Career Articles for Nurse


 Why do we, as nursing professionals, have to put in effort to continuously learn? 

 The rate of progress in technology is growing at an exponential rate. The more things we discover, the faster we do it. What we learnt in nursing school 10 years ago might already be obsolete next year. As nurses, we are at risk of endangering our patients as our skills are steadily becoming more outdated. 

 Lifelong learning is a term that is freely being thrown around these past two decades. Lifelong learning means that education does not end at the academic level upon graduation; it means new skills, knowledge, and practices are always there to be learnt to improve oneself. 

 New Methods of Nursing 

 Take CPR, for example. 

 A vital procedure, many lives are saved with it. You would think that for something used so much in hospitals, it would be a science that’s very well established. 

 Unfortunately, no. Researchers and new observations change the way CPR is done. A decade ago, CPR was considered futile after a certain amount of time. Now, you are encouraged to  not give up  those chest compressions until medical help arrives. 

 Even the steps for CPR ten years ago are in different order. It used to be A-B-C; clear Airway, apply rescue breaths, then begin compressions.  Now compressions come first and foremost . The reason is because rescue breaths lower chest cavity air pressure, slowing circulation (which is exactly what we do not want in cardiac arrest). 

 The new methods are more effective than the older ones. And it took only ten years for the old methods to become obsolete. 

 Not knowing the newer, more effective method could cost someone his/her life. 

 Renewing Your Nursing License 

 In Malaysia, you have to renew your license every year. 

 When you renew your license, they will check your CPD points:  Continuous Professional Development  points. These are points that you gain when you go for any nursing related courses. 

 For example, attend a Midwifery course and gain 5 CPD points. Attend a Wound Management course and get 3. 

 These points accumulate throughout the year, and when you want to renew your license, you need about 20-30 points. Otherwise, you will not be able to renew, thus leaving you without any form of registration. Meaning you can’t practice nursing! 

 Improving care towards patients 

 Nurses with a higher level of education are able to think more critically of their patients. They are able to aid in diagnosis, notice patterns in communication, and other physical cues that would help in determining the best course of treatment. 

 A nurse with a post-basic in cardiology is much more useful to a cardiologist compared to a general staff nurse. They can work together, exchange information, and execute procedures that the latter would not normally have the ability to do. 

 21st Century patients 

 Nowadays, patients are have more access to information than ever before. They are more learned, and have different set of expectations. They query a lot; so nurses have to be armed with the right set of information to cater to these patients. It goes a long way in establishing their trust towards you. 

 A good nurse-patient relationship is very important to achieve successful recovery. 

 Great nurses are always on the lookout for new, exciting, and better opportunities to grow their career. Find out your next employment with MIMS Career, a fast, secure, and convenient portal to connect you to top-class healthcare employers in MY, SG, ID, and PH.

The Importance of Lifelong Learning for Nurses

Why do we, as nursing professionals, have to put in effort to continuously learn? The rate of progress in technology is growing at an exponential rate. The more things we discover, the faster we do it. What we learnt in nursing school 10 years ago might already be obsolete next year. As nurses,...

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 A few weeks back Malaysians were shocked to hear of a man  impersonating a medical officer at a hospital  in Alor Setar. What was impressive was that the man kept the act up for about a year before authorities caught him! 

 There have been many cases of people impersonating doctors or surgeons for all kinds of reasons. These are some of the most interesting throughout recent history. 

 1. Kristina Ross 

   

  Fake profession : Plastic Surgeon 

 Kristina Ross frequented bars and pubs, claiming to be a plastic surgeon. She’d approach unsuspecting women, sweet-talk them and get them to know about her “private practice.” Under the guise of a plastic surgeon, she would conduct “breast examinations” on these women, and have them contact her number. 

 Her years of fake activities was brought to a halt when two recipients of her “free breast examinations” contacted the number Ross gave. The number belonged to a real plastic surgery clinic, but had no surgeon that went by the name of Kristina Ross. Their suspicions of the phony surgeon grew, so they called the police. 

 The authorities launched an investigated, and arrested Ross sometime later. But that’s not the last part of the story; upon arrest, it was discovered that she was actually a transgender man who changed his sex. 

 Bottomline: don’t subjugate yourselves to medical exams in non-clinical settings. 

 2. Francisco Rendon 

   

  Fake profession : Dentist 

 Rendon was able to practice his own twisted brand of dentistry for about 16 months before the police finally caught on. 

 His dental clinic was situated between two automobile workshops. His patients grew wary of his dental credentials as they had to sit in a leather office seat instead of a reclining chair. 

 Hygiene was not maintained well; Rendon made his patients spit into a trash can rather than a proper sink. He used unlicensed tools, including a tool which purpose was to polish cars on his patients. 

 When the authorities came to his “office” to arrest him for practicing without a license, he still had many patients in the waiting room. 

 3. Keith Allen Barton 

   

  Fake profession : Doctor 

 This lying physician claimed that he could cure serious diseases like HIV and cancer. He claimed he could “stop the diseases before they spread” and “nip it off from the bud.” He spread lies about the pharmaceutical industry, propagating the myth that corporations were hiding the real cure to those diseases. 

 In reality, what he did was charge his patients exorbitant fees for his homemade cures. Most of his remedies were made of cheap ingredients and did nothing to improve patients’ conditions. Sometimes he even made it worse. 

