Issue 10
Special Issue 10 September/October 2011
Ethical Dilemmas
in Maternal Nursing
&
Online Education
Career Advancement
Man Enough
to be a Nurse
Short Haircuts
for Nurses
Germaphobe’s Guide
to Nursing Jobs
Travel Beautiful
Canada
1
Fabulous Nurse Magazine
2
Issue 10
3
Fabulous Nurse Magazine
4
Issue 10
5
Fabulous Nurse Magazine
Elsie Ekwa
Editor-in-Chief
Writers
The vision behind Fabulous Nurse Magazine, Ms. Ekwa saw the need for a lifestyle magazine that all at once serves as a celebration of nurses, a guide for better living, a resource for career development, and a guilt-free escape from the sometimes grueling shifts that nurses work. Ms. Ekwa’s distinguished career as a commercial model, college newspaper editor, and intensive care nurse informs and influences the creative direction of Fabulous Nurse Magazine. This is evidenced by the magazine’s fresh approach to home life, dynamic content, inspiring stories about real nurses, and professionally relevant editorials. Ms. Ekwa is also the managing editor for the Pacific Writer’s Corner online magazine. She writes as Sonya Justice and speaks on health and wellness issues, the business of writing, and entrepreneurship.
Zee Nickerson Writer
Zee Nickerson has a B. S. in Psychology and has owned several successful businesses. She is currently a writer, fashion consultant, and public speaker. Ms. Nickerson has taught English in Japan, Communist China and state side. As a thrifty world traveler, she can travel for as little as a $1.00 a mile. Along the way, she taught herself spoken and written French, German, and Japanese. She has traveled in all 49 states and would like to add Alaska to her collection. Her watercolor paintings are currently displayed at the Creator’s Gallery in Jacksonville, Oregon. Ms. Nickerson is pleased to announce she is just starting to twitter at HelloZee! A play on the French words for Let’s Go! Contact Zee via email at Zeechic2000@yahoo.com.
Olusegun Iselaiye Editor & Writer
Olusegun is seasoned freelance writer, researcher, and entrepreneur. He taught nursing students Human Anatomy in his home country of Nigeria before going into fulltime writing. Olusegun, whose mother happens to be a respiratory nurse, is also a huge fan of the nursing profession. His ambition is to offer a meaningful contribution to Africa and his home country. When some give his country a bad reputation, it is good to see that there are many who live by higher standards. It is thanks to Olusegun that Fabulous Nurse Magazine will be bringing you its rating system. Contact Olusegun via email at isedot@yahoo.com.
Matthew Fowler Writer
Matthew Fowler, founder of A Sodality of Wordsmiths, is currently a professional writer for the US government, namely, the US Department of Labor, where he adjudicates claims and writes formal decisions regarding labor issues. He got his start in the career field of language arts as an active duty soldier, civil affairs division, writing press releases and the like. As an active duty soldier he traveled, literally, around the world in various capacities and including combat operations in Bosnia, the Philippines, and Afghanistan to deliver the Army story. His practical experience is bolstered by considerable education, a B.A in Communications and an M.P.A in Public Policy.
Margaret Smith Writer
Margaret Smith is a native Texan who loves God, family, country, and writing. She has a variety of interests, and has worked in diverse fields from retail to education. Although she is not a nurse, she has done volunteer work in hospitals, where she has always admired the dedication and skill of the nurses she has seen in action. She recently made the decision to become a full-time writer. Margaret enjoys the process of discovery and development in each new project.
Karen Kalis Writer
Karen Kalis has ten years of experience as a professional copywriter. She has worked in industries such as education, real estate, healthcare, technology, and with non-profit organizations. With an M.A. in Creative Writing, Karen’s clients include: Fabulous Nurse Magazine, RMS Technologies, Lincoln Electric, Multi-Care Management, and The EPIC Group. An entrepreneur at heart, Karen focuses on helping businesses communicate what they have to offer with precision. 6
Masthead/Contributor Publisher Sonya Publishing Corporation
Editorial Elsie Ekwa
Art & Graphic Design To submit artwork / ad creative Email: ads@fabulousnurse.com
Advertising & Marketing For advertising opportunities Email: ads@fabulousnurse.com Contact our Sales Director, Tel: (503) 877 – 3617
Writers To submit articles for publication Email: editor@fabulousnurse.com
Reach Us By Post Fabulous Nurse Magazine 29030 SW Town Center Loop E Ste. 202 Wilsonville, OR 97070-9490 info@fabulousnurse.com www.fabulousnurse.com
Issue 10
7
Fabulous Nurse Magazine
8
It Takes A Nurse
Editorial Issue 10
L
etter to the editor: As a pediatric nurse, I take care of my patient, the child, and their parents. Understand this, providing support and being there for a patient’s family is an expected part of my job duties. However, this is remarkably more challenging when dealing with a precious infant. Seeing the look of despair in the parent’s eyes as they seek to understand the diagnosis or prognosis of their child’s condition is heart-wrenching. Watching them suffer from self-inflicted guilt and wishing they could alter their genetic make-up, if only to save their child’s life is especially difficult.
My typical day is filled with sounds of joy, relief, fear, guilt, anguish, and desperation. It is no easy feat to stay strong when faced with the possibility of a child’s death. This is made even more difficult as I watch even the most private of parents publicly reach their breaking point. I don’t usually discuss my work but your published article on, Parenting the Attachment Challenged Child, struck a nerve. My patients are not typically attachment challenged but sometimes their little bodies are so ravaged with disease that they are a mere ghost of the active, happy, affectionate child their parents used to know. This is why Fabulous Nurse Magazine has been such a God sent to me and my patients’ families.
The staff at Fabulous Nurse understand the nurse’s life because we know firsthand that it takes a nurse to understand the intricate complexities and myriad of emotions nurses experience every day in their respective roles and at their respective places of work. This is why I will like to share a little known secret: “It is okay to cry.” Tears are released reflexively by your body when faced with extreme sensory stimulation. This sensory stimulation can be physical or emotional resulting from a positive or negative experience. It is okay to let go sometimes. It is okay to cry. It is okay to seek comfort and advice from your peers. It is okay to share your emotions. Nurses are after all, people first. When you take care of youself and deal with your own emotions, only then can you truly provided the added experience that makes us distinct from other healthcare practitioners – tender, loving care – TLC. Go ahead and nurse with heart. We have your back. Nurses, you rock!
