DiversityNursing Blog

Nurse gig shifts refer to temporary or short-term Nursing assignments that are often offered through staffing agencies or online apps. These shifts can range in length from a few hours to several weeks or months and are often taken by Nurses who are looking for flexible work arrangements or who want to supplement their income.

Gig shifts can be beneficial for both Nurses and healthcare facilities. Nurses who work gig shifts have the flexibility to choose when and where they work, and they can often earn a higher hourly rate than they would in a traditional full-time position. Healthcare facilities can use gig shifts to fill staffing gaps or to cover unexpected absences, ensuring that patient care is not compromised.

According to The Wall Street Journal, embracing gig apps is one way hospitals and health systems are looking to provide flexibility and fill vacancies. This includes Providence Health.

Providence added gig Nurses last year and has filled 13,000 shifts for Nurses and other medical roles, Mark Smith, who oversees workforce analysis, staffing and optimization for the organization, told The Wall Street Journal. He also told the publication the health system plans to expand gig work from 12 hospitals and Nursing homes to 19.

“We make sure the Nurses who work through the app are thoroughly vetted and have the licenses and certifications required to work on the Nursing unit they’re receiving training to work on, just like our own caregivers do,” Smith explained. “At Providence, we’ve found that Nurses taking assignments through the app fill six shifts per month.”

Among the apps hospitals are adopting are ShiftKey, which lets Nurses bid for shifts, and CareRev, which lets hospitals raise and lower their rates for different shifts. 

However, there are also some potential drawbacks to working gig shifts. These can include inconsistent work schedules, lack of benefits, and a lack of job security. Nurses who work gig shifts may also miss out on opportunities for professional development and career advancement that are more readily available in traditional full-time positions.

Overall, whether or not you should pursue gig shifts depends on your personal goals and priorities. It's important to carefully consider the pros and cons of gig work as well as research potential employers and platforms before accepting any assignments.

Patients become difficult for many different reasons. They sometimes become challenging due to diseases that affect their reasoning, like dementia or Alzheimer’s. Other times, patients can become verbally or physically abusive due to high-stress situations or unmet wants or needs. Regardless of why some patients become difficult, Nurses can help handle and diffuse difficult patient interactions with these 5 helpful tips.

Stay Calm

It may be challenging to stay calm when dealing with a problematic or irrational patient, but controlling your emotions is one of the most important things you can do during a confrontation. Reacting to a patient with anger can only escalate the situation and make it worse.  

When dealing with a difficult patient, remember in most cases, they are only being difficult to get their needs met and not to cause trouble. However, other times, patients may be misdirecting their feelings of fear or uncertainty onto you, and it is our job to help them navigate their feelings and de-escalate the situation. Some Nurses have found practicing meditation and yoga helps to develop healthy coping methods and strategies to navigate stressful patient interactions.  

Control Your Body Language

It is only natural to become defensive during a controversial situation. Your body language can often speak louder than spoken words. When interacting with difficult patients, it is important to evaluate your nonverbal communication and ensure it is portraying the right message. You should also avoid standing with your arms crossed, as it can be interpreted as rude or standoffish. Learn to control your facial expressions, gestures, and posture during difficult interactions to help diffuse the situation.  

Listen

When a patient becomes loud or argumentative, it’s natural to respond with anger and defensiveness. In these times, it is essential to remember that the patient is coming from a place of needing to be heard. Whether their request is reasonable or not, we as Nurses must listen to their concerns or complaints.

If you set aside your own feelings about the situation and listen to what the patient is saying, you may be able to get more insight into the situation and come up with a better solution to the conflict. Many times, you may not need to come up with a solution for the patient. They just need someone to listen to them and feel heard. We have to remember, patients are usually in a vulnerable state when being cared for and can be scared, frustrated, or hurt. Listening is one of the easiest ways we can connect with our patients and help them to heal both physically and mentally.  

Have Empathy

Empathy is one of the most important traits of a Nurse. When dealing with difficult patients, it is important to remember they are going through a tough time, and they may be displacing their anger onto you as their Nurse. Make sure you always try to put yourself in your patient’s shoes to better understand where they’re coming from. Patients are only human. They want to be heard and understood. If we connect with them through empathy, it will help to diffuse many uncomfortable situations.  

Set Boundaries

As Nurses, it is our job to provide for the wants and needs of our patients, but it is important to do so within your set boundaries. Sometimes, patients demand things that are unreasonable. Make sure they understand the limitations of your role. As a Nurse, it is important to find the balance between meeting your patient's needs and also standing your ground and not letting a patient push you around. Some patients may try to take advantage of your kindness so it is important to set boundaries and stick to them.

