Maternity Leave For Nurses:  How To Financially Prepare

Maternity Leave For Nurses: How To Financially Prepare

(This post about saving money for maternity leave as a nurse may contain affiliate links.  You can find my disclosure page here.)

As a new mother, it is your legal right to take maternity leave.

Maternity leave is so essential for a new mother for many reasons:

Unfortunately, many women in the US only get six weeks of maternity leave (8 weeks if you have a c-section).  And if you are a per diem employee like me, none of that time off is paid.  For that reason, I worked right up until my 9th month of pregnancy while working as an emergency room nurse at a level 1 trauma center (thank God for pregnancy compression stockings!).

Nurses work extremely hard to care for patients like they would care for a family member, yet when they have a baby of their own, they often have very little time to bond with their flesh and blood.  Add the financial strain into the mix and it can become very stressful and overwhelming.  So what is a nurse who is also a brand new mom to do?

Well, I have half-glass full mentality.  So for the sake of finding solutions to this conundrum that so many women find themselves in, I compiled a list of ways for mothers to plan financially far in advance of baby’s arrival.  You must take care of yourself first!

Pregnant nurse at work

The average paid maternity leave in the USA is only six weeks for a vaginal birth and eight weeks for a c-section.  And if you are a per diem RN then chances are that you will not be paid at all while you are on maternity leave.

Saving for maternity leave is crucial for moms so they can spend more time baby bonding and less time worrying about money!

Unpaid maternity leave for nurses: you need to save up in advance!

After my daughter was born in 2015, I went back to work as a per diem nurse (higher hourly rate and more flexibility, but no benefits – including disability or paid maternity leave).   Therefore, eighteen months later when I went on maternity leave with my second baby, I had a completely unpaid maternity leave.  It made the whole situation much more stressful for me.  Thankfully I planned well in advance to minimize the financial burden.

Here is how I managed to save up an additional 20K for my second maternity leave:

#1.  Open a new savings account dedicated to maternity leave.

One of the easiest ways to save money is to pay yourself first. When you set up direct deposit for each paycheck, you make saving much easier. That way, you don’t even see the money hitting your checking account. Liquid cash is good, so you can use it when you need it.

Suzie Orman (one of my all-time favorite financial gurus) says that you want to have as much money saved up for as many months as you plan to take off, as well as an eight-month emergency plan. You never know when an emergency can strike, for example, a medical emergency, a job loss, or worse. The faster you can start saving into an account dedicated to maternity leave, the more prepared you will be when it comes.

#2.  Make a budget and stick to it.

I prefer more of a no-budget budget strategy. I decide how much I want to save each paycheck and immediately transfer it into an online savings account as soon as payday comes.

I am aware of everything I purchase and review it each month by using a program called Mint to track my expenses. If you aren’t using this, you should be. Since I have started using Mint I have watched my savings rate take off farther than ever. It is incredible how much you can save when you know exactly where your money is going!

I’m always surprised by how many people I talk to who have no idea what they spend in a month. Needless to say, this is a poor strategy for preparing for an unpaid maternity leave. You’ve got to have a plan.

#3.  Make more money now or take on extra work.

If you are currently pregnant or even just thinking about it, now is a good time to take on extra hours at work. Especially if you can get overtime pay.

As a nurse, anything over 40 hours of work a week is considered overtime at my hospital.  I don’t work overtime anymore now that I have small children, but I did it during my pregnancies just to add a little more to my savings.

Also, some holidays pay time-and-a-half rates. Therefore, I have been known to pick up shifts on Memorial Day, Labor Day, Thanksgiving, or even Christmas. It’s not my favorite thing to do, but my family handles it by celebrating these holidays on the day before or the day after the actual holiday. When children are young, they don’t know what day it is anyway, so this strategy has worked particularly well. It adds up quite a bit when you are saving to be out for a few months.

Maternity leave savings plan for nurses

Nurse maternity leave: how to save up in advance

#4.  Cut all recurring expenses that you aren’t using or don’t need.

Look at your monthly expenses and see if there is anywhere that you can reasonably cut. Are you using the 100$ a month gym membership? Or does it make more sense to take daily walks and do online yoga classes at home?

My husband and I talk about money often and try to be responsible about our spending. Saving money is all about establishing priorities and having set goals. This has kept us in good financial health and kept us on the same page with our spending habits.

#5.  Look at the easy ways to cut back.

Families dropping from a dual income to a single income usually need to trim expenses somewhere. Make a list of everything you are spending money on, and be honest with yourself about what is an actual need. Here are a few ideas to throw on the table:

  • Nix the coffee cart habit = save $4 a day
  • Pack your lunches = save $12 a day
  • Cancel the cable you are barely using anyway = save $80 a month
  • Cook your meals at home instead of ordering take out = potentially $100’s in savings per month (if you eat out a lot)
  • Go on a 3-6 month spending freeze on things that are not an actual “need” =  $$$

Do you see my point here? There is A LOT of money to be saved if you just pay more attention to what you are spending money on.

I do consider myself somewhat of an expert on “trimming the fat” on my own spending habits since paying off a large amount of student loan debt in a short amount of time.  Saving money for maternity leave as a nurse was a very similar experience.

