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The State of Emergency Nursing

There is not exactly a state of emergency when it comes to the field of emergency/trauma/transport nursing, but one may be on the way.

A recently released study took an in-depth look at the state of emergency, trauma, and transport nurses in the United States in an effort to gain an understanding of the landscape of the field, as well as the issues facing these nurses. The comprehensive study, which is the first of its kind, provides important insights about the current workforce and the future demands of the profession.

Here are some highlights from the report.

Demographics

  • The majority of the workforce is under the age of 40 (43%), female (78%), and Caucasian (87%).
  • Transport nurses are more likely to be male than emergency or trauma nurses.
  • Compared to the overall nursing workforce, emergency/trauma/transport nurses are more likely to be male and white.
  • More than 50% of respondents have previously worked in an Emergency Department.
  • 10% of respondents report previous military experience.
  • 78% of respondents hold a BSN or higher.

On the Job

  • Respondents indicated that 60% of their time is spent on direct patient care, while 25% of their time is spent on documentation.
  • 65% of respondents stated they are satisfied or very satisfied with their jobs.
  • 39% of respondents report the workload is too heavy or overwhelming.

Salary & Career Path

  • For emergency nurses, the median salary is $77,500.
  • For trauma nurses, the median salary is $82,500.
  • For transport nurses, the median salary is $82,500.
  • The majority of survey respondents expect a shortage or extreme shortage of nurses in the next 5 to 10 years, though most report plans to continue in their current role for the next 5 to 10 years.
  • The most common planned career change among respondents is to obtain a specialty certification or become an APRN.

Disclaimer: The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.

Transitioning into a Career as a Traveling Therapist

Traveling therapy roles are abundant, and they can do wonders for therapists who may be feeling as if they have stagnated in their current role or setting.

Traveling therapy roles are abundant—for instance, check out these great nationwide therapy opportunities from our friends at Princeton Staffing Solutions—and they do wonders for therapy professionals who may be feeling as if they have stagnated in their current role or setting. If you’re interested in taking on your first travel therapist role, here are some tips on how to get started.

  1. Start with a Map: If you are going to cross state lines, you will need to seek licensure in the state or states you are aiming for. By narrowing down your search and beginning the credentialing process in specific states, you will be setting yourself up to work in your ideal location. The process can take a few months, so it is important to start in on this right away, or partner with the right staffing company to help you expedite the process (but more on that later).
  2. Narrow It Down: One of the best things about travel therapy positions is that they offer variety. Decide what type of setting you are looking to work in, and how long of a contract you are seeking. Most travel therapy contracts can range from 8 to 26 weeks, or even the length of an entire school year, depending on what setting you land in.
  3. Get Connected: Partnering with the right recruiter or staffing company can make all the difference in landing your dream travel role. From getting you into your ideal contract to handling travel plans and housing or licensure, it is essential to have them in your corner.

Disclaimer: The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.

Chipotle Offers Buy-One-Get-One Free Deal for Nurses

Free food alert! Chipotle locations across the U.S. and Canada will be offering a buy-one-get-one free deal for all nurses (including RNs, NPs, CNAs, and more) tomorrow, June 4th.

Chipotle Mexican Grill is offering a special buy-one-get-one free deal for nurses across the U.S. and Canada on Tuesday, June 4, 2019.

All professional nurses who hold an RN, NP, CRNA, CNS, CNM, LVN, or CNA designation, or local equivalents, who present valid identification, such as their nursing license or hospital or medical office ID, can receive a free burrito, burrito bowl, salad, or order of tacos with the purchase of an entrée of equal or greater value. The promotion is valid at all Chipotle locations in the U.S. and Canada from open to close that day.

“We know that nurses are some of the most hardworking individuals and Chipotle wants to do its part to recognize these dedicated professionals who are helping to cultivate a better world,” said Laurie Schalow, Chief Corporate Reputation Officer at Chipotle, in a press release issued by the company. “We’re inviting all nurses to come into Chipotle to show us their IDs to redeem our token of appreciation.”

To find a Chipotle location near you, please visit chipotle.com.

Disclaimer: The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.

