nurse

One of my favorite things to do in Austin, Texas, other than eating at La Condesa, is walking the trail around Lady Bird Lake. It’s peaceful and relaxing being by the water. You get to see aquatic wildlife and, if you’re fast enough, sometimes you can catch a glimpse of a turtle or two sunning themselves on the bank. On our last trip, while walking the trail, Tom and I had a pretty good laugh over a warning sign we ran into on the trail, obviously put in place by a well-meaning worker from the City of Austin’s Public Works Department. It reads: SIDEWALK CLOSED, USE OTHER SIDE.

While the sign, does indeed seem to point out the obvious, it made me think about legal nurse consultants writing reports for attorney-clients. Whether you’re writing a brief or comprehensive report, you need to point out the obvious, salient points from the medical record for that attorney-client. This includes deviations from and adherences to the standard of care. As a Certified Legal Nurse Consultant, you’re the expert on the medical record and you are the one who must point out the obvious. The attorney is the expert on the law. While you may work with an attorney or two who knows enough about medicine to open a practice as a doctor (unlicensed), the majority of attorneys do not. Those attorney-clients depend upon you to tell them what they need to know about the treatment, injury and actions of the parties. This includes pointing out the obvious.

As a nurse, you have a tremendous amount of knowledge about nursing, medicine and just about every aspect of healthcare. This brings its own dangers. Sometimes incidents, deviations or lapses in care that are obvious to you in their effect on the case, won’t be obvious to your attorney-client. Certainly you need to write your legal nurse consulting reports to the skill level of each particular attorney-client, but, at the same time, you don’t want to overestimate their ability to see and understand the obvious. You can’t assume that the attorney will recognize the importance of a critical deviation if you give it the same weight as every other deviation you address in your report. What’s obviously important to you, may not be obvious or important to the attorney-client. If you don’t believe me, think of some of the obviously important things you point out to your spouse (“Honey, remember what happened last time you tried to rewire a lamp? I think you should unplug it first. Or Honey, don’t let the baby get too close to that alligator.”).

If something is obvious to you and importantly obvious to the case, point it out. Tell the attorney-client why it’s important. Don’t assume they’ll pick up on it themselves. Do this religiously and you just might keep them from getting soaked in court or in a lake.

Success Is Inside!

I talk to thousands of RNs every year who are becoming increasingly dissatisfied with the healthcare system. Many of these conversations remind me of a dinner I had with my father at an Italian restaurant. After an animated discussion with the waiter, my dad ordered a pasta dish that wasn’t on the menu, telling the waiter exactly what he wanted in it.

When the food came, it was presented beautifully and prepared exactly as he had requested. Bits of scallion, garlic and peppered chicken glistened over a serving of fettuccine, all mixed with basil and olive oil, topped with chunks of ripe, red tomato lightly dusted with Parmesan cheese. The dish looked so good, I wanted it instead of my own.

I expected my father to be delighted with his meal. Instead, he started comparing it to a completely different pasta dish from a different Italian restaurant. Rather than enjoying his dinner, he found fault with the waiter, the restaurant and the chef for not serving this other recipe. According to dad, the dish was prepared wrong and even had the wrong ingredients! He specifically complained that there shouldn’t have been any tomatoes and there wasn’t enough garlic.

I sat there both stunned and amused. Even though my dad’s pasta was prepared exactly as he had requested, it wasn’t what he really wanted because it wasn’t the dish he was used to ordering at the other restaurant. Finally, I gently interrupted his litany of complaints, reminding him that he had received exactly what he ordered. In fact, after tasting it, I liked it even better than the dish he was comparing it to.

Dad replied, “I may have gotten what I ordered, but it isn’t what I want.” My father had expected the waiter to read his mind and bring him something other than what he ordered. Eventually, my dad’s hunger got the best of him and he enjoyed his meal to the last bite. After all, when you’re hungry, even the wrong dish fills your stomach.

What Career Menu Are You Ordering From?

As an RN, are you hungry for job satisfaction but ordering the wrong dish off the wrong menu?

• Do you feel exhausted by your working conditions and environment?
• Do you dislike the hours, the weekends, the administration, the HMOs?
• Are you cranky about too many patients and not enough time to provide the quality of care you know you’re capable of?

If your nursing career isn’t where you want it to be, are you confusing your expectations and desires with what a traditional nursing job menu offers? Are you trying to order a dish that isn’t on the menu?

