Nurses have to wear scrub suits as their work uniform. A scrub set is made up of a loose top and pant. Almost every healthcare facility regards it as the standard nursing uniform. It is what many in the US and other countries wear. Some hospitals have their uniform regulations specifying colors, fit and cut. Many allow individual nurses to pick their choice probably only insisting on just the same color.

When you are going to buy scrubs, consider the following factors in order to pick something that is both trendy and suitable for your work.


White color reflects nurses and doctors well due to its clean look. It fits the profession well but you do not want it to get dirt or stains. Green and blue are also frequent in many hospitals. If your employer does not insist on any specific color scheme, pick strong dark colors like navy blue, maroon, dark brown or even black. They hold stain better than light shades. With darker shades, there is no need to worry about petit or heavy body frame. Color such as navy blue and black suit big and plus size individuals as they have an ability reduce or cloak size. Light colors draw attention to certain parts of the body making one to look bigger. You may also decide to choose colors according to mood, season or trend.


In addition to comfort, nurses should consider the practical aspect of their jobs. Pockets help you carry some essential stuff around. Scrubs with chest pocket have good storage for pencil, cell phone slots, and pen. However, you can leave them out if they are putting a lot of distress to your shoulders and neck. You may try patch pockets on your scrub tops and pants if you like carrying gadgets around. They provide a storage point when your hands are full since you need to carry a stethoscope, patient chart, and any other essential medical equipment. Limit the number of pockets. Select scrubs with roomy pockets to hold things such as alcohol pads, a pair of gloves and scissors. Some designers do not add pockets to women scrubs because bulky pockets will interfere with the shape of the body.

Neck Cut

There are various types of neck cuts for nursing scrubs. You can choose one of these:

  • V-neck
  • Mock wrap
  • Round
  • Square

You can choose any cut provided that the design fits you comfortably and your employer does not have reservations. You may even go further to choose more stylish designs such as u-shape, split neck, scoop neck and other designs.

Nice fit

Scrubs can be baggy or fitting. Some nurses do not consider their body making their scrubs too fitting or loose. Scrubs should not be tight as three can split or too baggy to your movement difficult. Ensure that you try the scrubs before you buy so as to find the right size. If none matches your doubt measurements, consult a tailor or seamstress to make or make adjustments until you have the right fit.

Length of Tops

This is an important factor for bottom heavy nurses. It is preferable to wear long tops that skim well over your hips giving adequate cover. Longer scrub tops suit tall people but short people appear even shorter when wearing them. Short plus nurses need to adjust the length of their nurse uniform tops.

Side Slits

Designers make scrubs with or without side slits. Side slits increase in the flow of air and comfort. They depend on of the length of scrubs. Shorter scrubs should have no or very short side slits to prevent exposing some parts of the waist. Small size scrubs with a longer center back length and pockets (front or back) require side slits as they simplify the act of reaching for the pockets.

There are basic scrubs for people who like same simple style every day and trendy for those who love the newest fashion. Choose one that is comfortable and fits your fashion likes.



Substance abuse is a condition that requires treatment. Ironically, even nurses who know better about the dangers of substance fall into the trap. Statistics by The American Nurses Association show that 1 in 5 nurses could be having substance abuse problem which is a high number. Most nurses engaging in the vice are nor long-term abusers but usually become victims of tolerance and dependence after a drug prescription or self-medication after an emotional trauma. Most nurses suffering from this problem believe they are fine but in reality, they are unable to offer efficient and safe care for their patients.

Recognizing addicted nurses is hard. The typical abuse or addiction signs and symptoms in addicts on the street are not usually evident in nurses. They take much care about their looks to avoid detection. They also have easy access to clean needles, syringes and prescription drugs hence escape the financial drain that affects addicts who have to buy their supplies.

The giveaway sign at a healthcare facility should be missing of drugs, needles, and syringes.

Signs Of Substance Diversion In a Unit

Addicted nurses use many clever ways to feed their increasing craving which they prioritize than patient care and their judgment. You should consider it a red flag if you notice the following occurrences frequently when your colleague is on duty.

  • More narcotic sign-outs
  • Frequent mistakes in patient medication records or narcotic counts and files.
  • An unusual number of requests for wasted drugs signs outs when a particular colleague is on duty, a sign that they do not dispose of the drugs.
  • Regular complaints by patients of not getting their prescribed pain relief meds from the particular nurse who all the time receives their supplies
  • Changes to telephonic or verbal orders for narcotic medication

Action to Take After Suspecting A Colleague Of Substance Abuse

If you are suspecting a partner of abusing substances or addiction, it is essential to read literature that sharpens your knowledge on relating behaviors, signs, and symptoms. Also, gather information about policy and procedures by employers on to substance abuse and the assistance on offer at your workplace or from the local nursing association. Find out if there are options to support rehabilitation and reintegration to the workplace rather than harsh disciplinary action after treatment as it encourages the affected nurse to seek help.

