achilles82

Prahran is close to the Alfred and St Vincents, clayton is close to Monash and I think Cabrini. Cabrini is a private hospital whereas all the others are public, although im not too sure about Monash, but im pretty sure it is. We do have phlebotomists here which we call pathology collectors i think is the term. There are other hospitals also in Melbourne as well that you could look at like the Austin, Royal Melbourne, The Northern, Western and Eastern health.

http://www.anmc.org.au/ The ANMC may be also be of help in finding course providers in your area, if you do make inquiries through them let us know how your dealings with them went.

These are the public hospital rates i don't think penalty rates are included in there. http://nursefinder.com.au/IFN/index.php?page=pay-rates-victoria http://www.nurseinfo.com.au/current/conditionsandsalaries

There are some funny xrays i thought i would share wont spoil any of the surprises http://www.mademan.com/2006/11/you-got-what-stuck-where-interesting-x

I had a patient present once that told me he was checking his pulse and felt it missed a beat so he thought he better get it checked out, and another who came in and said i have sore leg, asked him how long it had been been like that for and said about 6 months to year, i then asked what made it so bad that you had to come today, he replied well there was nothing on tv today so i thought i better come check it out.

This may be of some help: http://http://books.google.com.au/books?id=LG2XHbEpWz4C&pg=PA607&dq=Critical+Thinking+in+the+Emergency+nursing&cd=7#v=onepage&q=Critical%20Thinking%20in%20the%20Emergency%20nursing&f=false I dont know if this will help you but one thing i have learnt is initiation of procedures i am not sure where you live, but here in Australia at the hospital were i work at we are able to initiate certain procedures for patients such iv cannulation, xrays, ECGS and blood tests. So say you are called to the triage desk to bring in a patient, you get there and the triage nurse tells you that there is a patient who has presented to the ER, they have driven themselves in and have had crushing chest pain. This is how i would go about managing them just by what i have been told first i would think differentials stemi, nstemi, chest infection, pneumonia, pneumothorax, pericarditis, pleuritic pain, muscular, just some of the things it could be. Next: I do my primary survey i begin this just by looking at them and when I bring them to their bed, ill quickly palpate their radial artery for 15 seconds, is it present? Tachy? Brady? Pop on some o2 via hudson mask, Get them undressed, start putting ecg dots on, while i am doing all this i am asking questions, about their pain, getting them to describe it and when it started, what it feels like etc., I can visualize their chest so i can assess their breathing, the rate, are they breathing rapid, shallow, deep, labored, there undressed and im putting the ecg dots on so i can see the rise and fall of there chest, color, symmetry, their respiratory effort, penetrating wounds? edema? Past chest surgery? By this time i am ready to print my ECG. I look at my ecg and it has st elevation in leads II, III, AVF Already in this time up until now in such a short period i have established that my patients: Airway: is patent he is talking describing his pain telling me that it started 5 hours ago while he was shopping for his sons birthday in 2 days, and have a pain scale as he describes it as a sudden crushing pain on a scale of 7 he states Breathing: I'm looking at his chest while the ecg is being processed and can see that its symmetrical, rise and fall is present there is some effort as seen by the mild use of his breathing accessory muscles. Circulation: Ive palpated his radial pulse the pulse is strong regular and 80 bpm so i can assume safely he a B/P of >80mmhg as he has a radial pulse present I can also say his GCS is 15 as his eyes are opened spontaneously, he is orientated and is conversing with me as he has told me he was out shopping for his sons birthday in 2 days and he is obeying commands when I asked him to lay still so i can print my ECG. In the space of a few minutes i can go to one of our doctors and tell them quick this patient is having an inferior MI , there pulse is 80 and B/P is >80mmhg as there is a radial pulse present and he has a RR of 26 with mild work of breathing. Go back give pain relief get my iv access take bloods send my bloods to path and request a FBE U+E and Ck Troponin and Initiate a mobile CXR. Hopefully by this time i have another nurse there helping me prepping the pt for cath lab. Critical thinking thinking it is thinking ahead time managing and planning ahead and being quick to intervene properly and safely and initiate procedures. When you get a patient try to think ahead, if you get a patient say with upper left abdomen think ahead what it could be pancreatitis, viral gastroenteritis and what you can for each one etc., Working in a ER i have found is always being one step ahead and if you find you dont understand something ask questions. The question that one day will save someones is the one you never asked no matter what it was. Experience will come but dont allow yourself to become intimidated and loose confidence in yourself and your abilities.

I have owned a a few cheap ones, sprague rappaport, littmann master classic II se, master classic II single head and the master cardiology which i am currently using. Value for money you cant go past the master classic II single head which i think performs just as good as the master cardiology in my honest opinion. In saying that though choosing a stethoscope is more based on personal preference of what you feel works best for you. If you can, go down to a store have a listen with a few different ones or ask your colleagues if you can borrow theirs and see what works best for you. I would still be using my master classic II if I hadn't lost it,the master cardiology gets a bit heavy round the neck by the of end of my shift.

I'm pretty sure in your case that you will be fine to get your registration, like you have said its not for violence or anything like that. As long as when applying for your registration your honest and outline the circumstances leading to the conviction you should be fine. I know of one person that had a conviction for drink driving and they had no problem registering and i have heard of countless other stories were people have had convictions for other offence's and got their registration and graduated. Dont stress you will be fine.