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S1 Ep 6. Healing The Healer: Part II

S1 Ep 6. Healing The Healer: Part II

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Nite Nite Nurse Podcast Show Notes
Season 1 Episode 6

Welcome to ‘Healing the healer, part 2’. In this session, we will continue our journey of self-care and self-healing. We will focus on releasing stress and tension from your body, cultivating inner peace and self-love, and finding a sense of gratitude for the work you do. Remember, it is very important to dedicate this time to yourself. You pour your heart and soul into your work, and the physical, emotional, and mental demands of your job can take a toll on you. It’s easy to forget that you need to take care of yourself, but it is essential to your well-being and the care you provide to others.

Now please take a moment and make yourself comfortable on you seat. Gently close your eyes and take a deep breath in through your nose. Feel the air filling your lungs and expanding your belly. Hold for a moment, then slowly release the breath through your mouth. Repeat this process a few times, feeling how the tension in your body starts to dissipate with each inhalation and exhalation. Allow yourself to let go of any thoughts, distractions, or worries. Focus on the present moment and the sensation of breathing as you let yourself sink into a state of relaxation and peace.

Allow your mind and body to sink deeper and deeper into a state of relaxation. And now picture yourself in a beautiful, tranquil place in nature. Maybe you have a special spot that means something to you, if that is the case, bring it to mind as vivid as you can. You can also picture a place that exist only in your imagination. Perhaps you are sitting by a peaceful lake or walking through a lush forest. Take in the sights, sounds, and sensations of this place, allowing yourself to fully immerse in its peaceful energy as you feel yourself getting more and more relaxed.

As you take in the beauty around you, let your attention turn inward. Take a moment to connect with your feelings, without judgment or resistance. Take a few deep breaths and ask yourself: “What am I feeling right now?” Whatever feelings arise, allow yourself to acknowledge them, without trying to push them away or change them. Simply observe and accept them as they are. Visualize each feeling as a color or a shape. Notice how each feeling is unique and distinct, with its own texture, weight, and energy. As you observe these feelings, imagine them flowing through your body like a river, without getting stuck or trapped in any one place. Imagine them passing through you, and flowing out of your body, releasing any tension or blockages as they go.

Good… Imagine each of your breaths bringing in fresh, healing energy, and exhaling any stress or negativity. Imagine this energy filling you up, from the tips of your toes to the crown of your head and expanding out beyond your physical body. Feel the warmth and peace of this energy and allow it to envelop you in its healing embrace.

Remember that it is important to take care of yourself, to nurture your own inner light, so that you can continue to shine brightly and bring healing to those around you. Allow yourself to fully relax into this moment, and trust that you are exactly where you need to be, doing exactly what you are meant to do. Allow yourself to fully surrender into this moment. You are doing an incredible job as a healer, and it’s important to take the time to care for yourself. In this moment, let yourself be reminded of your inner strength, resilience, and the importance of the work that you do.

Visualize yourself standing tall and strong, with a bright light radiating from your heart. You are filled with a sense of purpose, and a deep knowing that you are exactly where you need to be, doing exactly what you are meant to do. You are a force for good in the world, and your presence brings healing and comfort to those around you. As you continue to breathe, allow yourself to focus on the positive affirmations that support and nourish you. Repeat these affirmations to yourself silently or out loud, allowing the words to fill you with strength, love, and a sense of inner peace.

“I am capable of handling any challenge that comes my way. My strength and resilience are limitless.”

“I am deserving of love, care, and compassion. I offer myself the same kindness that I give to others.”

“I trust in the wisdom of my body, mind, and spirit. I know what is best for me and honor my inner guidance.”

“I am grateful for the opportunity to serve as a healer, and I approach my work with joy, compassion, and grace.”

“I am surrounded by love and support, and I trust that the universe is conspiring in my favor.”

As you repeat these affirmations, feel them sinking deep into your subconscious mind, anchoring you in a positive, abundant, and supportive mindset. Let go of any doubts or fears, and trust in your own inner light.

Now, imagine yourself walking through a peaceful garden, surrounded by flowers of all colors and sizes. You feel the soft grass under your feet and the gentle breeze on your skin. Take a moment to appreciate the beauty around you and let the peaceful atmosphere of this garden fill your senses. As you walk further into the garden, you come across a large, serene pond. You walk towards the edge of the pond and sit down, allowing yourself to relax and take in the peaceful surroundings. Take a deep breath and feel yourself sinking deeper into a state of relaxation and calm.

As you gaze at the water, imagine that it represents your emotions. The water may be calm or it may be choppy, but either way, it is a reflection of your inner state. Take a moment to observe the water and notice any ripples or waves. Allow yourself to be present with your emotions and feelings, without judgment or criticism. Simply observe them and honor them for what they are. As you continue to watch the water, you notice that it starts to become calmer and stiller. The ripples start to fade away, and the surface becomes smooth and clear. As the water becomes calm, imagine that your emotions are also becoming calm and still. You feel a sense of inner peace and tranquility as your emotions settle and find their natural rhythm.

As you bask in this sense of calm, take a moment to appreciate the power of your emotions. They are an integral part of who you are, and they are a gift that allows you to connect with others and the world around you. Allow yourself to feel gratitude for your emotions and the richness they bring to your life.

Now, let’s take some time to focus on your strengths and positive qualities as a healthcare worker. Think about the unique skills and qualities that you bring to your work, and the ways in which you make a positive impact on the lives of others. Perhaps you have a gift for listening deeply and providing compassionate care. Or maybe you are particularly skilled at problem-solving and finding creative solutions to complex medical issues. Maybe you have a calming presence that helps patients feel more at ease, or you have a wealth of knowledge and experience in your field.

Whatever your strengths and positive qualities may be, allow yourself to fully embrace and celebrate them. Take a moment to visualize yourself in action, using these strengths and qualities to care for your patients and improve their lives. Allow yourself to feel a sense of pride and satisfaction in the work that you do. You are making a difference in the world, and your efforts are valued and appreciated.

If you find it difficult to identify your strengths and positive qualities, don’t worry – this is common among healthcare workers who may be accustomed to focusing on the needs of others rather than their own abilities. You may find it helpful to ask colleagues or loved ones for feedback on your strengths, or to reflect on moments when you felt particularly effective or fulfilled in your work. Acknowledging and celebrating your strengths and positive qualities is not a form of arrogance or self-importance – it is a crucial component of maintaining your own well-being as a healthcare worker. When you recognize and embrace your strengths, you are better equipped to navigate the challenges and stresses of your work with confidence and resilience.

