be able to give their 100% service to those who needs it. Here are the following Nursing Career Options for you nurses and aspiring nursing students.

Nursing Career Options

Advanced Practice Nursing

This advanced practice nurses are those who took and gained a Master's degree. Roles under this field consist of the following:

Nurse Practitioner; Certified Nurse-Midwife; Certified Registered Nurse Anesthetist; Registered Nurse First Assistant; and lastly – Nurse Psychotherapists

All of these are special areas on where Registered Nurse may partake and train to gain additional knowledge.

Nurses rendering Cardiac Care

Nurses under this area give emphasis and thorough care with patients having medical condition related to the heart. These individuals usually came from hospitals with special training under Critical Care Management. Outside the hospital promises, these nurses work in their patient's home monitoring their cardiac medicines. They also follow-up patients who have just underone bypass operation, facemaker surgery and angioplasty.

Community Health Nursing

Nurses under this field work for the government or any private agencies, clinics and other private establishments. Their basic and most essential task is to monitor and strengthen the communities' general health status by teaming up with individuals, families or groups. Physicians, community leaders, educators and parents are included in this team in order for these nurses to inform and train the community about certain health care conditions, prevention of illnesses, proper nutrition and childcare.

Diabetes Nursing

Patients with diabetes are the top priority of nurses under this career. Endocrine system (includes hypothalamus, thyroid, parathyroids, pituitary, adrenals, pineal body, and reproductive glands) is also their specialty.

Nurse Practitioner

Registered Nurses with Master's Degree are the ones who are under this field. They are required to practice their profession for several years and pass a national certification exam. With this qualification, they are allowed to diagnose diseases and give interventions by means of interview and physical examination, order specific laboratory and diagnostic tests and also prescribe medicines. While doing these tasks, they also provide health care education, counseling, and support care to community, family and individuals.

Nursing Career Options Conclusion

These are just some of the nursing career options that you may consider in the future. The rest is all up to you if either you continue your course or profession as a nurse, or shift to other career. Nursing is not just a profession; it is the best shot for you to a brighter future. As you can see, there are many Nursing Career Options to choose from.

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Nurses – Overcome Criticism From Your Boss By Putting Yourself in His/Her Shoes

At some time in your career no matter how skilled and professional you are, you will receive some sort of criticism from your boss. How you handle this criticism can make the difference between enjoying a great job and leaving hurt, disappointed and ready to have a nervous breakdown. Here are some examples of how understanding the motivation behind your boss's criticism can help you deal with it effectively.

Criticism 1: “You did not share your knowledge enough.”

When I left my first nursing job after one year on a hospital unit, the head nurse blasted me for not sharing my knowledge enough. Not knowing what to say, I did not say anything. I just fought. My feelings were hurt. I was too young and inexperienced to realize that this criticism was unfounded. If she wanted me to teach the other nurses, all she had to do was ask. And she was criticizing me? Duh! If I put myself in her place, I suspected she was mad because I was leaving after only one year. The fact that I criticized her a few times did not help either.

Criticism 2: “You're not very effective at meetings.”

In one of my nursing positions we had team meetings to discuss patients' care plans, admissions and discharges. My boss usually attended. One day, he cave some incorrect information about a patient. I respectfully corrected him.

After the meeting, he seemed annoyed and called me into his office.

“You do not cover the important points at meetings.” he said.

This puzzled me. I asked for more information. He had trouble coming up with any. I asked for an example. He could not give me one. Then it hit me. I had embarrassed him at the meeting. He was having trouble recognizing his feelings. Instead, he was attacking me.

I let him off the hook. “So,” I said, “What if we do this? If I am not covering what you think is important at a meeting, you can interrupt me and let me know.”

My boss agreed. He seemed to feel better that he had talked with me. I never knew if he realized what had really happened.

Remember, most people do what is best for them, not for you. They may lash out before they spend the time or energy to really understand what they are trying to say or what they want. Understand that criticism may be more about the person criticizing you.

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