 He shares the same name as a registered doctor in California, and used this fact to swerve past the authorities. He was finally arrested under charges of identity theft and grand theft. 

 4. William Hamman 

   

  Fake profession : Cardiologist and Medical Speaker 

 Everybody liked him; he flew commercial planes for a living, and was also a cardiologist with 15 years of experience at the side. He frequently published papers in academic journals. He went around delivering lectures at universities and Cardiology seminars. 

 One day he submitted an early draft to a university committee that oversaw publication for their medical journal. One staff member spotted a glaring flaw in the otherwise impeccable paper; he had no M.D. (medical doctor) qualification. 

 What makes Hamman so interesting is that his academic achievements as a fake cardiologist were particularly impressive. His focus was on team-based efforts and how to get cardiology teams to work better together to improve outcomes. It had real academic weight to it. 

 5. William Bailey 

   

  Fake profession : Doctor 

 Bailey was an eccentric man. Being born in the late 1800s, when radioactivity was still a poorly understood science, he was obsessed in marketing the health benefits of consuming radioactive substances for the masses. 

 In 1918, he released Radithor; a tonic that he claimed could cure diseases and restore health by stimulating the endocrine glands. Of course, there was no scientific basis to this. Radithor was made by adding radium crystals into water. It gave off an emission of 1 microcurie per mole of Ra. 

 Despite not being proven to be effective, the public lapped up Bailey’s bogus claims of the healing properties of Radithor. Eben Byers, a young Pennsylvanian competitive golf player, was urged to take the irradiated substance after a consultation with his doctor. He was suffering from pains in his side; so he bought and drank Radithor on a daily basis. 

 Byers died in 1932. He had holes in his skull due to radiation poisoning; his jaw even fell off as it degenerated. He had to be buried in a lead coffin to contain the radioactivity from his body. 

 Bailey died after the Second World War, after having suffered from multiple cancers and poisoning. 

 
 Source: 

 
	  http://www.dailymail.co.uk/news/article-1330725/Kristina-Ross-pretended-plastic-surgeon-conduct-bar-room-breast-exams.html  
	  http://www.nbcchicago.com/news/local/francisco-rendon-fake-dentistry-charges-91216374.html  
	  http://www.nbcsandiego.com/news/local/Phony-Doctor-Keith-Barton-Claimed-He-Could-Cure-HIV-Cancer-DA-186240712.html  
	  http://abcnews.go.com/Health/MindMoodNews/fake-cardiologist-william-hamman-duped-real-doctors/story?id=12395288  
	  https://en.wikipedia.org/wiki/Radithor

Top 5 Fake Medical Practitioners

A few weeks back Malaysians were shocked to hear of a man impersonating a medical officer at a hospital in Alor Setar. What was impressive was that the man kept the act up for about a year before authorities caught him! There have been many cases of people impersonating doctors or surgeons for...

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 The noble profession of healthcare; where the work started off from compassion and spirit of alleviating others’ suffering. 

 It is however, very unfortunate that physicians and nurses are not spared from the issue of bullying. We tend to think that bullying only occurs in schools, and are surprised to hear that it also happens in immature settings. 

 Bullying is a form of directing the bullies’ dissatisfaction inward or towards each other, themselves, and towards those who are less powerful and influential than themselves. 

 Examples of bullying in the workplace include being spoken in a belittling manner or being lambasted by the older generation for being weak and spoilt. 

  Studies  show that Asian healthcare workers report the largest quantity of workplace-related bullying. The study was carried out in Singapore, showing abuse by nurse managers and colleagues. It also implies that 70% of the staff choose not to report workplace incidents, suggesting that the number of bullying cases might be even higher. 

 Bullying cases may not be always obvious. It might not be someone yelling at a poor junior nurse in the OT in front of everyone. Shaming, spreading malicious rumors about a co-worker still is bullying, and so are refraining from promotions or the right to take leave. 

 Why it happens 

 As previously mentioned, bullying not only happens at immature settings such as in schools, but also at workplaces all the way up to the higher echelons. A stressful environment, poor working conditions and poor leadership are prime vectors for bullying cases in the workplace. 

 The perpetrators involved in these cases are usually the ones in power. They exercise their power over helpless individuals, humiliating and belittling them in order to make them feel superior. They are usually authoritative, and oppressive in behavior. 

 There is also a pattern in the victims of such bullying. Doctors and nurses below the age of 30 reported to be more likely to experience workplace bullying. This is due to their position in the workforce- they are generally the lowest tier amongst everyone else, and are prime candidates to be targeted by perpetrators wanting to flex their authority without much of a pushback. 

 Another study conducted in Asia showed that nurses with high levels of anxiety were almost five times more likely to experience verbal abuse. Because they are by nature unsure of themselves, they do not have the mental standing to push away from bullies’ abuse. Other personality types that are highly associated with bullying are those who are inexperienced, less assertive with their work, lower confidence, and have vulnerable personalities. 

 Effects 

 Decline in productivity and effectiveness of care 

 The physical and emotional health of the victims decreases, which ultimately leads to worse quality of care for patients. 

 Victims report headaches, sleeping disorders, and medical errors done, which in turn leads to an increase in absenteeism. An increase in absenteeism due to health issues leads to understaffing of a healthcare institution. 