Oklahoma’s ‘Precedent-Setting’ Suit Puts Opioid Drugmakers On Trial

All eyes were on Oklahoma last week, when the first case in a flood of litigation against opioid drug manufacturers began Tuesday.

Jackie Fortier, StateImpact Oklahoma

All eyes were on Oklahoma last week, when the first case in a flood of litigation against opioid drug manufacturers began Tuesday.

Oklahoma Attorney General Mike Hunter’s suit alleges Johnson & Johnson, the nation’s largest drugmaker, helped ignite a public health crisis that has killed thousands of state residents.

With just two days to go before the trial, one of the remaining defendants, Teva Pharmaceutical Industries of Jerusalem, announced an $85 million settlement with the state on Sunday. The money will be used for litigation costs and an undisclosed amount will be allocated “to abate the opioid crisis in Oklahoma,” according to a press release from Hunter’s office.

In its own statement, Teva said the settlement does not establish any wrongdoing on the part of the company, adding Teva “has not contributed to the abuse of opioids in Oklahoma in any way.”

That leaves Johnson & Johnson as the sole defendant.

Court filings accuse the company of overstating the benefits of opioids and understating their risks in marketing campaigns that duped doctors into prescribing the drugs for ailments not approved by regulators.

The bench trial — with a judge and no jury — is poised to be the first of its kind to play out in court.

Nora Freeman Engstrom, a professor at Stanford Law school, said lawyers in the other cases and the general public are eager to see what proof Hunter’s office offers the court.

“We’ll all be seeing what evidence is available, what evidence isn’t available and just how convincing that evidence is,” she said.

Most states and more than 1,600 local and tribal governments are suing drugmakers and distributors. They are trying to recoup billions of dollars spent on addressing the fallout tied to opioid addiction.

Initially, Hunter’s lawsuit included Purdue Pharma, the maker of OxyContin. In March, Purdue Pharma settled with the state for $270 million. Soon after, Hunter dropped all but one of the civil claims, including fraud, against the remaining defendants. Teva settled for $85 million in May, leaving Johnson & Johnson as the only opioid manufacturer willing to go to trial with the state.

But he still thinks the case is strong.

“We have looked at literally millions of documents, taken hundreds of depositions, and we are even more convinced that these companies are the proximate cause for the epidemic in our state and in our country,” Hunter said.

Precedent-Setting Case

The companies involved have a broad concern about what their liability might be, said University of Kentucky law professor Richard Ausness.

“This case will set a precedent,” he said. “If Oklahoma loses, of course they’ll appeal if they lose, but the defendants may have to reconsider their strategy.”

With hundreds of similar cases pending — especially a mammoth case pending in Ohio — Oklahoma’s strategy will be closely watched.

“And of course lurking in the background is the multi-state litigation in Cleveland, where there will ultimately be a settlement in all likelihood, but the size of the settlement and the terms of the settlement may be influenced by Oklahoma,” Ausness said.

‘There’s Nothing Wrong with Producing Opioids”

The legal case is complicated. Unlike tobacco, where states won a landmark settlement, Ausness pointed out that opioids serve a medical purpose.

“There’s nothing wrong with producing opioids. It’s regulated and approved by the Federal Drug Administration, the sale is overseen by the Drug Enforcement Administration, so there’s a great deal of regulation in the production and distribution and sale of opioid products,” Ausness said. “They are useful products, so this is not a situation where the product is defective in some way.”

It’s an argument that has found some traction in court. Recently, a North Dakota judge dismissed all of that state’s claims against Purdue, a big court win for the company. In a written ruling that the state says it will appeal, Judge James Hill questioned the idea of blaming a company that makes a legal product for opioid-related deaths. “Purdue cannot control how doctors prescribe its products and it certainly cannot control how individual patients use and respond to its products,” the judge wrote, “regardless of any warning or instruction Purdue may give.”

Now the Oklahoma case rests entirely on a claim of public nuisance, which refers to actions that harm members of the public, including injury to public health.

“It’s sexy you know, ‘public nuisance’ makes it sound like the defendants are really bad,” Ausness said.

