Sifty

Unfortunately, I do have to play of the devil's advocate a little bit here: This is a repeat of a previous comment I have med in regards to volunteering overseas. I currently live and work in Cambodia. A lot of people want to come to places to help which is awesome but it is not as easy as showing up with a first aid kit. You really need to do your research on this. It is not easy to just come over here and help even though the need is high in some areas. If you don't speak the language or understand the culture it is near impossible. Often by starting to help then leaving it causes more harm than good unless you are helping to empower the locals and make the project/organisation sustainable. Look into places that get you to come and teach/train staff instead of trying to help the local people yourself. By increasing the knowledge of local people that are already doing good work you will help a lot more. If you do decide to volunteer with an organisation make sure it is reputable. Don't volunteer at orphanages, most of them are shady. Have a look at this video. it was made by people I know here in Cambodia and gives you some insight into what voluntourism is and the effects it can have. At the end of the day, if you want to come to these countries it often is better to come and have a holiday and spend your money on organisations and places that already have a good sustainable structure in place. There is a lot of them around that are doing really good stuff. So by you buying their products or services this actually makes more of a difference.

Don't drink with younger students when you have to be functional the next day. I could keep up with them but the hangover I suffered the next day was a lot worse than theirs :)

Why concealed carry? Just have them sitting on your hip or slung across your shoulder. Maybe they could become standard equipment. Hospitals could start operating more like veterinarians and animal hospitals. "We have brought Grandma in, she has had a good life, but is getting a bit old and we don't really have time to look after her. We would like her to go quickly". No problem, take her out the back, bang!, all sorted. "That leg is badly broken, you will never be able to run again". Pull the curtain, bang. Sorted. Patient loads easier and they would be more willing to try and get better.

Main Job - Nurse Manager/Western person who deals with and talks to all other western people whether in anyway related to nursing or not. Side Jobs - Teach First Aid & CPR and Lifeguard courses to local businesses and NGO's. - Seat warmer at local bar - very demanding work :)

I would doubt much can be done about it. When working in a different field I was out late one night having a beverage or two and I also seen one of my staff out. The next morning I arrived to work and shortly after got a call from her telling me she was sick and could not come in. I am very sure she was very hungover due to being out the night previously. But there was nothing I could do even though I had that knowledge. I was told that maybe it was the case but that is the individuals choice what they did and there was no requirement for medical certificates if only sick for one shift. It is a pain in the bottom for sure. But little you can do about it.

Run away. It sounds dodgy and you wouldn't want to be caught in the middle of it if the xxxx does hit the fan. I am sure the extra dollars are not worth it. Make a anonymous report with social services or whatever they are called.

IELTS is what is used in Australia. But as far as I am aware as long as you can prove that all your schooling (primary and secondary) was taught in english there is no need for it. Best to check with AHPRA though. https://www.ahpra.gov.au/

Yes that is often the case with name badges. However, myself and other nurses I have worked with often just cover up the surname with a sticker. The patients don't really need to know your last name. Unit managers never had an issue as they understood why. Also you could choose to keep your maiden name at work, so therefore it would be printed on the badge and not your married name. Most places should allow that.

It depends on the situation and his capacity to understand it. It depend on where you are I guess. But in NZ, Australia, UK and a few others if the child is deemed "Gillick"Competent then they can make their own decisions in regards to health treatment. Basically if they are able to understand what they are doing/is going to happen and the consequences of that, then they are deemed competent to make decisions.

I would consider keeping it with your maiden (current name). Depending on where you end up working, sometimes you do not want patients knowing your full name. With all the social media etc it can be easy to find out details about people. I know people who work in healthcare and the police who use their maiden names for everything work related. It keeps them and their family safer.

I am in Cambodia, mental health is poorly understood. The police wouldn't know what else to do with them. if they were white they may just be locked up so the police can get a bribe to let them out. I am sure they could make up any charge they liked. Unfortunately that is reality here.

Yeah the restraints sound a little much, but at the end of the day both patient and staff were safe. I only wish I had some legal backing in cases like this. I have had to discharge 2 attempted suicide cases in the last 2 weeks because I cannot make them stay and get a psych assessment. There is no law to let myself or a doctor hold a patient against their will, and all the police would do is lock them up. Which is definitely not a solution.

You really need to do your research on this. It is not easy to just come over here and help even though the need is high in some areas. If you don't speak the language or understand the culture it is near impossible. Often by starting to help then leaving it cause more harm than good unless you are helping to empower the locals and make the project/organisation sustainable. If you do decide to volunteer with an organisation make sure it is reputable. Don't volunteer at orphanages, most of them are shady. Have a look at this video. it was made by people I know here in Cambodia and gives you some insight into what voluntourism is and the effects it can have. At the end of the day, if you want to come to these countries it often is better to come and have a holiday and spend your money on organisations and places that already have a good sustainable structure in place.

Hi all. I would totally appreciate any advice in regards to this subject as well. I am a NM at a clinic in Cambodia. Recently I have had two self harming cases. The one I had yesterday was a diazepam overdose. This patient had a long history of self harm from the marks on their body and admitted this. Medically -she was alright. Mentally - obviously not. Unfortunately there are very few resources in this country to deal with mental health and no laws that medical staff are able to use to hold people. So after repeated attempts to convince the patient to stay, with some success for a few hours. The patient demanded to be discharged, signed an AMA and away they went. It's a very frustrating situation. When I was in Australia we could have held them for at least 24hrs to be properly assessed and would have the resources and specialists to assist. But here I have very little. I did have a psych consult on the way but that would have still been 3 plus hours till they arrived. So what I am looking for is any strategies to try and convince people to stay so we can help them. Any suggestions would be greatly appreciated.

Around 25 mins to work and between 30 - 60 mins on the way home. Depending on traffic, flooding, funerals, weddings, protests, public holidays, someone in the Gov't that wants to go to the airport among other things it could be up to 2 hrs. Distance is about 6km from home. Also have to make sure that someone doesn't try and snatch your bag (I ride a moto), run into you from any direction on any side of the road, you don't fal into giant potholes or get pulled over by police looking for a bribe. So this all make for an interesting commute to and from work :)