New Graduate Fellowship Program with Ramsay Healthcare!

Hey Friends!

I have an awesome opportunity to share with you!

This one is for the new graduate nurses who are looking for a position for this year!

Check out this mid-year New Graduate Fellowship Program with Ramsay Healthcare!

I completed my new graduate program with Ramsay and I loved my experience working at Ramsay as a New Graduate Registered Nurse.

I started in the peri-operative setting completing a peri-anaesthesia program in anaesthetics and the post anaesthesia care unit. Following my graduate year, I had the opportunity to work with Ramsay internationally and domestically in any area I wanted.

Ramsay offers clinical experience in a number of other key areas including cardiac and vascular laboratories, emergency, intensive care, coronary care, mental health and general nursing.

Whatever you are looking for, Ramsay will offer it for you!

If you are keen to apply for this program, let them know you found the ad on my website or email or mention me – Rory, Aussie Nurse Educator – you never know what could happen!

Check the program out HERE.

Hurry – Closes May 30th!

New Nurse in Peri-Anaesthesia? Check out these TIPS!

Hey Friends,

Today’s blog is for new graduates and new nurses who have landed a position in peri-anaesthesia, or you are a nurse who is interested to give this fantastic clinical area a go. As many of you know, I am not only a peri-anaesthesia nurse specialist; I also completed my new graduate year in anaesthetics and recovery! This blog post is sure to provide you with plenty of value as you learn the clinical specifics and progress with your journey in peri-anaesthesia nursing.

I wanted to share the key areas in peri-anaesthesia nursing with you and what I found helpful to learn as I progressed in the area. We will look at what I found helpful starting as a grad, including the knowledge, skills, hints, tips and more!

Let’s have a look!

Important Aspects of Peri-Anaesthesia Nursing

  • A breakdown of the important aspects of peri-anaesthesia nursing for new nurses – a FREE guide for YOU!

The Role of the Peri-anaesthesia Nurse

Anaesthesia Nurse

The anaesthetic nurse is the assistant to the anaesthetist. They:

  • prepare the environment and equipment for the patient
  • prepare equipment for administering the anaesthetic
  • receive the patient into the operating room, establish rapport by asking and answering any questions, and check identification and consent
  • communicate relevant patient information to the other members of the intra-operative team, both nurses and doctors
  • assist with intra-operative patient monitoring and ensure the patient’s safety, comfort and warmth
  • assist the anaesthetist at the end of the procedure as the patient emerges from the effects of anaesthesia.

Position statement on the assistant for the anaesthetistCLICK HERE

Knowledge and skills

The anaesthetic nurse requires:

  • good assessment skills
  • a knowledge of anaesthetic methods, anaesthetic agents and equipment
  • an understanding of fluid balance and respiratory monitoring, cardiac monitoring and haemodynamic monitoring, and the ability to identify any changes that may have impact on the patient
  • knowledge of airway anatomy and physiology, airway management strategies and anaesthetic complications.

Becoming an Anaesthesia Nurse – Education pathway

This role is suitable for both registered and enrolled nurses. Registered nurses need to complete a Bachelor of Nursing degree and a postgraduate degree that focuses on anaesthetic nursing. Enrolled nurses need to complete a Diploma of Nursing that includes medication administration and a Diploma of Anaesthetic Technology.

Post-Anaesthesia Care Nurse

The Post Anaesthesia Care Unit (PACU) nurse receives the patient into the PACU (also known as the recovery unit). They:

  • undertake respiratory, cardiovascular and neurological assessment and monitoring as the patient recovers from the effects of anaesthesia and surgery
  • monitor emergence from anaesthesia, dressings, intravenous lines and drainage tubes
  • implement and document post-operative treatment regimes including pain management.

Knowledge and skills

The PACU nurse requires:

  • strong knowledge of and ability to manage post-operative complications and respond to patient deterioration quickly and efficiently
  • advanced airway management skills
  • the ability to quickly recognise respiratory compromise and take necessary action
  • excellent assessment skills
  • strong knowledge of pain management methods and medications
  • excellent communication skills
  • the ability to work as an effective member of a multidisciplinary team.

Becoming a Recovery or Post-Anaesthesia Care Nurse – Education pathway

This role is suitable for registered nurses who have completed a Bachelor of Nursing degree and a postgraduate degree that focuses on post-anaesthetic care.

