It Is Not Why Nurses Are Leaving It Is Where They Are Going

By Vickie Milazzo

A recent American Nursing Association (ANA) poll indicates that 18.8 percent of nurses in the U.S. do not work in nursing. A study by the Center for Health Outcomes and Policy Research reveals that 22.7 percent of nurses plan to leave their hospital jobs in the next 12 months. Despite record-breaking salaries and bonuses, nurses are leaving hospital jobs in droves, resulting in the nursing shortage that has captured the attention of the American public.

As a nurses, you know this shortage is not a new trend. Since the average nurse is 46, I’m sure many of you remember the “bonus” days of the early 1980s when a nursing degree and a pair of clean white shoes got you a job anywhere. Today we’ve come full circle – a nursing degree and some brain activity will do: “Thank you for the emailed resume. Can you start today?”

The reasons nurses are leaving the profession today are equally familiar. The complaints from two decades ago still apply: nurses are understaffed, underpaid, under-appreciated, under-insured and under-you-name-it. On top of all that, nurses must work 26 weekends and at least five holidays a year and endure nightmarish schedules.

In addition, today’s nursing shortage is being intensified by three new phenomena: managed care, on-the-job health risks and alternative careers for nurses.

Managed Care Compromises Nursing Care

In spite of giving more than they have to give every day, nurses in all settings can no longer deliver the level of care of which they are capable. Nurses who remember the “good old days” battle the shame of knowing they’re partially responsible for the deaths of 98,000 patients in hospitals every year. That death toll is equivalent to a jumbo jet crash every other day, yet the number doesn’t even include patients who become victims of injury and illness while in the hospital.

Why are patients dying unnecessarily? Nurses have less time to see more patients. They have more to do and fewer tools to do it with. They must contend with increasingly complex equipment and less trained staff. LVNs/LPNs, nurse’s aides and nursing assistants are replacing skilled nurses at the bedside. Yet nurses still get little respect and face more responsibility when everything turns sour. In this “dark age” of medicine the words “quality of care” are becoming an oxymoron.

[youtube]http://www.youtube.com/watch?v=l6tAW7bbnAU[/youtube]

This trend goes against our education and against our very nature as nurses. Certainly some people get into nursing solely to make a living and don’t progress beyond that stage. They’re part of the problem. For most of us, though, nursing is more than a profession – it’s a calling that attracts the “best and the brightest” who want to make a difference in people’s lives.

You won’t find a more caring group than nurses. Try having an anaphylactic reaction at a lawyers’ conference and see how many people come to your aid without a business card in hand.

Yet today, despite all our caring, we’re denied the ability to provide quality care. With the exception of a few great facilities around the country, we can no longer find jobs that allow us to fulfill the mission we defined for ourselves when we entered this profession. No wonder so many nurses are quitting.

Nurse Healers Fear For Their Own Health

Not only are nurses exhausted – we the healers fear for our own health. On-the-job health risks for nurses range far beyond bloodborne pathogens and latex allergies (not to mention feeling like aliens dressed in our goggles, masks and gloves). We face obvious occupational hazards, such as back injuries from long shifts pounding hospital halls and doing more lifting with less help.

We also face the less obvious hazards that aren’t just physical. Sheer exhaustion from our overwhelming schedules and our unsupportive work environment take a heavy toll.

Look around you at how many nurses smoke, drink and are overweight. These are signs of deep unhappiness and of not having time to take proper care of ourselves. Between juggling life, family and jobs, nurses often find it far easier to wolf down fast food on our 10-minute lunch break than to prepare a healthy brown-bag meal.

Isn’t it ironic that the injured and disabled are treating the sick? No wonder the nurses dangerous workplace is yet another reason for the flight of such talented caregivers.

Nurses Choose a New Career and a New Life

The bright spot in this grim scenario – and the most distinctive aspect of today’s nursing shortage – is that we can enjoy better, more satisfying careers as nurses elsewhere. Admit it, you know nurses who’ve left traditional nursing and are prospering and much happier in their new positions. Today, we’re leaving younger, smarter and better qualified than ever before. We are creating our future rather than being victims of it.

