nurses

After I became a Certified Legal Nurse Consultant, I worked for a corporation doing internal auditing. After two years, a CLNC^® friend told me about an opportunity to have an exclusive Certified Legal Nurse Consultant contract with an attorney. At first I wasn’t sure I wanted an exclusive contract with any attorney because I did not know if he would have enough work for me. I was wrong. I ended up signing a contract with this attorney-client for $150,000 annually for 40 hours a week. This year I will make about $175,000.

Technology has been a big plus for my CLNC^® business. My husband retired and we moved to Tennessee. My attorney-client lives in California. Technology allows me to work full time at home out of an office that used to be part of our barn as I watch over llamas grazing outside. My attorney-client, who has a protected server that allows her to download documents, copies everything to a disk. One of the best things I’ve adopted from one of Tom’s Tech Tips was dual monitors. I review the files from my attorney-client on one screen while I write my report using the second screen. I also take my work on the road when I travel. My husband races cars so I can just pack up my bag with my laptop and go with him. It’s great because my legal nurse consulting business is completely portable.

The benefits of being a Certified Legal Nurse Consultant are endless. I work out every morning, have coffee with friends, then I go to work. The more I work, the more money I make. I can work 50 hours one week and take a day off the next whenever I choose. In my prior job, I only slept in my own bed about eight nights a month because I had to travel so much. Now as a Certified Legal Nurse Consultant, I enjoy staying at home.

When I worked at a full-time job, I could count my friends on one hand. Now, I am more involved in my community and I’m active in the charities that are important to me.

I was going to semi-retire, do a little CLNC^® work but not really do much. However, I have stayed busy and have had numerous offers for additional legal nurse consulting work. When this happens, I contact my network of CLNC^® peers. The NACLNC^® Directory has a wealth of CLNC^® consultants who I can refer business to or recommend as experts.

My advice to nurses is to stop waiting – do it now. Become a Certified Legal Nurse Consultant today. Stop procrastinating!

Guest Blogger Profile

Sheila Silvus Chesanow, RN, MS, CLNC is owner of Chesanow & Associates in Tennessee. She has been a nurse for 30+ years and has been clinically active as a nurse practitioner. Sheila’s CLNC^® practice specializes in acute care, long term care and geriatric medicine.

When I first started my legal nurse consulting business in 1982, I was nervous about contacting attorneys and marketing to them. The single most important thing that helped me overcome my fear, was remembering who I was – an RN. You know my mantra, “We Are Nurses and We Can Do Anything!^®” If we can make split second decisions that are the difference between life and death, we can do something as easy as talk to an attorney. We learned early on as nurses that doctors are not to be feared and we learned to talk (back) to them. Well, attorneys are the same. They put their super-suits on just like everyone else, one leg at a time. Talk with them; they’re fun. They have great senses of humor and they love life. Some of the most fun people I’ve met in my life are attorneys.

As I grew my legal nurse consulting business I focused on my strengths and successes, not my weaknesses and mistakes. I could write the book on just the mistakes I’ve personally made. Maybe you can too. Now though, there’s hard evidence that it’s our successes that have the most impact on the brain. If you do something the right way, the brain remembers how you did it.

In fact, the study suggests that failure has no impact on helping us to succeed. That’s because if you do something wrong, the brain doesn’t know how to process and store it. Since we absorb more from success than failure, this might explain why successful people learn more from their experiences and continue to succeed often while people who fail learn less from experience and continue to fail often. Think about the people around you. We all know someone who keeps making the same mistakes, in love, at work or in business – it’s because they’re not learning from their failures (unless there is a strong negative association with it such as pain, embarrassment or electrical shock). They fail to learn like they would from a success.

Keep succeeding and stay focused on your past successes. I’ve always said that reliving your past successes will fuel your future success and now research has proven me right.

If your brain doesn’t know how to process your failures, why should you bother? I say you shouldn’t.

Success Is Inside – and it’s repeatable!

Nurses have the strength of enterprise. Think about all the creative, enterprising ways you’ve worked around administration, the doctors, the insurance companies – all on behalf of your patients. To satisfy everybody you have to be enterprising. But being enterprising isn’t just about satisfying patients, doctors and administration. It’s about being enterprising in the pursuit of your career and professional advancement. You must be as enterprising as the CEO of a successful business.