Enrolled nurses who have completed a Diploma of Nursing that includes medication administration may work in second-level recovery care where patients require a period of supervised monitoring, privacy for the discussion of procedural outcomes and discharge instructions, bathroom facilities and provision of food and fluids. Criteria for discharge from second stage recovery include pain and nausea control manageable with oral medications, return of cognition to pre-procedure levels, and the ability to be mobile safely.

Pharmacology (including GA + Muscle Relaxants & Reversal) used in Anaesthesia & Post-Anaesthesia Care

Different types of anaesthesia – General, sedation, local, regional, combination

Main anaesthesia medications

Muscle relaxants – depolarising and non-depolarising

Patient Monitoring

Invasive monitoring – CVL, ART

5 Lead cardiac monitoring

Capnography

Common Respiratory Complications

Recognising & managing these complications

Acute Pain Management

Comprehensive pain assessment

PQRST pain assessment

Multimodal Pain Management

Emergencies in the Peri-operative Environment

Look at the management of these emergencies:

  • Anaphylaxis
  • Local anaesthetic toxicity
  • Malignant Hyperthermia
  • Difficult Airways – Cannot Intubate, cannot oxygenate
  • Laryngospasm

Patient Assessment

  • Respiratory
  • Cardiovascular
  • Neurological
  • Neuro-vascular
  • Circulatory
  • Fluid Balance

Caring for the Patient having Regional Anaesthesia

  • What are they?
  • Why are they used?
  • What are the benefits?
  • How do they differ from GA & sedation?
  • Can you have a GA &/or sedation with regional anaesthesia?
  • What are the differences between these types of regional anaesthesia?
    • Epidural
    • Spinal
    • Major joint
    • Extremity

Study Guide for your Journey in Peri-Anaesthesia

Knowledge Areas

Foundational knowledge to brush up on prior to starting or to reflect upon along the journey within the first few weeks to build confidence and nail your skills!

  • Specific Roles of the anaesthetic and post anaesthetic care unit nurse
  • Pharmacology utilised for general anaesthesia, sedation, local and regional blocks
  • Monitoring a patient before, during and after anaesthesia
  • Respiratory complications
  • Airway anatomy + physiology
  • Airway assessment + management
  • Acute pain management
  • Peri-operative emergencies
  • Patient Assessment
  • Caring for patients who have had regional anaesthesia
  • Devices and equipment utilised in peri-operative and peri-anaesthesia clinical practice
  • Medications:
    • Propofol
    • Midazolam
    • Opiates: Fentanyl, Morphine, Hydromorphone, Alfentanil, Remifentanil, Buprenorphine
    • Ketamine
    • Droperidol
    • Dexamethasone
    • Ondansetron
    • Parecoxib
    • Paracetamol
    • Atropine
    • Ephedrine
    • Metaraminol
    • Rocuronium
    • Suxamethonium
    • Clonidine
    • Epinephrine
    • Neostigmine
    • Sugammadex
    • Desflurane
    • Sevoflurane
    • Isoflurane
    • Oxycodone
    • Targin
    • Tramadol
    • Ropivacaine

Skills

You will be exposed to, practice and develop advanced nursing skills surrounding airway, breathing, circulation, disability, pain and exposure. Familiarise yourself with these clinical skills in peri-anaesthesia and identify your roles as an anaesthetic or recovery nurse.

Airway Skills

Basic airway management skills for Nurse’s video

CLICK HERE

Skills covered include:

  • Chin lift, jaw support, head tilt and jaw thrust
  • Non-invasive airway management devices – oropharyngeal and nasopharyngeal airways
  • Differences with Adults vs children & infants

Airway Management

  • Suctioning
  • Airway cart and equipment
  • Suction airway
  • Assist ETT Intubation with manual and video laryngoscopes
  • Cricoid pressure
  • Verification of ETT placement: CO2 detector, auscultation, CXR
  • Use of bag-valve-mask
  • Assist with tapes
  • Insertion LMA

Clinical Competencies

The required clinical competencies ranges and depends on the specific clinical area you are in and the type of peri-operative services the hospital provides.

