Sunday, August 19, 2018

Flexi Clip Give Away

Hello!  My name is Laurie Young.  I have close friends and family members in the nursing field and have always admired their patience, gentleness, and genuine hearts.  I know you are under-acknowledged and under-appreciated which is why I am so excited that you are discovering the world of Lilla Rose and even more that I get to give away TWO of our amazing Flexi Clips to the lucky winners (one to each winner)!  
The Flexi Clip
The Flexi Clip is the product that I fell in love with several years ago and caused me to become a consultant with Lilla Rose. It is a patented, one-piece, flexible hair clip that works in all types of hair, from baby-fine to extra-long and thick. It comes in 7 sizes, and enables you to do a variety of simple hairstyles, from a half-up to a full french twist, in less than 30 seconds!  It is perfect for anyone who needs their hair to stay put, out of the way, all day long…my nursing friends have fallen in love.

For our complete line of beautiful, versatile, & durable hair accessories, visit my website or my Facebook page.  Both sites have videos showing a variety of 30 second hairstyles.

This double giveaway includes 2 winners, one flexi clip each!
To enter, complete my online form here:
Entries will be accepted until midnight (EST) Sunday night, August 26, and the winners will be chosen on Monday morning, August 27.  Winners will be chosen at random. 

Winners will be announced here on The Nursing Site Blog, as well as my Facebook page. The winners will be announced on the blog Monday evening, August 27. Good luck and have a wonderful day!

Thanks Laurie!

Thursday, August 16, 2018

Nurse CEO Success Summit in Los Angeles

I'm excited to be a speaker at the Nurse CEO Success Summit in Los Angeles on September 29, 2018!  The event will bring business experts together to share how they have hacked technology to create a better business, process, environment, or world! All entrepreneurs are welcome to come! I hope to see you there.

#nurseceosummit @TheNurseCEO @the_nurseceo


Tuesday, August 14, 2018

Life-Work Balance and Self Care

In keeping with the self-care theme this week, I would like to bring your attention to a terrific Work/Life Balance Guide I received a link to a few days ago. From this guide to decreasing stress is just what nurses need! There's tons of ideas to work on and ways to gain control of your life and the situations that seems to drive you up the wall! Check them out and see if you can find a path to clearing out some of the major stress from your life.
It's not rocket science and for nurses it's not new. It's about prioritizing, delegating and reviewing the success or failure. But it provides some very realistic ideas and best practices for attaining and managing the goals. Check it out. Namaste!

Friday, August 10, 2018

Smiling sorrow – The repercussions of masking chronic anxiety

Guest Post from Ariel Taylor

Many people outwardly display happiness and exuberance. In reality, they may be concealing inner turmoil and depression. Depressive people fear that others may notice they’re flawed personalities. They fear people close to them may become judgmental if the depth and intensity of depression is revealed. People try to avoid being labeled as a depressive character or manic worrier as that becomes the quickest route to social and workplace isolation.

Hidden anxiety could provoke obsessive behavior or impulse control disorders
Hiding worries or repressing negative emotions may be a big mistake because the underlying anxiety could provoke OCD and body focused repetitive behavior such as Trichotillomania (TTM) which is a compulsive hair pulling disorder triggered by deep seated anxieties that people avoid confronting. For more information on Trichotillomania and treatment options visit

The worst assumption depressive people make is to believe that the dark mood is just a phase, a passing cloud, or momentary discomfort that will go away if they chose to ignore it. Avoidance only generates a wave of loneliness and unremitting sadness. This is the harsh reality of smiling sorrow.

Environmental factors that encourage anxiety repression

The behavioral quirk of concealing depression is more widespread than society thinks. It has a lot to do with the way we are conditioned to hide our innermost feelings. Society encourages people to become an agony aunt, a kind of sounding board (or battering ram) for others to unburden their sorrows. Somehow, we don’t enjoy the same freedom when it comes to sharing our personal feelings of loss and anguish and seeking help for the same.

This is a good time as any to reflect whether you or maybe someone you know is falling prey to smiling sorrow. If matters are not brought under control, it becomes difficult to control obsessive compulsive disorders that erupt collaterally.

Six sure signs that people are hiding anxiety

1. Viewing life through the harsh prism of intense pessimism
According to the American Psychological Association (APA), depressed people tend to view their lives more negatively than normal people. Such people are programmed to latch on to the negative aspects of their lives, and the problems that plague society around them. Depressive realism describes this attitude. Such people take on a realistic view of their situation and how it impacts their lives, but their analysis is heavily tinged with pessimism.

