Medical Training

Whether you are considering becoming a RN or a LVN/LPN classes, travel nursing opportunities are abundant.  These temporary nursing positions are a great way to see someplace new, and a way to consider places to later relocate. I once knew of a nurse who wanted to spend her summers near the ocean.  Instead of going through an agency or a nursing recruiter, she asked the hospital of her choice for a summer salary with a housing allotment.  This was a great way for her family of four to spend a summer in her idea of paradise. However if you are looking for simplicity in job placement, it is easy to search on the internet for traveling nurse staffing agencies; make sure you first find out which hospitals and shifts that they are contracted for.

Hospitals generally utilize traveling nurses to cope with the increasing shortage of nurses. If you graduated from a LVN/LPN program and are considering working in another state, first find out the licensure requirements from the state’s board of LVN.  Since each state has different LVN/LPN requirements, it is a good idea to plan ahead.  Another recommendation before signing onto this journey is to first work in one facility for at least one year to develop a foundation and learn as much as you can about nursing.  Sometimes nursing students make the mistake of thinking that all they need to know about nursing will be taught at their LVN/LPN school.

Even though nursing schools, such as Gurnick Academy of Medical Arts offer “real” life situations with simulated mannequins and clinical experience in healthcare facilities, the career of nursing is an ongoing classroom filled with endless opportunities to learn.  In addition, by selecting an area of expertise and becoming certified in that specialty, will place you in even more demand, which can lead to more choices in your job positions.  One last suggestion is to speak directly with a traveling nurse to find out the pros and cons.  If you don’t know of any traveling nurses, you can check out one of the many blogsites written by “real” nurses who have experience in this exciting career.

Have you ever wondered what a patient’s story is prior to admission to a health care facility?  I’ll never forget that question that was asked many years ago by my nursing instructor.  Today I teach LVN students at Gurnick Academy of Medical Arts and encourage them to be curious and find out more than just their patients’ diagnosis and vital data.  Fortunately there is already a program, called My Story, which offers steps in finding out about who the patient really is beyond their room number.  In 2003, Michael Dann became the inspiration to his wife Doreen for starting this program.  After a motor vehicle accident, Michael became just another “John Doe” comatose patient in a trauma unit.

During those last 8 days of life, Doreen Dann, C.O.O. of St. Jude Medical Center in Fullerton, California, created a life-serving tool to bring connection between Michael and his caregivers. The My Story brochure includes questions about the patient’s support system and what they enjoy, such as their favorite pets, hobbies, movies, music, and food.  Depending upon each facility’s policy, these valuable brochures may be filled-out by nurses, volunteers, family, patients, and student nurses. After the brochure is filled-out it is then posted up in the patient’s room, which allows each caregiver, including LVN/LPN students to easily read about their patient prior to administering care.  A DVD is also provided for the caregivers to understand the purpose and story behind the My Story program.

In the DVD Doreen Dann shares her view about how there is healing power in the life story itself.  She explains that when we are able to connect to the life essence, then we can truly become a partner with each other.  With this healing intent, it is no surprise that this program has a history of not only being beneficial to the patient, but also to the caregivers.  For those who enroll in a LVN/LPN program they usually are filled with excitement about their new career.  To keep this spark of enthusiasm, it is important to utilize tools, such as My Story to continue their nursing education even after graduating from a LVN/LPN school.

Learning a skill, such as how to take vital signs including blood pressure, temperature, and heart rate, is just one part to the completion of a nursing task.  The other part of completing a nursing skill is to become competent in communication.  As a LVN instructor at Gurnick Academy of Medical Arts, my students are given the opportunity to practice on mannequins and their classmates prior to working with patients at their assigned clinical site.  When working with their classmate I have them both obtain vital signs from an agreeable classmate, and then attempt to complete the same skill with their classmate saying “no” to having their vital signs taken.  As you can probably guess, this classroom scenario quickly leads into a valuable lesson in communication.  Communication can be so simple until the patient replies with the dreaded, “No!”  Since some of our students have been or are parents, they are all too familiar with hearing the word “no” from their children.

As with parenting, a LVN/LPN has the choice to make a request sound like a request, instead of a demand.  The challenge in making requests usually lies in neglecting to connect with the patient to inquire if the patient is hearing the nurse’s requests as a demand.  Marshall Rosenberg, PhD, founder of Nonviolent Communication (NVC) and author of Nonviolent Communication: A Language of Compassion, says the following about hearing someone’s “no” word, “Because of our tendency to read rejection into someone else’s, “no” and “I don’t want to…,” these are important messages for us to be able to empathize with.  If we take them personally, we may feel hurt without understanding what’s actually going on within the other person.”

Rosenberg suggests an alternative to taking the patient’s negative words personally or getting stuck on their “don’t want to” phrases, is to instead hear and empathize with their unspoken, unmet needs.  Early on in the LVN/LPN program the student nurse learns about Abraham Maslow’s hierarchy of needs, which offers a foundation for advancing their communication skills.  In the clinical scenarios and setting, the student nurse is giving the opportunity to apply their theory knowledge by identifying the unmet needs of their patient.  Even though LVN/LPN schools allow for time to practice these skills, the student is responsible to continue practicing these communication skills at home, which will only improve their chances in becoming hired and more competent in a LVN/LPN job.

A major area in nursing is addressing wellness for both the physical and mental health of patients.  Unfortunately attending to one’s mental health can be very challenging not only the patient, but also for the LVN/LPN.  Fortunately nurses, patients, and their family have a resource called the National Alliance on Mental Illness (NAMI), which addresses mental health, and has expanded by promoting health for the whole person with mental illness.NAMI has a Wellness Center at their National Convention that promotes healthy living.