Common competencies include:

Anaesthesia & Post Anaesthesia Care Nurses:

  • Patient Assessment
  • Patient Monitoring
  • Management of the unconscious and semi-conscious patient
  • Airway management including the removal of LMA upon the emergence of GA
  • Assisting anaesthetists
  • A-G patient assessment
  • Manage pain and primary assessment complications in the immediate post-operative stage
  • Manage the thermic state of the patient
  • Use various pieces of equipment for the care of the patient including:
    • Use of doppler
    • PCA
    • Transducers
    • Chest drains

Non Clinical Skills

Communication Teamwork Time Management

Resources for the Anaesthetic Nurse

  • Emergency Department Notes
  • Handover from Emergency Team
  • Pre-operative Assessment
  • Progress Notes
  • The patient

Resources for the PACU Nurse

  • All of the above
  • The patient (sometimes)
  • Anaesthetic Record
  • Anaesthetic Handover
  • Scrub Nurse Handover

Getting prepared

I was always searching for the best and up to date information. Along the journey, I found and developed some great resources. I decided to collate them all together here in one place for us all to enjoy!

Check it 👇🏼

🔥 The Ultimate Resource List 🆓

HERE

Rory’s experience as a Grad in Peri-anaesthesia

I was a New Graduate in Peri-anaesthesia straight out of University. Now, I am a Clinical Nurse Specialist & Clinical Nurse Educator. I have previously worked as a peri-operative Clinical Nurse Educator.

CLICK HERE to hear about my journey, from a University Student Registered Nurse to New Graduate Registered Nurse.

Advice for New Nurses, Grads and Students!

Hey Friends!

We are still living through the effects of covid. The stresses have stemmed all the way down the chain, to the newest and freshest in our profession. Our new nurses, graduates and students are feeling increasingly overwhelmed with the prospect of stepping into the hospital and out onto the floor, some for the very first time. This extra worry and anxiety is not helping us to be the best we can for ourselves and our patients.

There has been so many people reach out for advice, help and support over the past 2 weeks. I have helped some individually through DM’s however it is hard to keep up and I want to help you all! There has been some absolutely invaluable advice flying around the gram at the moment. This is amazing to see us all help each other during these challenging times. What is very interesting with the advice, is that it is very consistent. It is advice I have been given over the years, advice I have given to my students and everyone (including grads and students) are also sharing this same great advice!

I put this blog together to share this great advice, to provide support and help that we all need at some point. There are also some amazing brands, businesses and accounts I have added for you to check out which may help you along your journey.

Before we start, just remember….YOU HAVE WORKED HARD AND YOU HAVE GOT THIS! 💪🏼

Now I know some of you have started…prematurely due to staffing shortages etc with the current climate, some of you start tomorrow and others next week. Either way, you are amazing and this blog is for you!

Let’s take a look at the top questions I have been asked 👇🏼

Top themes of the questions asked by the community included:

  • Starting new graduate year and program
  • Starting grad year with no much experience with a system that is stressed and stretched with resources and capacity
  • How to survive new graduate year?
  • Transitioning into clinical practice
  • Medications – how to avoid errors, medication calculation tips/tricks & resources

I will be covering the above topics in this blog post below! The areas below were also some popular questions and areas. These will be covering these in future content shortly!

  • Medication calculations and maths
  • Starting in anaesthetics and PACU
  • Starting in peri-operative
  • Preparing for graduate year on the surgical wards
    • Gynaecology & ENT
    • Orthopaedic
    • Vascular

My TOP 15 pieces of advice for new nurses, grads and students!

