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ED, L+D,
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dvsbec has 11 years experience and specializes in ED, L+D,.

dvsbec's Latest Activity

  1. I agree with previous posters - birth plans help open the dialogue between the couple and the RN. However, I do get a chuckle when I see the 10 page typed documents detailing their every wish and desire. And its more fun when they get the words wrong. I had a couple that wished to avoid having an "epidermal" and medical staff were not to offer "epidermals" at any stage! LOL Then there was the couple that brought in a *laminated* birth plan! What I love more than birth plans though - the visitors and grandparents-to-be who constantly ask "so how much longer do you reckon it'll be?" Wait while I get my crystal ball...... :)
  2. dvsbec

    USA Labor and Delivery RN moving to Australia

    I worked in Queensland as both an RN and a midwife. You will find it very very difficult to get a job in Ob/Gyn field as an RN as most hospitals (certainly the government funded ones) will most likely hire a midwife rather than an RN. If you did find a place to hire you, they would only have you working on a post-natal ward or in special care nursery - they only have midwives working in L&D. For the purposes of gaining a work visa - I would look at getting into more general areas such as medical or surgical. Or, look to get a position in ER, ICU, or OR and gain some experience there - speciality nurses with at least 12 months experience in specialty areas are usually well sought after. Another thing to consider - it is usually easier to get a nursing position in remote areas around australia. however, you need to consider that these areas are usually hours away from the main cities, and very poorly staffed. You are often the only nurse on duty with very little support. Just something to consider! Good luck - having just been through all the red tape and dramas of finding a nursing position in another country and all the hassles of getting permits sorted, i don't envy you at all!
  3. dvsbec

    Support group for CRNE June 2011

    I agree with you Fleetfox - i found the case study questions had me sitting there going huh? But the rest of the exam was ok, thank goodness! So i'm pleased i wasn't the only one who thought the same! Now to get through these next few weeks - i have a lot riding on that pass mark!
  4. In regards to Bach of Nursing v's Bach of Science in Nursing - again, it will depend on the university. I have a Bachelor of Nursing, which was a 3 year degree. However I DID have quite a few science related papers - it wasn't all nursing papers at all. But then I know of other universities that offered completely different subjects, and others that, as you've pointed out, don't do any science related subjects at all. In terms of meeting requirements in either country - have you looked into the immigration requirements yourself for obtaining a nursing licence in Australia, rather than relying on what others have written here? I was just thinking - it could be that the above 'warning' about a course being less than 2 years not meeting requirements could be relating to those who are LPN's, that their credentials wouldn't meet requirements here in Australian. However if you already have a Bachelors degree and you're simply bridging across to nursing, you might be ok with that as your qualification (if i'm making any sense here!) Also, australia is in the process of moving to National Registration, so requirements may change yet again from July. I would wait until July, then contact the new nursing board and ask them directly if you would meet requirements for a nursing licence here using your Bachelors plus the accelerated degree.
  5. Hi Mrd, I have recently gone through the process of getting ATT (and subsequently passing NCLEX), and did not find it too difficult getting my nursing degree (from New Zealand) recognised in the US. However, you will need to be aware of a few 'hurdles' many do face. Firstly, each BON has different requirements - there are some that will require you to get CGNFS, simply because you would be viewed as a health professional with an international qualification, even though you are a US citizen. Also, you would need to be sure that the nursing degree meets the same educational standards of a nurse trained in the US. Although the universities here in Australia are good (and certainly can be cheaper too!) they don't met the criteria for nursing in the states. i.e - to qualify for with BON you have to show you have a certain amount of theory and practical hours in medical, surgical, pediatrics, mental health and maternity. I know of many Australian trained nurses that did not cover maternity at all in their degree, or only the theory but no practical. They have subsequently had to go on to do extra training to meet the BON criteria. Similarly, in New Zealand, many nursing schools do not offer practical pediatric placements, so again, don't meet the criteria. To be honest - if I had the choice, I believe it would be easier to study where you intend to work, so you learn the health system. Hope this helps with your decision making! Bec
  6. dvsbec

    How do you document when drug withheld?

    Ziggyldy - the red labels on IV fluids usually indicate that another medication has been added to the bag. it will document the medication added, the dose, the patient it is for, and the time and date it was added, plus the signatures of 2 nurses who added/checked the medication. and as others have replied, here in queensland, if a medication is withheld, it is documented on the medication chart W with a circle around it. then documented in the patients chart as to why it was withheld, plus doctor informed if required. hope this helps, Bec
  7. dvsbec

    Australian scales

    Sarah - oops! my mistake. they must have changed it since i left a few years back. Yes, I was meaning clinical nurse specialists - basically, the ones one level up from RN. Sorry for the confusion! Bec
  8. dvsbec

    Australian scales

    Hi Caramel, Currently each state is different, however this will change with national registration. In Queensland, the grades refer to the different 'types' of nurses, like enrolled nurses, registered nurses, educators etc etc. For Registered Nurses - we are 'grade 5', and the levels are the pay scales, so a new grad would be Grade 5, Level 1, with the highest pay level for an RN being Grade 5, Level 7. Clinical nurses (level 2 nurses back in NZ) are Grade 6 here. Hope all that makes sense. As I say, it will all change with national registration, which will hopefully make it an easier to work out. Bec
  9. dvsbec

    How do *you* tell your patient "No"?