One way CEOs are more enterprising is they expect a payoff for every venture, large or small. After I got my masters degree, my hospital failed to acknowledge it. I didn’t even get a 25¢/hour pay raise. I thought this venture deserved a payoff, so I gave myself a pay raise by announcing my resignation and getting a job at a hospital that recognized my new level of knowledge.

A few years after I started my legal nurse consulting business I attended law school at night. At the time, I thought I would be interested in practicing law, but later decided I preferred the payoff of the freedom and flexibility that my legal nurse consulting business afforded me.

After I graduated, one of the law firms I consulted with offered me a position as an associate attorney. I didn’t have to think hard about the offer. Not only was I already doing what I loved, I was also earning more money as a legal nurse consultant than any of the associate attorneys just out of law school. Saying no was easy.

Then, a year after I politely turned down the associate position, they upped the ante and offered me a partnership at the law firm. Now, the stakes were much higher. These were some of the best medical-malpractice attorneys in Texas! Between working with these attorneys and thinking about the partner bonuses, that offer was more lucrative than I thought my legal nurse consulting and education businesses could ever be.

But then I remembered that payoff isn’t always about money. Practicing law wouldn’t provide the emotional payoff I was receiving from helping nurses start their own legal nurse consulting businesses. My passion was teaching, not lawyering. My enterprising spirit (and intuitive vision) told me something grander lay ahead. So I stayed with what I loved and passed on what certainly seemed to be a firm financial future. Eventually, as our intuitive decisions often do, my decision paid off, both financially and emotionally.

When you take on a new venture, make a career decision or simply choose how to spend your time, you should ask, what’s the payoff? Is it monetary, is it good for your spirit, is it good for your career, is it good for your life? If you say no to this opportunity, is there a bigger payoff available to you? You may have to look hard and be imaginative. The profit may not always be in cash but there needs to be a payoff. Passion for your life and work is the best profit of all. But you still don’t want to underprice yourself. So reach for the stars – you deserve them, whether it’s in business or simply personal.

Success Is Inside!

Happy International Nurses Day! And, happy birthday to Florence Nightingale – today, May 12, is her birthday. She laid the foundation of professional nursing with the establishment, in 1860, of her nursing school at St. Thomas’s Hospital in London, the first secular nursing school in the world. The annual International Nurses Day is celebrated around the world on her birthday.

It is fitting that on this day we express our gratitude to our friends at Gannett Healthcare Group, publishers of Nursing Spectrum, NurseWeek and Nurse.com. We are honored that they joined us at our 2010 National Alliance for Legal Nurse Consultants (NACLNC^®) Conference to share some original letters written by Florence Nightingale. These original letters, written in 1861, are truly national treasures and were on display during the NACLNC^® Conference. It was truly fitting as 2010 is the centennial of her death and the International Year of the Nurse.

Photos taken at the Conference are shown here – it was an exceptional exhibit.

Florence Nightingale was born in Florence, Italy to English parents and lived from 1820-1910, 90 years. She set the stage for us “to bring into the field a higher class of persons.” Follow this link to read more about this caring, strong-willed founder of modern nursing.

The exhibit melded well with our NACLNC^® Conference theme: Take the Stage for Legendary CLNC^® Success. The nurses in attendance were impressed, and also touched as they were reminded of the legendary example Florence Nightingale set for all of us.

Thanks again to our friends from Gannett Healthcare Group (Nursing Spectrum, NurseWeek and Nurse.com) for their generous sharing of this exhibit with all the Certified Legal Nurse Consultants at the 2010 NACLNC^® Conference.

Nursing has such a rich history and this is one of those wonderful reminders of just how rich our history is. Happy Birthday, Florence!

Success Is Inside!

Nurses have the strength of endurance. How else would you get through those 12-hour shifts? You work on your feet, you eat on your feet, you think on your feet. Sure – you get to sit down at least once a shift – when you go to the bathroom. Wait a minute – nurses don’t sit, right? We squat – we ain’t touching nothing. But how do you fuel your endurance when the doctor wants it yesterday, your kids want it today and…your spouse wants it tonight?

