Quote from DiverChick71
A few questions...how are work conditions? I'm an RN in California, USA. I work primarily ER. I think we enjoy a broad scope of practice and do find my work rewarding. Is it the same in Australia? Do we start our own IV's, assist in invasive procedures, covered under protocols, etc? Is my ACLS, BLS, PALS and TNCC (Trauma cert) required and transferrable? Is there anything that a nurse who has practiced in both countries can tell me is specifically or drastically different?
Also, how is the nurse to patient ratio? Is it governed by any laws or does it vary from facility to facility? In CA we have a 1:4 ratio in ER. Other states vary drastically.
Also, I'm an Associates degree RN here. Will that effect my level in AU?
You'll find the answers to many of these questions by looking through other threads in this forum, particularly this
I haven't worked overseas so I can't give you any specific information about differences in practice.
Nurse initiation of protocols varies from ward to ward, hospital to hospital and also depends on your level of qualification. ICU nurses, for example, have considerably more latitude with initiation than even very experiences floor nurses. I don't work in Cas so I'm not sure about the details you asked about. In general though nurses here do most of the care and have correspondingly fewer patients: no resp therapists, and though there are ECG techs to do routine ECS and phlebotomists to do routine bloods, they only work set hours. Out of hours it's us or the docs.
The only Australian state with mandated ratios is Victoria. The actual nurse/patient ratio varies depending on what kind of ward and in what acuity of hospital or department you work in - ICU has 1:1 for intubated patients, while small country hospitals have 1:7, 1:8 or 1:15 depending on the shift and the type of facility.
Enrolled nurses (Division 2 in Victoria) have a smaller scope of practice, less opportunity for advancement, fewer responsibilities, and lower rates of pay. If you're the equivalent of a Division 1 Registered Nurse in America then that should be what you're qualified at here, regardless of what kind of degree you have.