fusionfire32

Yes. I am aware of the 1% cap rate. It's really hurtful. However, you got to look at a bigger picture. The benefits of working for nhs are more than you can imagine. I only realised that once I am here now, namely. It hurts me badly to give up my 8 week of holiday. If I am sick, I got to take my holiday hours to get paid. Most university courses related to your work are through your employer and the trust pays for it, not here unless it's a teaching hospital. But most importantly I miss the work life balance because I worked 37.5 there and 40 here. 8-6 in UK, here i work 630-7p +call. Plus I have to take call which I hate. Pay over life, I'll choose life. When you are new, you have to start all over, new friends, new culture, new people and their idiosyncrasies. But on the other hand, I learnt some really cool surgeries which I have never done before. I like that part. Nursing is nursing no matter where you go but technology and getting exposed to it has made me better. So when I go home one day. I well have an upper hand. And be in better position. I know you mentioned 9000 pounds for masters there in uk. I was searching and UCL came up. That is a great course too plus it's connected to imperial London. Had that course been there 4 years ago, i would have done that not knowing where else to go. Cerner just got a contract for all the VA hospitals here in the US, so besides epic, it is the largest EHR. With nhs, you will probably get only one system to have interoperability. But we need to watch that space because the trusts c.d.s. decide differently and we will end up with the same problems that we have here. Apples are not apples in different ehrs.

Hi there, If you look at my profile, I am originally from London, UK and have moved here to the U.S.. Not sure what the UK program is like but understand this. US has had electronic health records for sometime. The technology is a bit more advanced here then back home in nhs. Here you will learn the current status of the EHRs and the difficulties faced worth integration and interoperability. So if you learn that, when you do decide to go back to UK, you will be more prepared to deal with issues. I am here now bit I will go back because the jobs that will open there, will be phenomenal. You will be in real demand. Not that you are not going to be in demand here but, out is hard to find jobs if you dont have the skill set. So $50,000 (Not sure what university that premium price) and mine is a premium program ($36000) is not a bad idea if you are going to get what you need. Especially nursing informatics. Hope you get your answers

Hi, I am in an Informatics program and to be honest, EPIC certification currently is gold dust. I would give anything to get my hands on it. If you have a bit of experience in implementation, trust me, it will open a lot of doors for you. Going into informatics will be easy as you have some background in it. Informatics is not just about data but tailoring the system to our needs. The field is so vast that you can pick and choose. Your skills will be valued and you will come with a lot of valuable skills that you can offer. This is solely my opinion but postponing MSc is a good idea for a year or even 6-8 months. I would say get some experience under your belt and then move. It will expose you to project management and it is a big part of Informatics. The university will be able to postpone till the next enrollment but the job will not. Hope you find answers to your dilemma.

Hi Guy, There are many ways to set up and the one that you mentioned is one of them. the only problem may be in that situation is when an assistant is involved, it does not leave a lot of space for them to assist and stand. on the other hand, anatomically, if the surgery is performing surgery in the lower extremity, that is possible. However, the most important concept is that the tech/nurse that scrubs stands on the opposite side of the surgeon for improved visibility and not passing instruments when surgeon is working and has possibly turned his/her back and the scrub person is handing instruments across the surgeon's shoulder or back. that is poor technique. I do appreciate you sharing your experience. I would love to see if there is any literature for this topic. So that we can change our practices at our hospital.

Hi rose, Thank you. I can now confirm that I am not silly in implementing that. Do you have any research to back that up. I want to ensure best practice. Actually, I had an argument with a RN who scrubs and claims that she has 30 years of experience. Her argument was that why can't I do what others do it all the time. I gave her my logic and she got really mad and was literally shouting ay me. So if it is evidence based, its time to change "we have always done it this way"

Hello fellow or nurses, Have a question. Where do your surgical tech stand during surgery. I was taught to set up according to the side the surgery is going to be and stand opposite the side of surgeon. I learnt this because the surgeon could turn his/ her back while performing surgery to the tech when tech stands the same side of the surgeon. This is not considered best practice where I come from. So we used to stand the other side of the surgeon so we never have that issue. And also can see the case better. What do you think?

