rwethereyet 1,161 Views
Joined Sep 27, '04.
Posts: 10 (10% Liked)
This is a rant because I'm so mortified at some programs today. I looked into Karing With Kindness in, NJ and I warn you not to attend... I drive by their place all time so I figured I give them a call. I call and ask if I could have some info on their CNA program and the lady on the phone, I acted as if I interrupted her she told me "I have no idea, Xxxx isn't here and doesn't come back until Monday" and she hung up without saying anything else... It was Tuesday and although that left a sour taste in my mouth I called on Monday to speak to Xxxxx. A different lady picked up and told me Xxxxxx would be in on Tuesday at 10. So I call the next day, on my break at work around 12ish, "Xxxxx has gone home for the day, call tomorrow, she'll be here at 10"... I call Wednesday at exactly 10, the lady picks up and informs me that Xxxxx is there, but she's outside right now. She takes my name and number and tells me she'll have Xxxxx call me when she comes back in... Meanwhile, I'm thinking you have a potential student/customer here and you can't put me on hold and go get her for a minute, since she's probably just outside smoking or something!? I get a call back TWO AND A HALF hours later. Completely lacking the answers to anything I ask, I ask when I can come in for more info, she says "uhmm now I guess". I go only cause it's 2 minutes away from me. It's a very confusing place, I ask around for Xxxxx, and eventually someone says they'll get her. I begin asking her questions, about the costs, clinicals, schedule, ect and she starts texting on her cell phone!?!?!?!?! I left after that. I did learn that no one running the program is even an RN... This has got to be one of the most UNPROFESSIONAL places ever! If you're in South/Central New Jersey avoid this place!!!!!!Anyone know any decent CNA programs in Central Jersey?
If you want to teach nursing, then yes you need to get a degree in nursing. An MBA would prepare you more for teaching undergraduate business classes (though I bet they would not be likely to accept you either if you specialize in nursing only). Also, programs are moving to a DNP. Teaching at the graduate level will require a DNP soon.
It's an accredited program, why would there be any problem having it recognized? Non-traditional? Why, because it's online? Duke University, UIC (Chicago) Loyola, etc.....some of the greatest schools in the country have online programs, how is this "non-traditional"?
I'm currently attending graduate school at Loyola after graduating from WGU......and thank God I went to WGU, I'm a 4.0 where everyone else is struggling with 3.0. Piece of cake after the didactic and preparation from WGU.
You can also think of it in terms of ratios with an unkown (x) to solve for: You need to infuse 100ml in 45 minutes (100ml per 45 minutes or 100/45) and you want to know how many mls that is for 60 minutes (x ml.'s per hour or x/60). You can solve for x by cross multiplying and dividing making sure you keep your ml's on the top and minutes on the bottom;
----- = ------
(ignore the periods)
Cross multiply (100x60=600) and divide (600/45=133.33)
x=133.33 mls/60 minutes (or 2.2 ml/minute, just remember your IV pump is probably going to want the rate in ml's per hour)
We have been attempting to solve a bottle neck problem in our scheduling. Our MD's are not varing their schedules and we are getting slammed from 1000-1400. We currently have 12 chairs, 8 pumps and 2-3 nurses working from 0800-1700. Our out-take staff has been doing our scheduling and adjusting our schedule to fit the MDs ( we require MD/PA on site for chemo administration). This is NOT working as the chemos are more complex than ever. We are attempting to work out a system to ease the bottle neck. We are looking into some computer scheduling and then looking at other possibilities. We have researched this and read the ONS articles re Patient Intensity in an Ambulatory Oncology Research Center and other articles. Does any one have any more idea, clues, systems... that might help us?? A Computerized Appointment System was mentioned, has anyone used this system? Thanks for your ear! Deb, RN
What we do is schedule our long infusions earlier in the day to get them going. These would include blood,IVIG,remicade and the like. Once you get them going it is then a matter of ramping their drugs up to tolerance and monitoring IV sites and monitoring for s/sx of hypersensitivity. The second problem you have is patients coming all at once. The key to making this work is how you schedule them and all RNs scheduling have to be on the same page. Before you make any appt estimate how long the entire visit will take and block out that time in that chair. so if you need 3 hours to infuse some IVIG....you put the pt in chair one and then block out chair one for 3 hours. you need a scheduling book that goes hr by hour so you can see at a glance how many pts you will have at any given time.
next you have to be very clear with patients about appt times,otherwise it can stress you out when they all arrive at the same time are seated and they are wondering why it is taking you so long. If a pt arrives to soon and you offer to seat them let them know they are early and they will have to wait. You can also ask pts to wait in a waiting room and return at their appt time. Do not feel bad about doing this....you need to control the work flow. The other thing you can do is to spread out the time consuming treatments throughout the week....you will have to play around a bit to find out what will work. For me chemotherapy can be intense and I do not like distractions. Is this is what you were looking for ?
