I trained in the UK as an adult Nurse and qualified in Sep 2015. I live in the Republic of Ireland and had to transfer my NMC Pin from UK to Irish registration.
Here is my issue!. I have had offers in dialysis clinic, agency private duty and on a medical and surgical ward as a HSE (like NHS) ward. I was originally accepting dialysis as they give a lot of intensive training and support. However, I have decided that the best training to go forward to do my midwifery conversion course would be on the ward.
They have informed me that they are very generous and I will be receiving 4 days supernumerary. 4 days!!!. In Ireland the nursing degree is four years and the final year is a full year internship on the ward. We do not get that in the UK as part of our training.
I am absolutely TERRIFIED. Please offer me some words of wisdom. I have signed and sent back the contract. The dialysis job is still open to me but it takes 6 to 8 weeks to process my documentation and I don't really want to be pigeonholed into dialysis, even though it seems extremely interesting.
Do you think 4 days training as a new graduate nurse in setting me up for trouble?. I will be getting between 6-8 patients and maybe more on nights!!. I do need to learn though. Please advise me!!
Not sure how you meant this, but when I worked in dialysis it was anything but acute. It was chronic illness with the same bored, tired patients who were sometimes quite nasty. I would have liked to have made a career out of it but was driven away by the selfishness and abuse of some of my patients.
Hope it works for you.
I meant to say that med surg is acute and my husband feels that it's best to get the acute experience so that it is a good foundation for the future. I can see where you're coming from GrumpyRN in regards to the clinic outpatient setting becoming tedious after a while and seeing these patients repetitively!. At least in the hospital if we encounter an unpleasant situation or patient, it's not generally long term!!
Hi, firstly welcome home!! If you take the Acute care job, your 4 days supernumerary are just your orientation, showing you how bleep system works, where things are, how our paperwork may differ etc. After that, yes you will be counted in the numbers but you will by no means be alone! Irish nurses do not eat their young and will be totally there for you should you need help. Intern nurses in 4th year are also not supernumerary but they continue to need lots of support and guidance, and also can't be signed off on documentation or meds, whereas you have a license so can. Remember there's no such thing as a stupid question lol. The general routine of a ward is the same the world I was an agency nurse for like, forever, and would often work in a place I'd never seen before, and EVERYTHING was different! As for doing the IV course, phlebotomy and cannulation, manual handling etc, Irish hospitals are notorious for delaying them - you'll get them eventually, and the other nurses will cover this for you in the meantime...
However, lucky you getting the offer of outpatient dialysis - some nurses would KILL for those kind of hours, you also get a slight increase in pay as its a specialised unit!! As a NG, yes, you will see and learn more doing med surg. But if midwifery is where your future lies then it doesn't matter? Personally, I'd take the dialysis job, and work agency every other weekend to keep up the hospital skills... Best of luck with whatever choice you make!!
Hi, firstly welcome home!! If you take the Acute care job, your 4 days supernumerary are just your orientation, showing you how bleep system works, where things are, how our paperwork may differ etc. After that, yes you will be counted in the numbers but you will by no means be alone! Irish nurses do not eat their young and will be totally there for you should you need help. Intern nurses in 4th year are also not supernumerary but they continue to need lots of support and guidance, and also can't be signed off on documentation or meds, whereas you have a license so can. Remember there's no such thing as a stupid question lol. The general routine of a ward is the same the world I was an agency nurse for like, forever, and would often work in a place I'd never seen before, and EVERYTHING was different! As for doing the IV course, phlebotomy and cannulation, manual handling etc, Irish hospitals are notorious for delaying them - you'll get them eventually, and the other nurses will cover this for you in the meantime...
However, lucky you getting the offer of outpatient dialysis - some nurses would KILL for those kind of hours, you also get a slight increase in pay as its a specialised unit!! As a NG, yes, you will see and learn more doing med surg. But if midwifery is where your future lies then it doesn't matter? Personally, I'd take the dialysis job, and work agency every other weekend to keep up the hospital skills... Best of luck with whatever choice you make!!
Thanks so much nurserebs for your reply! Just a few moments ago, the dialysis clinic rang me with a start date for next Monday!!! Woohoo!. It will probably mean that I will be burning my bridges with the hospital but I went to see the ward that I have accepted the job on and a feeling of dread just keeps coming over me even though the staff seem so lovely!The midwifery conversion course director told me that they take nurses with nursing home experience so I'm sure dialysis won't be looked at negatively!! It's how I present myself at interview, I think that's important. However I hope to get 2 years as a nurse first. I am definitely going to take up agency shifts as often as possible as. I know I have every night and Sunday off with the clinic. I've booked myself in for an bord altranais approved courses for venepucture, cannulation and iv med administration and paid for them. Thanks again for your feedback. I'm so excited to start my career next Monday!!
Thanks so much nurserebs for your reply! Just a few moments ago, the dialysis clinic rang me with a start date for next Monday!!! Woohoo!. It will probably mean that I will be burning my bridges with the hospital but I went to see the ward that I have accepted the job on and a feeling of dread just keeps coming over me even though the staff seem so lovely!The midwifery conversion course director told me that they take nurses with nursing home experience so I'm sure dialysis won't be looked at negatively!! It's how I present myself at interview, I think that's important. However I hope to get 2 years as a nurse first. I am definitely going to take up agency shifts as often as possible as. I know I have every night and Sunday off with the clinic. I've booked myself in for an bord altranais approved courses for venepucture, cannulation and iv med administration and paid for them. Thanks again for your feedback. I'm so excited to start my career next Monday!!