Other action to take includes:

Avoid Enabling the Behavior

You could encourage substance abuse by protecting your co-worker through covering up the poor performance and errors or ignoring them. You also allow abuse by reducing workload, accepting lame excuses and allowing manipulation to avoid involvement or confrontation. In your effort to protect your impaired colleagues, you are exposing patients to a real threat.

Confront the Person And Encourage Treatment

If you are a close to your fellow and he or she confided in you about substance abuse problem, encourage the person to seek professional help before your supervisors catch them in the act. Offer your advice and support in the process.

Remember that as a nurse, you should extend the compassion you show to patients to your friend.

Document Supporting Evidence

Write down all the facts to support your suspicions and take this information to your nursing manager for a discussion. It might be a difficult decision to make, but you have an ethical duty to protect the innocent patients. Request the nurse manager to confront the person in an amicable way. It is only a few addicts who voluntarily reach out for treatment unless someone confronts them or there is a possibility of losing a job. There is a great chance of recovery for nurses who agree to join a structured treatment program. Those who give it their full commitment can overcome their habit and return to their profession.



Specialty Areas for Advanced Practice Roles in Nursing (CRNA)

These are roles that nurses perform in qualifying for advanced practice role:

Certified Nurse Practitioner

The work of a certified nurse practitioner is in a range of areas such as:

  • Pediatrics
  • Women health
  • Surgical services
  • Oncology
  • Pain management
  • Cardiology

APRNs roles may include assisting doctors and other health professionals. Also, they can take up positions in teaching, conducting research and patient advocacy.They can also provide independent care in varying settings including clinics, doctors’ offices, and hospitals.

Certified Nurse Midwife (CNM)

CNM provide similar services to gynecologists. Their duties are a combination of gynecology and midwifery. CNMs will offer service to women during their stages of pregnancy cycle including:

  • Initial consultation
  • Prenatal visits
  • Examinations and postpartum care for the mother and newborn

Other areas in which they assist women are family planning, gynecological care and contraceptive control.

Most nurse midwifes spend a lot of their practice time assisting in child delivery. They can work in women homes, inside a hospital or in her practice. A nurse practicing in her office can make critical decisions on healthcare although not all of them. Their levels of autonomy depends in the state of practice and clinical settings.

Certified Registered Nurse Anesthetist (CRNA)

The role of this type of advanced practice nurse is to provide anesthesia to patients who undergo surgery in various care settings. CRNAs have certification to provide a full range of anesthesia care that includes surgical procedures. They can work even with the extremely sick patients who are in life threatening conditions and not in conditions to give consent for medical practitioners to perform surgery. .

People usual confuse nurse anesthetist with anesthesiologist. It stems from the fact that their areas of practice overlap. Their role is to put a patient under anesthesia before surgery but an anesthesiologist is a medical doctor. Some laws and medical associations dictate that surgeons use licensed medical doctors for some medical cases.Nurse anesthetists will stay with their patients during the entire surgery procedure monitoring the important body functions constantly and modify anesthetic to ensure the patient is totally safe and comfortable.

Clinical Nurse Specialist (CNS)

A clinical nurse specialist is registered nurse with at least a master’s degree, national certification showing advanced knowledge and clinical skill in a specialized area of nursing or particular patient population. CNS work directly with the patients implementing treatment plans for resolving or mitigating medical as well as psychiatric issues.

In addition to direct patient care, the CNSs play a role in shaping healthcare system policy by serving as role models to registered nurses and applying observations from direct patient care for systematic research. A CNS interacts with healthcare professionals at all levels of the system. They marshal the advanced training and experience to educate nurse peers and introduce systemic changes to improve practices that lead to improvement in patient outcomes.

CNSs are experts with knowledge and voice to change the structure of the whole health care. They ultimately work in a position where they can apply best research theory for creating best practices. They also work join advocacy roles in policy making entities and committees with the aim of improving service delivery in healthcare.

The roles for all categories of advanced practice nurses will vary according to setting, population, type of care and health problem.



Nurse practitioners: Nurse practitioners are primary care providers during diagnosis and treatment of illnesses. NPs work independently in close collaboration with the patients usually from the same family over a period of many years.Sometimes they offer specialty care. NPs can choose to specialize further in working within a narrow segment of the population such as pediatrics, women health, neonatal care, adult gerontology or psychiatry mental health.A large number of NPs also work in various community clinics serving underserved and diverse populations.

Nurse anesthetists: Nurse Anesthetists provide care and advice relating to anesthesia delivery pre, during and post diagnostic, surgical, therapeutic and obstetrical procedure.

Clinical nurse specialists: CNSs are specialists in providing patient care and expert advice in several nursing practice specialties according to the setting such as critical care and disease of subspecialty such as oncology. The specialty can also relate to the type of care such as rehabilitation and population.

Nurse midwives:Provide primary care focusing on women health services including gynecological examinations, family planning prenatal, labor, delivery and post natal care.

