imaginations 4,292 Views
Joined: Apr 17, '11;
Posts: 125 (20% Liked)
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Registered Nurse; from
I work in paeds onc. We tell all our parents, including parents going to transplant/BMT that their parenting style should not be altered by their child's diagnosis or treatment and that they should continue to enforce their usual limits and boundaries around their child's behaviour. Spending 3+ months in hospital with a child undergoing transplant, stuck in the one room with them, can be draining for these families and limit setting helps them cope during the experience and when their child is well enough to be discharged, or in remission. It also makes things easier and fairer on other children in the family.
If the child is well enough to throw toys, the child is well enough to have limits set around appropriate behaviour.
I have also worked at Sydney Kids (in areas you expressed interest in). Would be happy to answer questions via PM.
Have you thought about volunteering as an RN with St. Johns Ambulance? This will give you the opportunity to learn and practice skills in first response and emergency care as an RN and network with health professionals from a variety of backgrounds. This should give you two benefits when looking for RN work without a new graduate year: 1) clinical experience and CPD in the role of an RN 2) the opportunity to network with health professionals who may be able to hook you up with a job interview in the future, especially if you commit to and apply yourself in your St. John division.
Also consider volunteering as a registered nurse for charities which use RNs, where you will be able to work in the role of an RN, such as Canteen, Camp Quality, Camp Sabbaba or HeartKids, which all use RNs for their kids camps.
At this stage, heading toward two years post graduation, you really need to stand out when applying for RN jobs as managers and recruiters reviewing your application will wonder why you've not been able to get a job. You need to demonstrate that you have all the skills and attributes of an RN when applying for jobs. At this point, your academic record is not going to be the strongest evidence of that and you will need to demonstrate that you are capable of succeeding as an RN, rather than just have the potential to succeed. Thus you need evidence i.e. work in the role of an RN.
It's a tough market out there for new nurses but it's not impossible. Good luck!
There are a lot of Kiwi nurses who do grad programs in Australia (there were two in mine and at least one in the year before me). However I have a feeling it is more complex in the reverse. Good luck!
My research so far told me that I have to go through the match system or grad plus/health scope.
I recently contacted Nursing Network Agency to enquire about a position advertised on the MyCareer website and was not impressed by their recruitment staff at all. The woman I spoke with was rude, not clear about specifications and requirements for the role I was enquiring about and provided details that differed from the role advertised (e.g. the role was advertised as casual and she stated it was full time; the role was advertised as available, she stated that it was not and so forth).
After sharing my qualifications and experience, she tried to recruit me for a position that I was clearly unqualified for and that she obviously needed to fill very quickly. She was not impressed when she stated that I did not feel qualified to take on that role.
She also tried to pressure me into joining the agency despite not being able to provide me with any information about available work that suited my requirements.
Based on this I would recommend avoiding this agency: Australian Nursing Agencies | Nurse Sydney | Nursing Agency in Sydney and UK
My interview was several years ago now and is blurred in my memory with a very similar interview I did in third year for an AIN position in the same facility. There were six questions (I believe this was standard then, I don't know how the process has changed).
- The first asked about me, my background and why I wanted the position
- There was at least one prioritisation of care question (e.g. you have three patients; one has a low blood sugar, one is being called for theatre and the third, with acute asthma, has dropping SpO2 - how would you manage this situation?)
- A question about how you would manage a specific case of workplace bullying / poor workplace culture
- A question about how you would manage another nurse's poor practice (e.g. not washing their hands / using gloves appropriately)
- A question about appropriate PPE for a certain circumstance
Once again, your university should provide you with practice questions, hospitals will be having information evenings where you can ask these sorts of questions and past grads in the hospitals that you are interested in will have better recollection of what they were asked and the types of answers you should be thinking about.
To stand out from the crowd (and there will be a crowd) you need to do your research and prepare will for your interview. It's the point on which you will be selected for your ideal graduate job or dismissed from the recruitment pool.
You need to do your research. Find out the names of hospitals, get on their websites and research their graduate programs. You need to be proactive in the competitive employment environment that is graduate nursing in Australia. Victoria is a hard market (though likely not harder than QLD) and the process is one that you need to understand very well in order to succeed in getting a job there.
Make sure you look outside the Vic Health match system as well as private providers such as Ramsay and Healthscope, some of whom will likely provide critical care options for grads.
Your university should be able to provide you with practice questions (there is a common scheme and format of the questions asked across NSW Health) and a general guide to answering them. Practice practice practice your answers and have responses prepared for that can be flexed and fitted to the different categorise of questions (prioritising care, OH&S, behavioural, 'tell me about yourself' etc) with appropriate e.g.s for each.
First off, it sounds like your orientation was lacking. As a new grad I had two weeks supernumerary on my first rotation and six weeks on my second rotation (though this was in a critical care area, new grads rotating to other wards had another week supernumerary to learn the new wards ropes).