Advice for all Nurses including grads…

  1. No one expects you know everything! Or anything really.
    • We just want you to be confident, look after you, give 100% and PRACTICE SAFELY. How do you do that? Be guided by your training and who you have become! Take deep breaths, seek support and ask questions (when you need to maintain you and your patients safety).
  2. You have worked so hard!
    • You have completed your degree! All the training, done! Have trust in yourself, the training you have done, and your ability! You’ve got this!
  3. Remember you are a new graduate registered nurse, NEW GRADuate.
    • You are there to work, as an autonomous registered nurse, while you develop your confidence, knowledge, skills and gain experience. You do this with the guidance of your graduate program and support network on your ward.
  4. Look at your learning outcomes and skill objectives, and concentrate on them.
    • You are still and will always be learning! You have graduated as a student and are now an autonomous and a safe practicing registered nurse. Keep developing, learning and growing by increasing your knowledge, improving your skills and developing new skills.
  5. Be you, learn, develop and grow, have fun and seek those clinical and career opportunities!
    • You are amazing! Continue to be you!
    • Enjoy the journey and make the journey yours.
    • Follow what you love and are interested in!
  6. Seek help
    • We are always here to help!
    • Reach out whenever you need. You can use nurses on the floor, mentors, educators and your managers.
  7. Help out
    • Help others where you can, ask questions where you need and practice the skills you are developing. Practice with other nurses on your ward who are competent in the skills, until you are competent and confident with them!
    • Make an effort to integrate with your ward socially to further develop your relationships and support networks with your team.
  8. Find a buddy & mentor
    • Find that one buddy that is a nurse you can hang with, chat with. Maybe you are lucky enough to even work together on the same ward or shifts!
    • You will need a good mentor! Everyone does! Whether it is a family member, friends, another nurse or a paid coach. A mentor who can help guide you, your thoughts, your actions, goals and achievements, as you move forward is so important!
  9. Find a social group
    • These can be so invaluable for supporting each other and sharing resources! I was part of a FB group as a student for each year of my degree and also as a graduate nurse for the graduate program at my hospital. It was awesome to stay in touch and share stories, resources etc with each other. If there isn’t anything like this you can also create it!
  10. You deserve respect
    • You are the newbie on the floor however, people should say hello and not be rude to you, you deserve respect. Be confident and speak out about this behaviour and seek the help of your mentors. You are still learning while working with them as equal Registered Nurses.
  11. The learning journey continues
    • There is always something to learn and something to do! Attend an education session, create some educational content yourself. Practice your skills, chat to other nurses and chat with your patients. There is so much you can learn from someone by having a conversation and listening to them. Whether they are a nurse, relative or patient you will learn something!
  12. Look after yourself!
    • I cannot stress the importance of looking after yourself and your wellbeing! Also knowing yourself and working with your needs. Get the rest you need! Eat healthy food, drink water and get plenty of exercise! I love to do daily exercise as well as my new found love, meditation! I use the headspace app! Check it out!
    • Take your breaks during your shifts. This is a big one, make sure you take your breaks!
  13. Big process and challenge!
    • This will be a massive process, don’t underestimate the journey or the growth and you will adapt – you’ve got this! Nursing is a unique profession and is tough. You chose it for a reason and now you have a challenge. Moving from theoretical learning to stepping into the clinical environment to practice all of those awesome skills is hard.
  14. Reflect!
    • Take time to reflect on your shift, what has happened, how you felt, how you responded and how you acted… what you could have done done and what you could do better next time, by learning from this experience. I highly recommend documenting your journey in an app like DayOne or something. The power behind reflecting in journalling is very powerful 🔥🚀 – give it a go!
  15. Connect with your passion
    • Find the why! WHY did you start nursing? Connect with the deep and meaningful aspects of you! Be intentional with your thoughts, actions and reflections and do what truely matters, changes and develops you!

Some specific advice for students…

We do not expect a thing from you!

Come in and say hey! Get to know us and join in with us caring for our patients. Ask us questions and let’s develop, learn and grow together!

Remember you are a student and you are there to learn!

You are there to develop your knowledge, skills and spend time in the clinical environment doing this under the guidance of experienced nurses. Sometimes they try and get you to ‘work’ but you are a student there to learn!

When on placement, looking at your learning outcomes and skill objectives is a very useful to guide your learning. You have goals to achieve while you are there. Get in and get them done! Plan, do, achieve.

Be you, learn, have fun and seek those clinical opportunities!

Yes, nurses and the environment is a little more stressed at the moment, however you need to learn. Maximise you’re learning opportunities by being confident, asking questions and taking control of your education and progress.

Seek help

If you do not know something, just ask. We are all there to help each other. We will not know if you do not ask.

Help out

Help where you can, ask questions where you need and practice the skills you are developing until you are competent and confident with them.

You deserve respect

You are not there to be a slave, people should say hello and not be rude to you. Be confident and speak out about this behaviour and seek the help of your mentors.

Advice from the ANE Community

LiamHigh Performance NursingWebsite + Instagram + Podcast

Nurse Coach, Leader & Podcaster

  1. Start by getting to know yourself on the deepest level possible, with clarity comes confidence and it will serve your whole career!
  2. Be kind to yourself, the goal is never to know it all, it’s to get 1% better each day- you are doing awesome. Be a curious learner and be prepared to be wrong!
  3. Be careful who you listen to and turn to for advice in your career. Seek those who have done what you want to do and ask them all the questions!
  4. Finally, find a coach outside of your workplace to help empower you, gain clarity and help you overcome the inner critic! No one will ever provide that support in the workplace- they simply don’t know how!