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#6.  Don’t fall for the baby registry trap.

There are so many items that I was told I had to have for baby #1. Many of them are “nice to have items” that I barely even used (I’m looking at you grocery cart baby cover I only used three times!). Many of these supposed “must-have items” from my baby registry are currently being stored away in my garage and will, at best, find a new home in our local Goodwill.

I remember looking through Pinterest at lists of “must-haves” for the new mom. They are long and mostly unnecessary. Stay away from those lists!

For example, I was told that I “needed” the newborn insert for our stroller. But for the first few months I was using her car seat in her stroller. By the time I went to use the insert, she has already grown out of it.   Same went for the ergo baby newborn insert- I didn’t even need it until she was too big to fit in it anyway.

If you need something, then go ahead and get it. These are just my thoughts as a second-time mom with a lot of baby registry regret. Except for a double stroller and a crib, I can’t think of any other BIG items I will need for our new baby.

#7.  Consider the extra expenses that come with a new baby.

There will be some extra expenses after the baby is born. Some of the big ones for us are diapers, wipes, food, and additional childcare.  None of these things are cheap, so it’s good to be prepared for the expenses in advance.

You could always decide to go the cloth diaper route. I know people who have done this and it does save quite a bit of money. That, however, was not in our savings plan. Some things of convenience are worth the money, and that was one for us.

Other significant expenses include childcare enrichment classes (MyGym, recreation classes, music classes, etc.) if that is something you are interested in.

Childcare is our single biggest expense besides housing.  In fact, if I didn’t have a higher hourly rate that I get from being a per diem nurse, it might not even make financial sense for me to work as an RN.   We have a nanny that comes every Monday and Wednesday, so those are the days that I work at the hospital (plus one day on the weekend when my husband is home to watch the kids).  If you have family that can help on days you work, that would be a huge financial saving.

I have read that the average baby costs their parents $300,000 from the time they are born until the time they turn 18. And that doesn’t even include a college education! I don’t know about you, but that makes me think about how we budget our money. (We have college funds set up for both of our kids, which started the day they were born, but we are still going to encourage them to achieve scholarships!)

#8.  Think about the big picture.

Having a baby is one of the most amazing human experiences I have ever had. I love being a Mom. However, it can also be stressful at times, even with the most thoughtful preparation.

At the end of the day you can only do the best you can. Saving for unpaid maternity leave is just one of the things I did to try and ease the financial loss that comes with having a baby.  It is wise to try and eliminate as much stress as you can so you can joyfully relish in the awesomeness that comes with having a new baby.

Now, if only I could invent a healthy way to live on increments of 2 hours of sleep or less, I would be golden!  Best wishes to you and your growing family.

Are there any other tips on saving money for maternity leave as a nurse you would add to this list?  Leave a comment!

P.S.  HEY, NURSES!  Remember to sign up to receive your FREE E-BOOK “The Nurse’s Guide To Health & Self Care”  in the sign-up box below! (scroll down)

Additional Recommended Reading:


8 Pumping Essentials For Nurses Who Breastfeed

8 Pumping Essentials For Nurses Who Breastfeed

*This post contains affiliate links that I have personally used and have found essential for pumping at work as a nurse working 12-hour shifts at the hospital.  You can find my disclosure policy here.

Having a new baby is both incredible and overwhelming.  Breastfeeding can be hard for new moms (it certainly was for me!). Once I finally got the hang of it, my maternity leave was almost over and I had another problem to figure out:  how was I going to continue breastfeeding while working as a nurse?

Nurses who breastfeed may face challenges as they return to work.

There is good news for nurses who want to continue breastfeeding their babies for up to a year or longer as working moms and nurses.  It is possible!  But you need to plan in advance and communicate with your workplace about your intention to pump at work.  And you need to have the right pumping supplies to make it possible.

If you don’t plan ahead, pumping at work can be extremely difficult.  But with the right pumping tools and a lot of determination, you will find that you can make pumping fit right into your busy nursing schedule!

Even I can’t believe how long I have been able to pump while working as a nurse.

I am happy to share that I have been successfully pumping as an ER nurse in a very busy level 1 trauma center for the last 13 months.  And I still can’t believe how well it is going!  Sure, there have been a few minor hiccups along the way (like forgetting my breast pump at home, whoops!).   But overall, the experience has been way better than I would have thought.

I now know that I will be able to continue pumping breast milk for my baby for as long as I desire.  I want other working moms to know that they can do this too.  (Read more about what I have learned about pumping at work as a nurse).

Nurse in scrubs


Pumping Essentials For Nurses At Work:

Portable Breast Pump

This pumping essential is the highest on the must-have items for obvious reasons.  Without it, you have no way to access your milk!   I am using the Medela portable pump because it is the one that my insurance covers, and it works great.  You want to make sure that you have a double pump so you can pump both breasts at once to save time.  You can also use this bag to store your breast milk while you are away at work as long as you keep it in a refrigerator.

Check with your insurance to see if they cover a portable breast pump before you buy one.  I live in California and my insurance gave me a breast pump free of charge!