If the state’s claim prevails, Big Pharma could be forced to spend billions of dollars in Oklahoma helping ease the epidemic. “It doesn’t diminish the amount of damages we believe we’ll be able to justify to the judge,” Hunter said, estimating a final payout could run into the “billions of dollars.”

Hunter’s decision to go it alone and not join with a larger consolidated case could mean a quicker resolution for the state, Ausness said.

“Particularly when we’re talking about [attorneys general], who are politicians, who want to be able to tell the people, ‘Gee this is what I’ve done for you.’ They are not interested in waiting two or three years [for a settlement], they want it now,” he said. “Of course, the risk of that is you may lose.”

Looking For Treatment

Oklahoma has the second-highest uninsured rate in the nation and little money for public health. The state is trying to win money from the drug companies to pay for treatment for people like Greg, who is afraid he’ll lose his job if we use his last name.

Greg and his wife, Judy, said they haven’t been able to find the integrated treatment that Greg needs for both his opioid addiction and his bipolar disorder. It’s either one or the other.

“They don’t give you … a treatment plan for both,” Judy said. “They just say ‘Here, you can talk to this person.’ They don’t recognize that it’s like self-medicating.”

The couple live in Guthrie, Okla., about an hour north of the courthouse where the opioid trial will take place. Greg said he has been addicted to opioids for 11 years. People with prescriptions sell him their pills — sometimes Greg binges and takes 400 milligrams of morphine at once, a huge dose.

Of the $270 million Purdue settlement, $200 million is earmarked for an addiction research and treatment center in Tulsa, though no details have been released. An undisclosed amount of the $85 million Teva settlement will also go to abating the crisis. Judy said she hopes the treatment center will eventually help Greg.

“I wish he would stop using [opioids], but I love him. I’ll always be here,” she said.

This story is part of a partnership that includes StateImpact Oklahoma, NPR and Kaiser Health News.

Disclaimer: The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.

Critical Shortage of Pediatric NPs Looms

With the physician shortage in full swing and not enough PNPs joining the workforce, there is a growing hole in who will care for this nation’s children, with few answers in sight.

There is a serious need for pediatric Nurse Practitioners (PNPs), according to a new white paper published in the Journal of Pediatric Health Care’s most recent issue.

The authors, including Kristin Hittle Gigli, Ph.D., R.N., CPNP-AC, CCRN, of the University of Pittsburgh, and colleagues, report that “despite the specific demand for pediatric care, there is a forecasted critical shortage of PNPs over the next decade.”

This is partly because the amount of PNPs in practice has not grown as rapidly as other disciplines across the NP profession, while physician shortages continue to be problematic. While advanced practitioners are widely believed to be able to close the gap in access to care resulting from the physician shortage, it is estimated that only 8% of the 270,000 licensed NPs in the U.S. are PNPs, while two out of three new NPs entering the workforce reported graduating from family NP (FNP) programs. Although FNPs can care for children, most report their total children account for less than 25% of their total patient population. This leaves a growing hole in who will care for the children of this nation, with few answers in sight.

“Dedicated research into the PNP role, workforce, and care outcomes will address gaps in our knowledge of the role and support the advancement of the profession,” the white paper states. As well as, “when considering possible shortages of PNPs, evaluation of the workforce pipeline and graduate nursing education programs becomes an important factor in mitigating potential shortages,” and goes on to say, “Attention should be focused on updating and expanding knowledge of the state of the PNP workforce to identify areas in practice and policy where interventions will support maximizing the contributions of these providers to high-quality, accessible, and affordable pediatric health care.”

Disclaimer: The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.

Physicians Enthusiastic about How AI Can Help Them with Digital Diagnostics

AI has the ability to change the landscape of modern medicine, and take some of the burden off of physicians, if used correctly.

by Alex Tate

AI can improve all aspects related to diagnostics of a practice easily. They can improve and assess results more practically and feasibly for practices and track disease and treatment response more accurately. This will assess and measure patient outcomes, and can free up doctor’s time and help with burnout. If the change is resisted it is because roles of clinicians will change.

