By Janelle

January 29, 2019

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Living a Balanced Life in a Chaotic Surrounding

Balanced Life
Photo provided by Summer Steakley via Instagram @Summer_In_Scrubs

For twelve hours a day, three days a week, I talk. I talk to co-workers, Physicians, patients, patient’s families, pharmacists, lab technicians, Volunteers, and whoever else would like to present themself in the Labor and Delivery unit. I discuss the process of labor, the reason you are having tests, the reason you are pregnant, the technology we are using, pros and cons of certain therapies versus others. Some days I come home to the faint cries of newborns, screams of mothers, and beeping of machines still inside my head.  So how do we turn this off? How do we silence those alarms in our minds? How do we debrief? How do you live a balanced life?

For most nurses, the constant ring of alarms is considered normal for coming home from a long shift, but is it? As Travel Nurses, we add the stress of being in new hospitals, new towns, new states, new policies… every thirteen weeks; that has to make us clinically nuts… right?  Though I am not an experienced traveler yet, I would like to place some input on maintaining a balanced life in our crazy, gypsy lifestyle.

1. Get Outside.

I have read various studies that suggest hiking and being outside (disconnecting from technology) can make even the most depressed person happy. (I will include a link to a Huffington Post article here, but if you have an interest in more articles, please feel free to reach out)

2. Eat a Balanced Diet.

Friends, it’s true, you have to take care of your body! Even when traveling. Some of my favorite snacks, especially for flights or road trips, are:

  1. Olive snack bags: they are sold at many grocery stores and don’t contain water, so they are perfect for flights.
  2. Mama Chia snack packs: a yummy and fruity quick snack.
  3. String Cheese
  4. Kombucha: Not really flight acceptable unless you spend the $12 at the airport, but I love having it on the road.

3. Take a Moment of Silence.

This is a little different than pouring libations for your homies. Before my shift, I give myself a little time to wake up. I put on some soft jams in the morning and make my coffee. I am not a huge breakfast person, but sometimes I will snack on fruit. In any event, I give myself the time to wake up and SIT. No phone, no computer… nothing but me, my French press and some music. It lets me prepare mentally for whatever my shift will bring.

4. Make a Decision.

Your day is your choice. Every day. Every time. Choose to have a good day or a bad day. Choose to be affected or not to be.

5. Have a Hobby.

In this assignment, I really started to get into climbing. It’s a good way to feel 8 years old and not judged by it. You get to climb and play on stuff, and it’s totally NORMAL. But find something you can dive into. Yoga, pottery, drawing, painting… have an outlet where your mind can release, and you are not bothered by the chaos of work.

6. Have a Hiding Place.

Sometimes at work, I just need TWO MINUTES to step away. My go-to is usually a bathroom, to be honest. It’s SO quiet in there. I lock the door, place my index and thumb over my earlobes and rub my earlobes. This is weird, BUT I learned this once at a holistic medical conference. It is supposed to help you relax. I tried to GOOGLE some research on this, and it appears it is very little… so maybe it’s a fable, but it helps me, so Why Not?

7. Drop Your Day at the Door.

I find it funny, our profession. Even on the WORST DAYS, we get out of work, and all we can do is talk about work. We obsess. Either has a rule where you can vent to a friend for about 15 minutes max, or drop your day at the door. You did the best you could. The shift is over, and you can’t fix or change it.

I hope these pointers are helpful! Let me know if you have any fun tips on living a balanced life. And most importantly, “Keep on keeping on” fellow Gypsies!


Want more information on travel nursing?

Check out our Travel Nurse Guide


By The Gypsy Nurse

August 6, 2018

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Travel Nurse Burnout

I’ve talked in the past about Nurse Burnout being relieved by travel nursing but what happens when the travel nurse experiences burnout from being on the road and away from family for too long?

I’ve recently experienced this ‘new to me’ phenomenon.

I’ll generally take time off Travel Nursing around Thanksgiving so I can spend some ‘holiday’ time at home before the mad rush of the actual holiday begins.  I work the holidays…always have.  It normally doesn’t bother me to be at work on Christmas day, Christmas eve and the new Year holidays.  I take a certain joy in the fact that I can work and allow someone else to take the day off to spend with their family.

This year was different.  I don’t know the reason, I’m still trying to process everything.  The holidays this year for me were lonely and I couldn’t wait to get home and spend time with my family.  I think I was experiencing Travel Burn Out and I’ve learned some lessons along the way.