Take a deep breath and allow yourself to fully embody the qualities that make you an exceptional healthcare worker. Know that your work is valuable and necessary, and that you are making a difference in the world with every patient you care for. As you focus on your strengths and qualities, you may also become aware of any challenges or difficulties you have faced as a healthcare worker. These challenges may have been emotionally or physically taxing, and it is important to acknowledge the strength and resilience it took to overcome them.

Take a moment to express gratitude for the challenges you have faced, as they have helped you grow and become a stronger, more compassionate healthcare worker. You may even want to express gratitude for the people or circumstances that have helped you through these challenges.

Now, let’s shift our focus to gratitude for the present moment. Take a moment to feel gratitude for your body and its ability to heal and care for others. Feel gratitude for the breath in your lungs, the beat of your heart, and the functioning of your organs. Extend this feeling of gratitude as much as you can. Gratitude for the space you are in, for the safety and security it provides. Gratitude for the people in your life who support and love you, and for the patients and clients who trust you with their care.

As you focus on gratitude, you may begin to feel a sense of joy and lightness in your heart. Allow this feeling to fill your entire being, and know that you are deserving of all the love and appreciation that you give to others.

Now, let’s take a moment to affirm some positive beliefs about yourself as a healthcare worker. Repeat these affirmations silently or out loud, and allow yourself to embody them fully:

I am a skilled and compassionate healthcare worker.

I trust my intuition and am guided by my inner wisdom.

I am strong and resilient, and able to overcome any challenges I face.

I am deserving of love, appreciation, and self-care.

I am making a positive impact on the lives of others, and am fulfilling my purpose as a healthcare worker.

Allow these affirmations to sink deeply into your subconscious mind. Know that you are a skilled and capable healthcare worker, and that you have the ability to transform lives through your work. Bring to mind a recent experience in which you felt particularly effective or successful in your work and visualize this experience in detail. Allow yourself to feel the sense of accomplishment and pride that comes with it. As you visualize this experience, notice any physical sensations in your body, such as warmth or tingling. Allow yourself to fully immerse in the positive emotions associated with this experience, and know that you are capable of achieving this level of success and satisfaction in your work.

Take a deep breath in, and as you exhale, release any stress or tension that may be lingering in your body or mind. Allow yourself to feel a sense of peace and relaxation, knowing that you are a valuable and important member of the healthcare community.

Good… Now bring your attention to your physical body. Start at the top of your head and slowly scan down your body, noticing any areas of tension or discomfort. And as you focus on each part of your body, visualize a warm and healing light surrounding it. Imagine this light penetrating deep into the muscles and tissues, releasing any tension and promoting relaxation and healing.

Starting with your scalp, feel the warmth and relaxation spreading down to your forehead, temples, and the muscles around your eyes. Allow the muscles in your face to relax, letting go of any tension in your jaw, cheeks, and neck. Now move your attention down to your shoulders, feeling any tension melt away as the warm healing light envelops this area. Allow your arms to feel heavy and relaxed, releasing any tension from your hands and fingers. Bring your attention to your chest and stomach, feeling the rise and fall of your breath. Imagine the healing light flowing through your lungs and heart, promoting deep relaxation and healing in this area.

As you scan down to your hips, pelvis, and thighs, visualize the warm healing light penetrating deep into the muscles and tissues, releasing any tension and promoting healing. Allow your legs to feel heavy and relaxed, releasing any tension from your feet and toes.

Now, bring your attention to any areas of your body that require extra healing or attention. If you have experienced physical pain or discomfort, direct the warm healing light towards this area, allowing it to penetrate deep into the muscles and tissues, promoting healing and relaxation. As you continue to breathe deeply and visualize the warm healing light surrounding your body, allow yourself to feel a sense of peace and calm. Know that you have the power to promote healing in your body and that you are worthy of the care and attention that you give to others.

Take a moment to acknowledge the strength and resilience it takes to care for others as a healthcare worker. Know that you are making a positive impact on the lives of others and that your work is essential to the well-being of those around you. Take a moment to reflect on the insights and feelings that have arisen during this meditation. Perhaps you have gained a deeper appreciation for your strengths as a healthcare worker, or became more in touch with your emotional world. Maybe you have become aware of areas where you need to practice more self-care and healing. Whatever you have experienced, know that it is a valuable part of your journey. Every challenge and every triumph has brought you to this moment, and you are exactly where you need to be.

As we come to the end of this meditation, take a moment to thank yourself for taking this time to care for your own well-being. Allow yourself to feel a sense of gratitude for your body, your mind, and your spirit, and for the important work that you do as a healthcare worker.

Take a deep breath in, and as you exhale, allow yourself to gently return to the present moment. Wiggle your fingers and toes, stretch your body, and take a few moments to transition back into your day.

Remember that the healing process is ongoing, and that you can return to this meditation as often as you need to. May you continue to care for yourself with love and compassion, and may your work as a healthcare worker be filled with joy, purpose, and fulfillment

Narrator: Dr. Scharmaine Lawson

Writer: Jorge Sepulveda

Cover Artist: Eka Mahardika

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Facts from an NP on the Opioid Crisis

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by Brett B. Snodgrass FNP-C, CPE, FACPP, FAANP

It only takes minutes, turn on your TV or radio and you will hear we are in the midst of an opioid crisis. It seems every professional healthcare groups in America are weighing in. Guidelines, recommendations, ideas and sometimes sensationalism is flooding the arena of healthcare. Everyone feels they have an answer to the opioid crisis.

What is always important to ask is… Is the information being reported correct? Are you really seeing the entire picture of the crisis? I really don’t think we are. The media reports that opioid overdoses have overzealous, greedy pharmaceutical companies, and overprescribing healthcare providers to blame.

Hold on. 

It’s just not that easy.

Here is what we know-The current statistics about drug deaths say:

o All drug deaths (including ANY drug/medication a patient takes) account for 60,000 to 70,000 annual deaths.

o All opioid deaths (including heroin/fentanyl and prescription opioids) account for 30,000 to 40,000

Now, let’s compare to:

o Hospital-acquired infections deaths: 99,000 annually

o Tobacco, Alcohol, Guns and Traffic Accidents: >700,000 annually

It’s just important to put things into perspective.

Now let’s look at the opioid death statistics.

The number of actual prescription opioid overdose deaths are only a small percentage of the overall opioid overdose statistics.

o For instance, Fentanyl is responsible for 79% of all opioid overdose deaths. So, your first reaction might be “no one should ever prescribe fentanyl.”

o YET, only 5% of all fentanyl overdose deaths are due to pharmaceutical grade fentanyl.