Lastly,

Sample, sample, sample – create your own path!

AND

Growth lies at the other side of your comfort zone! Go get it!

Nurse MilInstagram + Podcast

Podcaster & Recently graduated New Grad – heading into transition year 2!

You need to utilise the educators and other nurses and ask them questions, ask for help and debrief. I think we also need to acknowledge that the media is hyping up this code brown, the code brown does not necessarily mean you’re going to get less support and you’re going to struggle as a new nurse.

I know that many people have anxiety regarding that but I think we need to remember that the hospital you’re doing your grad year still has that duty to provide a supportive environment and it may be different to usual programs, but you are not alone and no one expects you to know everything! Other nurses, especially grads (because they know how you are feeling), are the best people to debrief with. Unfortunately people not in the medical profession, just don’t understand and will not be able to offer you the debrief you truely need. So make a group chat with other grads and chat away!!

From the Aussie Nurse Educator

Nurse Mil also just completed her new graduate program!

Mil has been guiding and supporting junior nurses throughout her experience and with her podcast.

Mil also wrote a recent post on instagram that every graduate nurse needs to read!

Check it out HERE.

Georgia – Nurse Sibs – WebsiteInstagram

Cardiac CNS, Mentor and Manager + Business Owner (all things cardiac nursing!)

Don’t expect to know everything in the first week – give yourself time and be kind to yourself.

You will learn something new every single shift, experienced nurses still do also, so don’t think of this as a negative or reflection on you!

Remember that I started at the same place, so don’t put so much pressure on yourself. Your grad year is there for a reason, it’s a year where you are supported because being a brand-new registered nurse is challenging and there are things you won’t know, and things you wouldn’t have seen before.

Basically, just go easy on yourself and do your best!

Deanne – The Balanced Nurse Au – Website + Instagram + Facebook

Nurse Coach and Mentor

My best advice is always about keeping balance.

It can be tempting to fall into the culture and habits nursing has in places that aren’t balanced or healthy. Learn good habits early like bringing nutritious food, staying hydrated and taking breaks. And don’t feel pressured to say yes to more shifts or over time – “no” is a complete sentence. I have lots more but these things I think are key 😊

Beth – Autonomic Nurse – Website + Instagram

Nurse Mentor

Always remember to make your life off shift a priority. It will be tempting to immerse yourself in your new career, but this is short term thinking. Focus on setting up sustainable habits if you want to remain free of burnout. This means not picking up extra shifts, making time for leisure, meal prep and seeing non nursing friends. Also work on increasing your non clinical skills (ie your personal development like communication and mindset).

The clinical skills will come with your work on the ward but the non clinical stuff you will need to work on yourself.

Find a mentor!

Xana – Nourished Nurse – Website + Instagram + Podcast

Nurse, Podcaster & Traveller!

Becoming a new nurse can be a roller coaster.

It is important to remember that nursing is a 24/7 job and you can’t do it all, and that’s okay.

If you put your best foot forward everyday and do your best that is all you can ask of yourself.

Ask for help.

Reach out to your colleagues if you’re struggling, I promise that your team will appreciate you saying something rather than nothing at all.

Make sure you establish some balance in your life. Don’t live to work but work to live and enjoy life outside of work. It is easy to get caught up in working long hours in nursing but burnout happens real quick so be good to yourself. Look after yourself on your days off and plan things you love to do, or just sit and watch Netflix! Never feel guilty for prioritising yourself.

Chat to other nurses, chat to us! There are so many people out there who have been through exactly what you’re going through and we may look like we got it all together but we don’t.

We’ve all been on this journey so never hesitate to reach out for help. There is strength in numbers. AND HAVE FUN! Nursing is such an awesome career and helping change lives is beyond incredible.

Enjoy it. Savour the moments 💗

Cynarra – HealthInsightHQ – Website + Instagram

Nurse Facilitator & Mentor

Remember it’s ok not to have everything worked out at the start.

If you haven’t picked a speciality, if you don’t feel confident or feel that you don’t know everything medically on shift. I think we have all felt like that.

It’s important to ask for help and talk to other nurses to debrief.

Give yourselves some credit and remember what you have already achieved!