Like my dad, you may have expectations about what you are being served. You may have tried your best to order exactly what you wanted. Yet what’s on your plate has turned out very differently from what you were expecting.

If you stay at your same RN job and order off the same old RN job menu, don’t be surprised when you get what you’ve always gotten even though it’s not what you want. Much like the Salisbury steak in a hospital cafeteria, what healthcare facilities serve up for your nursing career has been on the menu for years. Sometimes the description changes, sometimes the preparation changes, but it’s still the same old Salisbury steak, and it is still not very satisfying for many RNs I’ve come to know.

Feast at a Brand New Restaurant

If you’re salivating for a nursing dish with different ingredients, if you want more autonomy, freedom, control or money, it’s time to feast at a new restaurant with a new and modern menu.

Certified Legal Nurse Consultants don’t order off the traditional menu offered by healthcare facilities. They’ve found a new menu that features more of what they want for themselves and they’re willing to leave their hospital restaurant to enjoy that innovative menu. For these nurses, the legal nurse consulting restaurant has the right menu – dishes that satisfy their palate in every way, and choices so plentiful they don’t have to look anywhere else because any dish they can imagine is already on the CLNC^® menu.

Life is meant to be an adventurous banquet filled with tasty and satisfying dining experiences. It’s your meal – you get to choose the restaurant and write your own menu. Shouldn’t you get what you want, what you deserve, like so many other nurses who have chosen to stop ordering off the wrong menu?

Your right menu is just an action step away. Go to the right nursing restaurant today and you’ll find that one dish you’ve been craving. I invite you to join me and my CLNC^® colleagues at the legal nurse consulting banquet – the taste sensation of a lifetime. Don’t miss another minute of this exciting feast – reserve your place at the CLNC^® banquet table today.

Success Is Inside!

As a Certified Legal Nurse Consultant, I focus on helping hospitals reduce Medicare denials and win more Medicare Part A appeals. My photo and short bio on my websites generate four to five calls from hospital attorneys each month.

Hospitals want to be paid and I’ve learned that the first level of preventing Medicare denials is the assessment of the patient and the physician’s documentation of medical necessity. It’s usually the lack of this information that triggers a Medicare denial of payment.

The first rule to get the physicians to buy into what you are trying to teach them is to feed them. So, I contact the hospital administrators in question and explain that I have a plan that will help them reduce Medicare denials and change their doctors’ bad documentation habits. If lunch is not within the facility’s budget, then I work with ancillary vendors who might want to participate and provide lunch.

I use exhibit posters and flip charts to present during lunch (provided by the hospital). I also use a dry-marker board and include actual excerpts from Medicare’s denial documents. The exhibits show what was missing and how to correct it. My program includes hand-outs with the information from the posters, dry board and flip charts.

This educational approach usually works and I receive calls from physicians with questions for some time after each event. The marketing benefit is that people from different hospitals talk to one another, which often generates calls from other facilities wanting presentations and I get more clients.

My marketing strategies include:

• Bulletin board teasers with movie ad-like messages: “For Doctors: Coming soon to your hospital…” posted a couple weeks before the presentation.
• Hand-outs placed in facility mail boxes at least two weeks ahead of time.
• Posters on stands just inside the entrance to the presentation room at least 30 minutes before start time.
• Enlargements focused only on the most important pieces of Medicare rules on the subject that affects physicians.

One of the most rewarding experiences occurred while I was auditing a telephone conference regarding Medicare appeals with corporate attorneys for two of my hospital-clients. One hospital administrator on the call wondered why two facilities seemed to be doing much better than the others in overturning denials. The attorney explained, “That’s because they have a Camy,” as though I were a product brand name.

Another time a different hospital-client armed with the education and hand-outs I provided, was able to make enough immediate and lasting changes that they, effectively, stopped their denials cold. Most hospitals make changes slowly and with a lot of kicking and screaming. This hospital’s collective, firm resolve made the changes using the education they paid me to give them – and won big!

Medicare is my specialty and marketing, as I learned from Vickie Milazzo, is what sells my CLNC^® services.

Guest Blogger Profile

Camy Joyner, RN, BSN, CCM, CLNC, CEO and co-owner of C. Joyner and Associates, LLC. Consults/manages Medicare Part A appeals for acute general rehabilitation hospitals. Consults for records review/audit for physician medical pertinence. Also consults in non-Medicare negligence cases.