For instance, in Illinois, opioid overdoses increased from 589 in 2015 to 1233 in 2016, despite significant decrease in opioid prescribing in that state. The increase appears to be almost completely driven by illicit fentanyl analogs, not legitimate fentanyl prescribed for the chronic pain patient. Schatman, Zieglar (2017) Pain Management, Prescription Opioid Mortality and the CDC.

To quote Dr Stefan Friedrichsdorf, “We do not have an “prescription opioid crisis” but really we have a polypharmacy crisis.” He cited that in New Hampshire, 72% of deaths involving oxycodone, also included alcohol, and/or benzodiazepines, cocaine, kratom, methamphetamine, and other opioids (which may not have been prescribed concurrently).

One accidental death from a prescribed opioid, illicit opioid or any other medication is one too many. But the answers are not simple. The present problem is more about illicit drugs than prescription drugs, as well as, combinations of both prescription and illicit drugs. Multiple sedating prescribed medications is also an issue. To add, more deaths are associated with illicit use of prescription opioids, than the intended prescribed reason. So many in our society, are looking for an escape and dangerously finding it through polypharmacy.

We have an epidemic of substance use disorder. 

Substance Use Disorder.

THIS is what’s being ignored. That’s because there are so many factors associated: unemployment, poor education, depression, limited mental health access, mental health stigmas,  availability of illicit drugs, diverted prescription opioids, genetic predisposition to substance use disorder, and psychiatric co-morbities.

Where do we go from here? More providers need to be screening for Substance Use Disorder. States need to allow more NPs and PAs to have the ability to treat Substance Use Disorder. There needs to be more education on how and when to prescribe opioids. Also, an increase in national education on appropriate disposal of medications when they are no longer needed. This act alone will help reduce the likelihood of diversion. It’s just the beginning, but it’s a start!

Reference:

Schatman, Zieglar (2017) Pain Management, Presctiption Opioid Mortality and the CDC.

Brett B. Snodgrass FNP-C, CPE, FACPP, FAANP
Brett B. Snodgrass FNP-C, CPE, FACPP, FAANP

Brett B. Snodgrass FNP-C, CPE, FACPP, FAANP

Director of Clinical Operations

LifeLinc Pain Center

8001 Centerview Parkway, Suite 215

Memphis, TN 38018

(P) 901-249-5905

(F) 901-249-5940

www.TheNPMom.wordpress.com

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Why did I become a nurse?

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by Sarah Helen

Origins

Origin, as defined by Merriam-Webster’s: 1: ancestry, parentage 2 a: rise, beginning, or derivation from a source b: the point at which something begins or rises or from which it derives; also: something that creates, causes, or gives rise to another 3: the more fixed, central, or larger attachment of a muscle. 4: the intersection of coordinate axes. (Merriam-Webster, 2004, p. 875).

Origins.

What is our history? What is our beginning? Are we “the muscle?” What role does a nurse play in healthcare today? There are many books and essays regarding the origins of nursing as a profession. My aim is not to bore you or review an entire history of nursing, but rather to briefly overview some relevant and often overlooked history. We are all familiar with and respect Florence Nightingale. But she is not included in this overview because she is an overused person in the conversation.

1. Ancestry, parentage
My own family includes many nurses. My mother graduated from a diploma program in 1969 and a Bachelor’s of Science in Nursing (BSN) program in 1981. She worked medical-surgical (med-surg), on a pediatric burn unit, an adolescent psych ward (unfortunately this experience did not help her much during my adolescence), home health, public health for the Tom Dooley Foundation in Nepal, rural health in Montana, and finally Hospice. She worked for Hospice starting in 1992 and recently retired from nursing in 2017.
My maternal grandmother was a flight nurse in WWII. She flew wounded troops from war zones back to England and the US. During this time there was a roster of nurses, listing which would be assigned to the next flight. After flying, the name would drop to the bottom of the list. Grandma (Helen) was up for her turn. Another nurse wanted to switch with her and go on that flight. So, Helen stayed behind. That plane crashed and everyone on the flight was killed. She was fortunate to survive. Unfortunately, Grandma Helen died when I was very young. I have so many questions to ask her. My mother still has her letters, signed “Angel in Flight.” We all have our own histories as nurses, even if we are first-generation or multiple-generation nurses. Nursing as a whole has a more utilitarian origin. In a nutshell from our nursing textbooks: Nursing has always existed in some form in all cultures. Nursing was traditionally a “lower-class” woman’s job in early Europe (Egnes, 2009). Religious organizations took over and many hospitals in the US today have roots in various Christian churches. The Civil War and other societal changes within the US demanded the need for nurses in the US and soon after training facilities were initiated (Egnes, 2009). Like I said, “in a nutshell.”

2. A rise, a beginning.
Nursing school is not easy. Characters in movies who are “going to nursing school” are cute, empty, and generally “extra” types usually played by a young, pretty white woman. Folks do not realize that nursing school is incredibly competitive, stressful, time-consuming, expensive, and challenging. Nursing school is the beginning to actually becoming a licensed professional. Many of us start in other healthcare jobs, such as Certified Nurse’s Assistants (CNAs), Emergency Medical Technicians (EMTs) or paramedics, phlebotomists, etc. but nursing school is a solid start on the path to becoming a Registered Nurse or Licensed Practical Nurse. Many nurses continue their education to become Advanced Practice Providers such as Family Nurse Practitioners (my current role in 2018), Nurse Midwives, Certified Registered Nurse Anesthetists, and others. These roles are much different from an RN or LPN role and in many states advanced nurses can practice autonomously. Your primary care provider (PCP) might be a nurse practitioner which is why “medical provider” is preferred to physician or “doctor” even though some nurse practitioners have their doctorate degree. See the American Association of Nurse Practitioners (AANP) campaign to increase awareness of these roles in healthcare. Nursing programs have dramatically changed over the years in the United States, however, incredible barriers still exist to access nursing education. This is especially true for marginalized populations, namely people of color. Mary Mahoney was the first Black woman to be admitted into a nursing school in the 1900s. She was a member of the American Nurses’ Association (ANA) and fought for equality for nurses of color. She was also very involved in women’s right to vote and various sources report she was one of the first women registered to vote in the United States in 1920. (“African-American Medical Pioneers, 2003). As a side note, we know that not all women of color (specifically Black women) were able to exercise their right to vote until The Voting Rights Act of 1965. But I digress, as racism, sexism, and homophobia/transphobia in current day still impacts who is working in healthcare roles. According to Minority Nurse, about 75.4% of RNs categorize as “white.” Only 9.1% of RNs identify as men (“Nursing Statistics”, 2014). There is limited information on the number of LGBTQ+ nurses, and many reasons why some people in this subgroup would not identify gender identity or sexual orientation publicly due to potential employer & patient discrimination. Demographic information for NPs is somewhat limited, but AANP reports their membership (which does not encompass all NPs) is as follows based on most recent data in 2010: “92% of members are female. 97% are not Hispanic or Latino. The racial distribution of membership is: American Indian/Native Alaskan 0.9%, Asian 3.7%, Black/African American 5.7%, Native Hawaiian/Pacific Islander 0.4%, White 90.3%” (AANP, 2010). The educational & healthcare systems have much work to do to decrease barriers & discrimination for those working in & receiving care within healthcare system. This is just scratching the surface of this topic. But nursing has also made huge strides since the beginning. Nursing has evolved from a “lowly” job to a profession that is largely respected although arguably misunderstood.