Suggestions to Eliminate Travel Nurse Burnout

  • Know what ‘family’ events are important in your life and KEEP them Important.
    • For me, this was an awakening.  I always knew that going home before the holidays was important, I’d always planned around it in order to be able to. Neglecting this time with my family was detrimental to my mental well-being.  It’s not always about the physical health but also your mental health. If you can’t go home to the family bring the family to you!
  • Take time off from Traveling and Re-connect with family and friends.
    • Nursing alone is a stressful job that we need to take time away from to hold onto our compassion.  I’ve found that making sure to take time to do the things that I enjoy with people that I enjoy being around has made me a more caring nurse.  I was recently on contract and had just come back from a short hiatus. My co-workers were stressed, and exhibited a lack of patience with the patients.  I’ve experienced these same episodes in the past but this time was different.  Having had taken time off to re-connect with ME, I felt I was able to truly take better care of my patients. I was happier. I was less frustrated with the hospital and staff inadequacies.
  • Know that it’s ok to take a break from being a Tourist
    • While working in a new city one of the great things is that we get an opportunity to be a tourist.  In any given area, we develop a list of ‘To-Do’ things that we want to see, do, or experience in our short time.  I find myself occasionally feeling guilty for the day off spent lying on the couch catching up on a favorite TV series or simply taking a day out to rest and relax.  Feeling like you have to spend every waking moment (when not working) out exploring and checking things off your list can become almost a chore.  Remind yourself it’s ok to take a break. Another option is to combine tourism with something that you enjoy. These running tours are the perfect example (if you are a runner).

I would love to hear from you. What challenges do you face that lead you to Travel Nurse Burnout?  What tips do you have for the travelers to elevate these?  Please comment below.

By Kosta Miachin

May 14, 2018

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5 Yoga Poses That Help with Indigestion While Travel Nursing

Long trips can really mess up our body’s natural rhythm. This is especially true when we travel into a different time zone. The bigger the change, the more under the weather feel.

Not only will our day-night rhythm be out of sync, keeping us awake at night, a jet lag can cause headaches, nausea, and indigestion. Sometimes we can’t relieve ourselves for days.

But not only occurs this phenomenon when traveling into a different time zone but also when simply traveling to a new place. Sleeping in a different bed, eating unfamiliar food – A change in the environment is often enough to put our digestive system completely on hold.

You will be happy to hear though, that there are some tricks that can help you get your bowel movements back on track within a short period of time.

Next to eating a nutrient-dense diet, rich in fiber, there are many yoga poses that are known to activate your digestive function and get you some release.

Another good news is: You don’t have to be an experienced yogi performing crazy bends to get the benefits. The 5 yoga poses listed below are very straightforward, so no matter if this is your first attempt at yoga, or you’re a regular practitioner, enjoy them and keep breathing regularly throughout the practice, as I cannot stress enough the effect deep belly breaths have on our digestion.

Yoga Poses

1. Marjaryasana – Bitilasana (Cat – Cow Pose)

 Cat and Cow are usually practiced together in a flow. Come onto all fours into tabletop position. Make sure your knees are right above your ankles and your shoulders are above your wrists.Spread your fingers wide and press your hands firmly into the mat. On your next inhale, drop your belly and arch your spine, roll your shoulders back and look up to the sky (Cow). On the exhale press into your hands, drop your tailbone, pull your belly button towards the spine, gaze to the navel (Cat). Repeat this movement for 10 more rounds. When in Cat, really suck in your belly, which helps massaging your organs and your digestive tract.

2. Ardha Matsyendrasana (Half Lord of the Fishes)

 Twists are a great way to get our digestion moving. For Half Lord of the Fishes pose, sit on the mat with legs extended to the front, keep a straight spine. Then bend your right leg and cross it over the left leg, sole of the feet on the floor. The right knee is pointing up towards the sky. Bend your left leg and bring your left foot next to your buttock. If this stretch is not available to you, keep your left leg extended to the front. The effect will be the same, so don’t worry about it.

On your next inhale straighten your spine, lift your left arm and place it to the outside of your right thigh. Plant your right hand right behind your buttocks, twisting to the right side. Make sure you keep your chest open. Use your in-breath to lengthen the spine, and the out-breath to twist a bit further by sucking in the belly, then twisting the upper back, then the shoulders. Move gently and with your breath, and after about 10 breaths, turn back to center and twist gently to the left as a counterpose for one breath.