Good for you!! Bear in mind that the courses you do still have to be signed off but working in a dialysis clinic you'll be doing phlebotomy and IV meds all the time so it shouldn't be a problem. Midwifery used to be super over subscribed but as long as you have 12 months post reg before your application goes in (so apply in Feb 2017 for a September 2017 start) it really doesn't matter where your post reg is, it's how much you are willing to study and how much midder means to you that really matters. Don't look at the regularity of the clientele as a negative thing, this is a really good opportunity for you to develop your communication skills and a really good rapport with your patients. Also, if you want to do agency, look at Nurse On Call, it's the only company that supplies to the HSE hospitals, no matter what other companies tell you lol. Best of luck next week!!! [emoji8]
Good for you!! Bear in mind that the courses you do still have to be signed off but working in a dialysis clinic you'll be doing phlebotomy and IV meds all the time so it shouldn't be a problem. Midwifery used to be super over subscribed but as long as you have 12 months post reg before your application goes in (so apply in Feb 2017 for a September 2017 start) it really doesn't matter where your post reg is, it's how much you are willing to study and how much midder means to you that really matters. Don't look at the regularity of the clientele as a negative thing, this is a really good opportunity for you to develop your communication skills and a really good rapport with your patients. Also, if you want to do agency, look at Nurse On Call, it's the only company that supplies to the HSE hospitals, no matter what other companies tell you lol. Best of luck next week As!!! [emoji8]
Thanks nurserebs!. I don't have nurse on call in my area of Clare /Limerick but an agency in Dublin called your world healthcare offered some really good rates and said they have tons of work in my area. However they are offering double the money of any other agency which makes me a wee bit suspicious!I am a new graduate which I told them and he offered me 55 euro per hour for Sunday night!!! Surely there is something wrong here. He even sent me a contract with the rates on it! I didn't sign it as one zero experience! The midwifery director told me that sometimes they even find it quite difficult to get applicants for the conversion course which is why they don't mind what experience one gets post reg nursing. They require 6 months only now. However, I will give dialysis a couple of years if I can as they seem to be giving me some good training. Another girl is starting with me too í ½í¸Š thank god lol! Thanks for your advice again.
Good for you!! Bear in mind that the courses you do still have to be signed off but working in a dialysis clinic you'll be doing phlebotomy and IV meds all the time so it shouldn't be a problem. Midwifery used to be super over subscribed but as long as you have 12 months post reg before your application goes in (so apply in Feb 2017 for a September 2017 start) it really doesn't matter where your post reg is, it's how much you are willing to study and how much midder means to you that really matters. Don't look at the regularity of the clientele as a negative thing, this is a really good opportunity for you to develop your communication skills and a really good rapport with your patients. Also, if you want to do agency, look at Nurse On Call, it's the only company that supplies to the HSE hospitals, no matter what other companies tell you lol. Best of luck next week As!!! [emoji8]
Thanks nurserebs!. I don't have nurse on call in my area of Clare /Limerick but an agency in Dublin called your world healthcare offered some really good rates and said they have tons of work in my area. However they are offering double the money of any other agency which makes me a wee bit suspicious!I am a new graduate which I told them and he offered me 55 euro per hour for Sunday night!!! Surely there is something wrong here. He even sent me a contract with the rates on it! I didn't sign it as one zero experience! The midwifery director told me that sometimes they even find it quite difficult to get applicants for the conversion course which is why they don't mind what experience one gets post reg nursing. They require 6 months only now. However, I will give dialysis a couple of years if I can as they seem to be giving me some good training. Another girl is starting with me too 😊 thank god lol! Thanks for your advice again.
Thanks nurserebs!. I don't have nurse on call in my area of Clare /Limerick but an agency in Dublin called your world healthcare offered some really good rates and said they have tons of work in my area. However they are offering double the money of any other agency which makes me a wee bit suspicious!I am a new graduate which I told them and he offered me 55 euro per hour for Sunday night!!! Surely there is something wrong here. He even sent me a contract with the rates on it! I didn't sign it as one zero experience! The midwifery director told me that sometimes they even find it quite difficult to get applicants for the conversion course which is why they don't mind what experience one gets post reg nursing. They require 6 months only now. However, I will give dialysis a couple of years if I can as they seem to be giving me some good training. Another girl is starting with me too [emoji4] thank god lol! Thanks for your advice again.
I'd be VERY wary of that agency!! About 2 years ago NOC secured an exclusive HSE contract for everywhere except HSE west, which afaik is covered by CPL, so CPL is who you should go with. Any other agency will only cover home cases or nursing homes, and it's Acute care where you need to build up your experience. They also negotiated rates so that if working in any HSE area, you get paid exactly the same as if you were directly employed. Any agency offering you such ridiculous money has to be too good to be true, and while they can promise you work, chances are you won't actually get any. Sure why would anyone stay with HSE if they could work with this agency instead? Sounds dodgy to me lol.
You are dead right nurserebs!!!. This guy said that he wanted me to start in the hospital in limerick straight away with those rates!. He sent the rates through on a contract in the post with two uniforms!!. However, the fact that I have no experience and he was willing to send me to work in the hospital without a garda vetting through or checking my refs!!!. Crazy!. He offered 25 euro for days shifts, 30 for nights, 40 for sunday day and 55 per hour for sunday night and said i would be paid every Friday. I have all the documentation but have no idea why he was willing to send me without reference check or vetting!!!!!. Obviously, I will apply with CPL or TTm as they seem to be a lot more kosher lol.
priyaremi
65 Posts
I meant to say that med surg is acute and my husband feels that it's best to get the acute experience so that it is a good foundation for the future. I can see where you're coming from GrumpyRN in regards to the clinic outpatient setting becoming tedious after a while and seeing these patients repetitively!. At least in the hospital if we encounter an unpleasant situation or patient, it's not generally long term!!