3. The more central, fixed attachment of a muscle.
Well. We can appreciate this “origins” definition! Think of Anatomy and Physiology nightmares. This can be an analogous to many situations.
Think about the origin of a muscle. How about the deltoid? The origin is the clavicle and scapula. Those bones are not going to move when you move the muscle. Nurse Practitioners, Physicians, and Physician Assistants have their various roles within healthcare. Nurses also have a “scope of practice” and must legally function within that scope too. If you just had the deltoid without the clavicles, you would be in serious trouble. The body simply would not work without its origins, just like a hospital simply would not work without its nurses. Sometimes nurses are referred to as doctor’s “helpers.” Nurses are not “helpers.” When non-advanced practice nurses (RNs, LPNs) follow medical provider orders, there is consideration regarding why the provider has ordered a particular medication, therapy, diagnostic test, or lab. Sometimes nurses do not know the answer, and there needs to be clarification with the provider. Much of the job needs to be done autonomously, while following orders and staying within scope of practice. In the hospital setting, a nurse is not “managed” by a physician or other APP. Nurse managers do that job. We’ve heard the cliché that “nurses are the heart of healthcare!” The heart is a muscle. But, the majority of healthcare is a business within our capitalist system, whether we like that aspect or not and that is another topic entirely with multiple layers of complexity. Sometimes the humanity of healthcare is lost in the economics and politics of that system. Of course, everyone from janitors and housekeepers to therapists and front office staff are the “human” aspect of healthcare for patients. We all have power to advocate for our patients. Nurses, especially, have incredible power as patient advocates and the same is true in the provider role. That is, of course, our job. So, the big question is: Are nurses the clavicles of healthcare or the heart?

4. Intersection of axes
Popular media has misconstrued the role of nurses. Simply blaming “the media” alone, however, is simplistic as even educational systems reinforce some of these misconceptions. This misunderstanding impacts the way regular people (er–not nurses) understand and treat nurses. Folks sometimes think a nurse’s job is to simply give bed baths, follow provider’s orders without critical thinking, and hold hands. That may be in the history of nursing, but these basic nursing care roles are no longer the role of a nurse. The advanced practice provider roles are even more often misunderstood, or assumed that the “next step” is becoming a physician when in fact that is not the end goal. Nurses (RNs specifically in this paragraph) have many roles. RNs multitask patient needs, prioritize cares, recognize signs and symptoms of declining patients, consider pathophysiology of disease, learn about new medications and procedures, change wound dressings, listen to complaints and praise, communicate with medical providers, ask questions, read nursing journals on the latest evidence-based practice, hold their bladders for far too long, walk on their feet for twelve hours, tell off-colored jokes, and drink coffee (at least, most nurses). Nurses are not angels or saints. Nurses get mad sometimes. Nurses make mistakes, just like everybody else. Sometimes nurses feel downright incompetent, so they also ask a lot of questions. Nurses are just human. There are “good” nurses and “bad” nurses, and a lot of funny ones but none are one-dimensional. One patient can take a lot of coordination. The nurse working on a hospital floor needs to communicate with therapies, the nurse’s aid, the medical provider, the housekeeper, and the family. Sometimes this role can be incredibly frustrating, especially when there are five different people and five different plans of care. But, this role is vital to the patient’s outcome. Nurses help to facilitate overall care for a patient. If any of the pieces are disjointed or missing, the patient’s care might suffer. Nurses are right in the thick of a patient’s care. Nurses really want all the pieces to fit together and for patients to receive the best care (most nurses, that is). Nurses don’t always “agree” with the patient’s choices, because we all come from different backgrounds and experiences.

Our individual origins as nurses are many. The origins of nursing are complex and ever-evolving.

So, why did I become an RN in the first place?

I started doing nurse’s aide work in high school and had various jobs as a nurse’s aide for about seven years. I always bonded with and enjoyed the geriatric population (I’ve been schooled that the correct word is “mature”). I love working with folks who have dementia, except when they are trying to punch me.
I loved anatomy and physiology (except the memorizing origins and insertions part) and chemistry, and just “how things work” overall. The body is kind of fabulous. I had the privilege of interning at a hospital in Ghana for six months (which is a separate conversation & one that I have mixed feelings about regarding international aid work). I did random housekeeping and paperwork and wrote down verbal orders from the medical provider on rounds. I ran to the pharmacy for medications. I helped with what I could when there was only one nurse in a full ward of adults and kids. Those nurses were badass. They knew how to improvise. I remember thinking, “I want to do that.” “I want to be that good.” Of course, because of my origins, I was “never” going to be a nurse because my mom was a nurse. But, my mom is a great nurse.

*This “Origins” essay was originally written in 2014 and updated in 2018. Some of the statistics, unfortunately, do not have recent updates, so older article credits remain. Since the original article was written, I have worked as an RN in many other environments outside of the hospital including assisted living, crisis mental health, and a county jail. I learned over time that I preferred some of these other healthcare settings as opposed to working on a hospital floor. I worked six years in total as an RN and while still working part-time at the jail, continued my education with a Master’s program to become a Family Nurse Practitioner (FNP). I have since graduated, obtained my licenses, and have been working as an NP in a rural clinic for nine months at the time of this writing.