Repeat on the other side.

3. Dhanurasana (Bow Pose)

Let’s warm up our spine by coming into Locust Pose first: Lie down flat on your belly, extend your arms to the front alongside your ears, your legs are extended to the back. On the inhale lift your arms and legs off the mat. Gaze is towards the mat. Take 4 – 6 deep breaths into the belly, feel it pressing into the mat, massaging your organs. Release arms and legs back onto the mat. Bring your arms alongside your body and turn one cheek onto the mat, relax here. Repeat Locust Pose one more time.

Moving on to Bow Pose: Still on your belly, bend your knees, reach back with both arms and grab the outer edges of your feet. On the next inhale, press your feet into your hands. You will feel your torso lifting slightly off the mat. Maybe your thighs are coming off the mat, but if they don’t – no problem. Breath deeply into the belly and let your breath rock your body gently to the forwards and backwards. This is where the magic happens, activating your bowels.

Hold for 4 – 6 breaths, then release the grip on your feet and slowly lower your torso down onto the mat. Place the other cheek on the mat and relax. Repeat Bow Pose one more time.

Counterpose: When you feel your spine has reset – push gently back into Child’s Pose.

4. Ardha Pavanamuktasana (Wind-Relieving Pose )

 Come to lie flat on your back with both legs extended. Bend your right knee and bring it into your chest. Hug the knee with your arms. Now with every exhale, bring your knee closer to your chest. Take about 10 deep, conscious breaths here, then repeat on the left side. We start this pose with the right leg, as our movement follows the direction our food travels in our digestive tract.

When you’ve done both sides, bring both knees into the chest, and feel the belly pressing against your thighs. Then release your legs back onto the mat.

5.Supta Matsyendrasana (Supine Spinal Twist)

 Stay on your back. Bring your right knee back into the chest as described in the Wind-Relieving Pose, then lead your knee over the left leg, with the right hip lifting off the mat. If the right knee doesn’t come all the way down to the floor, place a folded blanket or rolled-up towel underneath it for support.

Arms are spread to the sides, both shoulder blades are glued to the mat. Gaze goes either towards the sky or over your right shoulder. Take 10 deep breaths into your abdomen here, and with every exhale relax a little bit more into the twist. When done, bring your knee back up into the chest, give it a little squeeze and extend it alongside the left leg.

Repeat with the left leg.

The great thing is, you can do all the above yoga poses on the floor of your hotel room, or even on the beach. If you really can’t find any space, you can always do them on your bed.

Keep your body well hydrated and trust the effect that these yoga poses have on your digestive system. They have helped people already for thousands of years.

By The Gypsy Nurse

January 24, 2018

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Health and Medication Issues for the Full-Time Travel Nurse

For the full-time travel nurse (or healthcare professional), finding adequate insurance coverage, maintaining your medical appointments, and obtaining prescriptions can be quite difficult. And…let’s be honest, a bit daunting especially with everything else that you’re trying to figure out such as housing, tax-free stipends, contracts, etc.

Most insurance companies do business in a manner that is very unfriendly to those who don’t remain in a particular neighborhood or city, like the travel nurse.  One alternative option may be the up and coming ‘Concierge Medicine Companies’ like MDVIP and similar concierge medicine companies (This is not an endorsement for this company).

“This is a practice model where the patient will pay the physician an annual retainer in return for greater access and more personal attention from the physician.”

(To read more: Concierge Medicine Trend Continues and Creates New Clients for Clinical Pathology Laboratories | Dark Daily)

While it generally costs a bit more for these concierge services, your medical records are provided as a digital copy, and when you need an appointment, you simply go to the website and you can make an appointment with a local MD VIP / or similar company physician. MDVIP has 450 affiliated physicians in 38 states. This could possible be a growing healthcare model in the light of exorbitant insurance costs for those who’s employer isn’t covering a portion.