AI can not only further digital diagnostics, but create new workflows that will change the current pace of diagnoses, prognoses and medical documentation. With accurate results, the less room for human error, and churning out a faster diagnosis can mean treating patients with care and better facilities. You can imagine why this may be met with enthusiasm for anyone in a white coat.

What will AI do in diagnostics?

  1. Increase lab report results.
  2. Overcome the current shortage of trained lab workers.
  3. Give accurate diagnosis in real time, without having to go through recurrent tests to rule out different diseases, illnesses, and diagnosis.
  4. Catch symptoms faster
  5. Cut down physician’s time spent looking at medical tests, scans, and spend more time treating a patient based on AI diagnosis.

AI is known to make significant contributions in radiology and pathology diagnostics. 75% of physicians are excited about advancements according to a research published in Digital Medicine (A. D. Shihab Sarwar, 2019). AI is beneficial for workflow efficiency and quality assurance in pathology. In the same research many physicians were welcoming towards training and other implications before AI can be used wholly in a practice. Pathology and radiology are image-focused and diagnostic-focused, and constant improvements in the computational algorithms for these specifications have been developed and powered for best outcomes. AI carries the potential to transform the clinical practice of physicians. In Pathology, AI diagnostics may perform image analysis for tissue histology, analysis of molecular outputs and predict the prognosis accurately.

Medical diagnostics are a category of medical tests designed to detect infections, conditions and diseases. AI is playing an integral role in the evolution of the field of medical diagnostics. Pathologists manually go through all blood types for diagnosis. AI in medical diagnostics is still a relatively new approach. Clinicians need convincing about how reliable, sensitive, and integrated it is in diagnostics. Why is that? A lot of reading, rigorous testing, and attention to detail is required in medical diagnostics. A mistake can be fatal. AI applications are created with precise computational algorithms that can effectively produce diagnostics in clinical practices.

Some clinicians are worried about what it means to them if a machine can read blood tests. It is likely to do a lot more. AI using neural networks can train diagnostic machines to understand the image. Pooled data is the way forward. Machine learning ensure that the machine picks up more information through pattern recognition.

AI can cut down time a physician spends on an EHR. Digital diagnostics can increase physician’s “pajama time” (late evening time spent with family or otherwise) if it performs all tasks. It also leads to a standardization in how data is interpreted by monitoring all lab information in real time. How does this do that? According to Mark Benjamin, the CEO of Nuance, the job of AI is not just to transfer voice text into written text, but it should also have the means to decipher text. That is the added advantage of Conversational AI. He explicates the four uses of healthcare industry; an evident improvement in a physicians’ life, enhanced quality of care and a discernibly healthier population, and a diminishing healthcare cost. Without technology (and AI), these goals cannot be actualized.

Physicians’ enthusiasm for improvements in AI functions in healthcare means that all manual readings and errors will visibly decrease. Saving possible time, lab use, money and easing compliance with government regulations is favorable to them. Virtual assistants are no longer a thing seen in Sci-Fi movies either. There are fast advances in AI. Every physician might be able to have their own “Jarvis” like Iron Man. Their job will be to save patients’ lives, like Tony Stark saves the planet. You don’t even have to imagine a “Jarvis” that is yours; the question is when will AI be yours.

Strong AI is still in the experimental stage. Documentation via voice recognition, and conversational AI prevents physician burnout and prevents it from relapsing. Clinical documentation will soon be able to write for itself, and have enough machine learning to predict text, symptoms and even diagnostics intelligently to cut further documentation time and perform data retrieval from EHRs quickly. AI is a workforce productivity tool and should be used as such to reduce time-intensive workflows. AI is also supposed to provide insights through Predictive and Prescriptive Analytics. Machine learning and Deep Learning (a distinct usage of machine learning) are method to achieve Artificial Intelligence.

Currently, physicians spend more time with their EHR charts than with patients. Even AI is no substitute for human touch or eye contact between caregiver and receiver. Medicine is an evidence-based profession and is rigid to change unless it does not see vast improvements in caregiving.

AI improves operations, with automating scheduling and billing. Clinical outcomes and decisions will still lie with the practice managers. Clinicians also like to see evidence before they believe how impactful AI is in their practice without taking away control. The idea for using AI in healthcare has never been to replace doctors, but rather to bring about support to health care delivery.