Also know that you can leave a workplace and find a new job if you aren’t happy. There were times where I felt I had to stay at workplace, or felt I wasn’t experienced enough to apply to jobs. But your own happiness is important! Apply for a job you want, don’t stay in a toxic environment. Put yourself first!

Enjoy the journey!

Lauren – Nurse Coach & RN – Instagram

Don’t ever be afraid to ask questions or the opinion of another RN. Many new nurses worry that asking a question will make them look stupid, unprofessional, like an imposter… And yet even after 30+ years I still confer with another RN for their opinion at times. I never think poorly of someone asking a question/opinion. It shows courage and confidence and I worry about the ones that never ask questions. This is all about knowing and owning your value no matter where you are on your nursing journey.

Final Wrap

Thank you to this amazing community of absolutely fabulous nurses!!

The students, grads and new nurses – thank you for reaching out! I have thoroughly enjoyed chatting with you all!

I am always here and you have done amazing so far and will continue to do so!

Go chase that WHY and have FUN while you do it! The world is your oyster!

To the other nurses, educators, leaders and others – thank you for your help, support, advice and love you have given me, this page and business and most importantly, the COMMUNITY here!

As always, I am here – comment on this blog post, send me a DM or message – whenever you want or need!

All the best for 2022 everyone – don’t forget to 👇🏼

Have FUN & ENJOY – Rory 😁

Celebrating Wins, A Fun Year & My 1st Birthday!

Hey Friends,

I have some exciting news for you all! It is the first Birthday for the Aussie Nurse Educator this coming week! I wanted to chat about WINS and how I always win by celebrating my birthday (personal birthday) exactly how I want and need to. On reflection, of last year, I realised I first posted on the Aussie Nurse Educator Instagram when I was away on my honeymoon in the summer of January 2021. The date was 26th January and it started with the standard ‘coming soon’ post…and the following week I began posting content for you all. This was day one, win one….I started.

Birthday’s are very important to me! Something I cherish and make the day all about!

Following my time at school, I worked full time during University and since then, I have always taken my birthday off! Completely! I get up and I do exactly what I want to do for the day and absolutely immerse in the day and enjoy it, for me! There was one year, about 3-4 years into my nursing career, I decided that I was going to work my birthday to help the team I was working with. It was an extra shift I was asked to do. I said yes. I thought I was doing the ‘right thing’. I didn’t realise how much I was going to hate it. I turned up on my birthday for a great nursing shift, 0800-1630, the dream birthday shift, right? It was a busy recovery unit and after arriving we spent about an hour where we were quite busy constantly, however, following this, we were pretty standard in terms of the patient flow and acuity, plus we had enough staff! I was not needed from about 2 hours into the shift. I was immediately annoyed. I had gone out of my way, on my special day and then I wasn’t even required!

I realised at that point, I have to do these things for ME. I love this day and I had always had it off! It is MY DAY! I love helping people and stretching myself! Especially for my immediate team, however I wasn’t even able to effectively ‘help’ them due to how I felt about me not looking after ME and what I NEEDED! So, from that day forward, I take my birthday off, for me! No excuses and I do not let any factors get in the way of me enjoying my day!

This year my birthday (personal) is on a Monday and I have already begun planning the day off! My wife and I usually spend it away, camping in our van with our beautiful english staffy, Sassy. As I mentioned above, the Aussie Nurse Educator (me, ? – I now have two birthdays), has a birthday this week. Due to the first post date being the 26th January 2021, the 26th January 2022 is the Aussie Nurse Educator’s Birthday ?

On the topic of wins, its important to celebrate them! Regardless of whether they are big or small – they mean something to you! I take my birthday for me and my win is that I choose to do so!

Enjoy the week, take care.

Have you set your GOALS this year?

Hey Friends!

We are back for the year – 2022!

I had a good couple of weeks off over Christmas and New Year which was absolutely fantastic!

I started off the year with releasing another newsletter! That was issue 4 and 5 is only just around the corner! I have been loving the feedback and sharing it all with you! Want to join the rest of us? CLICK HERE to sign up to my NEWSLETTER.

This week, in my stories there has been a lot of chat about GOALS!

I love reflecting and looking at where I want to develop myself personally and professionally as the new year commences.

At the end of last year, upon reflection, I realised that I set out to achieve a lot last year….and…I did it ALL! I was stoked with achieving it all!

The toughest thing I did was remain dedicated. After many years, I found the help I needed for my ADHD. I did this as I started noticing an effect on the people around me, at work and in my relationship with my wife, that was no longer functional and ok for them…or me.

