Quote from redrn007
How does a "normal" day run? (I know its an ER... what is normal!) Do many hospitals have extended bed delay for the ambulances? Or hold admitted patients in the ER due to lack of beds?
Also are extra qualifications such as TNCC (trauma nurse core course) ACLS (Advanced Cardiac Life Support), and PALS (Pediatric Advanced Life Support) needed before employment?
If so where is a good place to take the classes in NSW?
I'm taking the first steps in moving from the USA to Australia. I'll be coming from February through March this next year. Hoping to get as much done as possible to make the official (next December) move more straight forward. Any info you share would be wonderful.
I work in ED of a major hospital in NSW
We have five units within ED:
- Sub Acute
- Extended Stay
- Pediatrics Emergency
(Of course, the above units are contained within any major hospital)
The Trauma Unit (with whom we closely work) is another ward altogether.
We try to assess, treat and manage patients within 4 hours of admission.
If the patient requires further management, he/she will be often admitted into the wards.
Of course, there have been times when there are "bed blockages"; in which case, the patient remains in ED for a longer period of time until a bed is made available.
The qualifications you mentioned are not required to work in ED. The Hospital in which you work will provide training and mentoring to ensure that you achieve the required competencies. The rate of mobility and progression is a major contributing factor for deciding which hospital to work. For example, some major hospitals require their nurses to have at least two years experience in Acute, Sub Acute and Pediatrics Emergency before being trained in Resuscitation whilst others would have commenced triaging by the end of their second year in ED.
ED nursing is challenging at the best of times but very rewarding.
Best of luck in your endeavor!