    When I get a patient asking me to do something when I'm already in the middle of something else, particularly when its a simple task they can do themselves, I usually just tell them, "sure, as soon as I get a chance I'll do that, but you're welcome to grab an extra blanket (or whatever else they've asked for) yourself if you can't wait" It always seems to come out right at the time :) Bec
  10. dvsbec

    National Registration

    re: indemnity insurance - from what we've been told, all nurses MUST have it. If you are a member of your nurses union, this insurance is included in your union fees. There are separate rules regarding indemnity insurance for home birth midwives however - they are usually not covered with the insurance offered by the union. If you are not a member of the union, either consider joining, or you will have to look at obtaining insurance yourself. Hope this helps. Bec
  11. dvsbec

    National Registration

    I agree, it will make life easier for those wanting to work interstate. I work in a position where I've had to maintain 4 separate registrations, simply because Queensland shares a border with those states, and therefore there is a potential i may need to provide nursing care to someone from another state. So this will definitely make things easier. However, I do have a few problems - firstly they have kept very quiet regarding the cost of the annual renewal fee. That makes me worried. I also feel the 20 hours training per year is a big ask. Actually, no, thats not quite true - 20 hours is ok I guess. But for those of us who have endorsements (eg nurse/midwives) we have to do 20 hours PER endorsement. So that means 40 hours of training/education. And I feel THAT is a lot! It will be interesting to see how things go. My guess is the fees will rise dramatically within the first 2 years. I saw a similar thing happen in New Zealand - when they first brought in compulsory professional portfolios, the registration fee almost doubled, and they justified the cost saying it costs more now that they have to do so many audits of portfolios each year. (which, gosh, was THEIR idea!) LOL Bec
  12. dvsbec

    IV Phenergan and Toradol "Push"

    I know this is an older threat, but i agree with you totally RLDunnBSNRetiredNavy. I see many nurses push medications quickly and cause pain with the patients, and if the patients complain, they roll their eyes and then the nurses complain about the patient during handover labelling them as 'difficult'! I was always taught to go slow - i had a preceptor teach me to sing a song (preferably in my head!) to help me keep the time to around 3 minutes, which is the average recommended time for many medications. I agree there seems to be a lack of attitude these days.... Bec
  13. USCRNP - can i ask how you went about getting the work permit? I was under the impression that you had to have a formal offer of employment before you could apply for a work permit? Just curious.... Bec
  14. I have been reading several threads regarding this issue with IEN getting licensed in Canada and how 'difficult' it is etc. There seems to be a lot of resentment towards the process, particularly with SEC. As an internationally trained nurse, I agree with these policies - they are there to both protect nursing in Canada as well as protect those nurses wanting to come IN to canada. How can we know that what we know is comparable to what a Canadian nurse knows without going through this process, no matter how frustrating and long winded it seems to be! You can be a brilliant nurse in your home country, but that doesn't mean that your initial education was at the same level as a Canadian student nurse - and it is *that* which you are being assessed on. For example, many nurses in Australia do not routinely cover obstetric nursing in their training, however in New Zealand, they do. Both countries produce brilliant registered nurses (and the odd terrible one too!) but their education does differ. Another point to consider - sometimes it can come down to the information your nursing school provides to the college of registered nurses. Providing a transcript may not be enough for the College to determine if the courses you studied are comparable to theirs. So it may be more beneficial to have the nursing school provide course outlines also. I hope that all makes sense what I'm trying to say (sorry, just finished nightshift...) Remember, these processes are there to protect everyone, and most likely are the result from past (bad) experiences of registering under qualified nurses. Keep faith - if you truely are a good nurse, then you'll be able to 'prove' this through the SEC. Its just another (frustrating) step to go through to get to the ultimate goal! Bec.
  15. I may be in the minority here, but surely this is going to create problems for international nurses? Retrogression and the issue of no jobs aside - when international nurses are again in a position of looking for employment in USA, they are basically faced with 'rules' that prevent them from coming. They can't get a nursing licence unless they have a SSN. You can't get a SSN unless you are a resident. And you can't apply to be a resident unless you have a job. And you can't get a job unless you have a licence. Which you can't get without a SSN.
  16. Yes, they can issue a temporary licence - it lasts for up to 6 months, so basically enough time to let you work until the next exam date. I believe the validity of eligibility lasts for up to 24 months. I am still waiting to obtain employment at this stage - hopefully not too much longer! I have my CV out there, so hopefully someone snaps me up :-) We're hoping that we can get there before the school year starts, so fingers crossed! Bec.