Tips for Prescriptions for Travel Nurses:

  • Have your PCP write 3 months worth of prescriptions (post-dated).
    • Many Pharmacies will allow a written script (even for narcotics), with a phone verification to the physician.
    • The PCP would just need to write the date it can be filled. Example: “Do not fill until…”
    • For non controlled medications, you can have the pharmacy that’s near to you call your previous pharmacy for a transfer of your script or get a 90 day supply if your insurance will cover.
  • Set up your prescriptions with a nationwide pharmacy and simply transfer the script to your current location:
    • Nationwide Pharmacies Include
      • CVS
      • Walgreens
      • Costco
      • Wal-Mart
      • Target
    • Mail Order
      • Many mail-order programs will supply 90 days of medications
    • Try seeking out a local ‘walk-in’ Clinic. Some will review your medical records and provide a prescription without issues.

TIPS for Healthcare Checkup’s

  • Take a complete copy of your medical records with you. This could be a digital or paper copy. Depending on your medical issues, it’s possible to get scheduled check-ups at a local PCP, urgent care, or Clinic.
  • Schedule your annual check-up with your home based Primary Care Physician. Some medications require more frequent visits/check-ups. If this is the case, plan your contract around these necessary visits, or plan to fly home from your contract to complete this very necessary item. If you are in need to fly home for medical check-ups, schedule your visit well in advance and have the time off written into your contract. Don’t forget to discuss any time-off needs in your interview with the hospital.

Ultimately, it can be a bit more difficult for the full-time traveler with ongoing health issues but this shouldn’t be a deterrent to traveling. With a little extra leg-work and pre-planning, it’s very possible to work around these minor complications.

If you have tips on this topic, please post in the comments. Help us learn from each other by sharing your experiences.

By The Gypsy Nurse

January 6, 2017

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3 Fast Remedies for Travel Nurses On the Road

By Annette Tersigni RN, The Yoga Nurse™

Travel nursing is a glamorous, exciting adventure. You are a nursing rock star on the road. And yes, at times, you’ll feel stress and anxiety related to all the busyness of settling into your new gig. And you want to feel calm, confident, and competent when it’s show time. Here are three quick, easy and proven remedies that any nurse can do. Treat yourself on the road, on the job and in your daily life.

  1. Airway open? Take a deep cleaning breathing break.

  1. Circulation? Try this quick stretch when the job is a pain in the neck. Couch Potato Yoga. Uh-huh. You can do this in a chair at work, or soon as you land on your couch at home.

3. Anxious mind. Fear? Use one of these mantras.

What is a mantra?

A mantra is an instrument of the mind.

You repeat it over and over and over and over like a catchy tune.

You replace the downer; burn out thoughts with these mantras.

I have TWO versions here. USE the one that resonates with your heart and spiritual/ religious belief system. Personally, I use both.

VERSION #1

LOVE GOES WITH ME WHEREVER I GO

LOVE GOES WITH ME WHEREVER I GO

LOVE GOES WITH ME WHEREVER I GO

Repeat now and always in your nursing travels. I shared this in NYC recently, with hundreds of nurses who are still recovering from their extreme, heroic efforts during Hurricane Sandy. They loved this mantra, and it loved them.

I also gave it to a client who had a recent stroke and is crumbing under the enormous road to recovery she has a head of her. Both she and her weary husband use this mantra and their burdens were made lighter. I wish this for you.

VERSION #2

GOD GOES WITH ME WHEREVER I GO

GOD GOES WITH ME WHEREVER I GO

GOD GOES WITH ME WHEREVER I GO

The Plan
Repeat, repeat, repeat heading into work, on the floor, at the bedside, with your nursing colleagues, in your car, on the plane and when you’re ready to breathe fire at someone at work plus it’s great to help you with insomnia. Repeat until, the Mantra repeats itself, on auto pilot- until it becomes engraved in the soft ware of your nursing soul, a good vibe ever humming in the background of your consciousness.

More Remedies for your Travel Nursing Career
If your heart resonated with this sharing, you may wish to discover how you can learn a complete, empowering program of remedies. You can take this training while you are on the road.   Get an easy, proven, cool, brand of nursing education for YOU and your patients that you can do…in your PJs.  NO EXPERIENCE IN YOGA REQUIRED. Read More

Annette Tersigni, RN, the Yoga Nurse™, is a former Hollywood actor and cover girl turned nurse, a healer who is passionate about expanding consciousness in health care. An author and inspirational speaker, she is the founder of Yoga Nursing™, an accredited, new field in nursing education. Annette is a successful nurse-entrepreneur who saves and transforms lives physically, financially, and spiritually. She is the author of the inspirational best seller, The Richest Woman in Babylon and Manhattan.  You can also find out more by visiting: www.yoganurse.com