a little about melbourne hospitals:
is part of the public, three-campus alfred group of hospitals, and has a combined cardiothoracic and cardiology unit
, as well as a the heart centre
; the alfred's transplantation track record is so good it now also does paediatric transplantation for heart patients at the royal children's hospital. it's in prahran
, which is well serviced by public transport, about fifteen minutes by tram/ten minutes by train to the cbd. nearby chapel street
has some of melbourne's most interesting fashion stores, and, the prahran market
has great produce, and there are heaps of fantastic cafes and restaurants.
is a public hospital established by the sisters of charity - non-denominational, its private sister hospital (st vincent's and mercy private
) is catholic. both hospitals offer cardiac and cardiothoracic services, though on a smaller scale than the alfred. the rebuilt st vincent's is modern, spacious and attractive. it's in in fitzroy
, an inner city suburn less than five minutes from the cbd, and has an ecclectic and vibrant atmosphere - nearby brunswick and smith streets have great, quirky shops, factory outlets and great restaurants.
monash medical centre
is a large, major public hospital that services the south east of melbourne; it is part of the southern health network, the largest of victoria's health care groups. it has a large and comprehensive cardiac unit. further out than the other hospitals you mentioned, mmc's main campus is in clayton
. less wealthy than the other areas, housing is more affordable, and there are a number of good restaurants and shops, including outlets. less well serviced by public transport, clayton is easily accessible by car.
is a private, not-for-profit group of six hospitals; cardiology services, including the cardiac care unit, operate out of the malvern campus and are primarily elective. malvern
is a fairly expensive suburb, home to several private schools and well serviced by public transport. nearby shopping areas include malvern central (a mall) and the well-known shops of glenferrieroad
note that public hospitals in australia are somewhat different to their us equivalent - because of the way healthcare funding is structured, public hospitals are usually (though certainly not always) larger and more acute than their private equivalents. all victorian nurses are covered by awards, which dfetermine pay and conditions; these are consistent across the public hospitals (ie the same at the alfred and at monash), and within private groups (ie all grade 2 year 3 nurses at epworth have the same conditions, but these may be different to their cabrini equinalents); only public hospitals are required to staff to ratios.
if you're thinking of going the private route and are interested in acuity, you might like to consider the epworth
; also a privately-run group, the epworth
has victoria's only private emergency department, and two cardiac units, one in richmond
and a smaller unit at epworth eastern
is a booming inner suburb, with great public transport, factory outlets along bridge road
, indie music, and fabulous, cheap asian restaurants in victoria street as well as contemporary australian dining in swan street.
differences in practice
australia has a 38-hour work week; for full time staff that means you work either 5 8-hour day shifts or 4 10-hour night shifts, with an extra, paid day off every month. in general all staff work all shifts, so you might have a pm, two am's, a pm and another am then days off, with a maximum of ten shifts in a row.
nurses are expected to take blood, and most places offer cannulation courses.
there's no such thing as repiratory therapists here - nurses give nebs and titrate o2, manage traches (suctioning, nebs, tape changes, inner cannula changes), set up and run humidified o2 via a fisher & paykel, manage cpap for patients with osa, and apply and monitor bipap. the good news here is that, at least where i work, there are a variety of support staff to help you, especially in hours, including the staff of the respiratory ward, who set up bipap and can help you troubleshoot cpap and humidifiers.
only licensed nurses may be paid to provide nursing care to patients in acute public hospitals, so there are no cnas - nurses perform all care from hygeine and pressure care to assessement, wound management and medication administration.
i'm not aware of any public hopsitals that have pyxis, or that have 24-hour pharmacy. nurses make up the majority of infusions (eg antibiotics) on the ward, with ony rare medications pre-prepared (eg cyctotoxics).
living in melbourne
to get an idea of housing costs check out realestate.com.au, realestateview.com.au and/or domain.com.au, which both have rental and purchase properties. to get an idea about how easy both the hospitals and suburbs are to navigate, check out metlink's journey planner
for a little general information about melbourne see here