Endurance is about having the stamina to do what it takes to succeed. When you are launching and growing your business as a Certified Legal Nurse Consultant, you need endurance. I love working and I don’t mind working long, hard hours full of the challenges inevitable in my legal nurse consulting business. Those hours are easier to endure because I love what I do and also because I reward myself by taking off 12 weeks throughout the year to pursue my passion for hiking and traveling. That’s my payoff and the further I get away from the business to places like Bhutan, the Galapagos, Patagonia and the Arctic Circle, the bigger the payoff.

When I’m off, I’m off. I stay disconnected. My office knows they can reach me if the office is on fire, but they also know I’m not calling in unless I need a ride from the airport. When I return home, the fire for my CLNC^® business blazes just like it did 28 years ago. Fuel your endurance with incremental payoffs as you focus on your big dreams for your legal nurse consulting business. Don’t wait for the big win. Celebrate the small steps and reward yourself all along the way.

It’s not just the final payoff but also the amazing small payoffs you receive along the way that will help you endure the journey to success. Reward yourself, and your family, for the small accomplishments; don’t wait for the big win.

At my company we celebrate more than birthdays and work anniversaries. We’ll stop and celebrate a milestone on a project – such as the completion of a website design or the promotional materials for a new product. We don’t wait until the product hits the market or until we see whether it’s successful. We celebrated the proposal for my book, Inside Every Woman: Using the 10 Strengths You Didn’t Know You Had to Get the Career and Life You Want Now when we submitted it to the publisher. We didn’t know if it would be accepted, but we knew we had put a lot of hard work into that proposal and we were proud of our final work product and a job well done. Sometimes the success is in the middle. I like to celebrate stepping out and going for it. When we define success as going for what we want (regardless of the outcome), we can succeed and celebrate every day. Celebrate the hard work that you’ve done and then celebrate again whether or not things work out the way you wanted.

If your endurance is tested and you’re tempted to give up, remember this: whether you’re building a legal nurse consulting business or working toward a promotion, the ultimate reward goes to those who endure even when the big reward is far in the distance.

Success Is Inside!

Engagement is about committing to achieve big. Talk about a group who is willing to engage or commit. Nurses are tycoons of engagement. Nurses commit themselves to situations that make normal people faint. Every nurse I know is fully committed – or maybe ready to be committed. We’ve all worked that shift. Nurses know how to engage and get things done. In the middle of horrendous situations, you instinctively triage on the fly – you resuscitate, defibrillate and medicate and then you go to work. Total engagement.

You have the strength of engagement. But are you willing to engage all the way in resuscitating yourself and your nursing career? There won’t be a code team coming to rescue you or your career. It’s entirely up to you. Resuscitating your career requires the same level of commitment you would give to a patient who just arrested, but is even more long term.

When I decided to start my legal nurse consulting business in 1982, I knew a lot of smart nurses who had dreams and ideas, but they didn’t do anything with them. They didn’t engage, they didn’t take action. They had their dreams, but they were disappointed. Some were bitter and angry. I’ve always said that dreams can make a person miserable, if you don’t ever act on them. It’s the action behind your dream that makes you happy.

When I launched my legal nurse consulting business, I had a full-time nursing job; so to succeed in my new business, I committed to take action every day. I learned that in the beginning it didn’t matter so much what I did, but that I did something. I was developing the habits and the discipline to make my legal nurse consulting business dream a reality. Whatever your dream is, you need to engage big. Start with the first 30 days. Turn that into 60 then 90. Success is in the motion and in getting the motion moving. You can’t start a business without starting something.

The more action you take, the easier it is to step out the next time. Anything you’re going for: career advancement, starting a CLNC^® business, improving a professional relationship – do something. Once you’ve committed to take action every day, then it’s time to focus on and engage in the impactful actions that give you the result you want.