 Incur costs 

 Lower morale from victims results in a higher employee turnover rate. This is costly towards the institution; it is far more expensive to constantly replace employees compared to keeping them and increasing their pay year after year. It just doesn’t make much financial sense. 

 Higher intetion to quit the job leads to career burnouts whuch are much earlier than normal. Impacting non-workplace relationships as well. 

 Death 

 When nurse managers or MOs abuse their co-workers by refusing their right to leave, catastrophic results follow. Malaysian newspaper “The Star” reported in May that concerns have been rising about road accidents among tired and overworked doctors. Not too long ago a houseman in Kota Bharu Hospital hit a cow on the way home and died. Nurul Huda Ahmad, a paediatrician in training, died in a motor vehicle accident after nearly  33 hours on duty . 

 Ways to Stop It 

 It is not enough to simply tell the staff to “just stop the bullying.” The superiors of the workplace have to encourage their staff to speak out and report any instances or cases immediately. In addition to promoting a safe environment where employees can do so, employers must train effective communication skills to promote reporting as being viewed as an acceptable and necessary behavior. 

 Moreover, the training provided must encompass business etiquette that touches upon cultural sensitivity practices, and educate the workforce on negative working behaviors. Sometimes, the bullies may not even know about what they’re doing, until pointed out to them. 

 In the case of management, policies set in place creates a code of conduct to stop these cases. It is important to enforce it consistently for all staff members. Document any violations. This mitigate behaviors like persistent criticism that has no basis. 

 The way forwards 

 The act of bullying in a healthcare settings must not and cannot be left to fester. It creates a lot of damage and losses for both the institution and the people working in them. Most of all, the impact on patient’s safety is hit the hardest. 

 Patients place their utmost trust in the medical world to help them recover and lead productive lives again. Compromised care can deal potential harm in patients; it can mean the difference between a sound mind and a vegetative state, a living patient or a dead one. 

 If the medical field is to become the bastion of healing and wellness, then it must address this recalcitrant issue and not let it grow like an unwanted tumor, damaging the whole system in the process.

Bullying in the Workplace: Immature Occurrence, or Symptom of Something Worse?

The noble profession of healthcare; where the work started off from compassion and spirit of alleviating others’ suffering. It is however, very unfortunate that physicians and nurses are not spared from the issue of bullying. We tend to think that bullying only occurs in schools, and are...

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 Imagine for a moment the year 1800. A doctor is meeting with a patient – most likely in the patient’s home. The patient is complaining about shortness of breath. A cough, a fever. The doctor might check the patient’s pulse or feel their belly, but unlike today, what’s happening inside of the patient’s body is basically unknowable. There’s no MRI. No X-rays. The living body is like a black box that can’t be opened. 

 The only way for a doctor to figure out what was wrong with a patient was to ask them, and as a result patients’ accounts of their symptoms were seen as diseases in themselves. While today a fever is seen as a symptom of some underlying disease like the flu, back then the fever was essentially regarded as the disease itself. 

   

 But in the early 1800s, an invention came along that changed everything. Suddenly the doctor could clearly hear what was happening inside the body. The heart, the lungs, the breath. This revolutionary device was the stethoscope. 

 The inventor of the stethoscope was a French doctor named René Laennec. In medical school, he had learned to practice percussion – a technique in which doctors tap their fingers against a patient’s chest and listen to the sound to try and hear what’s going on inside. 

   

 One day, he tried percussing a patient but had trouble hearing. So he rolled up his notebook into a little cylinder and put one end on the patient’s chest and one end in his ear. He was so impressed by the quality of the sound that he decided to construct a device for listening to the internal sounds of the body. 

 The result was the original stethoscope. Laennec had invented a way to hear the inner workings of the human body. Now he needed to connect the sounds he was hearing with what was happening anatomically inside the patient’s body. 

   

 To do this, Laennec listened to people right before they died, and then connected these sounds to discoveries made during the autopsy. Soon, Laennec made some key discoveries using his stethoscope. For example, he found that when a person has fluid beneath their lungs, they make a bleating sound, kind of like a goat. A sound he called egophony. He also discovered sounds that tracked with the different stages of tuberculosis. 

 Laennec published his results, and soon doctors were making other important discoveries that changed the way people thought about disease. Little by little our entire understanding of disease shifted from one centered around symptoms to one centered around objective observation of the body. Medical language completely changed, as doctors invented new anatomical words for diseases, like Bronchitis, which means the inflammation of the bronchial tubes. 

   

 In parallel, the device evolved as well. In the 1840s, doctors began experimenting with flexible tubing and soon an Irish physician invented the binaural stethoscope design with two earpieces that we still use. 

   

 This evolving device got doctors thinking about disease in new ways, changing their dynamic with patients and giving doctors a lot more power. Before the stethoscope, to be sick, the patient had to feel sick. After the stethoscope, it didn’t matter what patients thought was wrong with them, it mattered more what the doctor found. 

 René Laennec actually felt that patient’s accounts of their own disease were still important, but the quest for objective information about disease was underway, and the stethoscope was just the beginning. Now we have X-rays, CT scanners and MRI and PET scans. All of these devices are basically trading upon the same paradigm that the stethoscope created: that doctors should be able to detect abnormalities inside the body to reach a diagnosis, regardless of how the patient is feeling. 

   

 These new technologies have led to so many important discoveries about the human body and disease. Today, we can spot tumors before they become life threatening and diagnose problems like high blood pressure before they causes heart disease. But this new way of thinking has also pushed doctors and patients farther apart. The doctor is no longer in your bedroom interviewing you about every detail of your experience. 