Unfortunately, every Nurse has had the unfortunate experience of dealing with a difficult patient. Next time you find yourself in a challenging situation with a patient, keep these helpful tips in mind so you can get back to providing your patients with exceptional Nursing care. 

Emergencies can happen anywhere and patients need to be transported to facilities via ambulance or flight. This is when Critical Care Transport Nurses (CCTNs) are needed.  

These Nurses travel with patients on the ground or in the air, providing dire medical care until they reach their destination. It is fast paced work often in smaller, more confined areas with limited equipment and tools.

“Critical care transport encompasses any type of critical care patient who needs to be moved from one facility to another to a higher level of care,” says Wanda Keaton, MHA, BSN, RN, CCRN, CFRN, Nurse Manager of Critical Care Transport at Cleveland Clinic. “We can transport these patients by ground in a mobile ICU, in a helicopter or in an airplane.”

The motto of the Cleveland Clinic critical care transport teams is “no patient too sick, no patient too far.”

CCTNs can work in a variety of settings such as:

• Government agencies
• Hospitals
• Independent transport companies 
• International medical organizations
• Long-term care facilities

The majority of their time is spent in:

• Ambulances
• Airplanes 
• Helicopters
• Ships specially outfitted for critical care transport

"Is it stressful and scary? Yes! Do I love every minute of it? Absolutely!" -- Alice Benjamin, APRN, MSN, ACNS-BC, FNP

Successful CCTNs should posses a range of skills such as:

• Advanced Nursing knowledge
• Excellent communication skills
• Ability to deal with stress and keep calm
• Confidence in your knowledge, training, and abilities
• Physical endurance
• Ability to adapt to changing circumstances
  
  

How to become a Critical Care Transport Nurse:

• Earn an Associate degree in Nursing (ADN) or a Bachelor of Science in Nursing (BSN) degree

• Pass the NCLEX exam to receive RN licensure

• Earn your advanced life support certification

• Gain experience in Emergency, Med-Surg, or Critical Care Nursing

• Consider becoming certified 

Nursing Certifications to consider:

• BLS – Basic Life Support
• ACLS – Advanced Cardiac Life Support
• CFRN – Certified Flight Registered Nurse
• TPATC – Transport Professional Advanced Trauma Course
  
  

The average Critical Care Transport Nurse salary in the United States is $91,700, according to Salary.com. 

“All of our Nurses feel like they learn something new every day,” says Keaton. “There’s never a dull day for a Critical Care Transport Nurse.”

To learn more about this field, visit Air & Surface Transport Nurses Association

Thinking about changing careers? At any stage in life, Nursing is a great choice because Nurses are always in demand. It's a challenging, but rewarding field and previous education can help you become a Nurse faster.

"I'm a second career Nurse. What's wonderful about Nursing, is that it's very accessible after you've already been to school or college for another type of degree," Telemetry Nurse, Victoria told Johnson and Johnson. 

If you already have a Bachelor’s degree in any field, an accelerated Bachelor of Science in Nursing (ABSN) program is the quickest route. It usually takes less than 2 years. If you don't have a prior Bachelor’s degree, you can become a Registered Nurse (RN) with an Associate’s Degree in Nursing (ADN) or you can enter the workforce even quicker by becoming a Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). 

After you earn your Nursing degree, you’ll be eligible to take the National Council Licensure Examination (NCLEX), which is administered by the National Council of State Boards of Nursing (NCSBN).

There are two of the NCLEX exam: The NCLEX-RN is a computerized exam required by all state boards of Nursing to qualify for an RN license. The NCLEX-PN is required to practice as an LPN.

After you pass the NCLEX, you must apply to your state board of Nursing for a license to practice.

If you're asking yourself, "Am I too old to become a Nurse?" The answer is no, it's never too late to join  the Nursing workforce. According to the NCSBN, the median age of working Registered Nurses is 52 years old. 

It's also important to remember this point by Indeed, your career length doesn't reduce the impact you may bring to the unit once you work as a Nurse. Your contribution makes a huge difference regardless of how long you can be active in the field.

"If you are a baby boomer or Gen X, there’s a place in Nursing for you. Your past work experience, dedication and passion are all needed resources within the healthcare arena. As Uncle Sam once said, “We Want You!," wrote Judy McDaniel, RN, MSN in a Nurse.com article.

According to The Department of Labor, The U.S. Bureau of Labor Statistics projects that more than 275,000 additional Nurses are needed from 2020 to 2030, and that employment opportunities for Nurses will grow at 9%, faster than all other occupations from 2016 through 2026.

This high demand is due to a variety of factors such as an increase in chronic conditions, an aging population and a stronger emphasis on preventative care.

Commitment, Conscience, Competence, Compassion, and Confidence

Learning and adapting these concepts will allow you to provide better care and will improve the relationships you have with your patients as well as co-workers.

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