(Just a note, the different brands do not work interchangeably with each other.  So you want to make sure you find one brand you like and stick with it!  Otherwise, you will end up with a bunch of parts that don’t work with one another.  You don’t need your back-to-work pumping supply list to be any longer than it already is!)


Breast Milk Bottles

You will need breast milk collection storage bottles to store your milk until you get home from work.  I use the Medela bottles because I already use the Medela pump but there are several other brands you can use as well.  Just make sure the ones you are using are made without BPA (it’s a safer plastic that helps retain breast milk’s beneficial properties).

I also like the Medela screw-on lids better than some other brands because they are leakproof.  (I tried a different brand and had an issue with leakage all over my packed lunch!).  You can wash them in the sink and they are also dishwasher safe.


Double Pump And Nursing Bra

For the sake of time and efficiency, it is very important that you double-pump at work.  I really like this double-pumping bra because it makes it possible to double-pump without having to hold the pumps with both hands.  Once you start pumping, you will find that having to hold the pumps in place is really annoying and makes it difficult to do anything else.  It also helps prevent spilling accidents since you can remove and clean one side at a time.


Reusable Nursing Pads

Engorgement is no joke.  There have been a few times at work when I wasn’t able to pump on schedule and I ended up leaking through my scrubs (you could barely see it, but still!).  As a result of that embarrassing experience, I started wearing nursing pads when I was at work.   I already wore them at home from the time my son was about one week old.

I use reusable nursing pads made of bamboo because I have read that many disposable pads contain absorbent chemicals which come in direct contact with your skin.  They also run the risk of trapping moisture, especially if you are leaking. This can increase the risk of mastitis, a very painful bacterial infection that will make you sick and can be dangerous if untreated.  Disposable pads can also be expensive over time if you are frequently using them.  I have 12 reusable nursing pads and I run them through the washer and dryer with all my other clothes.


Breast Milk Storage Bags

The beautiful thing about pumping is that you can store your breast milk in the freezer!  So even if you have a surplus of milk, you can put it away for later use.   These little breast milk storage baggies are great because you can write the date on the top section so you know how long they have been in the freezer.

Place them in the refrigerator for 12 hours before you need them to thaw them out.  Or place them in a bowl of hot water for quicker use.  These are a necessity for working moms who pump – I have used over 200 of them already!


Milk Storage Organizer

My freezer got a little overloaded with breast milk within the first few months that I was back at work and this milk storage organizer helped me to keep things more organized.  It also helped me keep the milk organized by date so I make sure to use the oldest milk first.


Pumping At Work:  Cleaning Parts And Sanitation

One of the biggest concerns of many nurse moms who are pumping at work is cleanliness.  After all, a hospital is a place where sick people go and it is more full of germs than pretty much anywhere.  The last thing a new mom wants to do is accidentally bring home unwanted bugs to their new baby!  Thus, it is so important to try and keep your breast pump parts as clean as possible while you are pumping during 12-hour shifts.

First, it is very important to try to pump in an area of the hospital that is as clean as possible.  Many hospitals have a lactation room set aside for employees of the hospital.  Talk to your administration about places where you can safely pump that are as germ-free as possible.  Bathroom stalls are not a place for a new mom to pump! You have the right to pump at work as a nurse in a sanitary place!

For more information on successful pumping during 12-hour shifts in the hospital, read How To Pump At Work As A Nurse.

Here are a few essentials for keeping pumping parts clean at work:

Medela Quick Clean Breast Pump And Accessory Wipes (72 each)

Medela quick clean breast pump & accessory wipes are perfect for nurses at work with no access to soap or water for cleaning breast pumps and accessories.  Unfortunately, many nurses have no choice but to pump in empty hospital rooms with no running water and therefore have a difficult time cleaning pump parts.  These are still so helpful for me as a nurse who pumps at work.  One wipe cleans both breast shields, valves, and membranes.

I also use these for cleaning changing tables, high chairs, cribs and countertops, and toys, as well as other hard surfaces when I am at home.  And the Medela quick clean wipes are unscented, alcohol and bleach-free as well.

Pumping At Work As A Nurse Frequently Asked Questions

How often should you pump at work during a 12-hour shift?

For a 12-hour shift, it is generally recommended to pump every 3-4 hours, or at least 2-3 times during that time period. This frequency helps maintain milk supply and prevent engorgement or discomfort.

How much time should I be allowed to pump at work?

The amount of time allowed to pump at work may vary depending on your location and workplace policies. However, many countries have laws or regulations in place to protect the rights of breastfeeding mothers. In the United States, for example, employers are required to provide “reasonable break time” and a private space (other than a bathroom) for nursing mothers to express milk for up to one year after the birth of their child. The specific duration of each pumping session may vary, but it is generally recommended to allocate 15-30 minutes for each session.

Can I pump while at work?

Yes, you can pump while at work, and it is an important way to maintain your milk supply and provide breast milk for your baby. It’s advisable to communicate with your employer or human resources department in advance to make arrangements for a private and comfortable space where you can pump. Many workplaces provide designated lactation rooms or areas for this purpose.

How often should I pump at work during a 10-hour shift?

