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OK. There is a massive difference in nursing education requirements between the 2 countries, however if you are going to come I would suggest something that you haven't experienced at home. Bush nursing, RFDS, working in an Aboriginal controlled health service. It may be of some benefit to work in metro or regional centres due to the difference between nursing in the 2 countries but I would suggest the first option. Try NT, WA or QLD health services. They have the biggest areas of outback due to sheer scale so have a different set up to my state.

You do realise we have closed our boarders? It is doubtful that you will get into the country currently.

I always say that I want to be a palliative care nurse at some point in my career. I have been involved in "good deaths" and it is so beautiful. Much more than pushing morphine. It was about talking with patients, learning what they wanted for their final days and facilitating that. I have smuggled dogs into acute wards, turned a blind eye to the case of Jim Beam and cola that came in, in the days before UberEats got on a tram and picked a patient up his favourite meal from the city. I have done this for patients who died in an acute bed because there was no palliative beds available. As a student I have seen a comatose man on hospice care cry when we told him his mother in law had died on the ward. He is the reason I talk to every patient like they can hear abd understand me.

I think the OP is in Australia. OP, I am assuming that the bed that has been ordered has an air mattress and turn assist functions on the bed. I would also look at hiring a hover matt system and speak to the rep of the company of the hoist that you have, you could buy or rent a leg lifter sling attachment. Contact your OHS person for advice and assistance with risk assessment. Also get the PT and OT involved. Many health services have a bariatric / manual handling consultant. It is often the person who manages the equipment library. There are a few companies and people I could give you contacts for if you are in Australia. Shoot me a PM if you do. Good luck.

Inpatient gastroenterology is just ulcerative colitis and crohns disease, jist young people needing infusions and inpatient bowel prep for diabetics needing colonoscopy. In truth crohns and colitis are on a ton of infusions as we try and prevent needing surgery. Gastroenterology includes the acute haematemisis and malena unit, liver failure, hepatic encephalopathy, training patients to go home with enteral feeds before their head and neck surgery, home TPN training for intestinal failure.

Hi, if you are looking for nature in Ireland then once you are outside of Dublin you can have it on your doorstep and still have an OK commute to a job. I believe that An Bord Altranis requires 7.5 in each area of the IELTS for registration. Not sure of the other requirements but I would hazzard a guess at requiring a BSc as that has been the undergraduate requirement for 14 years now. Best of luck with your move. *check out the Wild Atlantic Way for some amazing natural beauty.

@LibraNurse27 check out the PACER model in Australia. It is also in parts of the UK.

Call the company? Call orthotics services at a major hospital and ask for advice.

Welcome back! Recent clinical experience will be a great benefit to you and your team.

Photo taken at admission, confirmed by NOK. That plus ID band checked at admission by NOK. Check hospital policy.

If the patient is competent and refusing care and refusing to be discharged as the NM I speak with head of unit and go in as a combined force. If they still refuse to leave the CMO, CAHO and EDON review the process. If they agree then the pt is provided with a letter from the executive asking them to leave. If they don't leave then security escort them out. They will be provided with outpatient appointments. If they chose not to come to that appointment then they are discharged back to GP care. Competence is the key assessment, mental health and occupational therapy MOCA vs PTA.

DRSABC Assess for danger (now that includes PPE appropiate to the situation such as risk of aerosolising procedure ), Response try to elict one, Send for help, Airway head tilt chin lift, simple airway such as a guedel, Breathing start bagging for agonal respiration with a vice grip in the current climate, Circulation, on the chest and start CPR.

Both models are acceptable. Some places do doubles from start to finish. Some places you start and a colleague comes into assist with the parts you can't do, or inverse start the double bit and then one person finishes off.

I actually wrote our hospitals fasting for surgery procedure. In normal GI tract water leaves the stomach in 2-4 hrs (ANZCA) therefore moderate clear PO fluids can be taken until 4hrs prior to surgery. It also reduces the secretion of excess gastric contents (GESA) thus reducing stress on the body and further discomfort or aspiration risk. Most meds should be given prior to surgery with specific review of anti coagulation agents and those at risk of interacting with anaesthetic agents. However, if you patient has a bowel obstruction do not give PO meds or crush them up and put them in the tube meant for drainage. They will not be absorbed until the peristaltic action of the bowel returns and then they may have multiple doses of medicine in their stomach. Ice or sips are same risk. Other options to refresh the mouth should be offered such as brushing teeth, mouthwash or products that assist eith dry mouth including providing lip balm.

Completely depends on the nursing home. By laundry the HCA is sorting the clients clothes not washing and ironing the bed sheets etc. Kitchen duty is dishing up and clearing plates after meals. Food is typically prepared fresh on site by cook staff rather than mass produced cook chill deliveries. Clients who are able ro may be involved in laying tables or dishing up as one of the many activities the lifestyle coordinator designs- many women with early dementia do these tasks as they have dished up dinner their whole lives.

Borris' NZ nurse did her ICU post grad at my hospital....

Single payer has less costs to the tax payer. UK, Ireland and Australia and NZ all pay less tax for health than US (have the textbook somewhere with the reference). Also less outgoings for nurses as not paying massive HI premiums. Disagree about ratios. Everywhere I worked ICU 1:1 HDU 2: 1 med surg 4-6:1.