While I was pursuing my nursing degree in the late 90s, I was also working on my Spanish degree. Being from North Dakota where few people speak Spanish, Hispanic friends and colleagues often ask me how in the world I learned Spanish. I tell them I just fell in love with the language when I started taking Spanish in the 7th grade. I received my Spanish degree in 1998 and have been speaking Spanish since then.

I remembered what Vickie taught me in the CLNC^® Certification Program about using my unique selling position (USP). So, I started including the phrase, “I also have a degree in Spanish” in emails to attorney-prospects and paralegals. In one email to an attorney-prospect, I briefly told her about the services I offer as a Certified Legal Nurse Consultant and mentioned that I have a Spanish degree. A couple of weeks later, I received an email from a paralegal at that law firm asking if I could attend an independent medical examination (IME) for his Spanish speaking client. Two months later, I received a voicemail from another paralegal at the same law firm requesting my services at an IME for a different Hispanic client and a different attorney.

Each CLNC^® consultant brings something unique to the table. Like Vickie says, we are in the business of marketing. After attending both IMEs, I realized that I always need to market my USP of speaking Spanish. Marketing your USP will save a lot of time and energy. I kick myself now for not using my USP the first day I began marketing to attorneys.

Maybe your USP is speaking another language. Maybe it’s the fact that you have 25 years of nursing experience and you’ve worked in every area of the hospital. Maybe your nursing specialty is forensics. Whatever it is, every Certified Legal Nurse Consultant has a USP. The question is, are you marketing your USP to attorneys?

Guest Blogger Profile

Brian Brandser, RN, BSN, CCRN, CLNC assists attorneys with personal injury and medical malpractice cases. Brian also serves as clinical coordinator in a critical care unit at a Washington state hospital. Brian has a Spanish degree and lives with his wife and two boys.

The term “sexual assault” refers to forced sexual intercourse. The term used in your state, region or area may be called “sexual abuse” or “rape.” It is important for each person to check the law’s legal definition in their state.

How many of these statements have you heard as a Certified Legal Nurse Consultant reviewing a sexual assault case?

• There was a delay in seeking treatment and/or reporting the assault.
• They know each other and they were on a date.
• There were no injuries.
• They were calm when they arrived.

CLNC^® consultants should focus on the facts in a case, not the assumptions while at the same time being alert to how others might interpret the case.

Many times the survivor may delay seeking treatment or reporting the incident. The delay in seeking care may have been because the victim was in shock. They could have been threatened, unconscious or waiting for a friend or family member to arrive to assist them. The survivor of a sexual assault is a trauma patient; and they will have the same psychological reactions as any other trauma patient. The reactions you may see documented are that they were calm one minute, crying or angry the next and withdrawn or even confused at another time. A Certified Legal Nurse Consultant should not focus on whether or not the victim delayed seeking care or delayed reporting the assault to determine if the case has merit.

Saying the victim knew the attacker so they can’t claim assault is not necessarily a strong defense. According to the Rape, Abuse & Incest National Network (RAINN), 73% of sexual assaults are committed by a nonstranger and 38% by a friend or acquaintance. 93% of juvenile survivors know their attacker. Of the 93%, 34.2% are family members, 58.7% are acquaintances and only 7% are strangers.

Knowing the attacker, being on a date with them or even being married to them does not give the “okay” to be sexually assaulted. “No” means “no” when said to a spouse, dating partner, relative, friend, any kind of acquaintance or a stranger.

A physical examination, even in a child victim, may not reveal any injuries. Factors that can affect the injuries are anatomy, physiology, how much force was used, how much the victim resisted, the time lapsed between the assault and the exam and the grooming of the victims. Everyone’s anatomy is not the same and this is true of the genital area and the hymen also. If there was an injury or difference documented, it is important to know if it is an anomaly or an acute injury. Also, realize there are other types of injuries beside sexual assault that can cause an injury in the genital area or even cause a ruptured hymen. The vagina and cervix are vascular areas and heal quickly. If time has elapsed before the examination, any injury might be healing or healed. If injuries were documented, then you may be able to determine if the injury was acute by checking the records to see if the victim was examined a few days to a week later. If another examination was completed, compare the documentation of injuries. If documentation confirms that the anatomy is the same and no further sexual assault was found to have occurred, then it was probably not an acute injury.