Normal people, on the other hand, tend to have realistic expectations and temper their world view with optimism. Depressive realism fundamentally changes one’s attitude from “Sara will definitely achieve her goals, given time and encouragement” to “I’m pessimistic about Sara’s chances of achieving what she desires.”

Action point: Keep the conversation positive and gently encourage people to view their situation in a brighter light.

2. The happy countenance hides behind a stream of excuses

The signs are unmistakable; the individual seems to be forcing a smile. As you spend more time with this person, the mask drops sooner than later. To hide their depression from prying eyes, such persons spend as little time as possible with others, preferring the anonymity of isolation. The excuses come fast and thick why they cannot meet you, come for dinner or attend a function. It’s only a genuine heartfelt conversation that unearths the depression and gets the person to spill the beans on what anguishes them.

Action point: Break the barriers of isolation and encourage the individual to engage socially with you and mutual friends.

3. There’s a conscious attempt to escape from the realities of life to philosophical thinking

Speaking to these troubled souls, you get the feeling that they wax philosophical about abstract topics such as their goals in life, and how they struggle to find meaning and purpose in their lives. A little probing might reveal hidden thoughts of violence, fear of death and the urge to inflict suffering on imagined foes. Theirs is a constant search for happiness without the willingness to tread the path leading to fulfilling lives.

Action point: An emotional plea and a spiritual renaissance would do wonders to dispel the darkness within these souls.

4. Binge eating, addictive behavior, and sleep disorders may indicate hidden turmoil

Any behavioral change that sharply deviates from the normal may indicate hidden depression. Sound sleep is essential to physical, mental, and emotional health. Changing sleep patterns are reliable signals of distress. Too little sleep or excessive sleeping both signal silent suffering. Clinical studies prove that sleep deprivation can aggravate depression.

Where the normal person eats frugally to live, a depressed person may find himself living to eat. The urge to binge frequently beyond normal cravings creates a feeling of fullness that calms the depressive mind. The problem is worsened by withdrawal symptoms following alcohol or drug intoxication. On occasion, the extreme opposite may happen - total disinterest in food because there is ‘no joy in eating anymore.”

Action point: Encourage such persons to follow a proper diet, juxtaposed with plenty of exercise and fresh air to drive away the cobwebs of despair.

5. The depressed soul is desperate for assistance, but will fight shy of asking for help

Chronic depressives will be mortally scared of revealing their darker anxieties and will fight tooth and nail rather than disclose their mental handicap. The fear of being exposed makes them retreat into their shell of exclusivity. On the rare occasion they open up, you will catch a glimpse of a troubled universe. In such moments they may respond to persuasion either to seek personal help or professional counseling.

Such individuals may end up knocking on the doctor’s door, only to retreat into their world thinking that they’ve gone too far, and others may judge them poorly. The very thought that another person would be probing their weak spots discourages many from seeking the help they desperately need.

Action point: Handhold the person through personal or professional counseling, assuring them constantly that it is for their benefit.

6. The depressed soul exists on an emotionally hypersensitive plane

It is the norm for the depressive mindset to express emotions strongly. Such individuals could suddenly break into a flood of tears on watching an emotive reel life episode. They become unduly aggressive in the face of the slightest provocation, situations that normal people would calmly ignore. The close friend who is unusually calm may suddenly express his abiding love for you. It is as if the troubled soul has boxed up so many depressive thoughts inside that genuine emotion somehow escape through the gaps to see daylight.

Action point: When such individuals hyperventilate, respond calmly and allow them to seek emotional fulfillment. You can always try humor to bring the situation under control.

The Bottom-line: One cannot assume that each of these symptoms is a definitive sign of hidden depression. Some people are naturally introverted or introspective or irritable. What you need to watch out for is chronic worrying mentality that could aggravate more dangerous as obsessions and impulse control disorders. When you see this happening, you need to step in and take corrective action.

Thursday, July 26, 2018

Top 10 States for Nurse Salaries when Compared to Cost of Living

Sharing some valuable info...
According to the latest data from the U.S. Bureau of Labor Statistics, the median salary for RNs nationwide is $70,000, while for LPNs it's $45,030. You may be wondering, in which states can I do better than that, and what type of expenses should I expect?, a provider of NCLEX exam practice, recently conducted a study to find out. The study looked at the median salaries of Registered Nurses and Licensed Practical Nurses. The salary for each state was then compared to its cost of living index.
The salaries in the table below are taken from the latest U.S. Government statistics from May 2017. The cost of living data is taken from the 2017 cost of living index as reported by the . Missouri Economic Research and Information Center. Cost of living percentages are in relation to the national average.