What you engage and focus on is where you will yield results. You’ll need to break the feel-good addictions, and there are so many of them – checking email, surfing the Internet, watching TV and keeping up with your friends on Facebook – all of which take us away from big and important things. If you’re spending more than eight hours a day at work, you need to be extra vigilant about cutting out any feel-good addictions in order to have the maximum energy and focus for your CLNC^® business. The wrong focus might make you feel good about how many points you’ve scored in Mobster Wars or Farm-gate but, at the end of the day if all you’ve done is clicked your mouse, how’s that working for you and your dreams?

Where and how we focus also includes our families and friends. Society is complex, with family, friends, career, spiritual and social obligations. Nurses can handle a lot, and if we’re not careful, we find ourselves doggedly committing our energy to every person or situation that demands our time. My motto is nurses CAN do anything – not nurses SHOULD do everything. Set your own expectations for what you want to accomplish, stop being a commitment queen (for male nurses that’s commitment king) and shed the guilt for not doing everything for everybody.

It’s okay to say no. Say no to all the laundry, all the housework and all the carpools and preserve some time for your own dreams. Delegate. Your spouse and kids will benefit from participating in family life and learning new skills like washing dishes or sorting socks.

Engagement starts with choice. Choose the goal for your engagement with your passions and vision in mind. Resolve to engage in something big today.

Success Is Inside!

To be happy in a million ways

No man must stand alone with out-stretched hand before him

Let your heart be light

Children laughing, people passing, meeting smile after smile

Snowing and blowing up bushels of fun

A swell time to go gliding in a one-horse open sleigh

Jingle bells all the way

A bag filled with toys

All is merry and bright

Laughing all the way

Gone away is the blue bird, here to stay is a new bird

Time to rock the night away

Snow and mistletoe and presents on the tree

Homemade pumpkin pie

Star of wonder, star of night, star with royal beauty bright

Let it snow

To be a child again

Making spirits bright

Angels bending near the earth to touch their harps of gold

Peace on earth, good will to men

Joy to the world

Love and peace this day

Although it’s been said many times many ways:

Merry Christmas to You!

Success Is Inside!

We all know when we discover something we feel passionate about. We feel amazingly energetic. Desire is energy. Have you ever experienced a time when desire overcame all physical, emotional and intellectual barriers? Like a child waking up on Christmas morning, you spring alert full speed ahead. Why can’t we experience that passion – that vitality and energy – not only on Christmas but every day? Believe me, you can. When you wake up every day to a life and career that are your heart and soul, a life and career you’re passionate about, you experience maximum joy.

One of my passions was ignited in me when I was eight years old. For hours each day I taught an imaginary class. I was so absorbed with my class that my dad would come in and break it up to encourage me to play outside with my real friends. To this day I have no idea what I was teaching, but I was darned passionate about it.

At eight years old teaching was play. At 28, I turned that passion for teaching into a business, and I’ve been playing ever since. When I left my hospital job as an RN to start my legal nurse consulting business, I promised myself I would work only my passions. That decision proved more important than I realized. Along the way I’ve been tempted by many flattering and interesting offers, the most tempting of which was joining a powerful law firm as a partner my first year out of law school. But I always stop and listen to my heart. When we live and work our passions, we take an uncompromising approach. It means being honest with yourself and others about what you value.

As The New York Times reported, I “crossed nursing with the law and created a new profession” when I started teaching other nurses how to become legal nurse consultants. That’s the kind of BIG Thing that can happen when you commit to Promise 1, to living and working a passionate life.

Commit to Promise 1 right now and you’ll discover the passions that will propel you to a totally fulfilled future.

Success Is Inside!

I always joke that, “you couldn’t pay me to run the Houston Marathon.” But there are people who get paid to do just that. Marathon running can seem like a lonely sport but not all marathon runners run alone. Even marathon runners hire subcontractors (at least the ones who win enough races to be able to afford them)!

Deriba Merga, who won the Chevron Houston Marathon back in January, 2009 (setting a new Texas record) hired four runners, called “rabbits.” The rabbit’s job is to help him keep his target pace and keep the wind off of him. The rabbits are not going to finish the race (how could they?). Each rabbit is expected to start the race with him and then drop off at predetermined points along the way depending upon their own running ability. They often train with the main runner.