This presented other personal and wellbeing challenges which has increased the load and learning curve with the management…..however this is the main area I am working so hard on in 2022. I want to be a better me! AND I WILL BE!

The constant grind working on my mental health and wellbeing is something I will always be working on, its something to just constantly learn about and improve on yourself and try and enjoy each and every moment!

Anyway, enough about my reflection….

Today I wanted to chat to you all about Goals. Setting our goals is important. It is important to have something to work towards.

When it comes to the goals, how do we know if we have achieved a goal? Do you monitor your goals and their progression? Do you set a clear path for their execution?

All something to consider…

When I look at what I want to do and setting goals to get it done, I use a few things that may help you with yours.

These can be broken down to simply – Break it down, Identify needs and wants, sort out the why, assign priorities, consider the resources, set the goals, schedule and plan.

This is just a break down of what I do.

Let’s have a look together.

Break it all down

I break the areas of my life down to ensure I am working on, planning and progressing in all areas of my life equally or to the degree I want to be with that area.

For example: I have these areas I look at

  • Personal
    • Wife – Aims
    • Relationships
    • Mental health and Wellbeing
    • Physical Health – Including Fitness (training) & Nutrition
    • Computers & Technology
  • Work
    • Nursing Clinical
    • Nursing Education
    • Aquatic Rescue
    • Pre hospital care
  • Business
    • Aussie Nurse Educator
    • Life Saving Education
    • Rory Tanner

These are my main core areas of my life I constantly work on.

Identify your NEEDS & WANTS

Identifying between a need and a want can sometimes be difficult. The way I think about it is a NEED is something that the area requires to function, or to maintain its ability to do its main role and is directly involved in the want.

A WANT on the other hand is something that will help you but isn’t needed right now.

As a new graduate nurse, I needed to do lots of things and I had many goals. You NEED to develop your skills as an RN and you would also WANT to develop these skills. This is consistent with each other and fuels and motivates you forward.

New graduate nurses also NEED to be able to complete all the shifts required of them including night shifts. You maybe don’t WANT to do night shift though.

There is an issue with the WHY (why are you here doing this?) and this also presents another NEED on top of the other…. – I now need to learn how to perform at my best on night shift and deal with the thought, ‘I don’t want to’.

You need to work on the WHY!

For me, I couldn’t do nights! My physical and mental health suffers way too much! Hence why you don’t find me in the ED ?

Sort out your WHY

Why do we do what we do? Powerful question! For me? Well, because I like it and it literally floats my boat! I do it because I am passionate and interested, which builds my motivation to do it!

If you do not have a solid WHY, you will probably fall away and not achieve that goal…

So WHY do you NEED to do this and all these night shifts? Here is a couple for you.

  1. Because you committed to becoming a Nurse. Nurses do shift work. Full stop. It is part of your training and development as a Nurse and person.
  2. It is extremely important to your clinical area, other colleagues, the hospital, health services and your patient. All of which you as a nurse, work for and serve professionally! Remember you chose this!
  3. It is vital for you to develop the skills to manage these shifts, yourself, others and your patients overnight. This is a hard learning curve. When to eat, when to sleep, when and what to do. You have a lot of support when you are junior! Reach out and use that support! You are not weak, dumb or behind! You are learning and you will get there!

Did we say you have to do it forever? No! I didn’t. Just sort out your short term and long term WHY!

Assign Priorities

You need to know how much priority (a rough percentage) you want to place on each area and sub-area of your life. This will change based on the year, the stage of life and more! There is no right answer!

The key is to assign and stick to it!

There was a time, actually two that I can remember, where I was struggling. It was all because the PRIORITY was not set or it was wrong!

In my first year of nursing as a new graduate, I was doing a lot of things and the areas of my life suffered due to a shift in priority. I went way up into the work area and left too much of the personal area behind…not good.

Have this clear from the start and keep it in sight!

Consider the Resources

What do you have available to help you?

This will depend on the life area and overall goal. These can be internal or external resources. Identify the things that will help you achieve each specific goal.

The common items for me: ADHD, mindset, productivity skills, social connections, network, macbook pro, ipad and iphone

Set the Goal

To set your actual goal, you should consider using a structure like SMART GOALS.

SMART goals stands for Specific, Measurable, Achievable, Relevant, and Time-Bound.