If AI can assist in diagnostics, robotic assisted surgery is not so far away. AI will be able to perform these tasks and many more with time. The only question is when. mHealth is joining in, and AI researchers say that it is only a matter of time until HQ mobile phone cameras will be able to understand images and send them to a database for further consideration.

Alex Tate is a Healthcare IT Researcher and freelance writer who focus various engaging and informative topics related to the health IT industry. He loves to research and write about topics such as Affordable Care Act, EHR, revenue cycle management, privacy and security of patient health data. You can reach him via email

Find out more about her company here: https://oxfordhousetherapy.com/

Disclaimer: The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.

Why Health Workers Need to Be Emotionally Unattached to Patients

It is a fine line between caring for your patients and becoming too emotionally invested in their outcomes. How do you find the balance?

by Jessica Radburn

Being a health worker is not just about knowing proper health care, but it is also about having the heart to genuinely take care of patients. The best health workers are those who show compassion and empathy to every patient – not because it is their job to take care of sick people, but it is because every patient deserves proper care, respect, and dignity.

However, it is not always that easy. Health workers can sometimes forget to draw the line, and it is also hard to not get attached to some patients (especially after taking care of them for quite some time).

But it is still important for health workers to maintain professionalism on the job. Being too emotionally involved with your patients can affect your judgment, and this could cause conflicts with the patient’s family members and doctors. The key here is to know how to balance empathy and objectivity – but how do you draw the line?

Drawing the Line Between Empathy and Objectivity

In such a profession, how do you draw the line between empathy and objectivity? You need to take care of your patients for sure, but how can you maintain a certain level of detachment?

It is very easy to befriend and get attached to patients – especially when you get to see and take care of them over the course of a few months or years. We’re just humans after all. It is natural to feel bad when your patient is not doing well, or if he/she dies.

But getting too emotionally involved with your patients can affect your job (both in performance and judgment). To keep a balance between empathy and objectivity, keep these following tips in mind:

  1. Maintain boundaries: It is natural to be friendly and caring towards your patients, but there’s a line that should not be crossed. Showing favoritism or exchanging numbers is not appropriate. Talk to your patients but don’t overindulge in chit chats.
  2. Remember to keep it professional: Your patients are there to be treated, they are not actually there to make friends. Of course, you still have to genuinely care for them and see to it that they get proper care and medication. But as much as possible, don’t go beyond that. Be amiable, but professional.
  3. Leave work at work: Caring for many ill people can take an emotional toll. Once you leave work, you have to give yourself space to zone out and unwind. Rest and find activities that can help you relax and chill for a while.
  4. Report to your supervisor if a patient is being inappropriate: If a patient is making you uncomfortable or if he/she has crossed your boundaries, don’t hesitate to tell your supervisor. The supervisor can guide you on how to handle the situation properly.

Why Empathy is Important For Health Workers

Having empathy is a must in the nursing profession. Taking care of your patient’s health and well-being is your primary job, and the genuine care you show towards patients will help them relax and be at ease. They will be confident that they are getting the proper health care and medication. These are important if you want to ensure that the patient can recover fast.

Why Health Workers Should Maintain Objectivity

Although compassion and empathy are needed to help treat patients better, objectivity is also required too. An objective health worker can provide quality healthcare without being bias. A sense of neutrality should be maintained so that health workers can provide care and attention to every patient – regardless of condition, social status, or personal bonds.

Failing to maintain objectivity can cause conflicts between you, the doctors, other health care professionals, and even your patient’s family members. This is because there is a tendency that you would bring in your own decisions when it comes to the medical procedure and treatment that the patient should receive – and this is not part of your job.

Although you might want to ensure that your patient gets the best options when it comes to care and treatment, you don’t have to force your wishes if the patient, the doctor or their family members are not comfortable about it. As a health worker, your job is to respect the patient and follow the doctor’s orders when it comes to their medication and treatment.