During a 10-hour shift, it is recommended to pump at least 2-3 times. Similar to a 12-hour shift, aim for pumping sessions every 3-4 hours to maintain milk supply and prevent discomfort.

Is it OK to pump every 4 hours at work?

While pumping every 4 hours at work can be acceptable for some individuals, it’s generally recommended to pump more frequently, preferably every 3 hours or so. Pumping every 4 hours may work for some mothers, but it can potentially lead to a decrease in milk supply or increased discomfort due to engorgement. Adjusting the pumping frequency based on your individual needs and milk supply is important.

Do you have to clock out to breast pump at work?

The regulations regarding clocking out to breast pump at work can vary depending on your location and workplace policies. In many countries, such as the United States, employers are required to provide reasonable break time for nursing mothers to express milk, and this time should not be deducted from regular working hours. However, it’s essential to familiarize yourself with your specific country’s laws or regulations and consult with your employer to understand their policies regarding pumping breaks.

How do you survive a 12-hour nursing shift? To survive a 12-hour nursing shift, consider the following tips:

  • Stay well-rested before your shift and practice good sleep hygiene.
  • Stay hydrated and eat nutritious meals and snacks throughout the day.
  • Take short breaks when possible to rest, stretch, and refuel.
  • Use supportive shoes and comfortable attire to reduce physical strain.
  • Prioritize self-care and stress management techniques during your off-duty hours

 

Will my body get used to 12-hour shifts? With time, many individuals can adapt to working 12-hour shifts. It may take a few weeks or even months for your body to adjust fully, but establishing a consistent sleep schedule, maintaining a healthy lifestyle, and taking care of your physical and mental well-being can help with the adaptation process. It’s important to listen to your body, get enough rest, and seek support when needed.

Take it one day at a time, Mama.

Breastfeeding while working as a nurse can be overwhelming, but you can do this!  I hope this list of pumping essentials helps you too!

There are a lot of products on the market and it can be overwhelming for a mom who is preparing to go back to work from maternity leave.  So, make it easier on yourself and have a plan in place before you go back to work (read more about how I pump at work as a registered nurse who works 12-hour shifts).

After successfully pumping at work with two babies, I have whittled down my list to include the things that have helped me the most.  I hope this helps to guide you in the right direction to find what works for you too!

It is your legal right to continue to provide breast milk for your children and pump while you are at work.  Do not let anyone tell you differently or make you feel guilty about it.  Only you know what is right for you and your baby.

Let me know how it goes as a pumping mom in the workplace and please reach out to me if you have any questions.  Breastfeeding while working as a nurse is possible!  Good luck, Mama!


Additional Recommended Reading: 

Pump At Work Supply Checklist From A Nurse Who Works 12 Hour Shifts

Pregnant Nurse Precautions To Consider At Work (Updated For COVID-19)

Pregnant Nurse Precautions To Consider At Work (Updated For COVID-19)

*Updated on 4/9/20 to include pregnant nurse precautions for COVID-19. *Affiliate links.

As an ER nurse who delivered my second baby in early 2018,  I have done a lot of research about pregnant nurse precautions to be aware of when you work in a hospital.  My goal was to make sure that it was safe for me to continue working in such a physically demanding environment with so many potential occupational hazards.

Fortunately, I was able to work safely right up until a few weeks before giving birth. As a per diem nurse, I did not have any maternity or disability benefits, so I wanted to save up as much money as possible before I went out on leave.  Thankfully, I was able to do just that.  But safety was still my number one concern.  I hope this information can help other nurses stay safe during their pregnancies as well.

Talk to your OBGYN

First off, you must talk to your doctor to discuss any occupational concerns you have during your pregnancy. Continue the dialog at your prenatal appointments as you move along your pregnancy.  If you have questions in between your appointments, then contact your doctor.

My goal in writing this is not to make pregnant nurses afraid to work in the hospital.  I am so glad that I was able to safely work as a pregnant nurse for as long as I did.  Still, there is no shortage of occupational hazards for the pregnant nurse within the hospital setting. Working safely is the number one goal.

You must communicate with management and your charge nurse about your pregnancy.  They cannot help you avoid potential pregnancy hazards if they don’t know that you are expecting.

Additional recommended reading:  Prayers For The Sick And For Nurses During COVID-19

Pregnant nurse precautions to consider at work

Pregnant nurse precautions and hazards to consider:

COVID-19

The novel coronavirus (COVID-19) has many pregnant healthcare providers, especially frontline nurses, uniquely concerned.  Because COVID-19 is so new, there hasn’t been enough time to study its effects on breastfeeding or pregnant women.  Also, many nurses who are working directly with COVID-19 patients say they don’t have enough personal protective equipment (PPE) to protect them from the virus safely.  That maybe even more problematic for pregnant nurses who directly care for COVID-19 patients.

On pregnant women and COVID-19, the Centers For Disease Control (CDC) stated:

“We do not have information from published scientific reports about susceptibility of pregnant women to COVID-19. Pregnant women experience immunologic and physiologic changes which might make them more susceptible to viral respiratory infections, including COVID-19. Pregnant women also might be at risk for severe illness, morbidity, or mortality compared to the general population as observed in cases of other related coronavirus infections [including severe acute respiratory syndrome coronavirus (SARS-CoV)* and Middle East respiratory syndrome coronavirus (MERS-CoV)] and other viral respiratory infections, such as influenza, during pregnancy.”