I have shared some of the coping strategies from that article with them. I have also borrowed from other articles like, Grief for Caregivers, too. That in combination with the grief services and support system our community hospital offers has been helpful. We have found reasons to laugh when we read the jokes. I just wanted to say, “Thank you for being there for us, Fabulous Nurse.” From Robina Mayfield, RN, MSN - Pediatric Oncology Nurse. While the very personal experience that Robina shared with me may make for excellent drama on TV or in a movie, we nurses know only too well how real, in-discriminatory, and unforgiving disease can be. The best people and the worst amongst us are afflicted at one point or another. The challenge is especially tough for the family members who live through this experience and carry the memory with them. They are forever changed whether their loved ones live or die. As practitioners of the Art of Healing, we want the best possible outcomes at all times. We want to prevent pain and alter the progress of disease. We want to do what we do best, always - nurse. This can be made especially difficult when faced with the death of a patient or grief of family members. Even when the patient does make it, the current joyful state does not undermine the pain of previous days or weeks. 9
Table of Fabulous Nurse Magazine
Contents
COVER ARTICLES
FEATURES
P.18
Germaphobe’s Guide to Nursing Jobs
P.66
Vasquez: Changing the Landscape for Nursing
P.31
Online Education & Career Advancement
P.77
Libido at 50
P.54
Sweat Resistant Makeup
P.38
The Nurse’s Cap: Symbol to Artifact
P.27
Man Enough to be a Nurse
P.47
Short Haircuts for Nurses
P.70
Travel Beautiful Canada
P.99
Burger King Diet
P.15
Ethical Dilemmas in Maternal Nursing
P.83
Does Marriage Make you Gain Weight?
ICU NURSING
23
10
I
CU nurses have the uncommon privilege of working with some of the most critically ill patients in a hospital. They work diligently to monitor sophisticated medical technology and provide compassionate care for those who need it most. Becoming an ICU nurse is one of the most challenging and yet potentially rewarding areas for RN’s.
Issue 10
Hope. Stop-in today for your daily dose. 24-Hour | Co-ed | Secure Access to over 1,500 clubs worldwide
Find the location near you online at: AnytimeFitness.com
Join today and receive: Complimentary Virtual Training Perfect for those who want to stay in-shape despite their long-shifts and odd-hours.
11
Special Issue: Fabulous Nurse Magazine
Sept/Oct 2011
Fabulous & Fit
P.102
Adidas Running Shoes
P.104
Best Fitness Programs
Finance
P.108
Virtual Assistant: Idea to boost your income
EDITORIAL
P.9
It Takes a Nurse
P.111
Saving Money with the Kids
FASHION WATCH
P.40
A Clog’s Point of View
THE NURSE’S STATION II Facility Ratings
P.42
Scrub Colors to Flatter Your Skin Tone
P.116
5 Star Hospital Rating: Good Samaritan Hospital, LA Mayo Clinic, Phoenix
BEAUTY SECRETS
P.50
Natural Anti-Aging Skincare
P.118
5 Star Staffing Agency Rating: American Traveler
P.121
5 Diamond Nursing School Rating: University of Pennsylvania School of Nursing
P.123
Nursing Home: Matulaitis Nursing Home
POETIC VOICE
P.126
Beauty Tips (A Lesson on Morality)
LAUGH OUT LOUD
P.128
Nursing Humor
P.128
General Humor
ATTITUDE RE-DEFINED
P.58
Cloudy With a Chance of Blue
WALK IN MY CLOGS
P.62
Amber Butler: Nurse Firefighter With a Cause
TRAVEL
P.69
Canadian Nursing Shortage
BREAKROOM DISCUSSIONS Living Well P.79
Food & Drinks that Increase Anxiety
Home, Hobbies & Parenting
P.86
5 Theft Deterrents for Home & Property
P.88
Obesity in Pets
P.90
How to Make a Shaving Brush
Fabulous Foodie
P.94
Fabulous Recipes
12
RESOURCES P.130
Book Review – Inspired Nurse
P.132
October Nursing Conferences
P.133
Job Opportunities – Perm & Travel
P.134
Nursing News – Press Releases
Issue 10
13
Fabulous Nurse Magazine
The
Nurse’s tation I SProfessional
Development
14
Ethical Dilemmas
Issue 10
By Matthew Fowler
S
ince the very first days of your undergraduate nursing program, you have discussed ethical quandaries.
From Aristotle to Mills, Socrates and Sanders, and of course, Hippocrates, you have
in Maternal Nursing
pondered what to do and say in situations where your head and your heart are at odds. You probably even digested some theory you couldn’t abide just so you could spit it out again on a test or a paper. Among ethical constructs of modern medicine, Hippocrates has special relevance and prominence, and taking the Hippocratic Oath is often a right of passage for health care providers. The basic tenet of the oath is respect for all human life with an emphasis
From Theory to Praxis
on safeguarding both a patient’s health and dignity. Simultaneously, the care giver also acknowledges that s/he is part of a larger, collective society and must act accordingly. Soon after, however, you were faced with real life situations; situations where applying one or two sentences of a dictum seemed nebulous at best, and probably hit you in the gut like a runaway train. These problems could even have made you question your choice to become a nurse. With that in mind, please do not think of the following ethical questions and scenarios as yet another strict dictum to repeat to yourself as you face ethical problems at work. Instead, our intent is to summarize and explore some of the most salient ethical dilemmas you might face, and in that exploration, offer you a path already traveled. Part of that exploration is to think about the Hippocratic Oath and its ethical prescription. Is the oath still relevant? How does it fit into the world of modern medicine as technology changes so quickly?
Nurse.com offers the following real life sce-
be removed from the heart-lung machine; he
nario for analysis and possible solution. A
had to spend his last few moments in the OR.
surgical liaison nurse at Boston Children’s
The hospital, however, had very rigid rules
Hospital found herself between a rock and a
disallowing such a visit. Though unfathom-
hard place, the needs of the patient and fam-
ably tormented, the nurse did not allow the
ily versus the hospital’s rules. The mother
parents entry to the OR, and the parents were
of a dying baby had asked to be with her
only able to see their son after he had expired
son in the operating room (OR) as he passed
and his wounds were closed.
the surly bonds of Earth to touch the face of God. The baby had undergone open heart surgery which had failed, and he could not
Heartbroken, the parents returned to the hospital the following day and asked to say 15
Fabulous Nurse Magazine
one last goodbye to their baby boy. The
conceived via in vitro fertilization, seemed
worked directly with social services because
nurse sent the parents to the chapel, warmed
uninterested about her baby’s welfare, and
the mother only seemed concerned with le-
the baby in an incubator, wrapped the baby
the nurses were not only disturbed by the
galities and paperwork.
in a clean blanket, and then presented the
mother’s attitude, but confused about what
baby to the parents in the chapel. The par-
to do. Let’s rewind a bit.
ents painfully and tearfully talked to the baby
The stark contrast in these scenarios emphasizes the range of scenarios you may have to
When the mother was brought to the hospital
face as a nurse. It may also tend to empha-
for preterm labor and instructed to rest, she
size the need to adhere to your employer’s
continued to work, though she did remain
stated policies. How else would you address
in bed. As attempts to stop the premature
the uninterested mother? Can we return to
Weeks passed, and the nurse was still pro-
delivery failed, the mother asked that no
Hippocrates? Did the nurses safeguard the
foundly disturbed by what had transpired.