References:

African-American Medical Pioneers: Mary Eliza Mahoney 1845-1926. (2003). Retrieved December 4, 2014, from http://www.pbs.org/wgbh/amex/partners/early/e_pioneers_mahoney.html

American Association of Nurse Practitioners (AANP) (2010). Retrieved September 10, 2018 from https://www.aanp.org/research/aanp-research/10-research/146-member-demographics

Egenes, K. (2009). History of Nursing. In G. Roux (Ed.), Issues and Trends in Nursing: Essential Knowledge for Today and Tomorrow (pp. 2-8). Sudbary, MA: Jones and Bartlett.

Merriam-Webster’s Collegiate Dictionary (11th ed., p. 875). (2004). USA: Merriam-Webster, Incorporated.

Nursing Statistics. (2014). Retrieved December 4, 2014, from http://www.minoritynurse.com/minority-nursing-statistics

Sarah Helen can be found at www.theuncommonthreadblog.com

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Learn how this RN started a lucrative scrub line

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Grace Health Scrubs
Grace Health Scrubs

By Tina M. Payne, RN, MSN

Launching a business can be exciting as well as stressful. In August 2017, while working as a Telemetry float pool nurse, homeschooling 3 of my 5 children, being a wife, and taking care of my infant son, I founded Grace Health Scrubs. Grace Health Scrubs is a premier mobile and onsite uniform retail business located in Cincinnati, Ohio. It is one of very few uniform businesses which is owned and operated by a nurse in my area. Our company is growing steadily and we are partnering with local hospitals, doctor’s offices, and nursing programs.

 

We have a convenient website that allows healthcare professionals to shop 24 hours a day. As a nurse and business owner, part of purpose is to empower and share with other nurses that they have a unique advantage within the scrubs market that scrub manufacturers have yet to realize. The insight that we have based on years of wearing one specific product can really offer a lot of value to scrubs distributors and manufacturers alike.

Medical uniforms, also referred to as scrubs or nursing scrubs, are a necessity in our ever-growing economy. As long as there is a need for medical care, there will be a need for scrubs. Wearing scrubs is most often a requirement of healthcare professionals but is also expanding to other service industries such as housekeeping, massage therapy, and cosmetologists, just to name a few.

There is a global need for scrubs as well. Hospitals are one of the top employers who require medical scrubs in the world. In hospitals, there are doctors, nurses, laboratory personnel, and other personnel who are required to wear departmental colors such as all blue, grey, green, or even white uniforms.

Although scrubs are constantly in high demand, not all styles, colors, and sizes are readily available for purchase in regular stores – which is where you come in. I have heard many nurses say they only have Walmart in their local area to buy scrubs from. There may only be a handful of stores in your area, and it is guaranteed that they will still not carry every possible brand, size, or color desired by everyone needing them, so many consumers must resort to online shopping instead. As a result, why not be the bridge in your community and provide a needed service?

This article is geared towards the experienced healthcare professional wanting to start a viable business that will require in-person and online sales. So whether you are a nurse, nursing assistant, doctor, or lab technician, you likely will have a lot to bring to this business, including your insights as a consumer of scrubs, as well as your network of healthcare workers and colleagues whom you already have a relationship with. Having a solid network and relationships in this business will take you further than you can imagine. Over time, the uniform business can be lucrative and rewarding.

 

On my business journey, I have had many people inquire as to how to start a scrubs business. Earlier this year through my blog platform and Facebook group for moms and nurses goalsofaceomom.com, I provide support, encouragement, and tips on starting a business. As a result, I have since launched a coaching business, helping other women and nurses to start their first business. As part of an upcoming series about the scrubs business, this post will outline 7 basic steps to starting a scrubs business.

HOW TO START A SCRUBS BUSINESS IN 7 STEPS

 

Step 1: Create a Business Plan

A business plan can seem intimidating at first, although breaking it down into smaller pieces will help. This is the step a lot of people skip and find out later that they really needed a business plan. Outlining your business structure, budget, marketing strategies, and future plans will surely put you in a better position to obtain the necessary funding and create a more appealing business entity.

Step 2: Business Registration and Licensing Requirements

You will need to establish your business entity with the Secretary of State office within the state you reside in. Go to their website or call the office if you have any questions about registering your business.

Next, apply for a business license from your local municipality. This serves to acknowledge the existence of your business in your city. This license may have a variety of titles depending on your location, it may be “vendor’s license”, “sales tax certificate” or “business license”. Also, if your state has a sales tax, apply for a tax account with your state department of taxes as you will need to collect sales tax on items sold. Get a tax identification number too, or an employer identification number with the Internal Revenue Service. If you have a previous or current business which is related, contact a tax attorney or lawyer with regards to establishing a DBA or “doing business as” entity.

However, if you are still not sure about all the licensing requirements to become a medical scrubs and uniform retailer, you can contact the Uniform Retailers Association (URA), which is a non-profit trade association dedicated to the growth and prosperity of the independent uniform retailer.
Step 3: Get Capital

Having capital is the number one thing that can make or break a business. Use your business plan for guidance. Create a budget for operating cost, expenses, etc. There are a few ways to go about this if you don’t have the cash yourself.

  • Get a business credit card or loan
  • Raise funds through events such as yard sales, GoFundMe      fundraisers, etc.
  • Seek out an investor
  • Take on a partner
  • Take time and save up the money needed to launch your      business

Step 4: Learn the needs and wants of your customers

 

Tina Payne, RN, MSN

Before you start a business, you have to be sure that you are solving a problem. Some ways to find out information is by sending out polls to your healthcare network by email or social media, conduct surveys, and research the requirements of the local hospitals, nursing homes, doctors’ offices, etc.

Find out the most common brands, colors, material preferences, etc. that the staff in your location wear.  In addition, you may want to visit the hospitals and medical facilities and request their staff uniform requirements, including color and style parameters, and ask about the uniform material preferences. Just remember that knowing your customers’ desires and behaviors will help you in your marketing strategies.
Step 5: Lease the best building and/or Launch Your Website

If you have decided to open a brick and mortar space, the capital you have raised will hopefully cover your first year of expenses. Brick and Mortar shops are at a minimum a 6-figure operation and it will take a lot of funding to open one with full inventory and staff for the first year. So please take the time to consult with a business strategist and accountant if this is your preferred route. So, after you have done all of that, you want to make sure that your building or storefront is in a great location, with easily visible signage, being handicapped-accessible. The location of your business should be somewhere that can be easily reached from all roads. Ideally, your location should:

  • Be close to medical facilities
  • Have a building with a front display window
  • Have colorful building signage which describes your      medical uniform business

Launch your website

Websites are a must-have in this business. Consumers have so many options available to them, they are always comparing prices and checking the reviews. Just think of the last time you made an online purchase, did you cross-check the price? Did you check the reviews?  So it is non-negotiable as to whether or not you need a website. Now, whether you will use your website solely as an e-commerce site for your business or as a convenience to a mobile scrubs business, there are a few things you need, including but not limited to:

  • An easy-to-search domain name
  • A responsive website
  • Excellent SEO (meta tags,      keywords, analytics, speed)
  • Detailed product descriptions, features, and benefits
  • Easy navigation
  • Optimized images
  • An easy checkout process
  • A clear returns and shipping policy
  • Customer reviews
Grace Health Scrubs

Step 5: Purchase the products

Unless you are creating your own scrubs line, then you will need to purchase inventory. So, the best way to go about this step is to research the brands you are interested in selling based on your market research in your area.