On pregnant healthcare personal and COVID-19, the CDC stated:

“Pregnant healthcare personnel (HCP) should follow risk assessment and infection control guidelines for HCP exposed to patients with suspected or confirmed COVID-19. Adherence to recommended infection prevention and control practices is an important part of protecting all HCP in healthcare settings. Information on COVID-19 in pregnancy is very limited; facilities may want to consider limiting exposure of pregnant HCP to patients with confirmed or suspected COVID-19, especially during higher risk procedures (e.g., aerosol-generating procedures) if feasible based on staffing availability.”

Essentially, the CDC does not know at this time if pregnant women are at a higher risk when working with COVID-19 patients because the evidence is limited. As a precaution, pregnant women may want to consider working in lower-risk areas where they have less exposure to COVID-19 patients.

The most important take away is to always take care of yourself first.  You can’t care for your family and your patients if you become sick.


Radiation from diagnostic imaging

In the ER and on most floor units within the hospital, patients often receive portable X-rays at the bedside.  So naturally, I was concerned about radiation exposure and how it could impact the health of my unborn child.  I felt it was wise to air on the side of safety by not exposing myself to unnecessary radiation during pregnancy.

If you are in an area where x-rays are being taken, you must wear a lead radiation apron to protect yourself, especially if you are within six feet of the machine.  If possible, it is also a good idea to step outside the room while the image is taken.

In my nursing experience, x-ray technicians usually notify anyone within the vicinity of where imaging is being taken.  I was able to leave the area for a few minutes, whether I was wearing a lead apron or not.

Key takeaways: 

  • Notify management of pregnancy
  • Wear lead radiation apron
  • Step outside of the room when portable x-rays are taking place

Dangers from working with chemo or other teratogenic medications

There is evidence that handling some medications, such as chemotherapy drugs, can cause adverse reproductive outcomes, including fetal loss, miscarriage, infertility, and preterm births.  In addition, it may cause learning disabilities in babies exposed to some drugs if nurses are exposed during pregnancy.

Wearing protective equipment, such as gowns, masks, and gloves, can minimize occupational risk to a pregnant nurse.  However, it does not completely eradicate it.

Nurses working in oncology or other areas where antineoplastics are prescribed may want to speak with management about the safest way to continue working.  In addition, you can insist on getting help from co-workers or management to give teratogenic medications to patients.  Moving to another work area may be a consideration if safety for the fetus is still a concern.

Key takeaways:

  • Wear protective equipment when giving medications
  • Ask for help from co-workers when working with teratogenic medications
  • Consider temporarily working in another area of the hospital during pregnancy as your management allows

Additional recommended reading:  Why I love being an ER nurse

Risk for infection

As a pregnant ER nurse, I was very concerned with the risk of infection from patients such as c-diff, tuberculosis, cytomegalovirus, and influenza during my pregnancy.  Since the ER is often the first stop in the hospital for sick patients, I often didn’t know that a patient had a contagious infection until after they had been admitted. By then it was too late to protect myself if I hadn’t already.

Pregnant women need to be especially proactive with protective equipment and hand hygiene. It is ideal for all hospital employees to have their measles, mumps, and varicella-zoster vaccinations before pregnancy (most facilities require these vaccinations to work anyway). Hep B and influenza vaccination can also safely be administered during pregnancy.

As an added precaution, I made sure to change my clothes and shoes before leaving the hospital to minimize the risk of work-to-home contamination.  The first thing I did upon getting home was take a shower to rid myself of any other possible bugs I could have inadvertently carried home with me.

Key takeaways:

  • Stay up to date in all vaccines including the yearly flu vaccine
  • Adhere to strict universal precautions and hand hygiene
  • Request job modification to minimize exposure to specific patient populations
  • Minimize work-to-home contamination by changing work clothes and shoes before going home
  • Shower as soon as you get home from work

The physicality of nursing while pregnant

Being a nurse while pregnant is exceptionally hard work.  Not only are we on our feet for up to 12 hours a day, but pregnant nurses are also carrying an extra 25-plus pounds towards the latter part of pregnancy.  Additionally, the extra girth makes it significantly more challenging to fit into tight spaces.

Movement becomes even more awkward for pregnant nurses due to having an altered center of gravity.  Also, high serum levels of progesterone and relaxin loosen muscles, ligaments, and connective tissues.  For nurses who do a lot of heavy, repetitive work requiring lifting, pulling, or pushing their risk of musculoskeletal injury is increased.

It is wise for pregnant nurses to use patient transfer equipment and to ask co-workers for help with moving patients.  However, if your work situation is still too physical for you to manage safely during pregnancy, you may want to consider a modified duty in a lower risk setting with a less physical patient load.

On another note, pregnant nurses also have a higher risk of developing varicose veins due to an increase in total blood volume caused by pregnancy.  The added blood volume, combined with being on one’s feet all day, leads to poor circulation, puffy legs, and swollen ankles.  Compression socks or stockings can help reduce the risk of blood clots and varicose veins as well as prevent swelling.

