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I'm now working as a graduate nurse on a busy (!!)

Content by bungies

  1. bungies

    Public and Private Hospitals - whats best?

    What an interesting thread. My most recent hospital experience was in a small public (cancer-specific) hospital. I can't speak highly enough of the place!! Only left because I wanted to work community. Long hours and busy shifts, but only 4 patients to a load (legislated in Vic for public), and staff support like you wouldn't believe. Openings for Nurse Practitioners, too. Great place.
  2. bungies

    USA or OZ? need help aahhh!!!

    Absolutely - and that goes for the beer and the weather! It's a brave step to let go of everything and trying something new. Melbourne is an incredibly liveable city - as Ceridwyn said, Melbourne is a tad more Europe than most Aussie cities - incredibly multicultural, in fact. You can get literally any type of cuisine (was that North or South Ethiopian food you were after? I kid you not...) Weather is generally pleasant. Winter is mild (particularly compared to UK) but summer can be a bit of a shock. Best to get yourself a place with air-conditioning to get through the first summer; 35 degrees is relatively normal for mid-January but it goes 40 and over sometimes. You will cope. Spring and Autumn... well, let me say that if you don't like a Melbourne Spring, just wait an hour... it'll change. But if you don't like a Melbourne Autumn, there's no pleasing you. Beer is a national pastime, though Melbourne likes to think it's a bit more cultured than some of our neighbours. Our local beer is fabulous, but you can get almost any beer in almost any pub. We're kind of proud of that. (Pathetic, isn't it?) I've heard it said that at an Aussie BBQ you can discuss sex, religion and politics with complete impunity; just don't start on sport. Football is Aussie Rules. No exceptions. Soccer is soccer, rugby is rugby (League rather than Union, though that's another source for argument). If you don't understand it, that's OK, as long as you don't belittle it. (I can't stand it myself, but I hide it well.) Don't barrack for Collingwood unless you already follow Manchester United. It's a similar passion/stigma. Cricket - you're relatively safe here at the moment if you like cricket. If the UK team ever get around to playing well, hide. :chair: (nah, we wouldn't really hurt you...) NICU - apparently our NICUs are very good - a friend of mine cycled through several in her agency days, and was impressed. I don't know first hand about that side of life - I'm community palliative myself (roughly equivalent to a McMillan nurse). And don't worry - you'll get the job. We're as desperate for good nurses as everyone else is. WELCOME!
  3. bungies

    Re previous announcement...

    ... "New forums for every state in the US" ... ... I had my suspicions that the great land of Oz was about to become the newest US state, but you heard it first on Allnurses, folks! At least it should make getting a green card easy!
  4. bungies

    Re previous announcement...

    LOL - no offense taken Gwenith - I realise most of the Allnurses nurses are Nth Americans, so it's hard to use all-inclusive language. I was just as rude to our NZ and other neighbours by only referring to Aust in my own post... Kathy
  5. bungies

    Are you a real nurse?

    A quote from Dame Cicely Saunders, founder of the modern Palliative Care (Hospice) movement, that I think all LTC nurses can appreciate... ..."You matter because you are you, and you matter until the last moment of your life. We will do all we can, not only to help you die peacefully, but also to live until you die"
  6. bungies

    Nursing and tattoos

    LOL - I think we've all considered that one! :roll
  7. bungies

    Are you a real nurse?

    P.S. More important, as you play a bigger part in your residents'/ patients'/ clients' day-to-day lives...
  8. bungies

    Are you a real nurse?

    I don't know how it is in the US, but here Oz LTC nurses have begun to tell their story and claim equal recognition (and equal pay). I now work in an acute ward setting, but have worked in LTC as a ... CNA (I think you call it) prior to and during my BN and have nothing but respect for good LTC nurses (as with good acute, office or other nurses). LTC is a speciality, involving knowledge of any number of chronic medical illnesses as well as recognition of acute illnesses, and requires a special type of nurse who is able to combine this broad knowledge with the creation of a home-like atmosphere. I know many specialist acute-care nurses who couldn't cut it in LTC. If you are as proud of your work as you sound, Michelle, I'm sure you manage this difficult job admirably. Keep it up, and don't pay any attention to people who don't have any idea what your job entails. :kiss [[hugs]]
  9. bungies

    How long does report take?

    Yeah, our haematology/ stem cell transplant ward reports go for up to 1.5 hours. We do need to get report on everyone 'cos they're always pretty unwell, and need to know what's going on and who's about to crash. Every now and then we try to cut time by leaving out some of the less vital stuff, however the next shift then asks a heap of questions, so it's quicker to just include everything... I think a VERY brief outline on everyone and then a mpre detailed mano-a-mano handover would be more appropriate, myself, but other people want to get a full report, so it doesn't seem to change... Kathy
  10. bungies

    is it oriented or orientated?