 René Laennec died in 1826 at the age of 45, mostly likely of tuberculosis, a disease he and his stethoscope helped us understand. It’s been 200 years since he first rolled up his note book and pressed it to that patient’s chest. Medicine looks completely different than it did back then, but somehow the stethoscope has endured. 

 It’s no longer a wooden cylinder, but to this day, when you walk into a doctor’s office for a routine exam, you can expect to feel the familiar stethoscope on your back. 

 But that could be changing. Powerful imaging technologies like ultrasound have made the stethoscope exam less critical to the diagnostic process. Medical students aren’t as good as using stethoscopes as they used to be, and across the board doctors today rely less on the stethoscope to make diagnoses. The rise of portable ultrasound has some doctors arguing that we don’t need the stethoscope anymore. They say that if you have that technology right at the bedside, why not use it right away? Ultrasound is an incredible tool, but it still isn’t widely available in many developing countries, and even in the United States it’s expensive. Right now the stethoscope functions as a screening tool so that patients don’t need to go get an expensive ultrasound unless they need one. 

 Dr. Andrew Bomback is a nephrologist and an assistant professor at Columbia. He still uses his stethoscope, but he says that in general doctors aren’t as good at listening to the body as they once were, and they rely on the stethoscope exam less and less to make a diagnosis. “It’s become almost a ritual more than an actual tool in terms of making diagnosis,” Bomback explains. 

   

 Regardless of how it’s used, the stethoscope remains omnipresent in our culture. Do a Google image search for doctor, and you will see what a physician is supposed to look like. The plurality of the doctors pictured on the first page of results are white men in white coats. Some of them are peering inside patient’s ears, others are writing something down on a clipboard. But all of them have stethoscopes. 

 And they are wearing the stethoscope in the exact same way–which is like a shawl around the back of the neck. Andrew Bomback says this way of wearing the stethoscope is a relatively recent fashion trend, probably borrowed from TV shows like ER and Scrubs. Doctors used to wear their stethoscopes dangling down the front of the shirt like a tie, which was practical. If you needed to use it quickly you could just pop it into your ears. Bomback observes that “it’s almost like this new version of wearing it like a scarf or a shawl is almost a concession that it’s more a fashion accessory than actually a tool that we’re using.” 

 But even if it’s become a fashion accessory, Dr. Bomback isn’t ready to give up his stethoscope. He says it’s an important conduit to connecting with his patients. Physical contact between a doctor and a patient has become increasingly rare. Doctors visits are short and physicians often spend much of time staring at a computer screen. Bomback says the stethoscope provides an important opportunity for intimacy. 

 “The stethoscope is still a part of the exam” he says, “aligned with the laying on of hands” associated with healers. “When we go to do the physical exam, we move away from our desk, we move away from the computer, and we stand right next to the patient and it’s a much more intimate conversation.” 

 Bomback says he thinks the stethoscope lives on in part to keep doctors and patients from drifting too far apart. To make sure doctors keep close to their patients, and keep listening. 

 
  This article originally appeared on  99pi.org . 99 Percent Invisible is a podcast on the design of things we never stop to think twice about. If you enjoyed this article, head over to their website and listen to their playlists.

The Device That Changed The Practice Of Medicine: The Stethoscope

Imagine for a moment the year 1800. A doctor is meeting with a patient – most likely in the patient’s home. The patient is complaining about shortness of breath. A cough, a fever. The doctor might check the patient’s pulse or feel their belly, but unlike today, what’s...

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 The inclusion of women in the workforce after the Second World War posed an immediate boom in economic states worldwide. All of a sudden industries have two times the amount of productive labor. 

 Although we are a modern and progressing society, we still do have some gender roles left that are still hard to shake up. This can result in unexpected issues when a woman starts to earn more than her husband. 

 Traditionally, men are seen as the breadwinners and protectors of their households while the women are the ones in charge of housework and raising the children. However, when women earn more than the men, this deeply-entrenched concept veers entirely off-course, causing discomfort and friction between husband and wife. 

 Tiresome Traditions 

 Humans are social creatures, so we put a lot of stock into our parents’, relatives’, and friends’ opinions of us. Statements like “Why aren’t  you  the one providing for the family?” or “Aren’t you supposed to be the man of the house?” can hurt men’s feelings. It bruises their egos and impacts their self-worth. 

 When left alone, even though small, it will slowly build up to cause resentment in the relationship. 

 Gigantic rifts all start from small hairline cracks. Reassure your significant other that your view on them is not determined by the money he rakes it up. 

 As high as your expectations 

 Dissatisfaction in relationships typically occur because of mishandled expectations. 

 The wife might feel that she still needs to do housework and care for the children, even though she has a heavy workload from her career. This can cause an imbalance in contributions to the family between husband and wife. This is further exacerbated by husbands who don’t expect to need to do housework because he’s the “man of the house.” Conversely, the wife might expect that she shouldn’t do housework or look after the kids because she earns more. 

 You need to  talk it out.  

 Relationships and marriages are fluid; they are not set in stone. Roles change, and  have  to change, in order to do what it takes to raise a happy family and get the bills paid. 

 Lay down your expectations and beliefs to each other. Change how things are done if you have to. 