I worked in the OR for 7 years doing multiple specialities. What I have learned so far, aseptic techniques and sterility concept never change and neither does the technique to operate. I have used the same equipment and instruments before. It's the people and the culture within the OR that was toxic. OR attracts strong personalities and sometimes the environment can be very clicky. But I guess I was too comfortable in my previous environment where management looked down upon people who were into hierarchy and that promoted very good communication with each other.

Thank you for your support and you are right on target as to what happened. It has been a confidence shattering experience. I am tri lingual and I understand 2 more languages but don't speak them. I have now moved to where I can find more people that share my language. I will surely include that in my resume. Do I put this experience in it?? I called HR and they will only confirm the dates of employment. Can I trust that? How long do the orientation last for surgical centers? I appreciate your time and really value your input. Thank you.

I sincerely need advice with this situation. A bit of background. I am not a new nurse but I am new to USA. My education is not from USA and neither is the culture. Long story short: I passed my NCLEX and got a job straight away. I moved 400 miles away from where my family is just to get the foot in the door. It was a new town, new country, new state, new colleagues, new slang and language, (terminology is different)new specialty within the OR. I had specified this at the interview that I do not have any experience working in this specialty. And I was hired. After 5 months and a lot of misunderstandings, I was fired from work. I was told that I was not picking up as fast as I should and that I was not a right fit for the organization because I was not listening to feedback. But when I was called into the office, I gave them several examples of me listening to feedback and taking constructive criticism. I know that, being a seasoned nurse that in order to learn, I must listen, accept my mistakes, and I have reflected every single day on what I can do if that situation reoccurred. I even demonstrated that I can be assertive and handle a conflict in a professional manner. the sad part is on one hand I received complements from doctors and my current preceptors and on the very same day I was suspended from work when someone heard that compliment and decided to bring up a conversation that was 4 months old. I was fired on that basis that I was being disrespectful and talking down. But as far as I know, it was just a conversation between 2 people: myself and a colleague. I am not sure how to take this further as it has broken my confidence even though I have been nursing for a long time in my country, I have not come across this type of behavior from other nurses. I felt that this environment was hostile and that the colleague (who has less years of experience than I do but her experience was from USA) was being jealous and couldnt see me getting better at my job especially when I was finding it hard to get my footing right initially. I cant say that I have not learnt from this experience, but more so, it has broken me. My questions are: How do I move forward? Should I include this in the application? I contacted the HR and they said I am not eligible for rehire? Is this going to affect me in my future job search? what should I say to my potential new employers? Mostly, should I apply as a new RN residency? I know that I am a safe nurse but the only thing is that I am new to this country and people. I specialize in OR. I do not have any floor nursing experience so where else can I apply because I would not feel that I am practicing safely if I have to go to LTC or case management kind of job. Do they offer training? Thank you all for listening and I would appreciate any advice.

How long was the course if you don't mind me asking

Hey girl, I feel ya. Recently I have had a dito experience as you describe. Only difference was that I was experienced OR nurse from a different country. The terms are different, slang is different, prepping, drapping inserting foley, circulating is all different. so even though I knew the principles of asepsis and sterility, I had to forget what I knew and learn the new ways as per hospital. I stuck around but was not happy at all. I knew from experience that it will get better and when it all started to click, I got fired and was giving excuses that in my opinion were to do with misinterpretation of expression. I am glad you found a new job, but sometimes the teams can make you or break you and being new makes you vulnerable. good luck for the future

Yes I did. At that time, city Uni was offering a program to make hours up. Is the last one to be offered. And that too because I only had theory hours to make so it was no problem for them.

I moved here in June this year from UK. I started the process for cgfns in 2009/10. Passed my NCLEX in Oct this year and landed a job in Nov. Not started working yet as start date is in Dec but the terminology is very different. I sometimes have slight difficulty understanding the daily terms/slang

No problem. Actually thank you very much for being so kind and helping me out. I looked at the mometrix website and they are actually giving the hard copy of the book and flashcards I belive for $66. I might just grab that lol

Hey gabino, did you pay for the CCI and mosby?? I had a look and I think the free versions don't offer much. Please guide me!!