Jessica Radburn is a seasoned writer who excels in writing interesting articles using extensive research. She has worked with several clients across different industries such as advertising, online marketing, technology, healthcare, family matters, and more. She is also an aspiring entrepreneur who is currently engaged in a company that helps provide technological assistance through useful tips and tricks.

Find out more about her company here: https://oxfordhousetherapy.com/

Disclaimer: The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.

Federal Task Force Pushes PT as an Alternative to Opioids

A report released this week by an inter-agency task force highlights the benefits of physical therapy and other modalities in combatting the opioid crisis.

An inter-agency task force, comprised of 12 public members, nine organization representative members, and eight federal members, released a report this week, entitled Pain Management Best Practices, in an effort to offer updates, gaps, inconsistencies, and recommendations regarding the opioid crisis in relation to managing acute and chronic pain.

The report, which totals 108-pages, emphasizes “patient-centered care in the diagnosis and treatment of acute and chronic pain,” and features a thorough section regarding the benefits of restorative therapies, such as therapeutic exercise, massage therapy, traction, and more. The report goes on to urge an approach of multimodality, including medications, nerve blocks, physical therapy, and others to combat acute pain conditions, in place of opioids.

As it currently stands, according to the Centers for Disease Control and Prevention, 50 million adults in the U.S. struggle with the effects of chronic pain on a daily basis, and opioids were involved in 47,600 overdose deaths in 2017—67.8% of all drug overdose deaths.

Disclaimer: The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.

Physician Burnout Costs U.S. Billions Each Year

Physician burnout is not only a widespread problem for physicians themselves, but it is also bad for business, or so found a new study published this week.

Physician burnout is not only a widespread problem for physicians themselves, but it is also, apparently, bad for business, or so found a new study published this week in the journal Annals of Internal Medicine.

Quantifying the toll of physician burnout has been tackled before, at least in terms of negative clinical and organizational outcomes, but the economic costs of this syndrome have not been as clear.

With this in mind, a team of researchers set out to tally the financial burden of burnout on physicians in the United States. They studied several vital measures related to physician burnout, including turnover rates and reduced clinical hours, as well as their associated costs, and used recent research and industry reports to come to a conservative, and yet, still staggering, estimated cost of burnout—$4.6 billion per year.

“Together with previous evidence that burnout can effectively be reduced with moderate levels of investment, these findings suggest substantial economic value for policy and organizational expenditures for burnout reduction programs for physicians,” the study concluded.

While it is impossible to put a price on the lives of those who so often save lives in this country, having such an overwhelming estimated price tag attached to the problem may be what is needed for health care leaders to begin to adopt initiatives to remedy this ongoing issue.

Disclaimer: The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.

Top Survival Tips for New Nurses

Here are four essential tips for the new nurse, to not only quell your nerves, but to begin to shape you into the best nurse you can be.

You’ve just accepted your very first job as a Registered Nurse. Now what? Here are four essential tips to not only quell your nerves, but to begin to shape you into the best nurse you can be.

  1. Seek Out a Mentor: Though some hospitals and health care facilities have mentorship programs built in, some don’t. If your new employer is one that does not, speak up and seek out a mentor of your own—be it a seasoned nurse that you can just quietly observe or one that you have a more established mentoring relationship with, in which you can ask questions and receive feedback.
  2. Ask Questions: Though you’ve just finished school, there is still a lot to learn. Don’t be afraid to use your voice, if you come across something you’re curious or unsure about. No one knows everything—not even the most experienced nurse—but there will be plenty of people who can help you to learn more as you settle into your new role.
  3. Pay Attention: It’s easy to become overwhelmed, especially when you’re new to the field, and things could easily slip through the cracks, if you’re being pulled in multiple different directions all at once—which you likely will be. Be mindful and focused as best you can at all times. And don’t be afraid to step back, breathe, and ask for help, if you need it.
  4. Practice Self Care: Your shifts will likely be long, your bathroom breaks will likely be short, or non-existent, and you’ll likely be on your feet all day. It’s easy to feel drained, when that is your day-to-day. Take care of your brain and body every single day by hydrating, eating right, sleeping well, and leaving the stresses of work at work.

What other tips would you add to this list? What is the best advice you received when entering the field of nursing?