hi there , I also have a question and I also need advice. Im a new infusion center nurse , 4 months now , I just came from ICU in the same hospital where I was working for 3 years now. Anyway, I transferred because I have small children and infusion center as I know is like a clinic which opens at 6am and closes until 5pm. It was all good the first few months were seeing almost 60 patient's a day, there's 2 nurses and 1 PICC line nurse, which she do PICC all day and goes back for lunch. The following months were slow, from 60 our census went down to 40, and the department head decided that 1 nurse can handle 40 patient's a day. We dont do chemotherapy but bloods, remicade, iron's we do those. We complained already to the head because we feel unsafe having 6 blood transfusions a day and only one nurse running like a chicken , doing dressing change, access ports etc. Our head said that until the census reached up to 41 or more then they will let the other nurse come. Badly enough the nurse that I used to work with just fell last week because of trying to do all at once, and she was the first infusion nurse to work there, she's been there for 5 years.. I worked thursday and friday and I felt unsafe , having all this patient's and no help. I only have 1 license and I dont want to loose it. Im planning to go back to ICU. Please give me advice... thanks...
New 2006 Infusion Nursing Standards states that any patient should not receive more than 30 ml of Bacteriostatic Saline in 24 hours and that we should use single dose NACL for routine flushes because of potential neurotoxicity. infants and especially neonates should not receive any Bacteriostatic Saline, they are more likely to the demonstrate neurotoxicity than older children and adults.
Mary- Honestly, the CRNI Exam is challenging. A three day course isn't enough to prepare you. It helped, I am sure, but it probably only gave you an idea of what to study. This is what I did to prepare. You may not need this much, but it's what helped to make be feel prepared, and I spent no money doing it. I got ahold of a copy of the INS text book and Standards and read them cover to cover and made notes. I got a list of the chemo drugs we are required to know and researched those. I would be happy to email you my notes if you would like. It will save you some time and they are pretty exhaustive. I did take the test four years ago, so you will need to look at the new INS standards to make sure you know of any updates. I studied about an hour a day (I was unwilling to give it more time) for a few months prior to the test. If you'd like my notes and you are comfortable posting you email here I'll send them to you today.
Good luck! You can do it!
Here is the idea for getting registered in New Zealand. (First you have to have New Zealand nursing registration, and then can apply for a practising certificate). You can go to the New Zealand Nursing Counsel website and have a look around. On there you will find the application, which you can print out. You will need to fill that out and submit the fee (when I did it, it was $485 NZD - and you will need to figure out how to submit the fee as they don't accept US dollars.) You will need a police report, which you can get from the FBI and that requires about 4-6 weeks to get and about a $16 money order (from the post office). Let me warn you ahead of time: the sources will tell you to visit your local police station to get your fingerprints done. I did exactly that, and was told they don't do them anymore; you have to go to a place to have your fingerprints scanned in. Well, being from a country that is right up there with technology, it made sense to me, so that's what I did. They won't accept the report. You MUST have inked fingerprints and send those in, and have them returned with the official FBI stamp. I was lucky and the security people where I worked were happy to help out. (And have several sets made - if one is smudged in the least, they can't check it so send three sets to be safe (They will return the unused sets, unstamped.) If they can't read the prints you will have to do the process all over. Your police report is good for 6 months. So, while you are waiting for the police report, you can get the other documents together. I'm assuming you have a valid passport.
I had copies of my passport, driver's license, nuring license, nursing school diploma and anything else I could thin of made- quality color copies - and had all copies notorized. I brought the unused copies with me and they have come in handy. Most important, I had notorized color copies of my work permit.
But, above all, start the process with the nursing registration well ahead of time. Don't worry so much about the work permit at first. Once you have all the material together for the application (which really isn't all that complicated, no letters, just documents), get that sent in, and be sure you send it so it is tracked and someone signs for it when it gets there. Then be prepared to wait and wait and wait. You may have to provide further documents for the nursing council - but be sure to ask why they are requesting such documents.
You may eventually get to the point they tell you you need to do the nursing competence assessment programme. You MUST have that letter before you can apply for the course. Then, you have to decide where in New Zealand you plan to be when you take this course. If you are applying from outside the country, be prepared to pay foreign student tuition, which is pretty hefty. Then, you might have to wait anywhere from 6 months to 18 months to get into a program. You have to decide if you have the funds to live on if you come to New Zealand and cannot work as a nurse, or if it's better to wait months and months to be sure you have a spot in a program, then come here. Nurses from the UK may disagree with my assessment of things, but there are far more UK nurses coming to NZ than from the US, so our credentials are "suspect" - they are more familiar here with UK schools and "know" the nurses from those programs are generally competent, according to NZ standards. What I am saying is, be prepared for a long, tough road to be registered as a nurse from the US in New Zealand, as US nurses are a teeny, tiny minority here. Once you have the okay to do the course, then start working on your work permit.