    Sorry in advance - getting on my soapbox. :imbar Better be careful being prescriptive - if you ever study comparative linguistics (which I did for some reason...) you'd learn that: Oldseimers - actually correct pronunciation of an originally German name et instead of ate or eaten: not actually incorrect - it's a different pronunciation of ate (still spelt "ate"). Orientated = oriented; slight difference in nuance but both correct in the context Axed /"arxed" instead of asked: arxed was used throughout England except for a very small group of the population that just happened to be wealthy people living around the London area. When English was standardised (around King James time, I think) the people with the prestige decided that everything they said was right, and everything different was wrong. That goes for most "right/wrong" arguments, I think. (In language & spelling, anyway...) Doesn't stop me getting annoyed either.
  11. bungies

    Smoking Policy- What do you think??

    I work at an Oncology hospital. We have a little out-of-the way balcony with a self-closing door (doesn't lock from the outside!) It's not far from the wards or any other part of the hospital (it overlooks a central courtyard) and I think there has been as much thought put into it as possible to exclude the smoke from coming inside; there are bins around and chairs, and no-one has to walk through "the cloud". I think this is a better idea than the removal of all personal freedom. No-one in the world will convince a 70 y.o. 50-a-day smoker with lung Ca and painful boney mets to quit now, and they WILL set off internal fire alarms if you try to stop them going outside. I realise that your institution probably wouldn't consider it, but it seems to have worked for us.
  12. bungies

    Easist Nursing Areas?

    If you want to be happy as a nurse you have to consider your own strengths A defining feature of Hospice work is the incredible amount of maturity required. As an older RN, your appreciation of the life circumstances of your patients - although not necessarily the illness experience (?!! I don't know your own experience, of course) would make you a very special Hospice nurse. But you might be a born teacher or salesperson. What would you do for work if money, health, age and other considerations didn't matter? If you think about this, you might be able to find a niche in nursing which plays your strengths.
  13. bungies

    new grads that don'y ask questions

    Hi! I'm a nearly-finished grad nurse (that is, I've nearly finished my Grad Year). I'd like to add as my $0.02 that although I never pass up a learning experience, I always seek out someone experienced before I attempt a new procedure, and I do my homework, I am only able to ask my questions of nurses that I feel comfortable with. I was told by one ACN (that's the associate charge nurse - the second in charge) that I don't ask questions and that worries her. Hmmm. I could never tell her that I actively her because the few early attempts I had at asking questions were met with a scornful look and rude answers. (And she didn't sound worried, just critical. But perhaps I'm being too harsh...) But there's always someone I CAN ask; if not I have to bite the bullet and get the scornful look, I guess... Also, when people come up to me and demand to know what I'm doing and why (NOT the same as asking a pertinent question!) or asks me if I have any questions, I feel completely unable to think of anything to say. Please don't assume that a quiet grad thinks they know it all. We are often more overwhelmed than we appear, and we sometimes can't think how to phrase the questions we need to know. Mind you, if you actually care what a grad is feeling you're not the one who needs to be reading this!
  14. bungies

    Union, yes or no?

    I might not be understanding this correctly, but in the US, is it the HOSPITALS that are union or non-union, rather than the NURSES? In Australia, at least where I've worked, it's an individual choice, and not that big an issue - you are or you aren't, and the only people who care whether you're union or not are those who have strong beliefs one way or the other. (It helps that nurses in the public system are paid on award rates.)
  15. bungies

    How do you stay cheerful and bubbly during work?

    And if you really need to get away from it all to recoup so you can be yourself again, go to the bathroom! People may think you've got diarrhoea, but at least you don't have to share the cubicle.
  16. bungies