Without even leaving the hospital setting, we are using our skills and training in areas we never thought possible: risk management, utilization review, accreditation and research. Beyond the hospital we’re experiencing success selling medical- and nursing-related products, such as equipment, instruments, drugs and blood products. We’re starting companies selling our own products and services, running our own agencies and working for insurance companies and major corporations.

Many of us are becoming legal nurse consultants, both in-house and independent. Most importantly, legal nurse consultants have just begun to penetrate the legal industry. I look forward to the day when it’s considered legal malpractice for an attorney to work on a medical-related case without a legal nurse consultant on the team.

Wonder-Working Nurses Can Do Anything

Why am I confident that no nurse must be a victim of poor working conditions? Because nurses are trained to do three things simultaneously. For example, nurses make rapid, informed life-saving decisions while listening to the physician’s orders and at the same time they console the patient and family members.

The average ICU has more complex instruments and monitors than the bridge of the Starship Enterprise, and a nurse operates every one of them! Forget Superman, Spiderman and Wonder Woman. I’ll take a wonder-working nurse any day.

A career outside of traditional nursing can provide a nurse with a new purpose, a new attitude, new challenges, new rewards, new wealth and new respect. One place to find all these pluses and much more is in legal nurse consulting. If this field is not for you, look farther – the sky’s the limit these days. The only way you’ll find your star is by reaching for it.

About the Author: Inc. Top 10 Entrepreneur Vickie L. Milazzo, RN, MSN, JD is the founder and president of Vickie Milazzo Institute, the oldest and largest legal nurse consultant training and certification company (LegalNurse.com). She is the author of the bestselling book, Inside Every Woman(InsideEveryWoman.com).

Source: isnare.com

Permanent Link: isnare.com/?aid=71452&ca=Career

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10 May

How the Army Corps of Engineers closed one New Orleans breach

Friday, September 9, 2005

New Orleans, Louisiana —After Category 4 storm Hurricane Katrina slammed into New Orleans, on the night before August 29, 2005, several flood control constructions failed. Much of the city flooded through the openings. One of these was the flood wall forming one side of the 17th Street Canal, near Lake Pontchartrain. The U.S. Army Corps of Engineers (USACE) is the primary agency for engineering support during such emergencies. A USACE team was assessing the situation in New Orleans on the 29th, water flow was stopped September 2nd, and the breach was closed on September 5th.

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8 May

On the campaign trail in the USA, October 2020

Monday, November 2, 2020

The following is the sixth and final edition of a monthly series chronicling the 2020 United States presidential election. It features original material compiled throughout the previous month after an overview of the month’s biggest stories.

This month’s spotlight on the campaign trail: the Free and Equal Elections Foundation holds two presidential debates, three candidates who did not participate in those debates give their final pleas to voters, and three political pundits give their predictions on the outcome of the election.

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8 May

Open source game developer Perttu Ahola talks about Minetest with Wikinews

Tuesday, June 30, 2020

Recently, Finnish open-source video game developer Perttu Ahola discussed Minetest, his “longest ever project”, with Wikinews.

Started in October 2010, Minetest was an attempt by Ahola to create a sandbox game similar to Minecraft. Minecraft is a multi-platform commercial game, which was in alpha version when Ahola challenged himself to create something similar to it from scratch, he told Wikinews.

Minetest is an open-source game, which is free for anyone to download and play. It is written in the C++ programming language, and the source code is available on code-hosting site GitHub. According to Ahola, Minetest attempts to run on older hardware, with limited graphics, but to be accessible to more people: those who have outdated technology, and making it available for no cost. Minecraft, on the other hand, is a paid game, currently costing USD 26.95 for its computer version. Minecraft is currently owned by Microsoft, and performs poorly on older hardware.

A correspondent from French Wikinews contacted Perttu Ahola via Internet Relay Chat a few weeks ago, discussing Minecraft. This interview is built on top of the previous interview, as we take a deeper dive into knowing more about this free game which is about to turn ten years old in a few months.