This most likely will lead you to specific wholesalers and/or manufacturers. A good wholesaler is a link between the manufacturer and the retailer (you), while the retailer is the link between the manufacturer and the customer. Now, a good wholesaler will usually give good discounts for buying in bulk, which will allow you a greater profit margin. Anything greater than 25-30% is ideal for a profit margin.

However, the better option is to contact the manufacturer directly. Please know that not all manufacturers sell their scrubs in every location in America, so be sure to check with them individually. Many of them will have an application process and different requirements, such as a minimum opening order.

Additionally, some will only sell to you if you have a physical brick and mortar store. Most of them do not agree with solely online scrub stores. The best way to find out is to call them directly. As a business owner, you have to reach out to these companies yourself in order to earn their respect. For additional help, you can check out my 10 Strategies for Buying Scrubs.

Step 6: Market your Business

For good marketing, it is necessary to recognize your target audience or demographic. In this case, we know that it is medical professionals. We have already established that these consumers are very busy, with some working off shifts and long hours. As a result, marketing to them must be adjusted in a way that they are made aware of your business both locally and online, and it must be done in a quick and efficient manner.
In today’s digital age, social media marketing is necessary. Having a strong internet presence is necessary to make an impact with consumers. An example would be to hire people to model your uniforms in promotional videos. Boost or run ads on these videos on popular social media sites like Instagram or Facebook. Even if you have a brick and mortar store, your website should be compelling and display content that introduces your business to the world.
Step 7: Start selling

Before you are ready to launch, make sure you are set-up to accept payment in a variety of ways; we are in the era of CASHAPP where people are fueled by convenience and speed! Whether you are selling your merchandise in person, online, or through social media, it is a good idea to accept all types of payment. You have to be able to accept cash, purchase orders, credit, debit, PayPal, etc. if you want the sale these days.

If you are not willing to accommodate people, then you will likely miss out on the money. Starting out as a new business, you do not want to turn any customers away, so be prepared for these types of payments or at the very minimum make people aware of what you will accept when you advertise. Do you already have a scrubs business but need help with sales? Check out this free resource: 5-Ways to Make Money in Your Scrubs Business This Week.

So there you have it, the initial 7 steps to starting your scrubs business. Of course, there are many more steps in the process. It is important to note that although worthwhile, this is a serious business, not a side hustle. There is a lot of time that will need to be invested in it. It is not as straightforward as simply buying inventory, that does not make a “business”.

Buying a case of scrubs with no additional research or training will leave you discouraged and unmotivated. So before you start a scrubs business, please do the necessary research and get help from experts to diminish your learning curve. I have successfully helped several nurses start and launch their scrubs business, with the hope of helping others too. So if you need additional support or VIP coaching please email Tina Payne at Tina@goalsofaceomom.com for an application or you may check out my available programs at www.goalsofaceomom.com/programs.

Click Here to be added to the waiting list for my group coaching program:

Tina M. Payne, RN, MSN

Owner of Grace Health Scrubs

Business Mentor/Blogger

Let’s Connect on Social Media

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sleep

Sleep disturbances in children

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by Dr. Sonia Smith, NP

Sleep disturbance is one of the most common concerns of childhood. Estimates are that approximately 20-30% of all children have problems related to sleep. Sleep disorders in children are varied. Children may present with insufficient sleep due to difficulty with either initiating sleep or maintaining sleep. Sleep disturbance may be associated with pediatric insomnia, disorders of circadian rhythm, or may manifest as hypersomnolence or narcolepsy with or without cataplexy. Problems with sleep-disordered breathing (SDB) may include obstructive sleep apnea (OSA), central sleep apnea, and hypoventilation disorders. Common parasomnias in childhood may include night terrors, nightmares, sleep talking, somnambulism, bruxism, and frequent limb movements.

Sleep is necessary for maintenance of both physical and psychological health. Sleep deprivation has known detrimental effects on both somatic and neuropsychiatric health issues. Children with lack of sleep have been shown to be susceptible to development of obesity as well as predisposed toward higher body mass indexes later in life. Consequences of SDB related to OSA may include development of cor pulmonale and growth retardation. Sleep loss can also contribute to changes in human immune responses.

The neurocognitive effects of poor sleep are well documented in the literature. Domains affected by inadequate sleep include effects on cognitive and academic functioning as well as emotional and behavioral operations. Children with sleep disturbance may manifest behaviors consistent with hyperactivity and aggression as well as emotional lability, depression, and anxiety. These negative behaviors are associated with an increased risk for youth injury. Children who experience sleep difficulties between the ages of 5-19 have also been shown to have problems with depression, anxiety, and other emotional concerns later in life.

Sleep loss has been directly associated with decreased academic performance due to an inability to remain alert and subsequent difficulty concentrating in school Executive functioning skills including the ability to generate hypotheses, reason abstractly, and process information are also adversely affected when children do not achieve adequate sleep. Children who do attain restful, restorative sleep have been shown to have higher levels of optimism and self-esteem than children with disturbed sleep.

Emerald Coast Pediatric Sleep Consultants, LLC

Emerald Coast Pediatric Sleep Consultants is a nurse practitioner-owed sleep clinic located in beautiful Gulf Breeze, Florida. Emerald Coast Sleep provides comprehensive sleep diagnostic and treatment services to children from birth to age 21 years. A collaborative approach to patient care, with emphasis on addressing biopsychosocial and cultural patient factors, is utilized to determine individualized plans of care. A paradigm of health and wellness is the foundation for treatment. The staff also has extensive experience caring for children with special needs. Emerald Coast Pediatric Sleep Consultants is dedicated to bring awareness of sleep disorders and the need for pediatric sleep assessment to pediatric health providers in the community and nationwide. Visit us at www.emeraldcoastsleep.com for more information.