An APRN can work in one of the above specialties, and their skills can fit in different work environments. APRNs are qualified to work in all health care settings including ambulatory clinics, hospitals, and long term care facilities.Many nurse practitioners prefer working in private practice often in their office. Others work under a family physician.

Scope of Advanced Practice Roles in Nursing

It’s hard to limit the scope of APRN professionals as it encompasses a variety of specialties thus widening the ceiling of the practice issues associated with care giving. Nonetheless, independent practice is the main scope across all the APRN specialties. It means that APRNs work in an enabling environment where they can provide direct care service without any supervision or compelled collaboration with the physicians. It applies to APRNs who offer their services in hospitals, private offices, patients’ homes or outpatient centers.

However, all APRNs consult with, collaborate and refer to physicians. Many still practice in settings where they are in a team with doctors and other healthcare providers.

Specific legal requirements in the state of practice on physician involvement may limit the services that an APRN will provide and areas of practice. Some of the legal requirements at times make it harder for patients to get a full range of care from nurses in advanced practice.

It is noteworthy that some jobs in advanced nursing are in a larger setting such as anesthetists who due to the nature of procedure have to work under a surgeon or doctor for them to fulfill their role. Laws at many states also restrict the movement of midwives including the certified nurse midwives thus the rules and scope may differ from one area of practice to the other.

Medicine Dispensation Advanced Practice Roles in Nursing

APRNs have prescriptive authority for some types of medication depending on their specialty and state at which they work. For example, in 45 US states, APRNs can complete the cycle of patient care on their own from diagnosis, treatment, and medication prescription after a patient checks in and for follow up visit.

State regulation on prescriptive authority falls into restricted, reduced and full practice categories. Nurses are free to prescribe these types of medicine.

  • Antibiotics with proper credentialing
  • Antidepressants
  • Birth control pills

APRNs require individual credentialing to prescribe these drugs:

  • Adderall
  • Narcotics
  • Suboxone

Earning a degree and certification to be an APRN comes with more tangible benefits in addition to work autonomy that an RN. It allows professionals to work more flexible schedules within business hours. Additionally, an APRN is recognized as a source of knowledge and can get teaching roles within their work settings or in the wider settings. There is an increase in abilities to participate in research, contribution and development to the advancement of their career, specialty as well as nursing field.



MSN programs take two to three years and the qualification to join is to have a valid BSN degree. Some accept holders of any health related bachelor’s degree. Some will accept any other bachelor’s degree.

The focus of MSN programs are tailored to train nurses for roles in particular areas such as these below:

  • Nursing administration
  • Clinical nurse leader
  • Clinical nurse educator

The coursework prepares trainees for the roles by training them on the following:

  • Nursing theory
  • Social and physical sciences
  • Management
  • clinical practice
  • Research

General Role of Advanced Nurse Practitioners

The general role of an ANP is to focus on holistic and preventative care. They offer personalized attention and treatment to patients according to their individual needs. Since nurses MSN training takes place within a particular specialized area, nurses can earn some degree of specialized expertise in addition to their regular duties. For instance, medical treatment and care to various patients under the supervision of doctors is the norm for RNs. Nevertheless, after earning an MSN degree, a nurse can start honing in on a particular aspect of the nursing knowledge.

Whereas regular nurse usually does some bit of everything, an advanced nurse practitioner with MSN has extensive knowledge in regards to specialized nursing area. A nurse who has interest in women health can specialize in nurse midwifery.

Described Role of Advanced Nurse Practitioners

The original description for nurse practitioners was to act an extension of doctors mainly working to improve the health of children. Their role is now broader since they focus on different specialties including adult care, family care, and women health nursing. A nurse practitioner should be someone who thrives in an environment that requires extensive care to patients. Their role includes solving complex problems and offering compassion to their patients.

Within their jobs, the role of advanced nurse practitioners can vary widely depending on the area of specialty. However, most of them perform these tasks:

  • Diagnosis by conducting and ordering diagnostic tests on behalf of the patient.
  • Record symptoms, diagnosis and medical history of a patient
  • Treat infections, illnesses, and injuries.
  • Write prescriptions for certain medications including dosage and frequency.
  • Engage patients in a discussion on how to effectively manage their health.
  • Assist in designing of appropriate treatment plans and recommend further care.
  • Provide care and guidance to patients taking medication. It includes informing them about the side effects of specific medications and possible interactions with the drug to patients who are under prescription.

Management Role of Advanced Nurse Practitioners

MSN degree training enables nurses to learn about the business side of the occupation. It gives necessary skills to nurses who have an interest in making more impact on the field of nursing and health care industry. Part of the MSN training is on the business side of a career. Trainees learn about finance, policies, leadership, and management. A nurse who decides on this route will also need to take a joint course alongside MSN to learn about business and administration in the area of nursing specialization.

Because of the further training for ANPs, they are a vital link between nursing and medical teams. Their higher level of knowledge and familiarity with the hospital settings makes them an information resource for staff members of all grades.