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6 May

Icse Giving An Added Advantage

ICSE – Giving an Added Advantage

by

Ashutosh Sharma

The Indian Certificate of Secondary Education (ICSE) examination is an examination conducted by the Council for the Indian School Certificate Examinations, a private, non-governmental board of school education in India, for class 10, i.e., grade 10. It has been designed to provide an examination in a course of general education, in accordance with the recommendations of the New Education Policy 1986 (India), through the medium of English. Private candidates are not permitted to appear for this examination.

[youtube]http://www.youtube.com/watch?v=DiNvs8AWG0s[/youtube]

In subjects where there is more than one paper, the average of all papers in the subject is taken into account for calculations. The candidates appearing for the examination thereby have to study seven subjects, with the number of papers varying from 1 to 3 in each subject. Depending upon the subjects, it makes for a total of 8-12 papers. The ICSE coursework forms a preparatory ground for students to engage in individual assignments that paves the way for better achievement level at the +3 level, wherein all the tutorials are based on research. In short, the students with ICSE have an edge. Numerous schools across have adopted ICSE syllabus in their curriculum. In fact, several schools internationally too have ICSE curriculum to cater to many Indians. The ICSE board follows the idea of strengthening the basics. Unlike in CBSE, as a student moves to a higher grade in ICSE, he or she has to bank upon the basics learned in the previous classes. For instance, in CBSE system, once complex numbers is briefly taught to the students, it is not repeated in the higher grades. However, in an ICSE system, the entire introduction is repeated before moving towards more complex quadratic equations. In fact, even questions are based on the basics. In this manner, the basics of the topic are strengthened, which in turn helps the student to gain a lot of confidence when he or she engages in higher studies. Since his basics are strong, half the job is accomplished. In the examinations under ICSE syllabus, there is a sense of balance between the objective as well as descriptive questions. In these examinations, both have equal weightage or importance. One important distinguishing feature of the ICSE syllabus is the importance given to projects. Projects are extremely significant and they shape the basis of marking system in the performance of the student. This makes the student exceptionally dynamic and it improves his thinking capability.

Ashutosh Sharma writes articles for students of NCERT CBSE,

ICSE

, Maharashtra Board, Karnataka Board and Tamil Nadu Matriculation Board to help them score well in exams. To get information about ICSE books, ICSE maths, ICSE papers, ICSE answers, ICSE sample papers, ICSE model papers and ICSE guess papers visit

meritnation.com

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ICSE – Giving an Added Advantage

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4 May

Gay Talese on the state of journalism, Iraq and his life

Saturday, October 27, 2007

Gay Talese wants to go to Iraq. “It so happens there is someone that’s working on such a thing right now for me,” the 75-year-old legendary journalist and author told David Shankbone. “Even if I was on Al-Jazeera with a gun to my head, I wouldn’t be pleading with those bastards! I’d say, ‘Go ahead. Make my day.'”

Few reporters will ever reach the stature of Talese. His 1966 profile of Frank Sinatra, Frank Sinatra Has a Cold, was not only cited by The Economist as the greatest profile of Sinatra ever written, but is considered the greatest of any celebrity profile ever written. In the 70th anniversary issue of Esquire in October 2003, the editors declared the piece the “Best Story Esquire Ever Published.”

Talese helped create and define a new style of literary reporting called New Journalism. Talese himself told National Public Radio he rejects this label (“The term new journalism became very fashionable on college campuses in the 1970s and some of its practitioners tended to be a little loose with the facts. And that’s where I wanted to part company.”)

He is not bothered by the Bancrofts selling The Wall Street Journal—”It’s not like we should lament the passing of some noble dynasty!”—to Rupert Murdoch, but he is bothered by how the press supported and sold the Iraq War to the American people. “The press in Washington got us into this war as much as the people that are controlling it,” said Talese. “They took information that was second-hand information, and they went along with it.” He wants to see the Washington press corp disbanded and sent around the country to get back in touch with the people it covers; that the press should not be so focused on–and in bed with–the federal government.

Augusten Burroughs once said that writers are experience junkies, and Talese fits the bill. Talese–who has been married to Nan Talese (she edited James Frey‘s Million Little Piece) for fifty years–can be found at baseball games in Cuba or the gay bars of Beijing, wanting to see humanity in all its experience.