Sonia A. Smith MN, CPNP/CNS obtained her BSN from the University of North Carolina at Greensboro and her MN in Child Health Nursing from Emory University in Atlanta. She has been a pediatric nurse for 29 years and has been a pediatric nurse practitioner for 24 years. Sonia has experience in primary care, pulmonology, and neurology. She is currently the owner of Emerald Coast Pediatric Sleep Consultants located in Gulf Breeze, Florida. Her sleep practice specializes in the diagnosis and treatment of sleep disorders in children with an emphasis on health and wellness. Sonia enjoys living in the country on a 40 acre pecan orchard in Foley, Alabama, located 20 minutes from the Gulf of Mexico. She is one year away from obtaining her Doctor of Nursing Practice from Troy University. In her spare time she enjoys travel, good wine, good friends, and making fused glass art.

nurse

This nurse practitioner started a CNA school

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Victoria Randle NP discusses her journey to owning a CNA school.
Victoria Randle NP

by Victoria Randle, NP

Deciding to become an entrepreneur can be a scary task to tackle, especially if you lack a mentor or support. You ask your self “ Where do I start? Which way do I go? Who can I trust?” It can all seem so overwhelming that you may give up before you even get started. However, with determination, perseverance, and a strong support team, it can be done! Remember, no one determines your fate but you!

In my practice as an RN, I saw a decline in the quality of CNA’s. I felt this stemmed from multiple issues. One big issue was a lack of nurse support for CNA’s thus causing a lack of pride in their work. I also noticed that many schools seemed so fly by night, “Become a CNA in 10 days!” Are these students really getting the exposure and sense of pride that they need for the job? That’s when I decided someone has to take action and that someone would be me!

I had no idea where to start and figured lots of things out along the way. I must say I did some major head bumping along the way. I met people who were very helpful, people who donated time and money in my vision and then there where those who of course just wanted my money and gave me only half of what I needed. Unfortunately we can’t always see those people coming. Nevertheless it took me two years to get my CNA program up and running. I would like to share with you the steps to get moving in the right path. I happen to be in the state of Georgia so much of this will be Georgia based, however other states are very similar.

Identify your authorizing body for the CNA program in your state. Each state is different. The CNA program may be governed by the Health Department, the State Board of Nursing, or a separate branch that is specific to nurse aids only. In the state of Georgia the certifying body is the later mentioned. The nurse aid-training program certifying body is the Georgia Medical Care Foundation (GMCF). Please click here for more info GMCF Nurse Aid info. In the state of Georgia you must attend a FREE two day workshop offered by the state called “ Train the Trainer” in order to become a CNA instructor and/or start a CNA school. Dates for this workshop can also be found at the link above. Please note this workshop fills up FAST and is offered once a month so have the site booked marked and check it religiously every day to catch an open spot. I would also like to note you do not have to be a nurse to own a CNA school, however you must have a nurse (RN) be on staff to coordinate the program.

In many states you are responsible for writing your own curriculum and submitting it for approval. This affords you the ability to expound upon certain aspects you may feel are important to teach and can help you create a unique set of CNA graduates that facilities will seek out. The state of Georgia requires that your curriculum be at least 85 hours of instruction, lab and facility time. You can choose more hours if you wish. Choosing a book and writing a curriculum is VERY time consuming. It took me a year to write my own. Many states are open to which book you can use but be sure to check with your state to ensure you choose an approved book. In Georgia they discuss how to write your curriculum and which books are approved at the Train the Trainer workshop. If you still feel stuck or overwhelmed, feel free to consults someone like myself who has been there and done that. I will be happy to provide a consult to help you with your curriculum. Just email me at thesecretcocktail@gmail.com

Find a nursing home that is willing to contract with you. It is a state requirement that you have a contractual agreement with a facility to bring your students to so that they may gain hands on learning. Depending on where you live and the number of schools in your area, this process can take a while. Many facilities already have contractual agreements with other CNA schools or nursing schools and may be at capacity. Also some facilities insurance do not allow them to have students in their facility. Make a list of nursing homes far and near, find out who the DON is and make contact with them. Sell your vision and school to them. Why should they let your students practice there? Will you offer their employees a discount to attend your school? Can you promise them future staff members out of your graduates? Can the two of you partner to help fill their CNA shortage?

Submitting your curriculum and waiting for approval can take up to three months in Georgia. If you are lacking any documents or something needs to be corrected in your first submission, you have two additional chances to re-submit in a one-year period. If your curriculum fails all three times, you must try again in a year so you must be diligent! In the event your curriculum passes (which it will because you will be diligent) you are contacted for a site visit by the state and the site visit can occur up to 3 months after the curriculum has been approved. It is imperative you have a site identified and all required items ready at the site for inspection. An equipment list can also be found at the link above. For more info on curriculum help join my email list HERE. I give out free tips to help you along the way.

WHAT SOMEONE NEVER TOLD ME!! There are additional items that need to be submitted with your curriculum. In the state of Georgia, there are a multitude of forms you have to craft such as: Clinical sign in sheet, Class sign in sheet, instructor evaluation form, student evaluation form etc. If these are missing, you must resubmit, even though it is not part of the curriculum. Also the entire curriculum and all these forms MUST be printed out and hand delivered to GMCF for approval. All additional documents must be resubmitted the same way so have plenty of paper and ink handy because you will become a self made Kinkos! If you would like more tips on the SECRETS behind starting your own CNA school, visit my YouTube channel The Secret Cocktail. There you will find videos to answer your questions and give you insight on topics of interest.
Once your curriculum has been approved and you pass the dreaded site visit, they will let you know right then and there if you are approved to start, however you cannot open the doors of the facility until you received an actual letter in the mail. Being completely approved is the best felling in the world!!!

Personal words of advice: PLEASE! PLEASE! PLEASE! Have a business plan written. Ensure you have a solid marketing plan and be sure to have a strong partner (this was my failure). There is no way you can do this on your own. You need someone who is just as vested as yourself in the endeavor. Of course you will need an instructor to help teach and secretary to secure those students when they call, but you certainly need someone to help you in the background. Ordering supplies, marketing, accounting, building community partnerships, preparing for annual state inspections, cleaning the building, I mean the list goes on!!! I promise you, you cannot do it all alone. Both of you must understand this is not an instant cash business and you will initially be working for free just as you would with any other entrepreneur endeavor. However, with determination and perseverance you will strive for success and you will succeed!