Key takeaways:

  • Pregnant nurses may want to inquire about modified duty
  • Understand how the altered center of gravity and hormonal changes in pregnancy predispose a nurse to injury (despite using best lifting practices)
  • Use patient transfer equipment when available
  • Ask for additional staff help with transfers
  • Wear compression socks or stockings

Additional recommended reading:  Top 30 Ultimate List Of Nursing School Supplies And Essentials

Pregnant nurse precautions with COVID-19

Violent patients

I worked in our ER psychiatric hold area several times throughout my pregnancy.  There were a few incidences where I had patients verbally threaten me or begin to escalate towards violence.  I always had a security guard with me, and I stayed a reasonable distance away from patients when I felt that my safety could be at risk.  I was likely overly cautious at times, but it is better to be safe than sorry.

Violence against nurses is not uncommon, especially in the ER setting.  Stay vigilant and keep away from any potentially threatening situations.  If a patient is escalating towards violence, then leave and call for help immediately.

Working during flu season

The CDC recommends that pregnant women get a flu shot.   Not only do hormone changes during pregnancy often make pregnant women more susceptible to getting the flu, but a common flu symptom is a fever, which may be associated with neural tube defects and other adverse outcomes for a developing baby.  Getting vaccinated can also help protect a baby after birth from flu through passive immunity.

My experience:  The flu season in December 2017 was unusually bad.   Many patients came to our ER for flu symptoms.  Unfortunately, almost every nurse was infected with the flu or a cold at least once during the season.  Myself, included.

At the time, I was over eight months pregnant, and I was struggling with how horrible I felt.  I always get a flu shot to reduce my chances of getting sick during flu season.  However, if I ever got pregnant again, I might consider starting my maternity leave towards the beginning of the flu season – especially, if I was that close to my due date.

An unexpected benefit of working as a nurse during pregnancy

One of the best gifts that pregnancy gave me was that it forced me to not be sedentary on days that I felt fatigued. (Although while you are carrying an extra 25-35 pounds of extra weight, you may not consider it a benefit).

Many studies show that not moving enough during pregnancy is bad for both mom and baby.  If fact, exercise during pregnancy can boost your baby’s brain development and make them smarter.  Who knew that working a 12-hour shift might promote health for both you and your unborn baby?

Good luck to you during your pregnancy and take care of yourself!

Additional Recommended Reading: 


Nurse Life:  How To Achieve A Work Life Balance

Nurse Life: How To Achieve A Work Life Balance

Many nurses struggle with finding a work-life balance.  With increasingly demanding 12-hour shifts, its tough to stay healthy and sane when you are continually going a mile a minute. In time you may become overwhelmed and unsatisfied with your nursing career and your personal life.

Nurse burnout is real.  The journey towards a satisfying work-life balance as a nurse is within your control and will only be attainable if you make it a priority. 

Consider doing a little soul-searching.  Take a moment to sit quietly with yourself and pinpoint precisely what you need to simplify your life.  Here are a few things to consider on your journey to creating a better work-life balance as a nurse:

a nurse smiling

* This post contains affiliate links.

1.  What are your priorities?

Take inventory of both your nursing life and personal life.  Is it possible you may be juggling too many balls in the air?  What do you envision your life to be like in 5 years? 

Sit down and write a 1, 3, and 5-year plan.  Make specific goals. You simply cannot create a satisfying work-life balance without fine-tuning your personal and work goals.  Be brutally honest.  Are you making major life decisions based on what you want to do or what you feel like you should do?

Many people (ahem, nurses!) are inherent caregivers who often give more to others before themselves.  Now is an excellent time to think about how you will care for yourself firstYour happiness and success is your responsibility.  Start by prioritizing what is most important to you!

2.  Manage your stress

You have to manage your stress to achieve a work/life balance.  This is a non-negotiable! 

Here are two helpful ways to manage stress:  #1)  get moving with some type of physical activity (may I suggest yoga?) or #2)  meditate (or just take a little time to chill out by yourself).

The benefits of exercise and mediation on physical and mental health are well documented in literature.  For example, The Mayo Clinic has stated that “yoga may help reduce stress, lower blood pressure and lower your heart rate,” among many other benefits (my yoga practice has been a lifesaver for me!).

Also, a study published in the National Institute of Biotechnology Information investigated the effects of yoga on stress coping strategies of ICU nurses. After only eight weeks of yoga, the results showed that the participating ICU nurses had significantly better focus coping strategies and a significant reduction in perceived mental pressure.  Just imagine how much better YOU could feel as a nurse who commits to a regular yoga practice.

Note:  It doesn’t have to be yoga (although yoga has remarkably changed my life for the better over the past ten years).  Exercise can come in any form you want it to:  running, hiking, swimming, pole jumping, dancing in your living room.  The best kind of exercise is the kind that you actually do!

3.  Create more flexibility

In addition to the (literal) flexibility I get from yoga, I have also found flexibility within my workplace and at home.

12-hour shift schedules are already rigid enough.  To find a work-life balance that works for you, consider other alternative scheduling options available in your workplace.

