Difference between nursing in the UK vs nursing in the US? - page 7

Seems everyone's legging it from the UK to the US. What's the deal?... Read More

  1. by   Fiona59
    16s are our norms, but 18's are used a lot.

    Over the years, I've found that just chatting and keeping the patient relaxed makes it go a lot easier on all concerned.

    Females are way more difficult. Back when I was a student, the nurse I was following asked me to cath. a 6mo old little girl. No Way! I knew then that kids weren't my forte and passed.
  2. by   RGN1
    I look at my patient first & then bring a selection under my trolley. Once I've put her in "position" I then make the final judgement call on the size I pick as I clean her.

    It's usually a size 14 I end up using, in general. I have occasionally used a 16 & some 12's for those little old, thin ladies. I can honestly say, hand on heart, I've never had a patient that I've wanted to use an 18 on. The tears are still in my eyes & my legs are crossed!:chuckle
  3. by   filnurseuk
    just a thought, if you accidentally dropped a patients drug ampoule or vial will i that come out of my pay? i work here in the uk and i'm always careful but accidents do happen. here in the uk we dont get charged for it but considering that most healthcare providers in the states are private or thru health insurance will i be paying for it?
  4. by   madwife2002
    I dont think you are charged, it goes in the computer as wasted
  5. by   RGN1
    I work in the private sector here in the UK & we don't get docked, it's just "wasted" as MW said. I presume it's the same in the USA - accidents do happen & that is accepted I would hope!
  6. by   suehp
    Quote from filnurseuk
    just a thought, if you accidentally dropped a patients drug ampoule or vial will i that come out of my pay? i work here in the uk and i'm always careful but accidents do happen. here in the uk we dont get charged for it but considering that most healthcare providers in the states are private or thru health insurance will i be paying for it?
    I have done this and I contacted Pharmacy and they recorded it as waste.
  7. by   cariad
    pharmacy hand delivered a 30 ml pca cartridge to me as the narcotic was fentanyl and had to be especially mixed, it was wrapped in an a4 piece of paper,,,,,picked the paper up and the whole thing slipped to the flor and smashed, another nurse and i just wasted it in the medselect. good job i wasnt being charged !!!
  8. by   nightingale
    I have never known anyone to be charged in the US for a wasted med. Accidents happen.
  9. by   twantland
    Hi, I am a new member. I really am interested in moving to england and working as an RN. Can anyone tell me what the usual pt to RN ratio is? What is the average pay rate for an RN? If you are a US RN working in england, would you recommend it? My husband is also in nursing school right now so he would be able to work there too. We have to wait until he has at least one year of experience. I really would like some candid opinions on this subject. Thanks.
  10. by   Silverdragon102
    Quote from twantland
    Hi, I am a new member. I really am interested in moving to england and working as an RN. Can anyone tell me what the usual pt to RN ratio is? What is the average pay rate for an RN? If you are a US RN working in england, would you recommend it? My husband is also in nursing school right now so he would be able to work there too. We have to wait until he has at least one year of experience. I really would like some candid opinions on this subject. Thanks.
    Hi and welcome to the site

    Couple of starting points for the UK are NMC Internet Working in the UK - Home and RCN: Agenda for Change - Pay and Conditions - Pay 2006

    Patient ratio will vary depending in what area you work in ITU CCU usually 1:1 or 1:2 whilst working on the wards can be much higher. I used to work on a ward that used to the ratio of 3 RN's for 28 patients.

    Things may change in the next 12 months but currently a lot of financial difficulties are being experienced by hospitals with nurses being laid off and nursing students qualifying are uable to find a job. Also with immigration hospitals now have to employ nurses first from the UK then the EU and lastly elsewhere in the world. If they employ not following this they have to prove that they have tried UK and EU and people was not suitable. Also before you can apply for work permit you have to go through the NMC and get your number which can take up to 12 months to do.

    Another website to check out nursing jobs is Nursing Times - Home

    Good luck
  11. by   RGN1
    Just to add to SD's post nursing in the UK is no longer a schedule "A" job & foreign nurses are not able to get work permits at present.

    This will change, I can almost guarantee it because, as usual, the NHS is cutting off it's nose to spite it's face. In fact just today on the news there's a report out that says that within 3 years we're going to be really short of nurses. Now there's a suprise!!

    In my NHS job we had 1-2 RN's & 1-2 HCA's to 16 patients, the higher number on good days (which became fewer & further between as the year progessed & the budget started to be used up). Now I'm in the private sector & the ratio is a maximum 1:5.

    You do know that the wages here versus the cost of living is horrendous don't you? A recent report showed that when you add in all the hidden & known taxes we lose about 50% of our wages in the UK to the treasury. 50% of not a lot is tiny!!

    Ward nurses can't afford to buy a house in over 95% of the UK now & we are officially the lowest paid public sector skilled workers, lagging some 8000 behind teachers & 10000 behind the police. Personally if I wanted to nurse abroad from the USA I'd look to Canada, Australia or New Zealand, at least you'd get to keep your lifestyle!!

    As for me - I'm coming to your side of the pond!!
  12. by   shelly_oncRN
    I had 20 yrs experience in UK and have been in FL for 5 years.
    There is very little similarity between the 2 - both have excellent and terible points. There was more autonomy in UK - and I honestly feel the "ward-based" training I did was excellent compared to the college based they offer here.
    When I first came here I felt like I was starting a whole new proffession - not sure if I could cope with nursing in Uk again now - certainly couldn't cope with the pay!
    If I had to choose - US any day
  13. by   twantland
    THanks for all of the advice. I actually do about 6-8 patients by myself right now so the ratio is about the same. We wont be able to even begin to look at coming to the UK for about two and half to three years so hopefully things will be better. Im not looking to buy a house there, Im not much of a homeowner type. I think we could probably handle the decrease in pay. Mainly we really just want to experience living in a different country and do some traveling for about a year or so. I will continue to do research on the subject. We are also looking at working in Australia and new zealand, ireland and maybe scotland. Thanks again for your advice.

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