Legal nurse consultants should also be aware that estrogen can play a role in whether there might have been injuries noted with the exam. Estrogen in females makes the cervix thicker and more redundant. Injuries might be less likely to occur during the child bearing years when there is usually more estrogen in the body. The victim’s resistance to the attack and the force and object(s) used have an effect on any injuries sustained. If the victim did not resist the attack, the examiner may not discover any injuries. The victim’s cooperation should not be confused with their willingness to have intercourse. They may have feared for their life, been too traumatized to resist, been drugged, intoxicated or the attacker could have threatened them, a loved one or even a pet.

Child victims may have been “groomed” by the predator. Grooming is the process of desensitizing the child. The predator usually has some type of relationship with the child. This relationship provides the predator with the opportunity and access to the child to engage, entrap, prepare and trick the child into accepting the sexual abuse. The grooming can start with subtle behaviors or statements and once the victim responds favorably, some form of sexual activity begins, and often progresses. When there is less resistance, there may be little to no injury sustained or noted.

Remember that a calm victim does not indicate whether assault did or did not happen. A Certified Legal Nurse Consultant needs to review and consider all information and documentation – the subjective and objective data obtained during the physical exam and the history of what occurred. Gather all records from other disciplines that might have spoken with or examined the victim after the assault. Review the records to be sure the examination was conducted thoroughly, to learn what type of practitioner performed the exam, that all evidence was collected and stored properly and that the chain of evidence was followed.

Most areas have at least one hospital and sometimes several that have a sexual assault nurse examiner (SANE) or sexual assault response team (SART). A SANE is a registered nurse who has had specialized education to provide comprehensive care to sexual assault patients and demonstrates competency in conducting a forensic exam and who has the expertise to give effective courtroom testimony. SARTs are set up in a similar style with a multidisciplinary and community-based approach to caring for and assisting the victim. The teams usually consist of local law enforcement, prosecutors, judicial members, a victim advocacy group, the hospital, SANE members and any other professionals with a vested interest in assisting victims of sexual assault.

With a thorough review of all the information, a definite response to the question of whether the victim was really sexually assaulted still cannot always be given. The response that can be given is the results of the examination, the injuries sustained and any behaviors noted that were or were not consistent with the history obtained.

Guest Blogger Profile

Cheryl Garrison RN, CEN, SANE, CLNC has 18 years of emergency nursing experience and has been a SANE nurse for 8 years. She is cofounder of Class Act Consulting Services, LLC in Kansas specializing in emergency and abuse cases. Her company has assisted the local district attorney in the victims unit on various abuse cases. Her company partners with an elite group of Certified Legal Nurse Consultants who specialize in various nursing specialties including labor and delivery to hospice, home health and Medicare fraud cases.

Some people, I’m convinced, have a gene for exploration and discovery. What else could explain why one person spends his life striving to stand on the peak of Mt. Everest while another is happy to sit in a hammock or lounge chair in their backyard?

When I was a young girl, my family couldn’t afford to travel but that didn’t stop me from becoming a world traveler in any possible way I could. I travelled through the eyes of beautiful glossy brochures to many countries. I wrote to every consulate of practically every country I could think of for information. I’d open our mailbox and that’s when the adventure would begin. Through the most amazing photos in those glossy publications I walked the Great Wall of China, trekked the Himalayas and tracked lions, wildebeest and elephants on the Serengeti.

Since then I’ve been blessed to travel the world and visit the Serengeti as well as many, but not yet all, of the other places that were once simple childhood fantasies. My real traveling didn’t start until I started working in the hospital as an RN. A colleague and I often chose our nursing continuing education based on location rather than the educational offerings. Critical care nursing principles suddenly became much more compelling in places like Hawaii, Puerto Rico and London than they ever would have been in Houston. We’d scrimp and save our pennies to make those trips. Later my legal nurse consulting education business took me to 49 states, enjoying the endless bounty and diversity the United States offers along the way. Tom went to most of those states with me, which made the experience all the better. Today our personal adventures have taken us to both polar regions as well as places like Cambodia, Morocco, Patagonia, Bhutan and Tanzania.