extraordinary measures be taken to save the
dignity and welfare of the baby? The moth-
So, she addressed her concerns to her su-
baby’s life. The baby lived, but the mother
er’s? Did they act as responsible citizens to
pervisor and through persistence was able to
seemed uninterested in the baby’s welfare;
the rest of our society? How does that fit
get an appointment with the OR governance
she even refused to talk to the nursing staff
into a scenario where modern science helped
committee and the ethics advisory commit-
and social services about the baby’s medical
a woman conceive a child, but subsequently
tee. The nurse invited the parents to the
status.
didn’t even seem to want that child? Could
for about an hour, explaining everything that happened, and eventually said their ultimate good-bye to him.
meeting, and their combined story was so compelling, the hospital changed its policy; parents are now allowed into the OR during the most dire circumstances. This is a true story. The nurse’s supervisor presented this scenario during the Massachusetts Association of Registered Nurses’ Annual Spring Conference in the spring of 2009. The obvious ethical question is one of weighing your duty to your employer versus the needs of your immediate patient and his/her family. The rule of thumb in such a scenario is to follow policy and subsequently petition to redress the policy which you find unethical, just like the nurse did. But can you honestly say you would have done the same? Did the nurse adhere to the tenets of the Hippocratic Oath, preserving the health and dignity of the patient, while being a responsible member of a collective society? Is that even directly applicable here? Could Hippocrates have conceived of a heart and lung machine? As heart wrenching as the above tale was, the ethical problem was fairly clear cut. Not all situations will be. Nurse.com describes another series of events in Beth Israel Hospital in Boston, where the nursing staff was faced with an essentially opposite situation. The mother of a preemie baby, whom she 16
The mother drifted even further away when the baby suffered some brain damage during
they nurses have done anything other than help the mother give her baby away?
a bleeding episode; she was even mad that
Summarily, the breadth of circumstances you
the staff had fought to save the baby’s life.
will face as a nurse is as wide as the diversity
She considered their efforts extraordinary,
of patients you will have. Though no ethi-
and thus, against her wishes. The mother put
cal construct can comprehensively address
the baby up for adoption.
all possible scenarios, the Hippocratic Oath
The nurses had attempted to spark the mother’s maternal instincts, but to no avail. They often presented the baby to the mother for some bonding time, but the mother only went through the motions for appearance sake.
The nurses were disturbed by the
mother’s attitude and actions, but ultimately assisted her in giving away her baby. They
does seem to form the appropriate guideline in a profession where technology constantly raises the ethical bar. However, weighing the dignity and welfare of your patient against the needs of society is something you must do individually and frequently; there is no ethical decoder ring… or app for your iPhone.
Issue 10
17
Fabulous Nurse Magazine
The Germaphobe’s
Guideto Nursing
Jobs By Margaret Smith
few years. So here’s the dilemma: you’re a dedicated nurse with a strong desire to help people. But how do you work in the health field and avoid catching all those germs that are trying to get a foothold in your own immune system? One way is to choose a job where the utmost care is taken to create and preserve a sterile environment. There really are some jobs out there where a nurse is less likely to be exposed to those tiny organisms that have such potential for damage.
The OR Nurse Perioperative nurses work in the OR in several capacities. They are directly involved in patient care before, during, and after surgery. One OR position is dubbed the “scrub nurse.” The term comes from the fact that the nurse has “scrubbed in” for the surgery, wearing sterile garments and washing up with special soap so that she can work at the
N
ot everyone is an Adrian Monk,
was meant to be funny, and he was; but germs
the OCD detective who needed
are no laughing matter these days. With the
an assistant just to hand him a
recent attention that several varieties of “su-
wipe whenever he had to shake hands with
perbugs” have been receiving, it’s no wonder
someone. The endearing, pathetically ger-
that hand sanitizers have been flying off the
maphobic character on the popular TV show
shelves, sales having nearly tripled in the last
18
side of the physician right in the operative field. The duties of this nurse include handing instruments to the surgeon as needed while visually monitoring the condition of the patient. Another type of OR nurse is the circulating nurse, who works outside of the operative field, on the perimeter of the op-
Issue 10
Share their story at
Facebook.com/MedicalInflatableExhibits and nominate them for
19
Fabulous Nurse Magazine
erating room. The duties of the circulating
rooms. Nevertheless, for those seeking an
as there would be in a pediatric or fam-
nurse include monitoring the patient, keep-
environment where the risk of infection is
ily practice office. But any office that has
ing an account of instruments and sponges,
low, the cath lab is a good place to work.
scores of people in and out all day, touching things, reading magazines, opening doors,
and safeguarding the stringent sterile conditions of the operating room.
The Dialysis Nurse
and breathing in and out has the possibility
After you have been certified as an RN, you
Another area where utmost cleanliness is re-
may decide that you would like to be trained
quired is a dialysis center. Because people on
ful germs and contaminants. Even though
for the job of an OR nurse. According to
dialysis can be more susceptible to illness,
Wise Geek 9/10/11, it’s an intense job, but it
according to DaVita 9/12/11, it’s especially
can also be intensely satisfying. These nurs-
important to maintain an environment that’s
es can work long shifts, and may addition-
free of contaminants. Health workers in the
ally be called upon to assist with emergency
center wear appropriate scrubs and lab coats
surgeries at all hours of the day or night. But
to preserve the sanitary conditions, and visi-
as a highly trained professional, the compen-
tors are restricted or limited so that outside
sation is often more than satisfactory, and the
sources of infection are inhibited. Because of
fulfillment of playing such a vital role in the
these factors, nurses can care for patients in
lives of patients is priceless. If you’re very
most dialysis centers without worrying about
conscious of the presence of germs in some
the possibility of picking up any infectious
of the other fields of nursing, the OR is the
microbes.
ideal place because of its strict adherence to sterile conditions.
The Cath Lab Nurse
There are two types of dialysis, hemodialysis and peritoneal dialysis. According to Wise Geek 9/12/11, a nurse in a dialysis center has a wide range of duties: monitoring vital
Advanced training is also necessary for cer-
signs before, during, and after the procedure;
tification to be a nurse in the cardiac cath-
administering medication, fluid therapy, or
eterization lab. These nurses are needed for
blood products; reporting changes in the pa-
assistance to physicians in performing stent
tient to the doctor; and communicating with
placements, angioplasties, valvuloplasties,
the patient about options in treatment so that
and other cath procedures. In a busy lab, a
they can make informed decisions regard-
nurse can sometimes assist in 12 different
ing their care. Since patients must continue
operations during an 8 hour shift.
regular treatments at the center, nurses can
While cath lab standards vary across the country, most labs are set up to have a “clean” environment, although there are a few that actually maintain the same sterile conditions of an operating room. Of course all the equipment in the lab is sterile, and hats, masks, and sterile gloves are generally
actually develop longer-term relationships with patients than they can in other areas of
of creating an environment full of unhealthstandard practices are applied, such as paper sheeting and gowns, hand washing and sterile gloves, sterilized equipment, and regular disinfecting of surfaces, it’s virtually impossible to keep up with all the possible contamination that occurs as patients come and go, sick or well. Nurses who are concerned about germs might want to think very carefully before considering a job in some doctors’ offices.