Nurses are a tough bunch. We learn early in our careers to be independent (Don’t worry – I’ll turn this 250-lb patient by myself) because we know better than to ask for help. As a Certified Legal Nurse Consultant, you need to change this mindset and start to think and act like a world-class marathon runner. The fastest way to expand your business is by subcontracting with other Certified Legal Nurse Consultants (CLNC^® consultants who have trained with you or you connected with at an NACLNC^® Conference). Like any world-class marathon runner, having great CLNC^® subcontractors will allow you to go the full 26+ miles, take a vacation and grow your legal nurse consulting business. Without CLNC^® subcontractors you can only bill for the limited number of hours you are able to work. The only way to fit 36 hours into a 24 hour day is with CLNC^® subcontractors.

Each additional legal nurse consultant you have working on your cases is an additional income stream. You can bill your attorney-clients your full hourly fee and pay your subs 50% of that fee. Subcontracting is what makes the difference between a part-time business and a booming shop. Have your CLNC^® subcontractors ready to go. That way, the next time an attorney tells you he has a bunch of cases, you can get your CLNC^® subcontractors on them quickly instead of saying “No, I’m too busy to take more than one case at a time.”

Even with CLNC^® subcontractors you are the one who has to run your legal nurse consulting business across the finish line. On that sunny January day in Houston, Deriba had to run the last nine miles (into a headwind) alone, after he left his last rabbit in the dust. He still set a record that day. Teyba Erkesso, who won the woman’s marathon that same day had a male rabbit who ran the entire race with her and she felt he contributed to her setting a record time. Think of subs as a multiplier. Instead of just one of you, now there’s a whole team of CLNC^® marathoners running beside you on your team. (Just don’t call them rabbits!)

I’ll be with you for the long run – just as long as it’s not the Houston Marathon.

Success Is Inside!

P.S. Read more on Subcontracting Do’s and Don’ts.

A headline in the January 8, 2009, issue of The Wall Street Journal “Hospital Scrubs Are a Germy, Deadly Mess,” caught my eye. The article discusses how hospital scrubs and other garments carry infection, not only around the hospital but outside it too.

A headline in the December 2008 issue of Lawyers USA reads “Hospitals Face Infection Suits.” This article covers, guess what, the increased number of infection suits facing hospitals.

The Center for Medicare and Medicaid Services (CMS) adds certain SSIs and other infections to its list of nonreimbursible “Never Events.”

And, can you guess what the cover article is in the January 2009 issue of Nursing Management (the journal of excellence in nursing leadership)? It’s an article discussing the debate over nursing uniform colors, combinations and identity (as well as patient preference and perception).

Give me a break. I don’t care what you wear as long as you’re not killing me with it. I cannot stand to see a doctor, nurse or even someone who’s probably a med-tec standing around my local Starbucks in their scrubs. Even worse –
a healthcare provider in scrubs or lab coat fondling the veggies in my local supermarket. I can’t assume she’s taking that cucumber to work, so I’m guessing she’s just spreading germs on her way home.

The CDC estimates that more than 2,000,000 hospital-acquired infections result in over 90,000 deaths. What about the civilians who are being infected outside of the hospital? Talk about an issue ripe for Certified Legal Nurse Consultants – I feel like a pig at a feeding trough.

When I entered nursing the color was white (the color of purity). Nurses wore clean white uniforms. We shined our shoes (not “Crocs”) and yes, even wore (anyone remember this?) caps. What’s the point? We looked clean, we were clean and you didn’t see a nurse in white outside the hospital. I constantly tell Tom those nurses you see collecting money outside the mall AREN’T REALLY NURSES.

Today, we’ve got multiple piercings, exposed midriffs and our choice of uniform – if you can call it that. I call some of it inappropriate wear.

I’m not calling to revert back to aprons (although they are being tried in Britain). But I am asking that hospitals go back to laundering scrubs and not allowing them out of the hospital.

The same nurse who won’t touch the door handle in the restroom thinks nothing of wearing those Ebola-ridden scrubs when she picks up her kids to hug them.

Study after study shows that where docs and nurses go infection follows. Why aren’t our nursing executives discussing a real issue – infection, disease and death – instead of the colors of our scrubs? You tell me. And, if you’re one of the offenders, stay out of my neighborhood Denny’s.

Success Is Inside!