Throughout my travels, I’ve visited countries where people enjoy freedom and, sadly, countries where freedom is denied. I’ve visited Communist countries where the “state” discourages regular people from talking to foreigners, countries where children are conscripted against their will into the military and countries where armed rebels roam free. I’ve been to so-called democracies where the governing party enforces its rule through killings, violence and other strong-arm tactics. Some of my favorite trips have been to countries where even the poorest farmers were some of the happiest people I’ve met, simply happy for their mud hut, cattle and the open spaces around them and a life without boundaries (or too many belongings).

Whenever I travel, no matter where I go, what I see or how much fun I have, I am extremely grateful and proud to be a citizen of my beloved United States of America. I’m proud to have the freedom that we so often take for granted and I’m especially glad to hear the U.S. Customs official tell me “welcome home” because I know I am back in the land of the free, and not just the land of big salads and iced tea.

Let’s face it though, freedom for most of us goes way beyond our ability to live where we choose, work a job we select, be able to vote and trust the government not to unjustly imprison or prosecute us. With that in mind, I invite you to join me in celebrating the freedom we all enjoy as Americans and especially as Certified Legal Nurse Consultants.

I’ll get the list started and invite all of you to go ahead and add to it.

Freedom to:

• Say “no” – I was fired once for justifiably saying no. That was one of the best days of my life because it was on that day that I vowed no boss would ever get that chance again. Now I’m the boss and I’m the only one that can fire me.
• Change directions – I’m a Pisces so I thrive on change. I like to navigate all types of waters which I’ve been challenged to do owning my own business. When I do, it’s often my choice and my responsibility – that makes the change so much sweeter.
• Express opinions without fear of recrimination – I was always the nurse at the hospital getting in trouble for saying what every other nurse was thinking (and wouldn’t say at a staff meeting even though they all promised to stand up too). One of my favorite staffers at Vickie Milazzo Institute is just like I was. I call her the “other voice” and value her courage to tell me what I might not want to hear (and sometimes I don’t want to hear it – but I still listen).

Now, it’s your turn to share your stories regarding the CLNC^® freedoms below:

• Live a life of unlimited possibilities –
• Be creative –
• Enjoy confidence and self-respect –
• Define your own happiness –
• Explore passions –
• Spend time with family, or not –
• Dare to believe and achieve –

Success Is Inside!

Nurses have the strength of renewal. You’re a healer. You renew and re-energize the patients you care for, physically and emotionally, turning them out healthier than they were before. You give and you give and you give all your energy to renew everyone else. But do you turn that strength around and apply it to you?

Consider this, if you stepped back and looked at your daily routine objectively, as if it were happening to a good friend, what would be your advice? Slow down? Take a few breaths? Spend a few moments mindfully enjoying one day before another day crashes in with new demands?

You can’t keep giving what you don’t have. If you’re feeling like an overworked, underpaid nurse it’s time to reclaim your life energy through frequent renewal. Remember, our thoughts become our reality and renewal helps us change both our thoughts and our reality.

To have a healthy, exciting and fulfilling relationship with others, you must first have a healthy, exciting and fulfilling relationship with yourself. When you’re your own best friend this is easy, but too often our practices sabotage what we need and instead we act as our own worst enemy – repeating behaviors that we know are bad for us and not taking the renewal steps we need to restore ourselves. If we don’t renew on a regular basis, we’ll slip further and further into the state we’re seeking to escape. When you renew, you recharge your batteries to gain the energy for your big goals while still juggling the daily challenges of your career and life.

I recently mentored a CLNC^® student who shared that she had lost the connection to herself, to her vision and to what really mattered in life. After our visit she vowed to go home and get reacquainted with herself.

I’m just as challenged as you are. When I left my hospital job to start my own business, I fantasized about 4-hour work days and lying by the pool sipping margaritas. Boy was that a hallucination!

Knowing all the issues and the 21 employees waiting for me at the office, I wake up 30 minutes earlier than I have to, and well before any sane person, to make time for a cup of quiet renewal in the form of healthy green tea. When I get into the office I’m ready: “Come on, bring on the madness!” Taking time to charge my own batteries prepares me that much more for the challenges and opportunities each day brings.

It’s okay to take care of yourself. If you don’t, the odds are nobody else will. Carve out your own 30-minute renewal break daily, before everyone gets up or after everyone has gone to bed, and you’ll find energy abundantly available when you need it to grow your nursing career, your legal nurse consulting business and your life.

Success Is Inside!