As a nurse and a new mom, I found that becoming a per diem nurse allowed me to create a better work/life balance for myself.

As a per diem nurse, I am employed “by the day.” Hospitals need the flexibility of per diem nurses so they can manage daily staffing needs in the hospital.  There are many pros and cons to being a per diem nurse, and it is the only way I can effectively be a working mom at this time. Here is another way to create flexibility in your life:  Try squeezing your workouts early in the morning before your family is awake.  Sure, you will be tired, but you will also feel incredible for the rest of the day! (I have been practicing hot yoga at 5:30 AM twice a week before my tribe wakes up, and it is helping me function so much better).

4.  Think outside of the box

Working 12-hour hospital shifts at the beginning of your career is an excellent way to gain clinical expertise and build a solid career base.  But it is not the only career path within the nursing universe.  There are many unique and alternative avenues a nurse can take!

If you are a nurse suffering from burnout and looking for alternative career paths, you are in luck.   Finding a new way to practice nursing may help you find the work-life balance you have been looking for.

Here are a few ideas, just to get your brain thinking outside the box!:

Are you a nurse who is struggling with how to achieve a work-life balance?  I enjoy hearing thoughts and ideas from other fellow nurses.  Please leave a comment below!

P.S. Don’t forget to sign up for our newsletter- receive a free gift when you sign up below!

Additional recommended reading:

My “About Me” Page and Our Huffington Post Interview

My “About Me” Page and Our Huffington Post Interview

My “About Me” page

If you have taken a peek over at my About Me page you may have read that nursing was NOT my first career.  If fact, I did’t even discover that I had a calling for nursing until after I had been working in the medical sales field for about 9 years.

Ill press rewind for just a minute…   Once upon a time, I worked in the competitive field of surgical equipment sales for a fortune 100 company and a few medical device startups.

I knew I didn’t love the career, but I made a pretty good living.  It also allowed me to travel for work and I was able to afford to take a lot of incredible overseas trips.  After a few years in the sales grind, I knew I wanted to do other things.  The problem was that my resume said I was a medical device salesperson.  So what was I supposed to do?

That voice in the back of my head continued gnawing at me, little by little.  Every day a small piece of my soul was being eaten up by working in a career that I had no real passion for.

Until finally one day, after a near mental break down I made the difficult decision to leave the field.  I went on a quest in pursuit of greater clinical medical knowledge and a desire to help humankind.  After years of scratching my head I had finally discovered my new path.

I was going to become a Nurse!

It has been 9 years since my near mental breakdown that forced me to make an incredible life change.  Nursing school was one of the hardest thing I have ever done in my life.  But I am so thankful everyday that I did it.  Ultimately, it was the best decision for myself and and for my family.

nurse power

Here I am showing off my badge bloom…

Our Huffington Post Interview

My whole point in writing this post was to talk about a really cool experience that I had recently…

A journalist at the Huntington Post recently contacted me through my blog.  She asked if my husband and I would be interested in being interviewed for a piece that she was doing about what it was like being married to an ER nurse.   Of course I said yes!

(I was a journalism major in college and still have an itch to write, which is one of the reasons I blog).

Nursing is challenging.

I want to be an advocate for nurses because I think we tolerate things that would never be tolerated in any other field (but we do it anyway because we’re awesome).   I also really, really want to find a way to help nurses take better care of themselves.  Plus, I am extremely passionate about being a nurse and have a passion for helping others.  So, I was excited to share some of my thoughts (and I was also intrigued to see what my husband had to say about being married to an ER nurse).

If you are still reading this and want to take a look at our Huffington Post article you can read it here.

Thank you for reading my blog and free free to leave a comment.  I appreciate that your took the time to read this!

Sarah

Top 8 Pumping Essentials You Need

Top 8 Pumping Essentials You Need

(This post about pumping essentials contains affiliate links.  You can find my disclosure policy here.)

So you have made it through the first few months of breastfeeding a newborn.  Congratulations!  You are doing a great job, MamaMama!

But now a new change is looming on the horizon:  your maternity leave is slowly creeping to an end.  And you are wondering how you are going to continue providing your dear baby with their primary source of nutrition, breast milk.

And, like me, there is probably a big question going through your head right about now:

What pumping essentials do I nee when I go back to work?

I had so many concerns about being a “pumping mom,” and I couldn’t for the life of me figure out how I was going to make it happen without a ton of stress.  But I knew I needed to be prepared.  I am a registered nurse, and I work hectic twelve-hour shifts.  Like most pumping moms who work, I don’t have time not to be prepared.

I am happy to share that I have been successfully pumping as an ER nurse in a very busy level 1 trauma center for the last four months.  And I still can’t believe how well it is going!  Sure, there have been a few minor hiccups along the way (like forgetting my breast pump at home, whoops!).   But overall, the experience has been way better then I would have thought.

I now know that I will be able to continue pumping breast milk for my baby for as long as I desire.  I want other working moms to know that they can do this too.  (Read more about what I have learned about pumping at work as a nurse).