Nurse Educator For a nurse educator, the prevalence of germs in the environment isn’t as controlled as in the actual medical practice venues. Students come in and out of classrooms, and not all of them are healthy all the time. There is a lot of contact made with objects in the classroom, and with items they hand in for the teacher to evaluate. At the end of the day, the floor gets swept, the trash emptied, but there are not many classrooms, if any, that disinfect surfaces on a regular basis. If a nurse has the skill and the passion for teaching others, hopefully, there isn’t also an issue with germs.
nursing. To qualify to be a nurse in a dialysis
Considering the ongoing need for people
center, a nurse must hold certification in ne-
with skill and compassion to enter the field
phrology (CNN) or dialysis (CDN), as well
of nursing, it would be a shame if anyone
as CPR.
were to turn away from the profession because of a concern about germs. There are
worn (there are a few exceptions, accord-
Doctor’s Office Nurse
plenty of positions where the exposure is
ing to Cath Lab Digest, March 2009), but
If a nurse works in the office of an ortho-
the greater preference of cath labs does not
pedic surgeon or a podiatrist, there probably
nity will build up in most people. On the
include the sterile gown used in operating
isn’t as much risk of exposure to infection
20
strictly controlled, and eventually immuupside, there will always be a CPR certified nurse nearby!
Issue 10
CNE/NE: Winter Deadline Approaching As an RN interested in continuous improvement of patient care and teaching, an MSN as a Clinical Nurse Specialist/Nurse Educator will help you gain knowledge and skills through a unique dual degree. The goal of this program is to help you achieve these credentials through a flexible online and community-based curriculum.
Why should you pursue an MSN as a Clinical Nurse Specialist/Nurse Educator from UC? • • • • •
CCNE* and regionally accredited 100% online - no campus visits Work with a preceptor in your community to complete your clinicals Specialize in Adult Health (medical-surgical)/Gerontology or Critical Care and Nursing Education Top 10% of nursing programs in the U.S. according to U.S. News and World Report
The application deadline for the winter 2012 term is October 14th. Space is limited, so contact your Enrollment Advisor today! GET STARTED TODAY! CONTACT: University of Cincinnati College of Nursing - Distance Learning PHONE: 1-866-225-6764 EMAIL: info@nursingonline.uc.edu
Share on: *Commission on Collegiate Nursing Education (CCNE), One Dupont Circle NW, Suite 530, Washington, D.C. 20036; p (202) 887-‐6791; f (202) 785-‐8320 www.aacn.nche.edu/accreditation
21
Fabulous Nurse Magazine
22
Issue 10
Fabulous
ICU
urses N By Karen Kalis
I
CU nurses have the uncommon privilege of working with some of the most critically ill patients in a hospital. They work diligently to monitor sophisticated medical technology and provide compassionate care for those who need it most. Becoming an ICU nurse is one of the most challenging and yet potentially rewarding areas for RN’s.
On the Job Typically, ICU (or Critical Care Unit-- CCU) nurses are RN’s who have a passion for working with critically ill patients and who have pursued additional training to work in the very demanding environment of an ICU or a CCU. In addition to adult ICU/CCU areas, critical care work opportunities include neonatal intensive care units, pediatric intensive care units as well as cardiac care units. While on the job, ICU/CCU nurses have
(Occupational Outlook Handbook, 20102011 edition), “Critical care nurses provide care to patients with serious, complex, and acute illnesses or injuries that require very close monitoring and extensive medication
a varied workload, including not only the
protocols and therapies.”
close monitoring of a patient, but also work-
to detail is key to assisting critically ill pa-
ing with the medical team to help patients
tients. To complete this level of care, ac-
heal and to administer treatment plans. ICU
cording to Net Industries (2011), ICU/CCU
nurses not only assess a patient’s needs and
nurses must have an excellent understanding
follow the prescribed plans, but they care-
of medical technology such as extracorpo-
fully document any care that has been or-
real membrane oxygenation circuits, cardiac
dered and completed. ICU/CCU nurses also
monitoring systems and mechanical ventila-
communicate with family members and may
tor therapies. A broad knowledge of medical
give advice on health maintenance as well as
conditions, as well as experience in a wide
case management during treatment.
variety of settings, assists ICU/CCU nurses
According to the Bureau of Labor Statistics
This attention
in quickly adapting to the needs of their 23
Fabulous Nurse Magazine
patients. In addition to RN’s, PayScale, Inc. (2011), reports that advanced practice nurses, such as nurse practitioners, certified registered nurse anesthetists, and clinical nurse specialists also work in ICU/CCU units.
Education and Certification
career path that is desired. Certification through the American Association of Critical Care Nurses (AACN) is well regarded in the healthcare community as it reflects depth of knowledge and superior understanding of pathology in the nurse’s chosen critical area of practice. The AACN
Most ICU/CCU nurses have completed their
website, www.aacn.org, offers detailed in-
RN degree as well as a hospital adminis-
formation on eligibility requirements and
tered internship. Hospital-based internship
examination fees. Opportunities for exam
programs, which can last anywhere from
preparation are also discussed. The com-
13weeks to a year, assist nurses in becom-
bination of an internship and certification
ing familiar with the work of an ICU/CCU.
gives ICU/CCU nurses the requisite knowl-
Whether a new grad or working nurse, if you
edge needed to respond to the challenges of
are thinking about making the transition to
critical care medicine.
ICU, a hospital based internship or training program is the minimum expectation. In addition, ICU/CCU nurses have the opportunity to be voluntarily certified through the American Association of Critical-Care Nurses in areas such as adult, neonatal and pediatric acute/critical care nursing, progressive care nursing, cardiac surgery subspecialty, or nurse manager and leader, depending on the
24
22 percent from 2008 to 2018, much faster than the average for all occupations. Growth will be driven by technological advances in patient care, which permit a greater number of health problems to be treated, and by an increasing emphasis on preventive care. In addition, the number of older people, who are much more likely than younger people to need nursing care, is projected to grow rapidly.” Given their additional responsibilities and additional training, PayScale, Inc. (2011), reports that ICU/CCN nurses can expect an income of anywhere from $44,000 - $91,000, with an average of about $65,000 per year. Overall, becoming an ICU/CCU nurse can
Salary and Job Outlook for an ICU Nurse In general, the Bureau of Labor Statistics (Occupational Outlook Handbook, 20102011 edition) reports that there will be growth for all areas of nursing, “Employment of registered nurses is expected to grow by
be a challenging yet rewarding career path for RN’s who are interested in working with the most ill of patients, guiding them on a path to recovery. With a combination of sophisticated medical knowledge, the highest level of technology, and a great deal of compassion, ICU/CCU nurses assist families and patients in the most difficult of times.