Okay, that’s a question that a lot of new Certified Legal Nurse Consultants might not know how to answer. In the world of digital media and MP3s, we no longer have to deal with skips in the middle of a song like we did when we listened to CDs or LPs. I’m so glad the days are gone that I have to worry about washing the lotion off my hands before handling my Prince CDs, or having to carefully slide an album like Coldplay’s “Viva la Vida” vinyl album into its sleeve and then into the album cover at just the right angle to keep it from catching and scratching one of the tracks.

Digital media and the iPod^® have not only changed how I listen to music, but also the way that I think of music. Since music has become ultra-portable, it’s changed air travel, working on the road and vacationing by giving me the ability to add a soundtrack to my life at any time that I want without disturbing other people. If this wasn’t the best invention in the world, I’m still waiting to see what it is going to be.

Most of us have our own soundtrack running in our heads and sometimes that soundtrack has a loop in it, causing us to hear the same information, right or wrong, over and over. Sometimes, that soundtrack has a skip in it and that skip causes us not to hear what the other person is saying over and over again. There’s a high potential for looping and skipping that can happen to legal nurse consultants too, and when it does, there’s a need to stop it.

As a CLNC^® consultant you’ve been trained to carefully listen to attorney-prospects when you’re in an interview, to relax and not to get so caught up in the soundtrack of your nervousness that the attorney becomes invisible to you.

If an attorney says “You’re hired,” you don’t respond “Thank you, but I have to finish explaining all 32 CLNC^® services I provide as a Certified Legal Nurse Consultant” and then loop back into your script. You’ve got the job – stop, skip the script and start discussing the first case.

Likewise, have you ever fully and completely answered a question for a patient, friend, family member or other party but they didn’t listen to the answer and loop back to ask you the same question again? Or they make the same statement they just made and, no matter what response you make, they skip processing your response to loop and repeat the statement? They become so caught up with the looping in their heads that their soundtrack skips your answer.

In some situations, repetition can be entirely appropriate. I love listening to my twin brother Vince’s “True Hollywood stories” from our childhood in Louisiana. Each time he embellishes a little bit more and it’s fun calling him on those embellishments. One of my staff members has heard my “war stories” almost as many times as I have and to her credit she always laughs as if she’s hearing them for the first time.

But, there’s a big difference between repetition for its own sake and repetition due to lack of focus. I was mentoring a CLNC^® consultant over the telephone on some issues regarding her legal nurse consulting business. She kept trying to go back and rehash the issues we’d just discussed. I realized that if she was that unfocused with me, she would certainly be that way with any attorney-client or -prospect. I called her on it and challenged her to focus for our next telephone call by outlining her questions and checking them off after being answered and avoid the rehash. To her credit she did pretty well.

Recently at a live event I spent some time answering a woman’s questions. I went through all her concerns and questions and I thought she was satisified with my suggestions. To my surprise, the next day she asked me the same questions again. I politely told her that no matter how many times she asked me, my answers wouldn’t change. I later found out that after talking to me, she also approached Tom with the same questions. He politely told her to follow my advice. The internal loop of her soundtrack and story were causing skips in her listening and in her processing of the information she was receiving.

In your career as a Certified Legal Nurse Consultant, you’ll run into plenty of situations where repetition is necessary in education or the case review process. But in other situations, before you start repeating yourself, ask yourself why and if it’s really necessary. It may not be. I repeat, ask yourself why you’re about to repeat and see if it’s really necessary. It may not be.

You will have many opportunities to loop and skip. I challenge you to be like an MP3 in your business and personal relationships for the next three days and let me know the results.

Success Is Inside!

I’ve stayed in a lot of hotels during my travels. Everything from Ramadas to Mandarin Orientals with more than a few Hiltons, Hyatts, Marriotts and the occasional Peninsula in between. As a result I’ve become quite jaded concerning hotel services. On a recent trip to Austin, Texas, I was stunned by the service at our hotel, the Four Seasons. The staff did much more than just meet requests, they seemed to anticipate every need. It started with the bellman who offered to find additional luggage stands. Then it was the waiter who, after I asked for the check and told him we needed to get to the airport, he offered to call a cab for us.