Defining these parameters as they relate to your goal helps ensure that your objectives are attainable within a certain time frame. This approach eliminates the grey areas and guesswork, sets a clear timeline, and makes it easier to track progress and identify missed milestones.

SMART Breakdown – to help you set your goals

S: Specific

First step to be effective is being specific.

Three quick and easy questions here for you to ask in relation to the goal you want to set

  1. What needs to be accomplished you’re done?
  2. Who is ultimately responsible for it and who else is involved in the process?
  3. What steps need to be taken to achieve the goal?
  4. Where is it located?
  5. Which resources or limits are involved for me?

M: Measurable

Quantifying your goals (that is, making sure they’re measurable), makes it easier to track progress and know when you’ve reached the finish line.

Questions to get you started include:

  • How much and how many?
  • How do I know if I’ve reached my goal?
  • What is my indicator of progress?

A: Achievable

Achievable, attainable and realistic to be successful. The goal should stretch your abilities but still remain in reach and possible. If you are setting an achievable goal, you may be able to identify previously overlooked opportunities or resources that can bring you closer faster or a more efficiently.

Goal answers questions such as these:

  • How can I get the goal accomplished?
  • How realistic is the goal, based on other constraints such as resources?
  • Do I have the resources and capabilities to achieve this goal?
    • If not, what is missing and what do I need. I.e. what’s the prior goal.
  • Have others done successfully before?

R: Relevant

The WHY! Ensure it matters to you!

We all need support and assistance however it’s about remaining in control and being consistent with you. So the plans need to drive everyone forward but ultimately leaving you still responsible for achieving your own goals.

Ask questions such as:

  • Does this goal seem worthwhile?
  • Is it the right time to send this as it go?
  • Does the goal match our other efforts and needs?
  • Am I the right person to achieve?
  • Is it appropriate and applicable in my current social economic environment?

T: Time

Every goal needs a target date so there is a deadline for you to work towards. Also setting something as a mini goal to keep you motivated. This section of the process is to help and prevent every day tasks from taking over to ensure you can still reach your goals.

A timer appropriate goal answers these questions:

  • What is the time frame to achieve this goal?
  • Does the school have a deadline?
  • When did I want to or need to achieve this goal?

Schedule & Plan it out

This will be specific to you!

I am heavily reliant on technology to achieve my goals and this is a main resource in the overall process. Scheduling and planning is so vital to ensure you are being intentional with your time and being as productive as you can be, while leaving time for the other things in life.

I use a combination of the calendar app on MacOS and iOS connected to my google and iCloud calendars to schedule my life, year, months, weeks and days.

I use DayOne to journal my thoughts and monitor progress of the schedule and planning on execution.

I use Notion to do absolutely everything else!

Become accountable

Do what you need to do to become accountable. Some people are internally or intrinsically motivated. Others are external or extrinsic in the nature of their motivation.

I spent a considerable amount of time being an endurance athlete and during this time we were asked to identify how we were motivated. This was very powerful to performance.

See it’s not the performance that is the issue, you already want to do that. What about the training involved? All the hurdles and challenges. Identifying how you are motivated! Don’t get me wrong, you are not one or the other. It is like learning styles and the way you learn. We are a combination of them all, however most people find one area helps and drives them more than another.

I am internally motivated to achieve. All I have to do, is complete this process and commit that I want to do it and I am there getting it done. For example, I immensely enjoy the challenge of learning something new and then applying the skills and seeing them in action.

On the other hand, I had friends who were athletes and they were quite external in the way they spiked and fuelled their motivation. An example includes, focussing more on the competitive or performance outcome of what is happening. These people may be lifted by social media, winning the event or being seen by others as ‘good’.

I was always taught, as an athlete, that being more intrinsically motivated is better for in both the short and long term. Even if you are predominantly externally motivated, thats ok, you just need to identify what works for you and then do it.

Be accountable and work it out.

What is the benefit to you and how can you apply this in your life or into the future?

We need to know how it will benefit us! This ties in with the WHY and the motivation. Review each stage and each goal to ensure you are on track and working towards or are achieving that goal.

What area did we improve and what skills did we learn and / or develop?

How does this help us in the future?

Well, I know that was a tad long but….goals are important and this is how I sit down and consider my situation and what goals I want to achieve.

Thanks for stopping by! I hope you enjoyed the read!

Now, go write those GOALS if you haven’t already ?