As a new grad I would have really struggled being thrown in the deep end without a lot of support because sorting out all the little things - like knowing where things are kept, when the meal trolleys come around, what phone numbers to call, when the doctors round and so on - take up a lot of time on your planner when they aren't second nature.
I would second all the advice on organising your planner (if your ward doesn't have a template you can make up your own by drawing up a table with hours down the rows and each of your patients in a separate column) and reaching out to your educator, NUM, grad program staff but also don't look past your colleagues. I know that nursing culture is not always sunshine and bunnies and that on a busy shift it can hard to find someone that is willing to help you out but it is the role of the team leader and float nurses (if you have them) to make sure the show is running smoothly.
It's okay to ask for help and it's okay to be struggling. It's intense and stressful and you are new to this. It's okay not to be getting everything straight away but it's not okay not to be seeking help where you need it.
I remember many a-day as a new grad on the ward feeling overwhelmingly stressed/frustrated/useless/like I wasn't doing the best for my patients. The thing that helped - every time - was support from my colleagues, which I didn't always get.
Make sure you have good supports outside work and look after your health (mental and physical). I know it sounds superfluous but I can't stress enough how much it makes a positive difference when you've had a good breakfast before a morning shift and have a good lunch sitting in the fridge in the tea room; or how much it helps with the havoc shift work wreaks on your body to exercise, even just for twenty minutes, every week; or how much better it makes you feel to have a sympathetic shoulder to rant or cry on after a crappy day.
You need to consider what you want from a graduate program and do your research. Is a big hospital with a lot of complex cases, rare diseases or trauma important for you? Find out what hospitals tend to deal with those patients. Do you want to work in theatres, ED, ICU or mental health? Find out which hospitals offer those rotations for new grads. Talk to past and current grads about the graduate program support, study requirements, work place culture etc.
& apart from that, work on your interview skills because that's what will get you the job you preference first.
Also look into non-NSW Health options (private hospital providers such as Ramsay and Healthscope offer a number of graduate programs, as well as numerous aged care providers) in case you miss out on a NSW Health position, which is happening to more and more nursing grads.
This situation is particularly bad in Queensland given the current political environment and the major public service cuts. If you haven't seen what is happening between the Newman government and the medical fraternity in QLD and are wanting to work in the public health system in QLD then you are living under a rock.
However there are ways around the citizenship requirements. I don't know how available these options are in QLD but in other states such as NSW a number of non-acute care settings (i.e. not major teaching hospitals) are beginning to offer graduate programs, particularly in the aged-care sector. Also consider private hospital providers such as Ramsay and Healthscope and start doing your research now for what is going to be feasible for employment when you graduate.
I would stay in ICU, hands down. Especially if the acuity and/or census if often low and there is competition to actually get a sick patient. 6 months is nowhere near enough to have have ICU down to a tee. If you like it, then stay!
I completed my new graduate year as an RN at a tertiary children's hospital (five months on a speciality ward and seven months in the ICU - where we cared for newborns through to teens). At the termination of the graduate program I was offered ongoing employment in the ICU however I elected to return to study full-time in a field not directly related to nursing. (I had studied part time during the final four months of the year and found it challenging to say the least.)
I have since studied full time and excelled, with excellent grades and a number of exciting opportunities, including a scholarship to travel overseas in the new year to conduct research however these are not directly related to clinical nursing. I intend to continue my studies in the new year however I would like to return to nursing part time. I miss babies too much & even the hint of intensive-care related issues on television remind me how much I enjoy working in the ICU.
I am looking at seeking a part-time or casual position in a NICU (which consists of special care, high dependency and intensive care cots) at a major, non-children's hospital with mother-baby services. However I am concerned that my experience so far and the fact that I am not seeking full time employment will count against me.
In particular, I am concerned that my experience is paediatric, rather than neonatal. In my previous ICU we cared for newborns (and brand brand new bubs) but not a typical NICU population of prems, mec asps etc. Typically these babies were chronic lung or cardiac babies. I have cared for a lot of older infants, ex-prems with chronic lung requiring ongoing ventilatory support but my actual NICU experience is limited to two weeks in a tertiary NICU as a final year student.
I hope to be able to sell myself to the NICU nursing manger directly by sending an opening email and resume. I would be interested to hear if you had any thoughts that may help me improve my chances of gaining a position in the NICU in a non-fulltime capacity with my experience to date.
No, it's not. I know plenty of RNs who've gone to medical school. Point is, they didn't expect - or get - credit or recognition of prior learning for being an RN. Everyone comes in from scratch. The reality is - being a doctor is nothing like being a nurse. & in Australia, the pre-reqs required for medicine (bio, chem, physics) are a) not compulsory, simply expected and b) not required for nursing.
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