 Play for the same team 

 In the end, both of you are in this together, raising a family and getting along in life. 

 Be grateful that we are lucky to be able to live in an age where a married woman is able to work and provide for her family as much as men can. Don’t try to please everyone; it’s your life to live. 

  “It is not the most intellectual of the species that survives; nor the strongest; but the species that survives is the one that is best able to adapt and adjust to the changing environment in which it finds itself  - Charles Darwin. 

 Likewise, we must change and adapt to our situation accordingly to avoid a conflict-ridden marriage and live happier lives.

Earning More Than Your Husband Can Ruin Your Marriage, Unless You Keep In Mind These Things

The inclusion of women in the workforce after the Second World War posed an immediate boom in economic states worldwide. All of a sudden industries have two times the amount of productive labor. Although we are a modern and progressing society, we still do have some gender roles left that are...

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  So . 

 You made it! You sat for the exams a while ago, waited a few days for your results and now you’ve passed. 

   

 But slow down! Your career as a nurse still has a long way to go. This is only one of the first steps. 

  Here’s what to do after you’ve passed your nursing board exams:  

 1. Celebrate! 

 Yes! Go out and celebrate. You studied very hard for it. You’ve sacrificed a lot. Your family supported you through it. You’ve spent an enormous amount of time and energy in order to become a registered nurse. 

 So yes, celebrate. Be grateful you’ve made it this far. Allow yourself a moment to feel proud of yourself. It isn’t a small achievement, no matter what people say. 

 2. Claim your license 

 Passing the exam does not automatically grant you your license. There’s a couple of things you have to get sorted first. 

 
	 Get the form from the  Malaysian Nursing Board website.  
	 Prepare some passport-sized photos, copies of your birth certificate, NRIC, SPM transcript and an official photo of you in your nurse uniform. 
	 Fill in the form. Use black ink! The administration might scan your documents, so using any other color might not turn up well. 
	 Carry with you RM25 when you’re going to go submit it. 
	 Keep a copy with you, stored in a safe file. 
 

 3. Search for a job! 

 Once you’ve got your registration, it’s time to search for work so you can collect experience immediately. 

 You can apply through healthcare institutions directly; many of them do walk-in interviews. Alternatively, you can opt to apply for a nursing job through the Public Services Dept (SPA -  Suruhanjaya Perkhidmatan Awam ). 

 If you want to be  really  fancy about it, use  MIMS Career . Browse through the hundreds of nursing jobs we have in our database, uploaded by high-paying healthcare employers. Filter by location, experience, and time to help you find what you want. 

     

 Can’t find what you’re looking for? Sign up for our  headhunting service . Just submit your CV/resume, and we’ll match you with jobs that meet your criteria, for  free . If you’re unsatisfied with who we match you with, no problem; we’ll match and match you again, until you land the job you want. 

  Use MIMS Career  

  Sign up for our headhunting service to get automatically matched to jobs

Passed Your Malaysian Nursing Board (LJM) Exam? Here's What To Do Next!

So . You made it! You sat for the exams a while ago, waited a few days for your results and now you’ve passed. But slow down! Your career as a nurse still has a long way to go. This is only one of the first steps. Here’s what to do after you’ve passed your nursing board exams:...

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 Let’s get down on the breakdown of how to avoid your meltdowns because of commuting downtown. 

 That rhyme scheme though. Okay, let’s get to it: here are five ways to make your terrible commute a little bit more bearable: 

 1. Consume great content: Learn something! 

   

 Podcasts 

 Podcasts are an amazing way to pass the time during long commutes. Fill up your wasted time in traffic or on public transport by listening to high-quality conversations that teach you something. 

 For those unfamiliar with the term, a podcast is sort of like a radio show; it’s a conversation between two or more people, or it’s a talk by someone with ideas or topics worth sharing. Think of it as on-demand radio talk shows, digitized into a digestible format. 

 The best method of listening to podcasts on the go is using your phone. on iOS, the Podcasts app does a pretty good job; you can browse and subscribe to shows then listen to them within the app. For extra features,  Overcast  does an amazing job; it has smart speed features that eliminate pauses in conversations. It also boosts voice audio using smart algorithms to provide you a clear sound over the hustle and bustle of your commute. 

 On Android,  Pocket Casts  is an  excellent  podcast-listening app. 

 Recommended listens: Dan Carlin’s  Hardcore History ,  The Tim Ferriss Show , and  TED Talks: Science and Medicine . 

 Books 

 Statistics show that  42 percent of people after graduation never read another book again . 

  42 percent!  Don’t let that be you. High achievers all finish an average of 10 books per year. Read! And we don’t mean read magazines or newspapers. Read fiction. Non-fiction. Documentaries. Biographies. 

 Even reading for ten minutes on the train or bus, when done every day, you can finish way more than ten books in a year. 

 Can’t read because you drive? Listen to audiobooks: books that are narrated by professional narrators. We recommend  Audible  for your audiobook needs. 

 Take online courses 

 The best thing about mobile internet is that you can access an entire wealth of knowledge from the world wide web, right in the palm of your hands. 

  Skillshare ,  Udemy , and  Udacity  are all great resources for you to learn anything. 

 Learning never stops!  Read more on why healthcare professionals need to practice lifelong learning HERE.  