Issue 10
25
Fabulous Nurse Magazine
26
Issue 10
an Enough M To Be A Nurse By Matthew Fowler
S
uch is a stereotypical perception of the male nurse: male nurses are men who couldn’t handle medical school or my personal favorite, as described to me by my brother, Jordan Fowler, RN, St. Luke’s Hospital, Newburgh is that male nurses are usually gay because gay men have a natural tendency to seek predominantly female professions. This is the year 2011, right? I must say I find such regressive thinking to be... tiring. My fatigue, however, doesn’t change things. The 2010 census says that only a paltry 13% of students currently in student R.N. programs are men, and that among existing nurses, men make up much less of the profession, slightly more than 5%. So while you may want to disregard the stereotypical perceptions of male nurses, there is nothing stereotypical about acknowledging that male nurses are in the minority. Further, being outnumbered 19:1 has implications beyond also being the butt of bad jokes and putting up with ignorant commentary. But before we get to that, we should also acknowledge from whence these stereotypes came. Prior to Florence Nightingale, nurses were not well educated, were considered hand maids to doctors and patients, and were sometimes prostitutes in less reputable institutions, according to Minority Nurse, a nursing website for male and other minority population nurses. Men were not allowed to serve in the Army Medical Corps as nurses 27
Fabulous Nurse Magazine
until 1955, and male nurses were often dis-
However, addressing men’s issues in nursing
Having more male nurses would help to
allowed from being present during baby de-
takes more than individual or even an or-
erode stereotypical perceptions, but Tarn-
liveries as recently as the 1960’s. Today’s
ganization’s efforts; it requires the industry
barger opines that recruitment is only part of
profession has evolved, at least regarding
to change itself, and Russell E. Tranbarger,
the solution. The answer to “what’s a male
competency and professionalism, but many
a Nurse Practitioner and author of Men in
nurse to do?” regarding these perceptions is
problems still linger.
Nursing: History, Challenges, and Oppor-
simply “be a good nurse.” Though poten-
tunities says the nursing profession is mov-
tially tautological as a solution, Tarnbarger
ing in that direction. Tranbarger points to
points to how his own competence helped
numerous efforts to recruit more male stu-
him overcome many obstacles in his career
dents to nursing programs, such as the 20-20
because at the end of the day, patients react
program and the Oregon Center for Nurs-
to how they are treated, not the gender of
ing campaign “Are you man enough to be a
the caregiver. Summarily, the referents here
nurse?” featuring a black belt in a martial art,
suggest that to succeed as a male nurse, men
a rugby player, and a male nurse. Indeed,
have to reach out to their sister nurses, be
Tarnbarger points out that recruiting efforts
competent, and convince other men to join
are enjoying some success as more and more
the profession. My brother makes a point to
men enroll in nursing programs.
mention his girlfriend on a regular basis.
Minority Nurse describes a work environment where men feel victimized by gender discrimination. The website points to studies which demonstrate a slower rate of career progression for male nurses than female nurses. Male nurses often feel that they have little to no opportunities in some areas of nursing, particularly obstetrics and other women’s health specialties. Is this all of product of gender bias, or are there some “natural” consequences of the differences in gender? Can a male nurse really teach a female patient how to breast feed? Is it common sense that a female patient would feel more comfortable with a female nurse teaching her how to breast feed? And what about the converse? Would a male patient feel comfortable describing the erectile dysfunction (ED) associated with his prostrate condition to a female nurse? Would a male patient even make an appointment over the phone when a female nurse answers if he had to describe his ED? In short, how much of the “battle of the sexes” in nursing simply “is what it is?” The American Assembly of Men in Nursing (AAMN) suggests that joining an organization like itself can help bridge the gender gap in nursing. The AAMN directly addresses the issues men face in working in a field predominately comprised of women. However, the focus is not confrontational or “us vs. them;” the idea is to reach out to women in nursing through courtesy, professionalism, and commonalities, what unites all nurses, the urge to help the sick. Moreover, the AAMN does have considerable female membership. 28
Issue 10
29
Fabulous Nurse Magazine
30
Issue 10
The Blueprint for Change
vancement are almost limitless.
investment of time.
Professional Development Helps Nurses
Online Programs: A Solution for the Time-Challenged Nurse
Pre-requisite: Self-Discipline & Computer Literacy
Unfortunately, nurses are extremely busy.
Are online nursing programs really a viable
It’s difficult to find time to commute to a
option, or is the idea too good to be true? The
site, sit in a class taking notes, and commute
truth is, they’re not for everyone. According
back to job or family. Unless, of course, the
to Find Nursing Schools 7/3/11, online stu-
professional development is part of an online
dents need to be highly disciplined self-start-
nursing program, the answer to a prayer for
ers, able to regularly dedicate part of their
many nurses.
schedule to the courses and study. Addition-
Good online programs provide the profes-
ally, if students are uncomfortable with com-
Stay on the Cutting Edge. In order to maintain a high level of proficiency and stay on the cutting edge of the field, nurses can explore opportunities for advancement through professional development.
According to
Discover Nursing 6/29/11, when nurses with ADNs raise the bar by going for a BSN, they instantly open more doors and find greater flexibility in changing specialties and practice locations. Nurses with a BSN can apply for positions as nurse managers or hold titles such as assistant director of nursing. By obtaining an advanced degree, nurses have even more options as to how they make their contributions. Moreover, Find Nursing Schools 7/2/11 reports that nurses with an MSN can become nurse practitioners, where they’ll be able to offer primary care, make diagnoses, and prescribe treatment. They may also opt to become a researcher or a nurse entrepreneur. MSN degrees enable nurses to meet the continually increasing demand for nurse leaders, educators, or executive positions, such as policy advisers and innovators. The choices for career ad-
sional instruction of the traditional classroom, but without the time or geographical constraints. Through online bridge programs, RNs can advance their careers with BSN, MSN, and sometimes even PhD degrees. Working with a laptop computer, they can participate from virtually any location. Ac-
puters, there may be a problem with online classes. A working knowledge of computer technology is necessary to navigate the complexities of discussion boards or chat rooms, as well as upload, download, and email assignments. And some people really do need the face-to-face interaction with faculty and
cording to Accelerated Nursing Guide, most
peers.
