Ask a Travel Nurse: Small town or big city for a first time Traveler?

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Question Mark LadyAsk a Travel Nurse Question:  

Would you suggest for a brand new Traveler to start off in a small town first?

Ask a Travel Nurse Answer:  

I would suggest that a new traveler should start wherever they are comfortable. If that means a small town, so be it.

The best way to ease yourself into travel is not necessarily finding a geographically similar place to work, but rather, a place similar in size and structure. While it may be evident what I mean in regard to size (like not starting out at a thousand bed facility when you currently work in a 150 bed facility), when I say “structure,” I am speaking to the way your hospital operates and the ancillary services available to you.

For example, if you work in a teaching hospital (where you likely have interns and residents running around at all hours), you may not want to work in a smaller facility where the ER doctor may be the only one “in-house” (especially at night). If you work with physicians who all follow their own patients and take their own call, it might be rather different for you going to a facility where a group of physicians may see your patient. For those used to having doctors who know their patients, it might be a little shocking for you to call a doctor at night or on the weekend only to have to give the physician a brief history before they will give you orders (because they know nothing about the patient).

It really depends on you and your comfort level with this whole “travel nursing” gig. If you are stressed to the max just thinking about having to travel somewhere new and start your practice in unfamiliar surroundings, then at least try to make those surroundings as close to what you are used to, as possible.

If you want to spread your wings a little, or when you feel you “have it down,” then you can start looking for facilities that will push you, and your nursing practice, to the next level.

Hope this helps.

David

david@travelnursesbible.com

Travel Nurse Daily: November 26, 2013

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The Pitfalls of Maintaining RN Licensure in Multiple States

If you have been a traveling nurse for a few years you will have several licenses from several states.  Knowing what to do when it’s time to renew these licenses can be daunting.  Do you simply let it expire? Keeping all of your licenses active as a Travel Nurse can become expensive. What are the pitfalls of Maintaining RN licensure in multiple states? The best option for maintaining your license is to remember to place your license on an inactive status with each state before it expires as each state has specific requirements for reinstating a license.   Below are listed a few example states and their requirements. Compiled for you by: Teresa Posthumus, RN Oregon If you allow your license to expire, you may have it reinstated by submitting a renewal form to the OSBN office with the appropriate late fees. If you do not renew your license within 60 days of its expiration date, it will need to be reactivated (with additional fees) and undergo a national criminal background check. The process of reactivating an Oregon nursing license that has been expired more than 60 days. Generally, you are eligible for reactivation if your Oregon nursing license has been expired for more than 60 days, provided you are otherwise qualified. Specifically, you must meet the OSBN’s education, practice and legal requirements: You must have worked as a nurse, at the level for which you are seeking license or above, for at least 960 hours during the last five […]

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Response to Typhoon Disaster Latest Reminder–We’re Lucky to Have RNs in the World

Published on Sunday, November 24, 2013 by Common Dreams

by Rose Ann DeMoro

As the heart wrenching images crossed across our screens from the Philippines, the largest U.S. organization of nurses, National Nurses United, was getting in motion as well.

Our Registered Nurse Response Network put out a call. The response was overwhelming. In little more than one week, nearly 3,000 RNs from all 50 states and even 19 countries had signed up to volunteer to provide hands-on disaster relief to those in the path of the super storm.

RNRN plans to continue to provide support for the Philippines long after the media spotlight has faded. We invited the public to support this effort here: http://www.nationalnursesunited.org/pages/rnrn-disaster-relief-fund

Within a week, our first delegation, an advance team sent to see where our volunteers would be most effective and provide some direct care themselves, was already on the ground.

Our second delegation is now engaged as well, setting up camp in Roxas City on the northern end of Panay, an island slammed by Typhoon Haiyan/Yolanda.

In conjunction with area public health officials, physicians, provincial government officials, and community groups, our volunteers will work in temporary medical clinics that rotate among various Barangays (local neighborhoods) across Roxas City, providing wound care, vaccinations, antibiotics and other medications, and other general basic medical care.

We’ve also been greatly facilitated by the birth of an international movement of RNs and healthcare workers, Global Nurses United, earlier this year. Our GNU sister union, the Philippines Alliance of Health Workers, has worked with us daily, in scouting locations and working shoulder to shoulder in the clinics. Other GNU partner unions are also preparing to send RNs to work with our deployment.

The need is obviously great. At least 4,400 died, with thousands more injured and missing. According to the Philippine disaster council, about 3 million people have been displaced with 400,000 living in nearly 2,000 evacuation centers.

“What we’ve seen is total devastation,” said RN Joseph Catindig, a member of our first deployment team. “People have lost their homes, lost their livelihood, lost their animals that helped with their livelihood. They only ask for a little. They need medical care. They lack medicine, lack nurses, lack doctors. In each area we go to this is their plea, to help.”

At another rural site near Sara on Panay, RN Marti Smith describes how the economic livelihood for many, based on fishing and agriculture, has also been demolished. “The boats are destroyed. The agriculture they depend on, coconut, bananas, rice, coffee, is devastated. Banana and coconut trees are broken in half and gone. Coffee trees are gone too. Hills are deforested, which will cause big environmental problems and landslides. These peoples’ livelihood is destroyed. They’ve lost not only their homes, but also their ability to feed their families.”

It’s stories like this that have prompted our organization and nurses who work with us to act – even while so many who should be doing more stand on the sidelines.