 2. Clear your mind 

   

 Meditative exercises 

 Whether or not you work the AM shift or the PM shift, we could all use some peace and quiet before the workday begins. A bit of meditation can go a long way in calming you down, preparing yourself mentally for all the chaos that comes ahead of you. 

  Read about the 5 minute meditation all nurses should know about HERE.  

 Practice mindfulness 

 Mindfulness is the act of being in the moment, the ability to be fully aware of where we are and what we’re doing. Mindfulness allows us to not be overly reactive or overwhelmed by what’s going on around us. 

 Just be still, and focus on your breathing. Notice when your mind wanders. If it does, return your attention to your breaths. 

 Studies have shown that medical practitioners who practice this are happier and better at their jobs. 

 3. Do something productive! 

   

 Triage your emails and tasks 

 Triage is not just for patients! Triage your tasks for the day. For those of you who have a more administrative role in your workplace, sift through your email inbox during your commute. 

 Archive or delete the ones that do not require any action. Draft replies for important emails.  Add some to your task lists.  

 Do this and you will focus more on  doing  things rather than  thinking  about what to do. 

 Journal 

 Write in your journal every day during your commute. List down your worries, your concerns. Also write down what you’re grateful for. Sometimes, just acknowledging that we’re lucky to have a lot of things just makes the day automatically better. 

  The benefits are many.  Successful people throughout the ages have all kept a journal in which they spent so much time on.  Florence Nightingale wrote extensively in her journal , which became the basis of a lot of the texts that she wrote on nursing. 

 You can journal in a small notebook that you keep in your bag on your commute. Alternatively you can decide to go digital: writing your journal in a digital format allows you to save it and retrieve it in the future. 

 4. Talk to someone! 

   

 When was the last time you called your parents? That long-time friend that you drifted away from? 

 You can even strike up a conversation with the person sitting next to you. Try it; don’t be shy. You might even be surprised with the conversations you end up having. 

 5. Change workplace! 

   

 In the end, if your commute is just god-awful, dreadful, soul-sucking, life-sapping… (ok you get the idea) then you should probably request for a change in workplace. 

 Or apply for a job nearer to where you live using MIMS Career, our amazing portal for healthcare professionals like you. Simply filter jobs by location, and browse through hundreds of our listings. Save them for later. Or apply straight away, on your phone of desktop. It just works. 

  The shorter the commute, the happier the workers.  Give it a shot with MIMS Career.

5 Ways To Make Travelling To and From Work More Enjoyable

Let’s get down on the breakdown of how to avoid your meltdowns because of commuting downtown. That rhyme scheme though. Okay, let’s get to it: here are five ways to make your terrible commute a little bit more bearable: 1. Consume great content: Learn something! Podcasts Podcasts are...

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  Aisyah  (not her real name) was frustrated. 

 Last night’s shift made her feel like she never even went to nursing school. 

 She had a patient with ESRD who was about to go for dialysis at 0800. She was monitoring his blood pressure, and at 0445 it was at 166/89. When she came back at 0545, it was 168/98. 

 She started to get nervous. She wanted to call the M.O., but a note left by the nephrologist stated to only notify is systolic is over 200 and diastolic 100. 98 was pretty close to 100, so Aisyah started to panic. 

 It was then that Aisyah realized that the note actually said to call at diastolic > 115. 

 At 0725, the M.O. came over. Although he was nice about it, he told Aisyah that she should’ve called when diastolic was above 90. 

 If Aisyah could kick herself, she would. Even though that happened last night, she is still thinking about the mistake feels bad about it. She feels that she should’ve known better, should’ve talked to her coworkers about it, should’ve made a better decision about the note… 

 
 Does this sound familiar to you? Do you seem to finally be doing well at work, only to make a mistake that bogs you down and makes you miserable, long after it’s happened? Do you feel like you’re a bad doctor/nurse/pharmacist? 

 You have  impostor syndrome . 

 Impostor Syndrome 

 It is the feeling of being a fraud, a fake, and people are going to find out. It’s fine for people who are undercover secret agents or  quacks , but it’s a terrible feeling for people who are trying to make the world a little better. 

 
 “There are an awful lot of people out there who think I’m an expert. How do these people believe all this about me? I’m so much aware of all the things I don’t know.” - Dr. Chan, Chief of the World Health Organization 
 

 You’re actually doing a good job, but you don’t feel that way. Left unchecked, this will harm your mental health and affect your career. 

 Focus on providing value 

  What do people/the ward sister/the HOD think of me? They must think I’m an idiot!  

 We say this to ourselves time and time again. 

 The rule of thumb is that if you’re so concerned about what other people think, you’re not focusing on your work enough. 

  Focus on providing value . Show up, do your best work. Provide value to your patients, colleagues, departments. 

 Stop comparing yourself to others 

  Respect your own experiences.  You went to nursing/med/grad school. You studied extremely hard for this. You sacrificed a ton of your time and energy. You suffered through grueling on-calls and surgeries. 

 You are the sum of your experiences. Please respect all the things you went through to make you who you are. 

  Don’t just be aware of other’s successes.  They have their own shortcomings too, just like you. It’s just that you don’t see them. 

 Being wrong doesn’t mean you’re bad. 

 Being wrong does not mean you’re a bad nurse, bad doctor, bad pharmacist, physician; bad  anything . 