RRT - rapid response team SBO yes, small bowel obstruction NoK - next of kin NIV - non invasive ventilation. RAF - rapid atrial fibrillation NM - yes, nurse manager. Welcome to Australia!

Of course. The surgeon does not know when the pt leaves PACU for a ward. Also, while the pt should go to a specific ward if there are no beds the bed manager may allocate them to another ward. How does the surgeon know this? With regard to discharging or transferring same. The discharge coordinator may have set everything up but does not know when transport is going to arrive. Pre COVID we would often have told families that we were transferring to our subacute campus with transport booked for 10. However due to traffic, roadworks and other issues it could have been 1 PM before the pt left. If the family was waiting for the pt they would be freaking out. We have a nice piece of tech that helps. A NoK text messenger. We can choose a pre written format to send to the NoK. Very useful. Can you imagine, especially in the current climate waiting at home for your dad to get out of surgery and not hearing when he was settled on a ward. Health background or not your imagination would be in overdrive. Is he dead? Did the surgery have complications? Is he in ICU? People worry and part of the role of the nurse is the care of the family as well as the patient.

Came across this article from the Australian Red Cross Lifeblood. They are the national blood (and more) donation service. Interesting to read about other countries where pregnant women need to recruit donors. https://www.donateblood.com.au/blog/lifeblog/why-were-not-bank

One group of patients I care for areolder patients with orthopedic or trauma injuries, so elective surgery, falls with fractures needing surgery to high velocity accidents involving over 65s. The surgeons without fail round and scribble notes such as "VS stable, wounds good, dc home". This may be true but the patient may have a rip roaring delirium, be unable to go home as both arms are out of action, SO was also in the car accident etc. All of these issues are clearly documented by nursing and allied health but the surgeon does not care. Problem is I work in a health service that requires a doctor to refer to public sub acute care. Or the reason Mavis fell over and fractured her NoF was that she has been to multiple GPs and got multiple prescriptions for HTN, and is taking 120mg lasix, 100mg metoprolol etc., she needs her meds rationalized. Again, a doctor job. I can get Mavis a nursing service to manage her meds, I can refer to private sub acute facilities (quirk of the health system) but the assessor (nurse) will review the record and state X,Y and Z needs to be sorted before they accept. Nurses are the care coordinators. Surgeons are a disaster at the discharge stuff, physicians are much more realistic. But a doctor putting in an order for 100 IU of insulin instead of 10IU is usually a true mistake. They were wrong but so was the nurse for not recognizing that was an abnormal dose and administering it. That is what the 5-10 Rights of medication administration are (I say 5-10 as it is an ongoing discussion about how many rights there are).

There is the useless nurse that keeps the pt vitals just the right of RRT for the whole shift not recognizing that someone ticking along with an SBP of 82 for 12 hrs is just as sick as the one with an SBP of 78 and in critical response criteria, and an RRT should of been called hours ago or a proper review. There is the nurse that will falsify documentation to the criteria mentioned above simple to avoid the "effort", "annoyance " of an RRT. There is the pt who has been totally stable all night that tanks 15 min into your shift. The nurse is under n obligation to stay and has responsibilities outside of the hospital, is tired, back / feet hurt, is going to see her doctor about her own health concerns, just doesn't want to stay. I have had a night shift (rotating shift worker) where I came on and got report. Went and seen my first priority patient. Called an RRT, 60 min later off to ICU. Went and seen the next priority - post op patient who had an emergency laporotomy, evolving full body stiffness - rang NOK, turns out he had been having investigations into a possible Parkinson dx but neither the pt or wife thought relevant to tell the surgeon or anaesathist. Off to resp unit for NIV. Third patient who I had glanced at while dealing with pt 2 (joy of shared rooms). Jist looked shocking. Left that RRT in progress to do VS. RAF at 160, day nurse had not recognised that someone draining 3L from an NG for a SBO may be dehydrated and not absorbing beta blockers taken orally. Off to ICU. My 3 other patients were terrified of the "angel of death", got piecemeal care until 2 AM from my colleagues and I was ready to slap the hospital night manager who turned up to the first call but saw it was me in charge of the ward (with a patient load) and left me to it. Ironically that was my last night shift for 18 months as I was starting as the acting NM of the ward the following Monday and one of my first jobs was to answer to the quality team what happened as 3 RRT on 1 ward in 1 night all from the same nurse raised flags everywhere. I had to counsel pt 3 nurse and the hospital nght manager was counselled as well. PS Sats can be a late indicator of distress in chronic respiratory conditions. A resp rate, lung auscultation and asking the patient how their breathing feels shows up problems sooner.

I ALWAYS thought so.

Politely, Do your homework properly. Set up a zoom meeting with a manager. You cannot be certain that anyone on this forum is a manager or even a nurse.

Rostering rules helps. People get to prioritize 3 requests per fortnight. Anything extra they request is given as possible. The split of senior staff vs juniors is known so a senior nurse cannot swap a shift with a grad if that leaves a shift unsafe. Each staff member fills in a roster preferences form every 6 months. E.g. I have a staff member who cannot work a specific day as she takes her dad for chemotherapy as he can't speak English. Some level of suck it up is required by both sides. Rosters are a thankless task. People always complain about them until you sit them down with the binder of notes and setvthem to it. If needs be pull out the binder and ask them to find a solution to the problem they are moaning about.