RNs can complete a bridge course to an
Other than those considerations, there are
MSN degree in under three years, and BSNs
many advantages to obtaining advanced de-
can earn their MSN in approximately two
grees through online courses. The major
years. Considering that a higher-level degree will pay off with higher-level duties, a better pay rate and more options for career advancement, two to three years is a minor
&
Online Education
Career
Advancement By Margaret Smith
31
Fabulous Nurse Magazine
benefits are the convenience and flexibility they provide. Students can locate and enroll in programs that address their personal interests without ever having to drive to the campus. Although there are programs that require some online classes to meet at specific times, most lectures can be attended at the student’s convenience. They can log in to classes early in the morning, late in the evening, or at random opportunities. Moreover, lectures can be interrupted, then continued— or revisited, if students feel they’ve missed anything.
Program Accreditation In researching online programs, students will find that some may be more expensive than brick and mortar institutions, and some may be less expensive. This is where a little caution is required. While there are a multitude of reputable programs out there, according to Discover Nursing 6/29/11, there are also some charlatans, sometimes referred to as “diploma mills,” just out to get your money. Many prospective nurses have invested their time and money only to find that the online “degree” they’ve acquired is not recognized
The accelerated nature of courses is another
by potential employers. What a waste! But
advantage to online professional develop-
if you do your homework, you can avoid
ment. Again, this aspect may not be in some
swindlers.
students’ comfort zone. The pace may be too intense and the assignment deadlines too tight for some, but if a student is up to the challenge, the time necessary to graduate will be reduced.
The only sure way to a degree is through a recognized accredited program. You can obtain a list of accrediting bodies from the Council for Higher Education, and see if the program you’re considering meets the prop-
er standards. Another way to make sure the program is genuine is to verify that it leads to the NCLEX exam which is required to obtain a nursing license. It’s also a good idea to check out the pass rates for the exam, the failure rate of students in the program, the cost, the demand on your time, and credit transferability. But students should beware of programs that offer credit for life experience; according to an article on Ezine 7/2/11, this is not always legitimate, and some employers may be prejudiced against it. By keeping their eyes open, students can avoid the pitfalls. In many cases, employers will even pick up the tab! Online professional development programs can be the answer for RNs who want to remain employed while furthering their education or a valid option for those looking to transition into the nursing profession. Many outstanding institutions offer excellent accredited online nursing programs, such as the University of Central Florida, Drexel University, Keiser University, University of Phoenix, and Jacksonville University. With many esteemed online programs to choose from, along with a commitment and drive to go the distance, aspiring nurse leaders will be exceptionally well-prepared to help guide America’s health care system.
32
Issue 10
33
Fabulous Nurse Magazine
UNIVERSITY OF CENTRAL FLORIDA UCF College of Nursing Offers Advanced Doctoral Degree Online ORLANDO, Aug. 29, 2011 -- A new doctoral degree
support the growth of practice-based doctoral degrees to
track at the University of Central Florida prepares nurses
address national concerns about quality of care and pa-
in a leadership role to succeed at the highest level of ad-
tient safety. UCF’s program will prepare nurses to use the
vanced practice by becoming “change leaders.”
latest technologies, trends and research to address chang-
The degree track, a post-master’s Executive Doctor of
ing regulations and anticipated nursing shortages over the
Nursing Practice (D.N.P.), is the most recent example of
next decade.
the College of Nursing’s efforts at creating cutting-edge
Designed for working professionals, the part-time, flex-
programs that give its graduates the ability to adapt and
ible degree consists of online courses and an intensive
lead during challenging times in healthcare. The track
three-day seminar at the start of each semester. The semi-
will prepare students to shape practice, and their proj-
nar brings together theory and practice to round out the
ects will make a difference in improving care for patients
comprehensive program.
where they work. “For busy nurse leaders, the program promotes out-of-
leadership and organizational analysis. In addition to
the-box thinking to shake up what they are already do-
opportunities for online collaboration with peers, the
ing, to support them in becoming change leaders,” said
seminar will allow students to meet their professors and
Associate Dean for Graduate Affairs and Professor Susan
develop deeper relationships with faculty members and
Chase. “They’re not just responding to new policies, but
their colleagues. Nationally recognized leaders in health-
informing the policy and putting into practice the evi-
care will share their best practices during the seminars
dence that is there.”
and in presentations open to interested nurses in the Or-
The federal Institute of Medicine and other groups are
lando area.
calling for more advanced educational programs as the
The first group of students, who will stay together for the
nation’s healthcare environment grows ever more com-
required nine semesters, starts coursework in January.
plex and demands of nurses a higher scientific knowledge and practice expertise. The American Association of Colleges of Nursing (AACN) and its member schools also
34
Curriculum focuses on areas such as decision making,
As nurse leaders and administrators plan for policy changes, the Executive D.N.P. will provide them with analytic
Issue 10
skills they can use to actively impact the environments in which
“We want them to think about the whole system of care, such as
they work, be it acute care, clinics, community health programs,
how to guarantee quality for outcomes, while letting people on
Magnet preparation, strategic planning or overall interdisciplin-
their teams be creative,” Associate Dean Chase said.
ary leadership. Through study and testing of evidence-based practice strategies, students will learn how to evaluate and apply existing research to improve practice innovations and outcomes. “It’s a new opportunity to prepare nurse executives from different backgrounds to change practice in ways which reflect their professional and personal interests,” said Diane Andrews, assistant professor and program coordinator. Led by UCF’s outstanding practicing faculty who have been on the front lines of change, students will put what they learn to work. The degree culminates with a project that is completed during residency, which allows nurse executives to examine how to improve patient care and safety.
Nurse executives who hold a M.S.N. in Nursing Leadership and Management are encouraged to apply. However, interested, registered nurse leaders with a non-nursing master’s degree also may apply. An online application with all supporting application materials is due Oct. 1. Eligibility will be considered with a portfolio review to determine course equivalency and verification of completed practice/laboratory hours. For candidates without a M.S.N., individual plans of study will be developed to include missing elements of the M.S.N. curriculum. Interested applicants may review additional program information and apply online at www.nursing.ucf.edu/academics/Executive_MSN-DNP.asp.
Contacts: Rebecca Basu, News & Information, 407-823-1637, rebecca.basu@ucf.edu Carolyn Petagno, College of Nursing, 407-823-1665, carolyn@ucf.edu UCF Stands For Opportunity: The University of Central Florida is a metropolitan research university that ranks as the 2nd largest in the nation with more than 56,000 students. UCF’s first classes were offered in 1968. The university offers impressive academic and research environments that power the region’s economic development. UCF’s culture of opportunity is driven by our diversity, Orlando environment, history of entrepreneurship and our youth, relevance and energy. For more information visit http://news.ucf.edu. 35
Fabulous Nurse Magazine
FASHION Watch 36
Issue 10
37
Fabulous Nurse Magazine
The
Nurse’s Cap Symbol to Artifact By Margaret Smith
I
t wasn’t too many years ago that the word “nurse” conjured up an image of a focused, efficient female dressed all in
white, floating silently through hospital corridors in unattractive white shoes with thick rubber soles. As she went about her duties, many patients must have thought she looked like an angel on a mission. (Maybe that’s where the phrase “angel of mercy” came from.) She was definitely visible and easily discernable from the other hospital workers because on her head perched the universal symbol for nurses everywhere—the nurse’s cap.