Now, there is also the possiblity they will grant you registration based on the information you submit. If, by some miracle, that happens, you can start looking for NZ nursing jobs. If you get a job offer, you can then apply for NZ residence before you come over. Otherwise, you will have to have a work permit. There are a lot of unknowns along the way and the only way to know is to start the process. As far as being a skilled migrant and applying for permanent residence that way, you have to to an Expression of Interest online on the New Zealand Department of Immigration, which will cost $400. If you have enough points, they will send you an Invitation to Apply - and that you will have to submit with the medical (which you pay for, so cost varies there) and of course, a valid police report so you might have to get that again (hence, the need for several copies of fingerprints, which will save you time at this point!). Once you have all that together, you submit it with $1400 to the NZ department of immigration. By the way, the medical information is good for 3 months from the date it is signed by your doctor. The Department of Immigration reviews everything and may request other documents. This whole process can take several months. If you have any medical problems, your case will go to medical review. Then, when you are granted permanent residence, you will be required to pay a $300 Migrant Levy fee.
Once all this is done, and you have a job waiting, book your ticket to come over, and find a place to live. (not cheap, either.) The process can be very frustrating, especially when you think they are really short of nurses in this country. Plus, being from the US, you just won't be used to waiting and waiting with little to no communication. This is something you are really, really going to want to do. I came over here to be with my kiwi partner, and got into a competency assessment programme because I knew someone who knew the person that ran the program where I happened to be living. I also was lucky that I got a job in the hospital as a health care assistant. (Which was a great opportunity to learn how things work before having the responsibility of being a registered nurse on my shoulders in a foreign country.)
I hope this doesn't sound terribly discouraging. I've come across nurses working here from other countries that didn't have the problems I had getting through the process and some that are quite surprised at what I had to go through. You just have to give it a try and see what happens. I hope you do, because New Zealand really needs nurses! I love it here!
Cara, I am an American nurse, age 54, who has lived in New Zealand for the past year and a half with my kiwi partner. I've worked in two hospitals in two different district health boards. Yes, we do work 8 and 12 hours shifts. Just depends on where you go. I worked in a 555 bed hospital where they did NOT do 12 hours shifts. I work in a small hospital now, and some people work 12 hour shifts, but I think they want to get away from them and back to everyone working 8 hours. While I haven't seen the pressure from management here as you have in the US, it does still exist. You think they can't possibly come up with more paperwork, and they do. Right now we have to do hourly rounds on the patients which is documented on the bedside chart. You will find some modicum of back stabbing in every organization, anywhere in the world. Here, maybe not so bad, but I do see a lot of nurses really discouraging new nurses or not helping them get used to the real world of nursing. ("Eating their young" is how I put it to someone.)
Pagers? Cell phones? I hope you don't mean actually IN the hospital! Patients have this thing called a "call light" They push a button, a light comes on over the door, and the nurse goes in to see what the patient wants. Nurses do A LOT of running here. Even though they speak English here, you will be the one with the accent, and you will be a minority. You can be misunderstood, and you very well may run into kiwis you can't understand! Sometimes Americans have the idea that the rest of the world is just the same as in the states, only people have funny accents. Hospitals and nursing is vastly different here as compared to the US. There are a lot of adjustments you have to make to live here - driving a right hand drive vehicle on the left side of the road, as well as navigating roundabouts, is just one thing. It does take time for your brain to be retrained, and it can be dangerous and even deadly. I still have to consciously "think" about what I'm doing when I'm driving. Make a right turn here without thinking and you could just be smashed.