    Would Jesus be employable

    I thought it might be interesting to address the objections to Jesus as a nurse in a semi-scientific way, using documented evidence... QUOTE]Originally posted by MK2002 I don't know about this career change for Jesus. He might have a problem treating the female patients. Then too we might ask... "Could he work a 12-hour overnight shift?" "Would he be able to accurately calculate med dosages and dispense them instead of merely turning an arbitrary quantity of water into wine?" "He usually interacts in a one-to-one exchange. Can he regularly handle a 1:10 ratio while working?" If these are objections, then YUP, he's employable... 1. Jesus spoke with and healed both girls and women, despite the religious leaders of the day deciding that adult males could not interact with women. (Matthew 9: 18-26, for example, and John Ch.4) Some of the women (and men!) he mixed with weren't exactly the religious types, as noted before... 2. Jesus regularly stayed up overnight praying. On more than one occasion, this was after a very busy day healing (could YOU work a double shift then volunteer to do a night shift as well?) On one occasion his disciples fell asleep three times while he particularly needed their help. (Luke 22: 39-46) 3. I don't know if it's even worth bothering with this objection, as calculating med doses isn't rocket science, but here goes... "Even the hairs on your head are counted." (Matthew 10:30) If he can do that, he can calculate med doses. 4. In Luke 17: 11-19 he heals ten lepers with one sentence. Of course, the rest of the shift would be quiet! He healed whole towns in a day, too, though I couldn't find the quote for that. Where did you get the idea that he wasn't taking directions? "I have brought you (God the Father) Glory on earth by doing the work that you gave me to do" (John 17:4) And I'll help Youda with his paperwork, just because I'd have to watch the healings to be able to document them! I realise that if you don't believe the Bible, you won't consider it evidence, but Jesus also said "Anyone who chooses to do God's will, will find out whether my teaching comes from God or whether I speak on my own" I guess if you haven't tried it, you're not in a position to know...
  17. bungies

    Nursing Hx:Share Oldtime Ineffective tx's?

    This is a hydrometer - what we use to test the car (?bike!) battery when it seems to be flat!
  18. bungies

    Nursing Hx:Share Oldtime Ineffective tx's?

    Two hours may actually have been enough... My grandmother (who began nursing in 1938) is fond of telling me that they only had THREE MEDICATIONS!!! - morphine, aspirin and sulphur. Also "A bedsore on one of your patients was more than your job was worth", and "we had to provide our own razors to shave pre-op patients, out of our tiny wages". And a shave was head to toe for most ops, so they would have gone through a lot of razors. She describes almost dragging the hair out of patients when she didn't have enough money for a new blade.
  19. bungies

    You Know You're a Nurse When...

    Ever noticed - those of you who take a train to and from work - that if someone's shopping bag breaks there are three others on the train who also finished work at 1530 who reach for a roll of tape? That happened to me - we all enjoyed the joke.
  20. bungies

    But she's not a nurse!

    LOL - I'm from Aus too, and we use "Sister" as a kind of joke... in the way that Step just did. I think Flowerchild did the best thing she could; even bringing the subject up could lead to hurt feelings; just changing the brochures may be seen as insensitive, but I think it's more likely to be seen by patients and co-workers as updating. If the discussion is ever opened, you could bring up the litigation side of things, but it may never be... Kathy (RN)
  21. Hi all! I'm a grad of 6 months standing... almost. I'm interested in what people are finding hardest about their graduate year. I haven't found it difficult to adjust to shiftwork or other practical issues; I'm finding the big guilt trip of "I didn't get everything done - I'm a bad nurse..." the worst part. It's not the nurses I work with - everyone's very understanding - but the personal pressure to prove I'm a "real nurse" I'm reliably informed that this is normal, however, so I won't get uptight about it... until next time...
  22. bungies

    RETENTION BONUSES & Would You Stay?

    Just a note that our hosp doesn't particularly pay well (award rates) but with some excellent management and a lot of support they have one of the best retention records in the state. They also have a monthly forum that keeps nurses & allied health in the loop as to what management are doing or considering, and they listen. While not earning all that much, most of us feel respected most of the time.
  23. bungies

    One step at a time

    CONGRATULATIONS to you both! :hatparty: :balloons:
  24. You could try moving to Australia... LOL We need nurses, too, and you'd get out of the NCLEX (although you'd have to do an equivalence test to get your Aussie registration) Mind you, you'd still have to do it if you moved back to the U.S.
  25. bungies


    Hi all! Even on the other side of the world they try to get you to go med-surg first! LOL As a mature-age grad, (well, 30) I decided to go straight to my first (and continuing) love of oncology and palliative care, although I tried to get as much diversity of practice experience in the student stage as I could. I don't think you're crazy, if you know that's what you want to do. I guess the reason the instructors try to push the med-surg aspect is that you get such a variety that you start to understand where you want to work. I had several friends who went down that path b/c they didn't know; others who did and went straight there. No reason to hold back if you're sure - if you don't like it you can always try another area of nursing (Isn't this profession GREAT for that?) Keep sane, all you who haven't taken your boards yet. That's one benefit of Australian schools of nursing; they're incorporated into the end of the course, so we get registration a month or so after completing the course.