  Everybody makes mistakes.   The designers of the Titanic , supposedly the smartest engineers of their time, designed a now-obvious flaw into the doomed ship. The  Terengganu stadium collapse in 2013  was also a mistake done by contractors, the state government, and inspectors.   Thousands  of mistakes are made in surgery  every year .  

 It’s just how the world works. Don’t let your mistakes and failures define you, and carry on. 

 Nobody really knows what they’re doing 

 Really, no one does. 

  Even multi-million dollar companies run by the smartest people fail a lot.  

 You only feel like you know nothing because you’re more aware of the things you  don’t  know. 

 Final words 

 If you already feel like a failure right now, it probably means you’re doing a good job because of the  Dunning-Kruger effect.  It’s a psychological phenomenon that describes low-ability people’s incompetence to realize their incompetence. 

 In other words,  people who are bad at something don’t know they’re bad at it.  

 The fact that you’ve come to a self-actualization level sufficient to see your own shortcomings means that you’re  learning and growing as a healthcare professional , and as a person. 

 Comfort zone is very nice, but nothing ever grows there. 

 Carry on!

Why You Feel Like You Suck Even Though You're Doing A Great Job

Aisyah (not her real name) was frustrated. Last night’s shift made her feel like she never even went to nursing school. She had a patient with ESRD who was about to go for dialysis at 0800. She was monitoring his blood pressure, and at 0445 it was at 166/89. When she came back at 0545, it...

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 Recently there’s been talk about the Malaysian Nursing Board phasing out the Diploma in Nursing programme. As a result, soon all future nursing students that want to practice the profession in the country has to complete a four-year degree (Bachelor of Science in Nursing). 

 Many parties have been very vocal about this, citing that many nurses cannot afford the extra costs it takes to study for four years instead of the usual two for a diploma. Some students get into nursing for that reason; it offers a quick pathway to work in a respectable profession, without the added burden of a pre-university programme after completion of secondary school. 

 While I understand that some nurses have to support their families ASAP, I’m here to argue that there is a hidden benefit to all nurses being required to do their degree in order to be registered practitioners. 

 That benefit is the extra 2-4 years of age that nurses have upon graduation. 

 Older… Wiser? 

 A few days ago there was news of a 19-year old girl who will become the  youngest medical doctor in Malaysia  this year. The prodigy completed her secondary education at the age of 14, enrolling straight into an Australian pre-U programme, followed by medical school. 

 While I applaud her achievements (it is nothing to make light of), for the rest of us entering the healthcare workforce at 19 is not the best of ideas. 

 A doctor fresh out of medical school at the age of 25 is six years older than 19, and will have six years of extra life experiences that will make him or her relate better to patients. 

 The healthcare line, as we all know, is riddled with a lot of challenges and difficulties that are difficult to teach in training colleges. There are unexpected obstacles from patients, their relatives, and colleagues that are difficult to circumnavigate without emotional maturity. When these are not handled well they lead to burnouts and depression. 

 Forcing the degree programme for nurses rather than diploma grants student nurses extra time to prepare themselves. Most of the time, maturity comes with age. Being a nurse (or a doctor for that matter) is an arduous endeavor in itself. There will be times when you have to react to difficult situations requiring you to make a choice. Maturity grants the wisdom to make the right ones. 

 
 The healthcare line, as we all know, is riddled with a lot of challenges and difficulties that are difficult to teach in training colleges. 
 

 Being sure about oneself 

 As a patient, you would want nurses or doctors who are sure of themselves for your treatment. You want those who believe in what they do and believe in the importance of their work. Not the reluctant ones. 

 It is common for healthcare practitioners to leave the profession within the first 5 years of working. An extra few years of study provides the extra time to contemplate on whether this career path is really for them or not. This creates better rounded nurses and doctors. 

 Better clinicians 

 Better rounded nurses and doctors, who can find the balance between their personal growth and career, make for better clinicians. They are more likely to innovate and push medicine forward. This is why countries like the US and Sweden require prospective medical school students to have a Bachelor’s degree beforehand. These countries have the most number of medical innovations in history. 

 Removal of bad habits 

 
 Better rounded nurses and doctors make for better clinicians. 
 

 For nurses, making BSN degrees mandatory in order to be registered means an addition 4-5 years of study; 1-2 years for a pre-university course (like STPM) and another 4 years for the degree. Contrast this with immediately hopping on the diploma programme for two years after school. 

 The work involved to obtain a degree is very hard. It can only be done by being mentally sound, organized, and effective. These habits are not necessarily attained in school. 

 An older nursing graduate has more time to become a better, organized person; to know her strong points, faults, breaking points, things she cannot do, and learn how to deal with them knowing that a harder road lies ahead.

Making The Case For Longer Studies

Recently there’s been talk about the Malaysian Nursing Board phasing out the Diploma in Nursing programme. As a result, soon all future nursing students that want to practice the profession in the country has to complete a four-year degree (Bachelor of Science in Nursing). Many parties...

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  This week we managed to get in touch with Nejlika (pronounced neh-lika) Confinement Care Centre. They provide confinement services for mothers with newborn babies. Established in 2014, Nejlika is committed to providing the best and safest form of care for the newborns’ first 28 days, and for the mothers’ recoveries.  

  What really got us interested with Nejlika was their practice in bringing confinement, which is a traditional concept in post-natal care, into modern times by using scientific methods of observation and critical analysis.  

  Nejlika is currently hiring for post-natal care nurses.  See the job posting page here for more details .  