The Wellness Center offers activities, advice and information including topics such as: medications, nutrition, blood pressure, smoking cessation, and dental hygiene. According to the NAMI website at www.nami.org, many people with mental illness have challenges with their teeth. Other than dental health professionals, most medical courses, such as the objectives in a LPN program are not required to have extensive dental training.  Knowing the need for further dental health education, Lisa Knapp Stillman and her sister started the Dental Voice for Mental Health.

Since 2008 Lisa and her sister represent their project with a booth at the NAMI convention’s Wellness Center. Lisa, who is both a dental hygienist and a mother of a son with severe mental illness, knows first hand how the medications that treat mental illness can deteriorate teeth.  In The Dental Voice for Mental Health in the summer 2010 issue of NAMI Voice, Stillman states that there are over 700 medications that can cause the side effect, xerostomia (dry-mouth).

If you have ever been a patient in a hospital, you might have asked where are the male nurses?  You also may be surprised to know that the career for paid nurses started not with female, but with male nurses, and the first nursing school, which opened in India during 250 BC, only accepted male nursing students.  During the era of Hippocrates (460-370 BC), who was the father medicine, nursing care was delivered by men.  In the December 2009 article 10 Most Famous Male Nurses in History posted on Nursetini, Walt Whitman (1819-1892) is listed as one of the 10 most famous male nurses.  Whitman is famous for being a writer and poet, but it turns out that after his brother was wounded in the American Civil War, Whitman devoted both time as a volunteer nurse and writings about the need for nursing care for the soldiers.

According to the Winter 2009 AHNA Beginnings article, “Why Aren’t There More Men in Nursing?” editor Lynne Nemeth states that the Reformation era (1550-1850), which was referred to by some as the dark ages of nursing, more women were becoming hospital nurses and medical care deteriorated allowing prisoners work as nurses “…in lieu of prison terms.”  With the Industrial Revolution, which took place in mid 17th and 18th centuries, men took advantage of higher paid jobs, which excluded low-paid nursing positions.  Nemeth refers to how “Ironically it is Florence Nightingale, considered to be the founder of modern nursing, who is credited with the demise of men in nursing.”

In 1867 Nightingale wrote about how she wanted the female head nurse to have the power over nursing and not the male nurse. Despite all the positive contributions to nursing, it wasn’t until 1955 when Edward L.T. Lyon became the first male nurse in the military. According to a 2005 Men in Nursing Study by Bernard Hodes Group, men only make up between 5-6 percent of registered nurses.  Fortunately there are both men and women working together to support and educate men into the career of nursing.  If you are presently in a LVN or LPN program and want to join a nursing organization that supports male nurses, the American Holistic Nurses Association (AHNA) has a history of supporting and honoring both male and female nurses.  In 2008, the AHNA named Richard Cowling, III, RN, PHD, APRN-BC, AHN-BC the Holistic Nurse of the Year. Unlike the AHNA, the American Nurses Association (ANA) did not allow men to become members until 1940.

Whether you are thinking about becoming a male LVN, LPN, or registered nurse, read about the many resources such as the free online Male Nurse Magazine at www.malenursemagazine.com. Today there are several LVN & LPN schools, such as Gurnick Academy of Medical Arts that encourage the presence of men in nursing, and have male faculty role models.

At the first meeting on the clinical site the instructor will review with you what to expect during clinical time.  I happen to know the Antioch staff is wonderful.  You will get a lot of great experience during this rotation.   The staff there has many strengths and is always helpful.  They show compassion, integrity, and teamwork.  We will be doing hands on patient care.  I love clinical nursing.  To me, being at the bedside and working with the patients is the most rewarding.  To be a good LVN clinical nurse (or LPN Licensed Practical Nurse) you have to be multi-talented.  You have you learn the best approach for each of your patients as they all have different personalities and needs.  You’ll learn about different cultures, values, and beliefs, which can be very exciting.  For example, you’re likely to encounter different languages, lifestyles, and social roles.  You will be doing patient assessments daily.  We will be reviewing clinical LVN skills (and LPN nursing) in the lab at Gurnick.  The students usually love this.  This is a great time to ask me any questions you may have.  Yes, you are to be dressed in scrubs with your hair up and ready to take notes.

In June 2010 the American Holistic Nurses Association was blessed with having Jean Watson, PhD, RN, AHN-BC, FAAN as keynote speaker.  Mrs. Watson’s extensive biography includes her published theory of nursing “The philosophy and science of caring.”  Nursing theories are important for the student LVN or LPN to guide the way in development as a licensed nurse.  In the Spring 2010 AHNA Beginnings publication, Watson lists examples of how to implement the Caring Theory in her article Caring Science and the Next Decade of Holistic Healing: Transforming Self and System from the inside Out.  She states, “When systems begin to authentically embrace Caring Theory and its role in healing, and thus creating biogenic practices, the foundation for professional nursing shifts.

Within this article, she acknowledges the participants of International Caritas Consortium (ICC, www.cartiasconstortiu.org) for their efforts toward this nursing shift.  One of the simple examples that can be practiced not only by the ICC participants, but also in LPN schools and hospitals is hand washing.  Hand washing is not just used for cleaning our hands, but according to Watson this ritual can somehow “…energetically cleanse oneself…” which allows for “…pausing to set intention before entering a patient’s room.”

Another one of Watson’s simple, yet profound suggestions is to have magnets with positive affirmations and messages on patients’ doors.  This affirmative idea can be easily initiated by student nurses in any nursing program, including the LVN or LPN program.  One of the most intimate of Watson’s practices is to be “seeking” as we nurses look and connect to the “spirit-filled” person that might be hiding behind their diagnosis.   For more information about Jean Watson caring philosophy visit www.watsoncaringscience.org