Nursing

Practicing in surgical and postop, as well as coronary stepdown, at the beginning of her career, Lisa Moore, RN, decided the time was right to try traveling in 1996. Four years later, she sought a new challenge and began specializing in emergency care. Accepting contracts through Beverly Hills, CA-based HRN Services Inc. since 2003, she is currently on assignment at St. John's Health Center (SJHC) in Santa Monica, CA.

"I like putting the pieces of the puzzle together," she said of her decision to switch specialties. "When a patient arrives at the emergency department—whether he is ultimately sent to the cath lab, to a neurosurgeon, or to the operating room—my co-workers and I must utilize critical thinking skills to arrive at the appropriate solution very quickly."

This ability to adapt to new situations has served Moore well in her mobile career. "I enjoy the freedom of traveling. With this practice alternative, I have the benefits of being able to experience new settings while avoiding hospital politics, and that allows me to focus purely on providing quality care." The mobile lifestyle also gives her the flexibility to repeat engagements. Moore began her first contract at SJHC two years ago and continues to return to the 15-bed ED after briefly going home to Lowellville, OH, between commitments.

During her time at the 182-bed facility, Moore has encountered many memorable patients, including a 36-year-old woman who had been admitted to the ED with shortness of breath. "Unfortunately, her breast cancer was recurring, and she became very ill—requiring double chest tubes and a pericardial window." The patient remained in intensive care for three weeks while Moore visited her. Thankfully, the woman improved and was discharged.

Patient turnover and diversity are two of the aspects Moore loves most about emergency nursing. "A child and an older person, for instance, may display the same symptoms but suffer from quite different conditions. Each time a patient is admitted, I start a new puzzle. I enjoy the pace and the chance to problem solve." She also is particularly fond of the 1:4 nurse-to-patient ratios in California. "The environment is controlled, which allows me to deliver the best care."

Unbreakable bond

Although Moore may be a temporary provider, the bond she shares with her colleagues at SJHC is definitely permanent. "We're like an extended family. All of the staff nurses have been so kind to me. I've formed valuable friendships with my co-workers." She added, "Thanks to traveling, I have the freedom to pursue a flexible healthcare career, grow personally, and contribute to different communities. It is very rewarding."