 
  Can you describe what your institution provides?  

 Nejlika Confinement Centre provides confinement care for post-natal mothers and newborn babies. 

 We assess the health conditions of the mother and baby, monitoring them daily. We provide professional and scientific feeding, nursing care, and early intellectual development for the baby. For the mother we have uniquely customized meals that are both healthy and delicious. These efforts do a lot to promote healing. 

  How did this place come about?  

 We first saw that there was a market demand for confinement centers in the Klang Valley. We saw that in places like Penang or Johor there are already a substantial amount. But a lot of them are sort of like household business. They hire non-medical professionals for treatment. So we set up this place in 2014. 

 The founders of this centre are all from the healthcare industry. The first 28 days of a newborn will be the most critical stage of a baby’s life. Although confinement is a traditional concept of post-natal care, we bring in present, scientific methods to bring this practice to modern times. 

 New parents or non-professionals are not able to take care of the newborn baby and mother as well as trained nurses and physicians. We aim to provide the best quality service, comfortable living environment, nutritious meals and warm family surroundings to help both the mother and newborn navigate this crucial period of their lives. 

  I saw on your Facebook you have many customers; even non-malaysians. What do you do to attract people to come here?  

 To be honest we don’t really go out to promote the centre. So far it’s all been through word of mouth, maybe a bit of Facebook postings. 

  How do you convince someone who is pregnant to use your services, rather than carry out traditional confinement at home?  

 Usually after the customer knows about us, they will call to inquire. This is before they give birth. So we arrange a 1-to-1 appointment with them. So during this appointment period we explain to them what is the service that we provide, and the philosophy behind our service. 

 Over here, our center advocates breast-feeding, and we have a certified infant massage instructor. We promote early brain development for the baby through the infant massages. 

  What makes you different from the other confinement centres?  

 First of all we are one of the pioneers here, so we are very experienced in specialized confinement care. Also, one of our founders is the only person in Malaysia with twin certificates specialized in confinement care from Taiwan. She purposely went to Taiwan to obtain this certification, not just once but twice. 

 At the same time we engage the service of chinese traditional medicine practitioners. Although we advocate scientific and modern confinement care, we also incorporate the traditional care to bring a well-rounded care to the mother and baby. 

 In Traditional Chinese Medicine, we believe the body constitution of humans can be divided into nine types. Different type of body constitution will require different forms of nutrition or medication. Our chef will prepare the personalized herbal tonic soup for each post-natal mother upon advice by our chinese medicine practitioner for greater rejuvenation.  

 Not many other confinement care provide this service. 

  Can we talk about the food you serve here? They look great! Do you have an in-house cook?  

 We have a special cook. We put out an ad in the newspaper, and managed to get one with training for confinement cooking. We advocate healthy and nourishing foods that aids the mothers’ recovery. 

 Everything that comes into contact with the mothers and babies have to be clean, healthy, and promote recovery. This includes the furniture, beds, food, even the air in the centre as well. 

  How many staff members do you now have?  

 We have 10 nurses, 2 maids, 2 chefs and 1 assistant to help us run the operation. 

 As for now, there are not many customers. It is a bit of a low season. Usually there are more births from late July-early August til the end of the year. 

  To staff: What do you do to make your staff happy and enjoy working here?  

 We feel happy because we enjoy what we do. It’s a slower pace than hospitals, and we love to look after babies. 

  What’s the hiring process like? Who decides on the hire?  

 Advertising on newspaper, platforms online, recommendations of current nurses. More so on the EQ. 

 We advertise in the newspapers, online platforms such as MIMS Career, and word of mouth. Very often we get new hires based on the recommendations of nurses currently working here. 

  What kind of people do you look for when you hire staff?  

 We need staff who are passionate about care for post-natal mothers and infant babies. Post-partum depression is very real, so nurses here have to be very aware of the telltale signs of it. They need to have high EQ to be able to console and advise mothers suffering through post-partum depression and help guide them out of it. 

 We also look out for staff who have high patience levels. Dealing with babies can sometimes prove to be a frustrating task. 

  What cool pieces of technology do you have in this centre?  

 We have a  bilirubinometer ; it is a device that measures the level of bilirubin in the babies to detect jaundice. If jaundice is determined to be present in the baby, we bring in a “jaundice phototherapy” machine and treat the infant until bilirubin levels drop to normal levels. We are the first confinement centre to provide this service. It avoids the hassle of going to the hospital, which can be very strenuous on both mother and newborn. 

 Also, to really avoid cross-contaminations we sterilize the rooms with a  UV light emitter . UV light destroys germs and bacteria. 

 On the other side of the  light spectrum , we use Infrared light emitters to promote healing of mothers’ wounds, especially ones after C-sections. 

 Finally, we have a baby swimming pool! Therapy done in the pool promotes brain development. 

  What does the future look like for Nejlika Confinement Care Centre?  

 Obviously we want to expand. That is the only way a business can grow. 

 We have moved from single storey to double storey within three years. We’re looking to set up branches in other places, in order to provide service to customers not within reach of us right now.

Institution Highlight: Nejlika Confinement Centre

This week we managed to get in touch with Nejlika (pronounced neh-lika) Confinement Care Centre. They provide confinement services for mothers with newborn babies. Established in 2014, Nejlika is committed to providing the best and safest form of care for the newborns’ first 28 days, and...

Read More