Top 10 States for RNs

Cost Of Living
104.7 %
99.7 %
95.6 %
91.2 %
89.7 %
New Mexico
94.9 %
90.8 %
107.1 %
97.2 %
141 %

Top 10 States for LPNs

Cost Of Living
89.7 %
104.7 %
102.9 %
New Mexico
94.9 %
97.2 %
91.2 %
107.1 %
102.3 %
95.6 %
From here's a great list of top cities for nurses who have big student debt to pay off.


Thursday, June 28, 2018

Nurse Entrepreneurs Helping Nurses Find Direction in Their Career Paths

I recently sat down with a couple of nurse entrepreneurs to talk a bit about me and my nursing career, but also about nursing in general and hopefully provided some insights for those considering a career in nursing or looking for a new path for their nursing career. Health care is a challenging industry to say the least and nursing is never an easy occupation.

For young people today, I think nursing is going to have a few new challenges. Nursing is a service profession and you really need to be passionate and serious about helping people if you want a career in nursing. It's all about the patient and patients are never at their best when they don't feel well. That's something to really think about. Especially if you don't like dropping everything to go help someone else!

The first interview was done via Skype with Cara Sevier on The Not Just Nursing Show. I would suggest you close your eyes and listen. I don't play well to the camera! My eyes wander too much!!! But it was a fun time and worked out well for her first time Skype interview. She's in the eastern US and I'm on the west coast so we couldn't do it in studio as she does with many of her guests. Check out her previous guests and subscribe to her You Tube Channel.

The second interview was with Patricia Ramsey Laramee of the Nursing Assistant Podcast. We had some technical difficulties which just added to the learning process and the fun! You only have to listen, it's a podcast and she's had some really great guests so be sure to listen to all of the episodes., and Subscribe on Spotify or iTunes.  I hope we inspired some CNAs to consider continuing their education and becoming RNs in the future as we discussed my roles away from the bedside in home health and hospice.

Friday, June 1, 2018

Confidentiality and Social Media Don't Mix Well

I wrote an article several years ago on the subject of confidentiality in nursing. It has since disappeared from the site I wrote it for. It deserves updating now as it continues to be a big part of medical ethics. Technology continues to change our lives and social media and confidentiality do not mix well. Younger nurses who have grown up in the era of social media and sharing everything may have a hard time understanding confidentiality issues.

Confidentiality has morphed with the HIPAA laws. HIPAA is the Health Insurance Portability and Accountability Act of 1996 which was first designed to allow employees to keep and carry their health insurance coverage from one employer to another. In the process, privacy laws had to be built into the act to protect employee’s rights and privacy from becoming available to their employer. For instance an employer might find a way to not hire a person if they discovered he or she had  cancer or some chronic disease.

For all health care providers, the HIPAA act demands full confidentiality and protection of every patient’s privacy. It’s not just nurses and doctors. It’s everyone working in health care who cannot share patient information. A need-to-know basis is implicit to the plan. There was an episode several years back in which Brittney Spears was hospitalized and several employees were fired for looking at her information on the hospital computer. They weren’t involved in her direct care and had no need-to-know, and so it was a violation of her privacy rights as well as hospital rules under the HIPAA law. Other cases have involved an unusual health even such as shark attacks,  or impalement injuries.

Whether or not you share any of the information or just look at it for your own curiosity, if you’re not involved in the direct care and need-to-know, then you’re in violation of HIPAA.

We have all probably worked in situations where we have had patients who are celebrities or well-known community members in the crosshairs of our hospitals, clinics or medical offices, or have provided care in their homes or other places of residence.

I could tell you about many I have encountered in my career, but you have no need-to-know, so I cannot. If I had their permission to share certain information that would be a whole different ball game. On the other hand, if I changed up some of the identifying details or managed to make sure you couldn’t figure out who I was talking about, I could tell you some information that might be relevant such as how to deal with entitled or highly unhappy patients or family members. That seems to be a common theme with some of the rich and famous. But otherwise, I have to take these secrets to my grave.

Along came social media and everyone is sharing every little detail about their lives. But the HIPAA laws haven’t changed, and nurses (and anyone working in health care) need to be perhaps more careful than ever not to expose private patient

Posting photos on Instagram and Facebook is a common mistake, often made very innocently to celebrate a milestone event with a patient. The last chemo treatment, a milestone birthday, someone walks again when they were told they wouldn’t. Who wouldn’t want to share the joy/! Technically if you post a picture of anyone, even your best friend, without their permission it can become a whole huge issue. This is an area of particular concern because we often don’t even think about it. We have access to cameras on our phones and we post the pictures all over the Internet to share with friends and family.