Pumping essentials for pumping at work

Pumping essentials for pumping at work

Top 9 pumping essentials you need when you go back to work:

1. Portable Breast Pump

This pumping essential is the highest on the list, for obvious reasons.  Without it, you have no way to access your milk!   I am using the Medela Freestyle portable pump because it is the one that my insurance covered, and it works great.  You want to make sure that you have a double pump so you can pump both breasts at once to save time.

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Check with your insurance to see if they cover a portable breast pump before you buy one.  I live in California, and my insurance gave me a breast pump free of charge!

(Just a note, the different brands do not work interchangeably with each other.  So you want to make sure you find one brand you like and stick with it!  Otherwise, you will end up with a bunch of parts that don’t work with one another.  You don’t need your back to work pumping supply list to be any longer then it already is!)

2.  Bottles

You will need breast milk collection storage bottles to store your milk until you get home from work.  I use the Medela bottles because I already use the Medela pump, but there are several other brands you can use as well.  Just make sure the ones you are using are made without BPA (it’s a safer plastic that helps retain breast milk’s beneficial properties).

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I also like the Medela screw-on lids better than some other brands because they are leakproof.  (I tried a different brand and had an issue with leakage all over my packed lunch!).  You can wash them in the sink, and they are also dishwasher safe.

3.  Clip and Pump Hands-Free Nursing Bra

I like this nursing bra accessory because it makes it possible to double pump without having to hold the pumps with both hands.  Once you start pumping, you will find that having to keep the pumps in place is annoying and makes it difficult to do anything else.  This pumping essential will just make your life easier!

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This ingenious contraption can hook on to almost any nursing bra and make it a hands-free pumping bra as well!  That way, you can still do other things like check email or scroll through your phone.  Because let’s be honest, pumping can be pretty dull after a while!

4.  Breast Milk Storage Bag

After you pump, you need to make sure you have a place to store your breast milk until you get home.  I always pack a lunch for work, so I just use my insulated lunch bag to store my milk.  You can use any insulated storage bag.

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5.  Reusable Nursing Pads

Engorgement is no joke.  There have been a few times at work when I wasn’t able to pump on schedule, and I ended up leaking through my scrubs (you could barely see it but still!).  As a result of that embarrassing experience, I started wearing nursing pads when I was at work.

I use reusable nursing pads made of bamboo because I have read that many disposable pads contain absorbent chemicals that come in direct contact with your skin.  They also run the risk of trapping moisture, especially if you are leaking. This can increase the risk of mastitis, a very painful bacterial infection that will make you sick and can be dangerous if untreated.  Disposable pads can also be expensive over time if you are frequently using them.  I have 12 reusable nursing pads, and I run them through the washer and dryer with all my other clothes.

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6.  Breast Milk Storage Bags

The beautiful thing about pumping is that you can store your breast milk in the freezer!  So even if you have a surplus of milk, you can put it away for later use.   These little breast milk storage baggies are great because you can write the date on the top section, so you know how long they have been in the freezer.

Place them in the refrigerator for 12 hours before you need them to thaw them out.  Or place them in a bowl of hot water for quicker use.  These are on the high list of absolute must-have items to pump at work that you will need: I have used over 200 of them already!

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7.  Milk Storage Organizer

My freezer got a little overloaded with breast milk within the first few months that I was back at work, and this milk storage organizer helped me to keep things more organized.  It also helped me keep the milk organized by date, so I make sure to use the oldest milk first.

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8.  Newborn Bottle Feeding Set

Your baby is going to need a way to drink your breast milk when you are not there, right?  I tried so many different brands of bottles for our baby (there are so many!), but I finally settled on Dr. Brown’s newborn bottle feeding set.  Different brands are NOT able to be used interchangeably with one another, so its a good idea to find a brand you like and stick with it.  Otherwise, you end up spending a bunch of money on bottles and parts you don’t even need.

In the beginning, your baby will only need the 4-ounce bottles because they won’t be drinking as much milk.  But as they grow, you need to switch to the 8 oz size.  My son is six months and can take an entire 8 oz bottle in one feeding very easily.

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The Dr. Brown’s bottles have a blue vent system that is supposed to remove excess air bubbles from the milk.  This supposedly helps reduce feeding problems like colic, spit-up, burping, and gas.  Our daughter struggled with pretty severe colic and constant spit-up and switching to Dr. Brown’s bottles helped the situation tremendously.  She still had some issues, but they were noticeably much better!

Take it one day at a time, Mama.

You may get overwhelmed, but you too can do this!

I hope these pumping essentials help to make your return to work much easier on you.  There are a lot of products on the market, and it can be overwhelming for a mom who is preparing to go back to work from maternity leave.  So, make it easier on yourself and have a plan in place before you go back to work (read more about how I pump at work as a registered nurse who works 12-hour shifts).

After successfully pumping at work with two babies, I have whittled down my list to include the things that have helped me the most.  I hope this helps to guide you in the right direction to find what works for you too!

It is your legal right to continue to provide breast milk for your children and pump while you are at work.  Do not let anyone tell you differently or make you feel guilty about it.  Only you know what is right for you and your babies.

Good luck, Mama!  Let me know how it goes as a pumping mom in the workplace, and please reach out to me if you have any questions.  I would be happy to help you!

Additional recommended reading: