EP 107: When Your Travel Nursing Contract Gets Cut Short

EP 107: When Your Travel Nursing Contract Gets Cut Short

What to do When Your Travel Nursing Contract Gets Cut Short

Travel nursing is a lucrative business, it pays well and you can have a lot of fun. Typical contracts are anywhere from 8 to 13 weeks with the option to extend after each contract. We are hearing a lot of nurses getting canceled mid-contract or even during their first shift. We’re going to provide some insight on how to make your cancelation a little bit manageable. 

  • Know how long you want to stay in one location
  • Don’t sign a long term lease
  • 2 week grace period
  • Look for jobs before the contract expires
  • Be financially smart
  • Have profiles with multiple agencies

Know how long you want to stay in one location

The most efficient and effective way to get the most out of a travel nursing run is to stay at a place for multiple contracts. Why? Because when you extend your contract it is usually accompanied by a pay increase. Hospitals do this because you’ve already completed orientation and it is more cost-effective to keep a nurse than train a new one. 

Another reason it is a good idea to know how long you want to stay is that your recruiter can keep looking for jobs in the area. If your recruiter knows you want to stay in a location longer then they will keep looking at contracts. This works out good when you do get canceled mid-assignment, it will be easier for you to find a job on shorter notice. 

During your contract let your recruiter and the manager know you want to extend your contract once it’s up that way they don’t have to look for a nurse that may fill a future position and it may avoid you being cut because they know you are willing to commit longer. 

Don’t sign a long-term lease

One mistake nurses make is signing a long-term lease. They go in thinking they’ll be in one location for a year, that isn’t always the case. If you really want to be somewhere for a year we’d recommend letting your recruiter know and the facility so they can potentially work on it with you. A facility might be able to keep renewing your contract but let them know ahead of time. 

We don’t recommend signing such a long-term lease because things change very quickly. You might be better off doing a 3-month lease and renewing it each time. You might not even like the facility or the location. 

You can lose a lot of money by breaking the lease agreement, the money you could have even saved by signing short-term leases. 

Make sure your contract has a 2-week grace period

Look through your contract and if it doesn’t have a clause stating that you’ll get a 2-week notice before your cut, make sure you get one. This way you at least have 2 weeks to find another job. Some places don’t offer 2-week notice but I would still push for one because you never know what can happen. Getting cut short is stressful and you need ample time to make adjustments.

Look for other jobs before your contract ends

Your contract has an end date, have your recruiter already start lining you up with jobs as soon as they can. This way if you get cut you already have something lined up and they may even be able to take you on early. You should always have a job lined up at least a month before your contract expires, that way you aren’t chasing time and working yourself up about job security. Travel nursing jobs do have a specific start date but that can always be worked around, if your applying for jobs a month out and you get cut 2 weeks early the next facility might be able to hire you earlier. 

Be financially smart

Just because you can afford a nicer place because you have a bigger income coming in doesn’t mean you should take it. Nursing is a stable career but you should still be prepared for the worst. Getting cut puts you in a financial hole and it’s a lot harder to get out if you always live in luxury. Make sure to have an emergency fund that covers at least 1 month of travel nursing expenses, this is different than your standard emergency fund which should cover about 3 months worth of bills. 

Work with multiple agencies

Different agencies have different locations and contracts. Even if you enjoy working with 1 keep your foot in the door of others. It’s a lot easier to find a quick contract after you get canceled when you work with multiple agencies because you’ll have more offers. It is common for nurses to find a home with 1 agency but don’t get stuck in that one forever because there will be times where you’ll have to reach out to others, and when you already have your paperwork filled out it makes for a smoother process. 

EP 105: How to Manage Your Finances with Allie Grotteland

EP 105: How to Manage Your Finances with Allie Grotteland

In this episode, we would like to introduce you to our guest Allie Grotteland. Allie is a PICU nurse and owner and founder of the debt-free nurse LLC. She helps nurses pay off debt and save money without sacrificing things they love. 

IG page: @the_debtfreenurse

The questions below are some we tackled on the show

  • How did you first become self-aware of investing?
  • How do you first start teaching people about money?
  • What is the mindset you should have about saving and investing? 
  • What is your best advice to start paying off debt? 
  • What is your best advice to start saving your life? 
  • How do you create financial goals?
  • How do you stop impulse spending? 
  • One of your goals is to retire a millionaire, what systems do you have in place to bring that to reality? 
  • Difference between Roth IRA vs 401K? 
  • Tell us your experience with nurse bullying? 
7 Important Micronutrients for a Healthy Life

7 Important Micronutrients for a Healthy Life

Micronutrients are vitamins and minerals necessary for a healthy life. Micronutrients are nutrients that your body cannot produce and needs to come from an external source, with the exception of vitamin D which your body produces from sunlight. All micronutrients are important and you should get them on a daily basis, your body does not need a lot of them. The 7 most important micronutrients are vitamin B6, vitamin C, vitamin E, Magnesium, zinc, iron, and folate. 

1. Vitamin B6

Vitamin B6 is needed for our Central Nervous system and metabolism. Specifically, vitamin B6 helps with:

  • Creating red blood cells, specifically creating hemoglobin
  • Creating neurotransmitters (serotonin, dopamine, etc…)
  • Aids in fetal brain development
  • Help turn food into energy assists with the metabolization of protein, fats, and carbohydrates
  • Aids in proper cell nutrition

Vitamin B6 is also water-soluble so any unused vitamin B6 will be excreted through the urine.

How much Vitamin B6 do we need?

Age Amount
0-6 months 0.1 mg
7-12 months 0.3 mg
1-3 years 0.5 mg
4-8 years 0.6 mg
9-13 years 1 mg
14-18 years 1.3 mg
19-50 years 1.3 mg
51+ years 1.7 mg
Pregnant/Lactating women 2 mg

Sources of Vitamin B6

Vitamin B6 comes from many sources, the majority can be found in meats.

  • Beef, liver, poultry, tuna, and salmon (3 oz yellowfin tuna = 0.9 mg)
  • Fortified cereals
  • Chickpeas and dark leafy greens (1 cup chickpeas = 1.1 mg)
  • Bananas, oranges, and cantaloupe (1 banana = 0.4 mg)

https://www.hsph.harvard.edu/nutritionsource/vitamin-b6/

https://www.medicalnewstoday.com/articles/219662#deficiency

2. Vitamin C

Vitamin C is known for its role in our immune system but its benefits range throughout the body. Years ago people used to develop scurvy (characterized by swollen bleeding gums and the opening of previously healed wounds) due to the lack of vitamin C, it is not as prevalent in the modern age. Research has also shown that vitamin C is associated with a less likelihood of getting sick, even lowering the length and severity of a cold. Vitamin C has been shown to assist with:

  • Iron absorption
  • Wound healing and scar formation
  • Cartilage, bone, and teeth health
  • Assists in the creation of skin, tendons, ligaments, and blood vessels
    • A key player in the formation of a protein called collagen
  • Antioxidant properties assist in the breakdown of free radicals

How much vitamin C do we need

Vitamin C is also water-soluble and all excess gets excrete through our urine. The recommended dose is anywhere from 75 mg to 2,000 mg. You can exceed doses above 2,000 mg but it may cause nausea, diarrhea, and abdominal pain.

Sources of vitamin C

Vitamin C has been found in the majority of citrus fruits. 

  • Oranges, grapefruit, strawberries, and cantaloupe (¾ cup of orange juice = 93 mg)
  • Broccoli, tomatoes, cabbage, and cauliflower (½ cup of cauliflower = 26 mg)

https://www.eatright.org/food/vitamins-and-supplements/types-of-vitamins-and-nutrients/how-vitamin-c-supports-a-healthy-immune-system

https://medlineplus.gov/ency/article/002404.htm#:~:text=Vitamin%20C%20is%20needed%20for,wounds%20and%20form%20scar%20tissue

https://www.health.harvard.edu/staying-healthy/what-you-should-know-about-vitamin-c#:~:text=Vitamin%20C%20is%20a%20water,skin%20integrity%2C%20and%20immune%20function.

3. Vitamin E

Vitamin E is a lesser-known vitamin and is easily overlooked. It is a fat-soluble vitamin and the most common deficiencies occur in people that have an issue absorbing fat, like Crohn’s and cystic fibrosis. Vitamin E has shown to play a crucial role in:

  • Vision. Decreased the Incidence of age-related and chronic eye conditions such as cataracts and age-related macular degeneration
  • Reproduction, aids in both female and male fertility
  • Antioxidant properties decrease oxidative stress
  • Some studies are showing a decreased incidence of heart disease, diabetes, Alzheimer’s, and certain cancers. 

How much vitamin E

Vitamin E is a fat-soluble vitamin, meaning your body does not excrete it through urine, and over-consuming can lead to dangerous complications, however, overdose is not very common.

Age Amount
Birth – 6 months 4 mg
7 – 12 months 5 mg
1 – 3 years 6 mg
4 – 8 years 7 mg
9 – 13 years 11 mg
14 – 18 years 15 mg
Adults 15 mg
Pregnant/breastfeeding women 15 – 19 mg

https://ods.od.nih.gov/factsheets/VitaminE-Consumer/

Sources of vitamin E

Vitamin E is mostly found in vegetables, oils, and nuts. It is fat-soluble, overconsumption is rare but can occur.

  • Fortified cereals
  • Almonds, walnuts, and sunflower seeds (1 oz of almonds = 7.8 mg)
  • Peppers, broccoli, and spinach (1 cup of spinach = 3.7 mg)
  • Olive oil and wheat germ oil (1tbsp of wheat germ oil = 20.3 mg)

https://www.health.harvard.edu/newsletter_article/Easy_does_it_with_vitamin_E#:~:text=Recommended%20daily%20intake%20of%20vitamin,beneficial%20than%20the%20alpha%20form.

https://www.healthline.com/health/all-about-vitamin-e#longer-cell-life

https://www.mayoclinic.org/drugs-supplements-vitamin-e/art-20364144

4. Magnesium

Magnesium is the 4th most abundant mineral in the human body. Magnesium is one of the electrolytes we look at every morning in the hospital. It is crucial in proper cardiac function and a cofactor in more than 300 enzyme systems. 

  • Cardiac health. Helps regulate rhythm and blood pressure
  • Brain health. Regulates NMDA which aids in brain development, memory, and learning.
  • Muscle contraction and protein synthesis. Magnesium competes with calcium to help relax muscles.
  • Regulates blood sugar levels

How much magnesium?

Age Amount
Birth – 6 months 30 mg
7 – 12 months 75 mg
1 – 3 years 80 mg
4 – 8 years 130 mg
9 – 13 years 240 mg
14 – 18 years 360 – 410 mg
Adults 310 – 420 mg
Pregnant/breastfeeding women 310 – 400 mg

Sources of Magnesium

Most sources of magnesium are from plant-based foods.

  • Pumpkin seeds, chia seeds, and almonds (1 oz of pumpkin seeds = 156 mg)
  • Fortified cereals
  • Beans and edamame (½ cup of black beans = 60 mg)

https://ods.od.nih.gov/factsheets/Magnesium-HealthProfessional/#:~:text=Magnesium%20is%20a%20cofactor%20in,%2C%20oxidative%20phosphorylation%2C%20and%20glycolysis.

https://ods.od.nih.gov/factsheets/Magnesium-Consumer/#:~:text=Magnesium%20is%20a%20nutrient%20that,protein%2C%20bone%2C%20and%20DNA.

https://www.healthline.com/nutrition/10-proven-magnesium-benefits#TOC_TITLE_HDR_5

5. Zinc

Zinc is a vital mineral that aids the body in many functions. We only need a small amount of zinc yet it is responsible for over 100 enzymes. 

  • Gene expression, DNA, and protein synthesis. Zinc stabilizes the structure of RNA, DNA, and ribosomes in cells. 
  • Wound healing helps to create new cells and collagen formation
  • The immune function helps control inflammation and the aggregation of WBCs
  • Growth and development

How much zinc

With so many functions requiring zinc, it is important to meet at least the daily requirements.

Age Amount
Birth – 6 months 2 mg
7 – 12 months 3 mg
1 – 3 years 3 mg
4 – 8 years 5 mg
9 – 13 years 8 mg
14 – 18 years 9 – 11 mg
Adults 8 – 11 mg
Pregnant/breastfeeding women 11 – 13 mg

Sources of zinc

Zinc is an easy mineral to get a hold of because it is found in a wide variety of plant and animal foods.

  • Fish, oysters, and poultry (3.5 oz of Alaskan crab = 7.6 mg)
  • Legumes, nuts, and seeds (100 g of black beans = 6.5 mg)
  • Eggs and dairy products (1 cup of milk = 1 mg)
  • Kale, mushrooms, and peas (1 cup mushroom – 1.9 mg)

https://ods.od.nih.gov/factsheets/Zinc-Consumer/#:~:text=Zinc%20is%20a%20nutrient%20that,genetic%20material%20in%20all%20cells.

https://www.healthline.com/nutrition/zinc#sources

https://www.hsph.harvard.edu/nutritionsource/zinc/#:~:text=Zinc%20is%20a%20trace%20mineral,supporting%20a%20healthy%20immune%20system.

6. Iron

Iron is a crucial mineral in healthy blood cells. If you consistently feel tired it may be a sign of iron deficiency. Roughly 10 million people in the US have low iron and about half of those have an iron deficiency. Iron isn’t only responsible for healthy red blood cells, it has a much more crucial function:

  • Creation of hemoglobin
  • Hormones
  • Myoglobin serves as a storage site for oxygen in muscles

How much iron?

Age Amount
Birth – 6 months 0.27 mg
7 – 12 months 11 mg
1 – 3 years 7 mg
4 – 8 years 10 mg
9 – 13 years 8 mg
14 – 18 years 11 – 15 mg
19 – 50 years 8 – 18 mg
51+ years 8 mg
Pregnant/breastfeeding women 9 – 27 mg

Sources of iron

The main sources of iron are going to be lean meats, poultry, and seafood. There is some iron in certain plant-based foods.

  • Meats, poultry, and seafood (290g of ribeye = 6.5 mg)
  • Fortified cereals
  • Nuts and dried fruit (1 cup of pumpkin seeds = 11.4 mg)
  • Beans, spinach, and peas (3.5 oz of spinach = 2.7 mg)

https://ods.od.nih.gov/factsheets/Iron-Consumer/#:~:text=Iron%20is%20a%20mineral%20that,that%20provides%20oxygen%20to%20muscles.

https://www.medicalnewstoday.com/articles/287228#foods

https://www.health.harvard.edu/staying-healthy/iron-and-your-health

7. Folate

The topic of folate or folic acid usually comes around during pregnancy. It is essential in preventing neural tube defects. Folate is important for overall good health. It is sometimes referred to as vitamin B 9.

  • Make and repair DNA. folate is necessary for the creation of certain enzymes that synthesize and modify DNA
  • Produce red blood cells

How much folate

Age Amount
Birth – 6 months 65 mcg
7 – 12 months 80 mcg
1 – 3 years 150 mcg
4 – 8 years 200 mcg
9 – 13 years 300 mcg
14 – 18 years 400 mcg
19+ years 400 mcg
Pregnant/breastfeeding women 500 – 600 mcg

Sources of folate

Folate can be found most commonly in dark leafy greens. People who have absorption issues in their small intestine may have improper folate absorption. 

  • Spinach, Brussel sprouts, and asparagus (1 cup of cooked spinach = 263 mcg)
  • Beef and liver (3 oz beef liver = 212 mcg)
  • Nuts, beans, and peas (100 g of kidney beans = 130 mcg)
EP 42: Suez Canal Mishap and Unreported Covid 19 Vaccine Deaths

EP 42: Suez Canal Mishap and Unreported Covid 19 Vaccine Deaths

Suez Canal Mishap and Unreported Covid 19 Vaccine Deaths

In recent news, the Suez canal has been unable to be used as a major transportation route for ships all over the world. Ever Given became lodged in the canal and crews are working effortlessly to free it. Shipping analysts estimate the traffic jam has held up nearly $10 billion in trade each day. 

Will there ever be a day where Covid-19 won’t be a news topic? This week we explore covid 19 vaccine-related deaths. Just like with any medication there are side effects and even risks of death. We hear great praise about the covid 19 vaccines but we have yet to see anyone talking about the 900+ serious reaction leading to death after administration. The CDC has a system called VAERS that keeps track of all the adverse reactions to vaccines, from light symptoms like headaches to serious adverse reactions leading to death. 

What’s going on in the Suez Canal

The Suez Canal is a 120-mile long waterway in Egypt that connects the Mediterranean sea to the Indian Ocean. It enables more direct trafficking between Europe and Asia, eliminating the need to go around Africa, cutting shipping and travel times by days or weeks. It takes about 13-15 hours for ships to move through and it has no locks to interrupt traffic. It’s the world’s largest canal without locks.

The Canal was built by French investors in the mid 19th century and took about 10 years to build, costing about 100 million dollars and required an estimated amount of 1.5 million workers. 

On 3/26 a 1,312 ft, 200,000 metric ton ship containing 18,000 containers got stuck in the canal. It created a 300 ship traffic jam, costing companies about 10 billion dollars of daily delays. Many attempts were done to free the boat with no success. They are now banking on a high tide that should raise water levels about 18 inches to help free the ship.

Companies like Amazon, Apple, and Alibaba have been affected by these issues and shoppers might see some delivery delays. It is also causing oil and natural gas prices to rise in Europe and all over the world.

https://www.usatoday.com/in-depth/graphics/2021/03/26/how-evergreens-ship-got-stuck-in-the-suez-canal/7010375002/

https://www.nytimes.com/2021/03/25/world/middleeast/suez-canal-container-ship.html

Covid 19 Vaccine Deaths

The Covid 19 vaccine has benefited many people and has saved many lives. We are not discrediting the vaccine effectiveness, we are discrediting the media outlets for not giving you the full picture of the situation. There have been over 900 covid 19 vaccine-associated deaths according to the CDC. This data, however, is hard to find and no one is speaking on it. 

What makes the data even harder to spread is the inability to share a direct link. This is how you access the reports of covid 19 associated deaths. 

  1. Go on this link > https://wonder.cdc.gov/vaers.html
  2. Agree to the disclaimer
  3. Press on the request form tab
  4. Group results by symptoms, vaccine type, serious, VAERS ID
  5. Scroll down and change the dates so it reads, from January 2020 until January 2021
  6. Press send. You’ll get all covid 19 vaccine deaths for the month of January

Why are these not being shown to us?

This data is hard to reach because they want to boost as much vaccine confidence as possible. It is common sense to have serious and non-serious side effects to new medications but why is it not being talked about? They don’t want to scare you away from getting the vaccine, which then skews public opinion about the vaccine. 

The truth is the vaccine has side effects that can exacerbate certain conditions that will lead to death. The corporate media has that same interest in mind as other corporations and they all have tied together, their goals are to generate views and income. They don’t have your best interest in mind, if they did they would be honest to the facts.

Looking through some of the majority of the deaths of them are the elderly, which makes sense given their medical histories. The most vulnerable are going to have the most adverse effects. That is also most likely why they promote vaccination on the younger population, less health histories lead to less likelihood of adverse reactions.

Some news outlets are saying that the deaths are being misinterpreted because people aren’t dying directly from the vaccine but from other causes. This was the same case with covid 19 where people weren’t dying of covid but other complications, however, that was not being misinterpreted. 

https://www.ibtimes.com/over-900-died-after-receiving-covid-19-vaccine-experts-say-data-misinterpreted-3153820

EP 106: Oncology Pediatrics with David Metzger

EP 106: Oncology Pediatrics with David Metzger

In this episode, we would like to introduce you to our guest David Metzger who is a pediatric oncology nurse and father. He is the author of the upcoming book, Nurse Papa: 16 Meditations From A Pediatric Oncology Nurse, an exploration of his role caring for sick children while raising healthy kids. He is also the host of the new podcast, also called Nurse Papa. 

IG page: @nursepapathebook.com Book Available August 2021 

What do you do as a pediatric oncology nurse? 

What is the biggest reward that you get working with pediatrics?  

What is one of your greatest challenges you face as a pediatric?

Do you think young kids understand what cancer is and the situation that they are in?

How do you leave work behind taking care of ill children and transition into raising healthy kids as a parent?

What have you learned on our journey being a father and what it takes to create a fruitful relationship with your kids?

Can you share some of your favorite meditations from your book? 

How do you create your work/life balance? 

If your experience is different from being a male nurse working with pediatrics?