It is that need to act that sparked the creation of RNRN nearly a decade ago, with multiple RNRN deployments, first following a cataclysmic South Asia tsunami, then the disgraceful governmental indifference following Hurricane Katrina. And on and on, through the earthquake in Haiti, Hurricane Sandy, and other calamities.

If it seems that RNRN has been on call a lot, and that disaster is one of the few growth industries in troubled global economies, that’s not an illusion. Poverty and economic inequality of course contribute greatly to a disproportionate impact among those slammed by the disasters. But the biggest culprit is climate change.

Meteorologists and NASA scientists have called Haiyan/Yolanda the most destructive and powerful tropical cyclone ever to hit landfall. One reason, as noted by U.S. News and World Report, http://www.usnews.com/news/blogs/at-the-edge/2013/11/18/haiyan-sandy-and… sub-surface ocean waters have been recorded at up to 9 degrees Fahrenheit above average fueling the strength and size of the storm.

Hurricane Sandy, which ravaged the U.S. East Coast a year ago, which was also spurred by warmer ocean waters, record droughts that debilitate arable lands and prompt mass population migrations, and many other not-so-natural disasters are similar reminders of our failure to adequately act.

Coincidentally, Haiyan/Yolanda hit during a meeting of the United Nations Framework Convention on Climate Change in Warsaw. The Philippine lead climate negotiator Yeb Sano, called the typhoon a “sobering reminder to the international community that we cannot afford to procrastinate on climate action and that Warsaw must muster the political will to address climate change.”

But as representatives from the wealthiest nations, including the U.S. continued to try to shift the responsibility to poorer nations, even though our country has long been one of the principal producers of the emissions that are a major factor in climate change, a group of 133 developing nations staged a walk out.

UN Secretary-General Ban Ki-moon said that Typhoon Haiyan puts “an anguished human face” on climate change and he hopes that “all tragic devastation would really give us a wake-up call.”

In case anyone still wonders why NNU and so many others also continue to protest the pipeline, which would further accelerate climate change, look at the faces in the Philippines today.

“So many don’t have any shelter, they have lost everything, clothing, belonging,” said Michelle Vo, RN member of the first team. “Many are sleeping on makeshift tents in the rain. We see people who are dehydrated, malnourished, kids sick with fever. They need nurses, equipment and supplies.”

“Being able to help people in need is why I went into nursing,” says University of Michigan RN Tim Launius, a member of the second delegation who also who helped provide medical relief to victims in Texas after Hurricane Katrina. “As an experienced nurse, I have skills and training that can be put to good use.”

The volunteers not only provide medical support and comfort, they come back too, often moved into the additional activists our we so desperately need.

“You think you went there to change peoples lives, but you are the one who is going to be transformed. You will never see things the same way again,” Catindig says.

This is the experience of almost all of the nurses that go on these deployments. They come back changed. It is moving and profound. We are very luck to have people like these in our world.

This work is licensed under a Creative Commons Attribution-Share Alike 3.0 License.

RoseAnn DeMoro, NNU Executive Director

Rose Ann DeMoro is executive director of the 185,000-member National Nurses United, the nation’s largest union and professional association of nurses, and a national vice president of the AFL-CIO. Follow Rose Ann DeMoro on Twitter: www.twitter.com/NationalNurses

 

2013 Travelers Conference Gypsy Nurse Welcome Reception

Great things are happening in the Travel Nursing Community. In an effort to promote travel nurse socialization and support, The Gypsy Nurse Ambassador Program was born.  As a part of the Gypsy Nurse Ambassador Program, we have organized events happening all over the country. The Gypsy Nurse Ambassadors work hard to bring you exciting and fun events as frequently as possible. In addition to meeting other Gypsy Nurses and having a Great time, you can earn your Gypsy Bracelet and Charm by attending an Ambassador sponsored event! 2013 Travelers Conference Gypsy Nurse Welcome Reception Flamingo Hotel Las Vegas, NV This event was organized by your Gypsy Ambassador The Gypsy Nurse Ambassador Team The 2013 Gypsy Nurse Welcome Reception was a great success! There were a final total of 118 Gypsy’s registered at the event. Although I think some additional may have snuck in after we closed registration! This was a great opportunity to meet many of the Caravan members that we’ve chatted with over the past 7 months.  I am thankful to have been able to meet so many of you in such a relaxed atmosphere.  A few of you cut loose, danced and in general had a great time. Thank you to all of our sponsors that helped make this event such a success:  Trinity Healthcare – Gave away (2) $50 Gas Cards! Aya Healthcare – Provided 100 FREE Drinks (via tickets) to Attendees! Medical Staffing Solutions LLC – Gave away some Great Travel Nurse T-Shirts! IPI Travel Fastaff “Friends of…” […]

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Free Things to do in New York City – Plus Other Ideas

By Teresa Posthumus Ever wonder what to do in New York City?  With the Holidays rapidly approaching there are options.  You can find fun inexpensive and free things to do in New York City. Are you a beer drinker?  How about a –  Free Brewery tour, a city walking tours of SOHO, Little Italy, The Brooklyn Bridge, or a  Staten Island Ferry ride yes still FREE and much more….. Or things that are available for a small fee:  How about seeing the Statue of Liberty a $12.00 fee after your free ride to Staten Island.  Check out the sites below; free things to do and other things which cost a fee. See what sounds fun to you.  Find another traveler and get on your walking shoes! GO EXPLORE!!!  No matter where you are! Club Free Time : Free things to do in New York City The Travelettes: 10 Things to do in New York City for Free Lonely Planet: 40 free things to do in New York City Don’t forget to check out the Gypsy Nurse Calendar and see if there are events happening in your Area!

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