38
Issue 10
It was Florence Nightingale who first conceived the notion of a uniform for nurses. According to The Victorian Web 9/9/11, in the 1800s, before Nightingale reformed the profession of nursing in England, it was viewed as an occupation that didn’t require any particular training, or even intelligence. In fact, nurses were considered almost on a
actual hospital work. The styles of the cap continued to change over time, and varied according to the nursing schools where they were awarded. It was
book to maintain its shape. Sometimes black bands of different widths were added to the cap to denote a student’s level or a nurse’s position on the floor.
common for nurses who had graduated from
Eventually nurses began to tire of the im-
the same nursing school to recognize each
practicality of the cap. In the era of “cap
other in a hospital and bond with each oth-
folding,” it continuously had to be cleaned,
er because of their caps. According to Life
re-stiffened with starch or sugar water, and
Bridge 9/9/11, many caps were traditionally
meticulously refolded to the proper shape.
hand-made by a friend or fellow student. In
The caps didn’t last very long, so they had to
the early 1900s, the University of Maryland
be continually replaced, at the expense of the
adopted a cap they named the “Flossie,” in
nurses. And the very item that was once ex-
honor of Florence Nightingale. This cap was
pected to preserve sanitary conditions came
very feminine, with subtle fluting and point
to be viewed as a possible contaminant. Fur-
d’esprit lace. Some other schools’ caps also
thermore, in the 1970s and 80s, more and
attempted to have a feminine appearance
more men were being drawn into the pro-
with frills and ruffles, while others were
fession, and the cap was no longer the main
The cap wasn’t just for adornment or style. In
stiff and box-like—all business. Many were
recognizable feature of nurses.
the days of long hairstyles, it kept the nurses’
considered “Dutch style,” some appeared to
hair in place so that it wouldn’t get in the
have wings, and others appeared to be knot-
way of their important work. The early caps
ted kerchiefs. Most of the styles needed to be
covered all the hair, and were considered
accessorized with bobby pins so they would
unbecoming by the women who wore them,
stay in place on the nurse’s head.
par with prostitutes! The only groups that seemed to practice disciplined, trained nursing were nuns from St. Vincent de Paul in Paris. It was the nun’s cap that Nightingale decided to incorporate into her idea for a professional-looking uniform that would be worn by educated, trained women who would tend the wounded soldiers in the Crimean War.
according to University of Iowa Health Mu-
So by the late 1980s the nurse’s cap had been almost completely phased out in favor of a unisex uniform (scrubs) and a pin. There are some situations in which caps are still worn—countries that are still developing
After a nurse was awarded her cap, it became
and some where women still fill the major-
an identity for her. The sight of a nurse’s cap
ity of nursing positions. And many people,
inspired recognition, confidence and trust,
especially older patients, miss the days when
and often there were rules that had to be
you could instantly recognize a nurse as she
The nurse’s cap lasted for many decades and
strictly followed. Nurses were not allowed
swished by in her white uniform and cap, all
became the universal symbol of nurses ev-
to alter the shape of the cap in any way, and
professionalism and efficiency. The nurse’s
erywhere. It became an object of ceremony
smoking a cigarette was forbidden when
cap may have become a relic of the past, but
as it developed into a tradition as nursing
wearing a cap. When a nurse removed the
everything it has ever stood for will endure
students went through a “capping ceremony”
cap for any reason, she could tuck it inside
throughout time as nurses continue to leave
to transition from their classroom training to
her apron bib, or fold it flat and carry it in a
their imprint on history and society.
seum 9/9/11. Eventually they were replaced by smaller caps that they wore to cover the knot of hair at the top of their heads.
39
Fabulous Nurse Magazine
By Zee Nickerson
A Clog’s
Point of View T
How much do you know about the clogs you wear to work?
he Dutch are famous for their
Another fashion of the 1980s and 90s were
At the Scrubs and Beyond website, many
wooden shoes. In the Netherlands,
platform clogs or sandals, some as high 6
clog makers offer fresh variations on the ba-
they have been popular for about
inches. Often the sole and insoles were made
sic clog. Each season designer, such as Dan-
700 years. Wearers of wooden shoes claim
of cork, although knock off versions were
sko and Sanita, offers new styles so you can
they are warm in winter, cool in summer and
made of plastic. The sole, most often, was
express your fashion tastes while delight-
give good posture support. The wood ab-
made of a light weight rubber.
ing in the healthful benefits of clogs. Styles
sorbs perspiration so feet can breathe. Clogs are so iconic to Dutch culture that men present their fiancées with wooden shoes. Since medieval times the Dutch have been wearing wooden clogs or “Klompen”. Originally, the shoes were carved of a wooden sole and a leather top or strap tacked to the sole. After awhile, the shoemakers carved the clogs entirely from wood and they used alder, willow and popular. The first guild of clog carvers dates back to 1570 in Holland. In Holland farmers, artisans, fishermen and factory workers wore them to protect their feet. Sharp implements, nails, and fishing hooks protected feet. On ships, docks and wet fields feet kept dry in the sturdy wooden clogs. When exactly nurses began wearing clogs is unknown. Swedish clogs became popular fashion accessories in the 1970s and 1980s for both sexes. Usually worn without socks and they were considered appropriate wear for the Avant-garde man. 40
In 2010, clogs revisited the fashion runways when Chanel and Louis Vuitton featured them in their Spring/Summer collections.
range from basic white and solid black to amazing faux snake leathers and realistic animal prints to finely finished patent leathers. In this collection, many of the clogs of-
Women everywhere have discovered the un-
fer traditional, durable stapled construction
contested support and comfort of clogs. For
and are hand stretched.
the majority of people who spend vast hours of the day on their feet, clogs offer lasting relief. These shoes are especially popular among teachers, restaurant workers, and nurses. No matter what your job there is a clog style that is suitable for your work environment.
There is a clog to fit every outfit and Scrubs and Beyond writes, “We know that once you experience the comfortable support of a well-made clog you will be back for a second or even third style.”
Issue 10
41
Fabulous Nurse Magazine
Scrub Colors to Flatter
Your Skin Tone S kin tone is the color of your skin.
