Non-Hospital Opportunities in Nursing N232 – Conceptual Foundations of Nursing June 22, 2005 Kelly Grady Jennifer Ha Dan Keller

Objectives List several non-hospital nursing work opportunities. Learn of a few nursing work opportunities of which perhaps you had not previously been aware. Describe one or two non-hospital nursing work opportunities in some detail. Consider some of these for yourself and broaden your nursing career vision.

The Big Picture 2.5 million nurses in the U.S. 1 in 10 have more than one job Of the 82% who are employed full-time: –60% work in hospitals –17% work in public health settings –8.5% work in ambulatory care settings –8% work in long-term care facilities –The rest are employed in nursing education, insurance agencies, and administration at the state, national, or association level Source: Health Resources and Services Administration (HRSA), Division of Nursing 1996 Survey Data and Occupational Outlook Handbook -- the most extensive and comprehensive source of statistics on nurse employment in the U.S.

Non-Hospital Nursing Jobs Job RoleSetting Nursing/practice managerDoctors' office, private practice Clinical research support; clinical trials management Research organization, company Travel nurseDomestic and international (usually hospitals that hire through agencies) Volunteer nurseDomestic and international organizations: Red Cross, Peace Corps, local organizations, etc. Forensic nurseHospital, law enforcement Case managerManaged-care company, home-care agency, nursing agency, management service, hospital Gerontology nurse practitioner Extended care facility Flight nurseEmergency transport service School nurseSchool Camp nurseCamp Shipboard nurseCruise ship, Mercy Ship, etc. Community health nurseAmbulatory clinic Nurse legislator; health policyGovernment (esp. state, federal) Nurse anesthetistHospital, clinic Job RoleSetting Legal nurse consultantLaw firm, public agency, independent consultant Nurse educatorUniversity, community college Customer educationPharmaceutical, medical equipment supplier Parish nurseReligious organization Complementary health nurseClinic, private practice, foundation PalliativeHospice Developmental disabilityPediatric facility Public health, infection controlPublic agency Uniformed serviceMilitary, paramilitary Telephone triage Various health services Home health care Occupational health Oncology Psychiatric Pediatric Pain management

Forensic Nursing Forensic/s = ??? Taber’s Cyclopedic Medical Encyclopedia Forensic: pertaining to the law. Forensic Nursing: concerned with not only the dead but most especially the survivor vs. Forensic Pathology: scientific investigation of death

Forensic Nursing Forensic Nursing (International Association of Forensic Nurses) –is the application of nursing science for public or legal proceedings. –is the application of the forensic aspects of health care combined with bio-psycho-social education of the registered nurse in the scientific investigation of: trauma or death of victims perpetrators of abuse perpetrators of violence criminal activity traumatic incidents

Importance of the Forensic Nursing Role Nurses are among the first to come in contact with the patient (victim), interview family members, and handle the patient’s property and laboratory specimens The nurse is often the first person to have access to evidence of a criminal nature in the medico-legal sense. They serve as a vital link between the victim, police and medical examiner or coroner. The nurse elicits information that may clarify important points related to the cause and manner of injury or death.

How to break into the field? Most common entry point is the sexual assault nurse examiners (SANE) position Join the International Association of Forensic Nurses where one can learn about –SANE courses –Scientific seminars and other educational offerings –Networking with nurses who are already in the field Network with police officers, participate in police ride- along programs, tour the crime lab, coroner’s office and prison systems. Go wherever necessary to learn how the legal and justice system work

* Entrepreneurial Nursing Word association: Entrepreneurial Nurse? Entrepreneur - Definition: “A person who organizes, operates, and assumes the risk for a business venture.”* i.e.: Donald Trump, “Apprentice”, Bill Gates, Microsoft

Entrepreneurial Nursing Where are they working? –Home Health –Legal Consulting –Education & Training

Pam Munson, MSN, RN, CNS Alzheimer’s and Dementia Training Assessments for Facilities Partnership Advantages: –Selects work No Hiring/Firing Scheduling –Sets hours –More time with Husband Disadvantages: –Being Self-Employed No Insurance No Paid Vacation No Sick Leave

Conclusion Nursing skills are applicable in a wide variety of situations. Nurses work in many different kinds of healthcare settings. You have lots of career options!