Below is Wikinews reporter David Shankbone’s interview with Gay Talese.

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3 May

Sweden’s Crown Princess marries long-time boyfriend

Monday, June 21, 2010

Sweden’s first royal wedding since 1976 took place Saturday when Crown Princess Victoria, 32, married her long-time boyfriend and former personal trainer, Daniel Westling, 36. The ceremony took place at Stockholm Cathedral.

Over 1,200 guests, including many rulers, politicians, royals and other dignitaries from across the world, attended the wedding, which cost an estimated 20 million Swedish kronor. Victoria wore a wedding dress with five-metre long train designed by Pär Engsheden. She wore the same crown that her mother, Queen Silvia, wore on her wedding day 34 years previously, also on June 19. Victoria’s father, King Carl XVI Gustaf, walked Victoria down the aisle, which was deemed untraditional by many. In Sweden, the bride and groom usually walk down the aisle together, emphasising the country’s views on equality. Victoria met with Daniel half-way to the altar, where they exchanged brief kisses, and, to the sounds of the wedding march, made their way to the the silver altar. She was followed by ten bridesmaids. The couple both had tears in their eyes as they said their vows, and apart from fumbling when they exchanged rings, the ceremony went smoothly.

Following the ceremony, the couple headed a fast-paced procession through central Stockholm on a horse-drawn carriage, flanked by police and security. Up to 500,000 people are thought to have lined the streets. They then boarded the Vasaorden, the same royal barge Victoria’s parents used in their wedding, and traveled through Stockholm’s waters, accompanied by flyover of 18 fighter jets near the end of the procession. A wedding banquet followed in the in the Hall of State of the Royal Palace.

Controversy has surrounded the engagement and wedding between the Crown Princess and Westling, a “commoner”. Victoria met Westling as she was recovering from bulemia in 2002. He owned a chain of gymnasiums and was brought in to help bring Victoria back to full health. Westling was raised in a middle-class family in Ockelbo, in central Sweden. His father managed a social services centre, and his mother worked in a post office. When the relationship was made public, Westling was mocked as an outsider and the king was reportedly horrified at the thought of his daughter marrying a “commoner”, even though he did so when he married Silvia. Last year, Westling underwent transplant surgery for a congenital kidney disorder. The Swedish public have been assured that he will be able to have children and that his illness will not be passed on to his offspring.

Westling underwent years of training to prepare for his new role in the royal family, including lessons in etiquette, elocution, and multi-lingual small talk; and a makeover that saw his hair being cropped short, and his plain-looking glasses and clothes being replaced by designer-wear.

Upon marrying the Crown Princess, Westling took his wife’s ducal title and is granted the style “His Royal Highness”. He is now known as HRH Prince Daniel, Duke of Västergötland. He also has his own coat-of-arms and monogram. When Victoria assumes the throne and becomes Queen, Daniel will not become King, but assume a supportive role, similar to that of Prince Phillip, the husband of the United Kingdom’s Queen Elizabeth II.

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3 May

Category:Minuteman Project

This is the category for the Minuteman Project, an anti-immigration activist movement in the United States.

Refresh this list to see the latest articles.

  • 12 August 2005: MS-13 “gangsters” and Arizona “vigilantes” prepare to rumble
  • 2 July 2005: ACLU, Minutemen trade accusations of misbehavior
  • 2 July 2005: Volunteers gather to help patrol Arizona’s border with Mexico
  • 2 July 2005: MS-13 gang threatens the Arizona “minutemen”
  • 2 July 2005: Minutemen gather to patrol US-Mexican border in April

From Wikinews, the free news source you can write.


Sister projects
  • Wikipedia

Pages in category “Minuteman Project”

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3 May

Easy Summer Desserts

Easy Summer Desserts

by

KarenC

It’s summer and the berries are plentiful!

Berries are available all year round in most areas, but there is nothing quite like easy dessert recipes made from summer fresh berries.

You can certainly make any of these recipes any time of the year, but they will be especially appreciated as cool summer treats.

Summer Fruit Bowl

Feel free to mix the berries you use in this recipe to suit your taste. Raspberries would be wonderful too.