The amount and type of melanin in your skin and the size and number
of blood vessels that lie closest to the skin’s
surface determine your skin’s hue. Skin colors differ immensely from person to person, although those within the same ethnic group tend to fall within the same range of color tone. Even more, getting a sun tan deepens your skin’s pigmentation, but this does not change your skin tone. In order to make the appropriate choices for cosmetics, hair coloring and scrub or clothing colors, it is important
foil, then silver foil to your face. Note the
seem to be greenish in color, then you are a
get started.
effect of the foil’s reflection on the look of
warm tone. If they appear to have a bluish tint, then you are a cool skin tone.
Step One: Determine Your Skin Tone
your skin. Your skin will appear healthy and glow with the right foil. The wrong foil will
to understand one’s own natural hues. Let’s
There are different ways to determine skin tone. You may find your own by following these steps. Prepare Your skin. Wash your face thoroughly with warm water and a facial cleanser. Pat dry. Do not apply any lotions, toner or moisturizer. Wait 15 minutes. In a bright naturally lit room, stand in front of a mirror and examine your skin. Determine your skin tone. To successfully choose the right scrubs’ colors to flatter your skin, you will need to figure out if your skin is warm or cool. Choose one of the following methods to find out: Gold and Silver Test. Alternately, hold a gold 42
make you appear gray and sickly. Warm skin tones tend to have a yellow or gold tone. Silver denotes a cool tone. Ear Test. The area behind your ear has the purest skin tones. Have a friend look behind your ear. The skin tone will appear to be yellow for warm skin tones and pinkish for cool skin tones. Paper Test. Hold a piece of white paper to your face. Take note of your skin’s tone in contrast to the white. If it looks yellow or golden, then you have a warm skin color. If it looks pinkish, you have a cool tone. Wrist Test: Hold your wrists out and facing up under direct sunlight. If the blood vessels
Often times, blue undertones can be seen as red cheeks or slight ruddiness. NOTE: Skin conditions like acne, eczema and rosacea do alter your skin’s appearance and may make it difficult to determine your skin tone. If you suffer from one of these conditions, the Ear Test or Wrist Test will be the best method in identifying your tone.
Step Two: Choose a Scrubs Color: Flatter Your Skin Tone Once you understand skin tone and color, it’s relatively easy to create your professional nurse’s wardrobe. You can be professional and still flatter your skin tone, and well, ego, too!
Issue 10
Like every item of clothing you own, scrubs’ colors are based on seasons. Your coloring with its warm or cool tone can be described as a season. If your coloring is warm and clear, your ideal color choices will reflect the colors of Spring. Cool and clear skin tones should choose from a Winter palette. Warm and muted skin tones are most flattered by the colors of Autumn/Fall. Finally, cool and muted skin tones pop in the colors of Summer.
Colors palettes by season: Spring .............salmon or lime. Winter .............black, white, and navy blue. Autumn/Fall....olive green or terracotta. Summer...........Burgundy or pastels. Most people are naturally drawn to their best colors so this can also be an indication. You may prefer the quick reference guide below: •
Fair skin - try gray
•
Beige skin - try blue
•
Golden skin - try green
•
Bronze skin - try orange or pink
•
Deep skin - try red or pink
Colors that are not part of your seasonal palette can be tricky. Ideally, you should match the color with another item of clothing which belongs to your color group. For example, match a scrubs pant that is not part of your seasonal palette with a top that is. This works with most colors. For a healthy glow to your skin, it is preferable to wear shirts, blouses, and scrub tops of the same color as your seasonal palette group. Remember fashion is meant to be fun. You can look very attractive, yet demure and professional in the best colors. Have fun, mix and match if you wish. It is all about you. 43
Fabulous Nurse Magazine
Beauty Secrets 44
Issue 10
45
Fabulous Nurse Magazine
46
Short Haircuts
By Zee Nickerson
Issue 10
for
Nurses
S
cenario. You wake up late. The dog
FACE SHAPE MAKES A DIFFERENCE
whines to be fed. The children must
Always, style your hair in a way that plays up
hustle out the door now or they’ll
miss the school bus again. You’re late to work and there is no time to fix/fiddle with your hair. Then you spend 12 hours helping patients while feeling awful and out of sorts because you know you don’t look your best. Maybe it’s time the fussy hairdo disappears. Besides, what would be more refreshing than a short, perky, low maintenance haircut? A cut for all seasons; a change of style. There is nothing like the ease of short hair. A fresh, cut feels glorious and less work makes life simple and saves time. But what
what you believe are your best features. Irregular shapes can be more interesting, more charming than the traditional oval. For example, a heart-shaped face (the kind that features
Oval Face (slightly narrower at jaw line than at temples). Do’s: To enhance your perfect oval face, focus attention on the temples and around the ear areas for balance, keeping hair fullest at the widest part of your face. Don’ts: None! You have the ideal face shape and can carry wear almost any style.
a “widow’s peak”) is unusual. It is different and attractive. Many nurses would want to play up that feature by wearing a center parts and hair pulled back to reveal it shape. But if a woman feels she does not want play up her heart shaped face, she could part her hair on the side, wear short bangs to cover the widow’s peak and have wavy side curls stopping just below the ears.
Oblong Face
kind of modern style should you get? Hilda
This is the basic question to ask yourself: Do
Cruz, of the Medford JCPenney Salon, who
you want to emphasize the real shape of your
also provides in-patient salon services says,
face? If you do, then choose a hairdo that
“A number of things need to be considered
follows the outline of your face. If not, then
may have narrow or pointed chin).
when choosing your haircut: Type of hair; is
choose a hairdo that gives your face the shape you’d like it to have.
Do’s: If you have a high forehead, minimize
it straight, wavy, curly? Amount of hair; fine, thick or damaged? How much time do you
A TO DO ABOUT FACE SHAPES
want spend to maintaining it; wash and wear, blow and go, or curl and spritz? It takes an expert to cut hair well. On a limited budget it’s smarter to spend less for a dress and have your hair cut by an expert every time. A good hair dresser knows the length of your neck determines how long your hair should be cut, while the shape of your face influences the style of haircut.
“The right hairstyle will flatter your facial shape, minimizing any “beauty flaws,’” says styling pro Laurie Cook. “The wrong style,” she adds, “will emphasize certain problems, so it’s essential that you and your hairdresser take your face shape into account before she begins to cut.” Here is Real Beauty ...Real Women’s guide to cuts that flatter the six basic face shapes.
(slender, long with equal widths at forehead and just below cheek bone;
the width and length with soft bangs and a side part. To “widen” a narrow chin, choose a short or medium length style with fullness in the nape area. Don’ts: Steer clear of too much height in the crown area, this can “lengthen” your face. Avoid short, short boy cuts featuring a shaved or bare neck. They’ll make your chin look “pointy”. Don’t comb hair away from your forehead; again, you’ll add length to your face. 47
nks
N TO IEW
Issue 9
To read more
SUBSCRIBE NOW
87
Fabulous Nurse Magazine
No thanks
RETURN TO PREVIEW
86
To re
SUBS N