I am excited for your venture and hope this article was helpful. This is just an over view as there are many other in-depth items and situations to ponder that may come up. Never get discouraged and remember the goal in mind. You can do this! Please feel free to ask any questions below in the comments section or email me if you are more specific questions I can address. If you feel you are ready to move forward with starting your own CNA school, register for my next seminar HERE.

—
Victoria Randle NP-

Chief Executive Director
New Beginnings Career Center Inc.
We are a proud 501c3
678-310-6168 Office

www.nbccisnumber1.org

www.facebook.com/nbccisnumber1
www.instagram.com/newbeginningscareercenter/
Victoria Randle NP and her daughter

This nurse practitioner started a CNA school after realizing that these valuable team members needed a more comprehensive program of study.

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v randleby Victoria Randle NP-C 

Deciding to become an entrepreneur can be a scary task to tackle, especially if you lack a mentor or support. You ask your self “ Where do I start? Which way do I go? Who can I trust?” It can all seem so overwhelming that you may give up before you even get started. However, with determination, perseverance, and a strong support team, it can be done! Remember, no one determines your fate but you!

In my practice as an RN, I saw a decline in the quality of CNA’s. I felt this stemmed from multiple issues. One big issue was a lack of nurse support for CNA’s thus causing a lack of pride in their work. I also noticed that many schools seemed so fly by night, “Become a CNA in 10 days!” Are these students really getting the exposure and sense of pride that they need for the job? That’s when I decided someone has to take action and that someone would be me!

I had no idea where to start and figured lots of things out along the way. I must say I did some major head bumping along the way. I met people who were very helpful, people who donated time and money in my vision and then there where those who of course just wanted my money and gave me only half of what I needed. Unfortunately we can’t always see those people coming. Nevertheless it took me two years to get my CNA program up and running. I would like to share with you the steps to get moving in the right path. I happen to be in the state of Georgia so much of this will be Georgia based, however other states are very similar.

  1. Identify your authorizing body for the CNA program in your state. Each state is different. The CNA program may be governed by the Health Department, the State Board of Nursing, or a separate branch that is specific to nurse aids only. In the state of Georgia the certifying body is the later mentioned. The nurse aid-training program certifying body is the Georgia Medical Care Foundation (GMCF). Please click here for more info GMCF Nurse Aid info. In the state of Georgia you must attend a FREE two day workshop offered by the state called “ Train the Trainer” in order to become a CNA instructor and/or start a CNA school. Dates for this workshop can also be found at the link above. Please note this workshop fills up FAST and is offered once a month so have the site booked marked and check it religiously every day to catch an open spot. I would also like to note you do not have to be a nurse to own a CNA school, however you must have a nurse (RN) be on staff to coordinate the program.
  2. In many states you are responsible for writing your own curriculum and submitting it for approval. This affords you the ability to expound upon certain aspects you may feel are important to teach and can help you create a unique set of CNA graduates that facilities will seek out. The state of Georgia requires that your curriculum be at least 85 hours of instruction, lab and facility time. You can choose more hours if you wish. Choosing a book and writing a curriculum is VERY time consuming. It took me a year to write my own. Many states are open to which book you can use but be sure to check with your state to ensure you choose an approved book. In Georgia they discuss how to write your curriculum and which books are approved at the Train the Trainer workshop. If you still feel stuck or overwhelmed, feel free to consults someone like myself who has been there and done that. I will be happy to provide a consult to help you with your curriculum. Just email me at thesecretcocktail@gmail.com
  3. Find a nursing home that is willing to contract with you. It is a state requirement that you have a contractual agreement with a facility to bring your students to so that they may gain hands on learning. Depending on where you live and the number of schools in your area, this process can take a while. Many facilities already have contractual agreements with other CNA schools or nursing schools and may be at capacity. Also some facilities insurance do not allow them to have students in their facility. Make a list of nursing homes far and near, find out who the DON is and make contact with them. Sell your vision and school to them. Why should they let your students practice there? Will you offer their employees a discount to attend your school? Can you promise them future staff members out of your graduates? Can the two of you partner to help fill their CNA shortage?
  4. Submitting your curriculum and waiting for approval can take up to three months in Georgia. If you are lacking any documents or something needs to be corrected in your first submission, you have two additional chances to re-submit in a one-year period. If your curriculum fails all three times, you must try again in a year so you must be diligent! In the event your curriculum passes (which it will because you will be diligent) you are contacted for a site visit by the state and the site visit can occur up to 3 months after the curriculum has been approved. It is imperative you have a site identified and all required items ready at the site for inspection. An equipment list can also be found at the link above. For more info on curriculum help join my email list HERE. I give out free tips to help you along the way.
  5. WHAT SOMEONE NEVER TOLD ME!! There are additional items that need to be submitted with your curriculum. In the state of Georgia, there are a multitude of forms you have to craft such as: Clinical sign in sheet, Class sign in sheet, instructor evaluation form, student evaluation form etc. If these are missing, you must resubmit, even though it is not part of the curriculum. Also the entire curriculum and all these forms MUST be printed out and hand delivered to GMCF for approval. All additional documents must be resubmitted the same way so have plenty of paper and ink handy because you will become a self made Kinkos! If you would like more tips on the SECRETS behind starting your own CNA school, visit my YouTube channel The Secret Cocktail. There you will find videos to answer your questions and give you insight on topics of interest.
  6. Once your curriculum has been approved and you pass the dreaded site visit, they will let you know right then and there if you are approved to start, however you cannot open the doors of the facility until you received an actual letter in the mail. Being completely approved is the best felling in the world!!!

PLEASE! PLEASE! PLEASE! Have a business plan written. Ensure you have a solid marketing plan and be sure to have a strong partner (this was my failure). There is no way you can do this on your own. You need someone who is just as vested as yourself in the endeavor. Of course you will need an instructor to help teach and secretary to secure those students when they call, but you certainly need someone to help you in the background. Ordering supplies, marketing, accounting, building community partnerships, preparing for annual state inspections, cleaning the building, I mean the list goes on!!! I promise you, you cannot do it all alone. Both of you must understand this is not an instant cash business and you will initially be working for free just as you would with any other entrepreneur endeavor. However, with determination and perseverance you will strive for success and you will succeed!

NBCC-color-LOGO-e1475348944489

Victoria Randle NP-C
Executive Director
New Beginnings Career Center Inc.
We are a proud 501c3
678-310-6168 Office
Victoria-No-BG