16 lady finger halves

1 tablespoon sherry or orange juice

1 cup sliced fresh strawberries

1 cup fresh blueberries

1 cup seedless green grapes

1 cup flaked coconut

1 – 14 ounce can pineapple chunks, well drained

[youtube]http://www.youtube.com/watch?v=cq4voeNuWEY[/youtube]

1 cup dairy sour cream

1 teaspoon vanilla extract

Sprinkle the lady fingers with sherry or orange juice and line 1 quart severing bowl with the cookies. Combine strawberries, blueberries and grapes. Mix coconut, pineapple, sour cream and extract. Stir this mixture lightly into the fruit. Spoon it all into the lined bowl. Chill before serving.

Makes 8 – 10 servings

Strawberry Peach Sherbet

The perfect summer dessert when these fruits are at their freshest.

4 large peaches

1 pound fresh strawberries, chopped

4 tablespoons fresh lemon juice

1 cup superfine sugar

Add the peaches to boiling water and cook for 2 minutes. Remove the peaches from the pot and immerse in cold water. When the peaches are cool enough to handle, remove the skins and stones.

Mash the peaches into a pulp in a large mixing bowl. Pure the peach pulp, strawberries and lemon juice in a food processor. Stir the sugar into the fruit mixture and pure for another 10-15 seconds. Pour the mixture into a large, shallow dish and freeze until hard.

To serve:

Remove the dish from the freezer 1 hour before serving and let the sherbet soften in the refrigerator.

Mixed Berry Brown Betty

The surprise addition of a bit of white wine definitely makes this one ready for company. Use any mix of berries you prefer.

2 1/2 cups blueberries

1 cup strawberries, quartered

2 1/2 cups raspberries

3/4 cup dark brown sugar

2/3 cup white wine (or substitute apple juice)

2 tablespoons lemon juice

1/3 cup unsalted butter

1 teaspoon cinnamon

dash salt

2 tablespoons dark brown sugar

1 1/2 cups dry bread crumbs

1 1/2 cups graham cracker crumbs

Preheat oven to 350 F.

Toss the berries with 3/4 cup brown sugar, the wine and the lemon juice. Set aside.

Melt the butter with the cinnamon, salt and 2 tablespoons brown sugar in a pot. In a separate bowl, blend bread crumbs and graham cracker crumbs. Pour the butter mixture over the crumbs and blend them together well.

Spoon 1/3 of the crumb mixture evenly into the bottom of 6 or 8 ramekins or the bottom of a square baking dish. Add half the berry mixture, then spoon over another 1/3 of the crumbs. Add the remaining berry mixture and finish with the remaining crumb mixture. Bake for 40 to 45 minutes until fruit is bubbly and crumbs are browned.

This berry treasure tastes great eaten while it is still warm topped with whipped cream or ice cream.

Enjoy your summer and all the delicious bounty that fresh summer fruits have to offer.

Karen Ciancio is a cook and lover of all things food and cooking related. Her website http://www.cookingnook.com contains hundreds of recipes, cooking tips, measurement conversions, kitchen ideas and diet and nutritional information.

Look for more easy summer dessert recipes here.

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Easy Summer Desserts

2 May

Woman in Buffalo, New York accidentally sets herself on fire

Tuesday, January 22, 2008

Buffalo, New York —A woman in Buffalo, New York in the United States is in critical condition tonight at Sisters Of Charity Hospital after she accidentally set herself on fire.

The unnamed elderly woman was receiving oxygen for medical problems in her home and lit a cigarette, and the oxygen coming from her mask facilitated the ignition of her clothing, setting her on fire.

Despite her “severe” burns as described by firefighters on radio communications, she was still able to dial the emergency line in the U.S., 911.

In the U.S. only 4% of all residential fires were reportedly caused by smoking materials in 2002. These fires, however, were responsible for 19% of residential fire fatalities and 9% of injuries. The fatality rate due to smoking is nearly four times higher than the overall residential fire rate; injuries are more than twice as likely. Forty percent of all smoking fires start in the bedroom or living room/family room; in 35% of these fires, bedding or upholstered furniture are the items first ignited.

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2 May