The media tends to show New Zealand as friendly, green, diversified, laid back, and practically the most perfect place in the world. Read the New Zealand Herald on line. I was blown away at the gang "tagging" everywhere. (There was even a problem with tagging in one of the hospitals where I worked.) Look at www.trademe.co.nz for prices on houses, cars, etc. Rent is typically listed, and paid, as PER WEEK and not per month. You can look at www.woolworths.co.nz to get an idea of food prices. It is EXPENSIVE to live here. Those lovely salaries you see - remember those are New Zealand dollars, and currently one NZD is worth about $0.70 USD. In other words, $1000 NZD will spend like $700 would in the states. Sort of. For example - gasoline is $1.72 per liter. It takes 3.78 liters to equal about 1 US gallon, making a gallon of gas about $6.50. Go to Burger King and have a regular burger, small fries and a drink, and it will cost about $8.50. I honestly don't know how people with families manage. When you go shopping, a pair of Levis jeans (different lengths not usually available) will cost about $100NZD. Shoes are horrendously expensive, not to mention ugly. A good pair of Nike's or Adidas shoes will run $150 -$250NZD. (I came back to the states in November and you better believe I bought shoes for work while I was there!) The cost of living here is high, selection is not good. Most things you can buy here are made in China and are poor to medicre quality. New Zealand is "captive" - we only get what gets imported. Shipping things in is also expensive. When I was home, I ordered two pendant watches online and to have them sent to my home in the states the total cost with shipping was about $63.00US. Just for fun, I thought I would see what it would cost to have those same watches sent to my address in New Zealand. Would you believe $115.00US? Honestly, having looked at things from the outside in, Americans have to be the biggest whiners on the planet. You just have no idea how good you have it in the states. I can't recall seeing a drive through window at a bank in New Zealand. (While not a huge Walmartian, there are times I would love to see a store with a great selection of good quality merchandise at reasonable prices.)
I remember going to the mall near where I lived in the states, and just being in awe. I honestly felt like I had just stepped off the boat. I was just amazed at all the things available to buy and such low prices!
But, I live 15 minutes from the beach. I wash my clothes in rainwater and dry them in the sun and fresh air. (Nothing better than snuggling into bed with soft sheets that smell like sunshine!) But watch the sun exposure here, too -we are under a hole in the ozone and skin cancer is a serious problem. I love it here, and I'm still in the process of adapting. I met an American man who married a kiwi woman, and I asked him how long it took him to become comfortable here, and he said, "I gave myself two years to adjust. I guess that was about right because I'm still here."
If you come here for a visit, see if you can arrange ahead of time to see a couple of hospitals (public and private). Here in New Zealand, we have 4 and 6 bed patient rooms. Usually they are same sex, but occasionally they may be mixed. There are no TVs, radios or telephones in patients rooms. There is usually a lounge where patients can watch TV. Also, hospitals are not even the same as hospitals in the states - there are rest homes that have "hospital" services in them. Sounds flash, but it just means they might be providing a bit higher level of care, and it's not a real hospital in the sense that Americans think of it.
To be a nurse in New Zealand, you don't have to have a bachelor's degree, just be registered in your country of residence. Here, that is the standard and it's a three year program. Most all nurses who work in hospitals after graduation enter a NETP program - which is usually a year long program to acclimate them to working in various areas of the hospital. Not anything like internships in US hospitals. I graduated from a diploma program in the US, worked in a hospital for 16 years (13 of them on cardiovascular and thoracic surgery step down, about 8 years in home care, discharge planning, and management, and 8 years as a nurse case manager for a private health insurance provider.) In order to work in New Zealand, you must first have a valid work permit (through the NZ department of immigration.) You also have to have registration by the New Zealand Nursing Council. Look at their website to see the application (was $485 when I applied)and what they are looking for. If they have any doubts about your education and/or experience, you might have to take a Nursing Competency Assessment Programme (which I, with 30+years as a nurse, had to do - but remember, Americans are a teeny tiny minority here. The number of US nurses registered in by the Council from March 2007 to March 2008 was - 0 (zero). ) It was a 6 week course that cost me about $3600. I did get a job offer before it ended, which was pretty cool. My partner was totally stunned that I had to take that course. He just couldn't believe they wouldn't welcome an American nurse with 30+ years of experience with open arms! Many of the foreign nurses coming here are from England, India, South Africa, the Netherlands, etc. and they seem to be more familiar with the credentials from those countries. Once you have registration here, you can then apply for a practising certificate (which you renew every year) and then you can work as a nurse. (Oh, and I'm waiting for permanent residence - $400 to do the online expression of interest, $1400 to apply for PR, and last a $300 payment of the Migrant Levy. Not to mention the cost of the medical, chest x-ray, labs and miscellaneous stuff I had to pay out of pocket).
Hope this helps!
I've been reading a lot of questions about the new registration process in Australia... I hope others can share their experiences for all of us.... Before, the qualifications for overseas nurses to register in Australia is very specific... I think there are confusions because of the new procedure.
I hope to help by posting these sites:
1. Application for Registration (Overseas Nurses)
2. Registration Process
3. Overseas Nurses Guidelines/Qualifications
4. Registration Requirements
That's all I can find as of the moment...
Before Overseas Nurses who have years of experiences in UK, Canada, US and singapore do not need to undergo a bridge course. I do not know if it is still the same today... What if there are 3-5 years of hospital nursing experience in other countries not mentioned??? I also do not know the answer yet..
I hope others will choose to enlighten others by sharing their insights and experiences....
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