The front desk clerk who not only upgraded us to a lake view (without my asking) also suggested happy hour on the hotel’s terrace overlooking Lady Bird Lake and told us about a few of the appetizers we shouldn’t miss. The doorman surveyed the directions to our dinner spot (La Condesa – my favorite Mexican restaurant in the U.S.) and recommended a better, more direct route and even told us where to park. This service extravaganza ended with the valet who provided us with bottles of water for our drive to the airport.

From the time we arrived at the hotel to the time we left, it seemed the staff anticipated our every need and went out of their way to try and beat us to the punch. I couldn’t help but contrast this with so many other experiences where the staff simply wait until you ask them for help.

Are you doing the same for your attorney-clients? Are you anticipating their needs and offering different legal nurse consulting services than you’ve provided in the past or do you just sit passively by the phone or computer waiting for the call or email? The impression you want to leave with your attorney-clients is one of superior service and the best way to achieve that is by transcending your prior service.

As a Certified Legal Nurse Consultant, you know that you can provide more than 30 different CLNC^® services to your attorney-clients. Offer them! Don’t wait for the attorney to ask you. He hasn’t seen the list and doesn’t know the full range of your nursing knowledge and experience. Show him how you can stand out by anticipating his needs, not just meeting them.

Success Is Inside!

I’ve told you about the bamboo that highlights my morning tea time. Lately there’s been a pair of northern cardinals living in the bougainvillea growing outside my living room windows. They’re a matched set, a male and female, and whenever they appear, they bring a joyful mindfulness to my day, reminding me that life is good. I used to think they mate for life (like me) but found out that it’s more likely just for one season. I also learned that during the wooing process the male will not only sing to the female, but he’ll bring her seeds and feed them to her beak-to-beak. I’m still waiting to see that action (and I don’t mean from Tom).

Blogging about the bamboo and the cardinals reminds me of another practice I’d like to share with my Certified Legal Nurse Consulting colleagues. That’s the practice of mindfulness. Mindfulness, in its simplest form, is simply being fully in the present and taking in things as they are. It is also being fully aware of our body’s sensations, such as our breathing. It can be fully embracing the joy I feel watching the cardinals hop from branch to branch. When you’re walking, it can be feeling the satisfaction of using your muscles, noticing and appreciating the beauty of the budding trees or smelling the hamburgers from the local cafe.

I’ve found that it is easier to be mindful when I’m doing nonwork-related activities such as hiking in the woods. When I’m working, I need to be intentional about mindfulness and not let my mind start flying in a thousand different directions about what has to get done by whom. I need to be mindful about eliminating the clutter that distracts me from my big vision. I have a friend who defines multitasking as worrying about many things at the same time. Worry is a completely useless emotion and that’s why mindfulness is so relevant to everything we do. Mindfulness gives us the focus we need to complete even the most challenging projects.

What about you? When you’re working in your legal nurse consulting business on a report for an attorney-client, are you thinking about the time-crunch, how much you don’t like typing or are you wishing your children would quit interrupting your work? Are you wondering how you can find a CLNC^® subcontractor with a particular specialty or where you’ll locate an expert witness for a case. Is your mind flying everywhere but on your work? Be honest, it happens to all of us.

It’s been said that any activity that is done mindfully is a form of meditation. In other words, if you fully release yourself into the work, feeling the mouse in your hand, listening to the clacking of the keys on your keyboard, marveling at the science that brings the Internet into your home and the computer technology that allows you to share your knowledge with the attorney-client, you turn a chore into a mindful activity. Even pausing to appreciate the interplay of the sun in the branches of the trees outside your window or the sound of your house as it heats in the day can be an exercise in mindfulness.

Apply mindfulness to anything you consider a chore and turn it from a chore into a meditation – dialing the phone and being fully present in the conversation, enjoying the smell and warmth of the clothes as you fold them from the dryer or just feeling the texture of the crisp pages of the research study you’re reading. I’m trying to be mindful as I type this. I’ve closed my email program and am engaging my fingers on the keyboard, listening to my own mind and blocking out the ringing phones in the office.

But, don’t force mindfulness, it needs to become a natural act. Muho Noelke has pointed out “…we have to forget things like I should be mindful of this or that. If you are mindful, you are already creating a separation (I – am – mindful – of – ….). Don’t be mindful, please! When you walk, just walk. Let the walk walk. Let the talk talk. Let the eating eat, the sitting sit, the work work. Let sleep sleep.”

That’s the first step on the path to true mindfulness. Don’t “be” mindful, “become” mindful.

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