Even if your patient is not a well-known celebrity, s/he has the right to privacy, and HIPPA will get you if you violate the confidentiality! If you do have permission to post that selfie you took with your 100-year-old patient on his birthday, you MUST say so. I would advise that your better choice is to NOT post it, but if you do, you MUST get his permission and then be sure to document that you have his permission to post. (I would also let your employer know you’re posting and be sure to know what their rules are before even considering it.) If he has dementia or is otherwise incapable of making his own decisions, you’d better have permission from his next of kin or DPOA! And you MUST post that as well. And then save the post in a manner so that it cannot be shared.

HIPAA was updated with the HITECH Act in 2009. Health Information Technology for Economic and Clinical Health (HITECH) Act covers patient confidentiality and technology advances. When taking pictures for clinical use and medical records, for example wounds, make sure you have permission to photograph. Check for your employer’s policy and follow it to a “T.” Use a medical record number and date but be sure there is no other identifying information in/on the photo. Zoom in on the wound or other reason for the photo. And the DELETE the photos from your device as soon as you have posted in the appropriate place.

Confidentiality is not just about photos, it’s any information you glean from/about your patient. Something they told you in confidence or not is still a privacy matter. I can share that a patient I had several years back was the stunt double for a famous actor or actress in the 1920’s and 30’s. If I say anything more than that, you might be able to figure it out and then know he or she was a patient treated by XYZ and could learn he or she was treated for ABCD. That would be violating the patient’s HIPPA rights that extend for 50 years after death.

I can also share with you I’ve taken care of the fathers of rock stars and the grandmothers of actors, along with athletes and politicians and community leaders, but that’s the extent of what I can say. I can say some of them were very nice and grateful for all we did, and others were rude and obnoxious the same as any other patient or family members. But I can’t tell you who they were or any other situational information that could identify them.

It's a covert operation and it has to remain such. HIPAA also prevents you from sharing any information with a family member or friend of any patient without the patient’s permission. Only the DPOA can tell you who in the event the patient cannot. These laws were written to protect all of us.

Take care of you and don’t let curiosity put you in jeopardy. Don’t forget and post or otherwise share information or pictures you took with a favorite patient unless you have permission and state so. You put your career on the line and could cost your employer a lot as well. Mumm’s the word!



Monday, May 28, 2018

Have a Safe and Happy Memorial Day

Friday, May 18, 2018

2018 Nurses Week Give Away Winners

As promised, I have randomly selected winners of our generously donated Nurses Week Give Aways. This year we had far more entries than prizes and our social media hits were off the charts compared to previous years. This all means it was quite successful for all! Nurses Inspire, Innovate Influence.

Thanks to all who entered. I have notified the winners and they should be hearing from their generous donators very soon. I will also be notifying those who didn't get a fabulous prize and sending them a consolation prize. 

I want to take the opportunity to once again say a huge THANK YOU to all who donated fabulous prizes for our Nurses Week Give Aways:

Day 1:
Uniform Advantage for a $50 egift card

Day 2:
Nurse Born Products for the Nurse Invented Gift Set
Karen Ingalls for her book, Outshine: An Ovarian Cancer Memoir

Day 3:
SugarWish for a SugarWish Duet
Meketta for LED Solar Boxes

Maevn Uniforms for a set of Blossom Signature Collection scrubs

Day 5:
Elizabeth Scala for a set of her 3 books, Nursing From Within, Stop Nurse Burnout, and Your Next Shift

Christine Magnus Moore for her book, Both Sides of the Bedside: From Oncology Nurse to Patient, an RN’s Journey with Cancer

Day 7:
Brittney Wilson and Kati Kleber for their book, The Nurse's Guide to Blogging 

Consolation prizes of $5 Starbucks gift cards were sent to all who entered and did not win a big prize. Happy Nurses Week to all.  

If you didn't have a chance to enter, and aren't among the lucky winners, please be sure to support these great products and say thanks for supporting the nursing profession during Nurses Week and throughout the year. 

I hope you all had a great Nurses Week! Keep making a difference in someone's life everyday! Thanks for all that you do!


Sunday, May 13, 2018

Happy Mother's Day!

Happy Mother's Day!


~ Kathy