vandiola

No nurse in the UK would give a non prescribed medication. He had a lot of heart problems and took the medication regularly. Many think the mother gave it to him, which is why it wasnt discussed in the courts

I live in Leicester and have worked at this hospital through my agency. Firstly to note, this doctor was the only registrar covering 6 different areas with a consultant who was off site. The patient had been noted for previous deterioration and was receiving fluids and was improving. Someone then administered unprescribed Enaprilil, some assume it was the mother, as it was his regular medication, and he started to deteriorate again. CPR was started on the child but there was a lot of confusion at the time about his DNR status, there isn't any solid information as to why CPR was stopped but the jury were informed CPR would have had little effect. The nurse has been removed from the register for 5 years and can return after that period. She was an agency adult nurse, but had previously worked on the unit before. Its been stated in her NMC hearing that she was struck off for not taking observations, not doing a fluid balance and not escalating concerns. I'm not condoning her behaviour, but she did inform the the NMC that staffing was very poor and she tried to escalate concerns to the senior nurse as staff nurses aren't allowed to contact doctors (to prevent their bleep going off all the time) and have to discuss with the senior nursing staff instead. She said the senior nurse ignored her concerns. There were many other issues such as IT going down, lack of senior medical support and lack of experienced nurses on the unit. But both the nurse and doctor carried on working from 2011 when the incident happened to 2015 when they were brought to court, and had unblemished records. I have a lot of sympathy for the family of Jack, he didn't deserve to be the victim of poor care, but that poor care seems almost conducive to systematic problems. It seems like just the doctor and nurse were entirely blamed for the situation which doesn't actually address the problems in the system. If anyone is interested, there is a facebook page that is supporting the doctor go to the high courts to appeal the decision. There is a lot more information about the case there

There's definitely a Filipino community in Notts! I was commuting in from Leicester for my shifts which wasn't a big problem, but Leicester hospitals aren't that different to Notts, so I just transferred out of convenience

I used to bank at NUH, but mostly in QMC so can't say much about City Hospital. It's a nice trust, very big with pretty much all the specialties. It has the regional trauma centre, so if thats your thing then you'll enjoy being at Notts. Lots of opportunities for development and training. They regularly advertise management and clinical roles internally, so if you want to progress the opportunity is there. All nurses are on agenda for change, it doesn't differ in any hospital/trust. You'll likely start at the bottom of band 5, which would be around £22,000 - ish, before tax. Nottingham is a nice place to live in. It's quite a large city, with trams, trains, buses - so good public transport. The city has good shopping centres and restaurants so you won't be bored. It's also fairly reasonably priced, so accommodation and cost of living won't eat up into your whole salary. You may as well just stick to Notts. Some agencies can send foreign nurses to absolute ************ but you've lucked out - but then your experience of NUH may be different to mine. May I ask what country you're from. There may be an existing community of nurses from your country, so you'd at least be able to adjust more quickly.

The nurses that I know who have become reps, usually just looked up rep companies and checked out if they have vacancies. Why not consider a 9 - 5 nursing job, like a GP or community or outpatients. Much less burnout but still very patient orientated. I don't want to seem intrusive but why do you not like the PIP assessment job? EVERY nursing career fair I go to have either an Atos or Capita etc stand and I'll be honest the salary and working arrangements make it sound really appealing.

Hello, I'm going into my final year of nursing in the UK and we are allowed to do a 4 week elective which can be national or international. I really want to do my elective in the US but a lot of the places I have contacted won't provide short placements to students. I was advised to contact larger practices like the Mayo Clinic, but they can't offer anything for such a short amount of time either. Ideally I would like to be in a larger city in a hospital environment as majority of my current placements are in quite a small hospital, I'm not particularly fussy about area. If anyone knows anywhere that I can contact about work experience, that would be great. Thanks!

Do you not need to go through the ANP masters degree before applying for ANP posts, and would it not help transitioning from a band 7 NP role to a band 8 ANP role, unless the ANP role is band 7?

I did some agency shifts at Southmead a few months ago on mostly medical wards and I found them to be really pleasant. Nurses and doctors were nice, lots of students, management a bit haphazard but not dissimilar to many places I've worked at. Very reliant on EU nurses and I don't think Brexit has helped. Bristol hospitals have unfortunately built up a bad reputation due to it's children's services, but I found it a nice place to work. Bad parking but brand new facilities

They've removed the bursary so students will have to take out loans of up to £50,000 to get paid £18,000 after tax, so I don't think the future looks excellent for the NHS

Sometimes I wish I was a doctor. I'm a nurse in the UK and we don't have anywhere near the same level of pay, career advancement or responsibility that our US counterparts seem to have. Doctor's do work long hours here in the NHS, but probably nowhere as long as you guys in America and some nurses here have to work 60+ hours since pay is so ****** here. And of course, in the UK nurses still have a very low status, you would not believe the number of times I've been called a bum wiper, or all we do is wash people. In the UK, doctors have natural career progression, yearly salary rises, research opportunities and respect. I still love my job, but there's a lot I would change about it.

Don't worry Phil, I'm sure the introduction of nursing associates will fix everything!

The title is really self explanatory. I was a mature student when I started nursing (at age 22) and one of the main reasons I did nursing was because I knew I would leave uni without debt and I very proudly have no debt to my name - university wise. I also went to a very small campus. We started off with 25, whittling down to about 18 by third year. I received an email from my university asking if I know anyone who wants to do nursing and that I should encourage them to apply. While I do have a lot of long term worries and believe it's totally disastrous that they're removing the bursary, one of my biggest concerns is that my old campus will have to close if they do not receive enough applications. I just want to collate a few personal thoughts on what other nurses think. I've found many of my nursing colleagues are quite unconcerned and a lot of my old lecturers are quite optimistic that this will mean more funding and less restrictions on the number of students they can take on, but I'm definitely not feeling the same vibe!

It's like A&E, but with less staff and more documentation.

I totally understand. If my circumstances were different I would have stayed in London. Best of luck in your career.

Lincolnshire is in the Midlands, so it's a reasonably affordable place to live. I assume you'll be working at Grantham hospital? I've not worked there myself but did meet a Filipino nurse in London who worked there originally who said it was a nice place to work in, and it already has a small Filipino community so you won't be alone

Expenses depends on a lot of things. Do you already have a job offer in the UK as there are some trusts that offer short term accommodation to help you get settled. 1. Cost of accommodation really varies across all of England (I live in England, so can only provide details about here). In the north accommodation is considerably less costly than the south. You can probably rent a 2 bedroom house/flat for around £600. The south outside of London is generally expensive and you may want to consider house sharing to start off with. If you house share with about 3 or 4 people you can pay as little as £300 - £400 a month, but you'll have a lot less privacy and possibly higher bills to cover. Within London, most single people house share, and I know of Filipino nurses who come to London in groups and can live with about 4 or 5 people to one house and pay about £500 - £600 per room in a house share. If you wanted your own space you could rent a studio but that can cost upwards of £1000, it will be a significant portion of your wages. In London you do get London weighting which is a bit of extra money to counter the costs of living in London, but this depends on which area of London you work in but in reality this barely covers anything. 2. Again council tax varies depending on where you live. In the North it can be as little as £70 a month and in London it can be as high as £150 a month, but that is for dwelling, not the amount of people who live in a house. Utilities also vary, they can be cheap but you must shop around. The more people there are in a residence the higher the bills will be, but at least you share it out. 3. You work full time hours a week which is 37.5 hours. This equates to do doing 3X12.5 hours for 3 weeks and 4X12.5 for 1 week in a month to equate to full time hours pay. Of course the amount of shifts you do in a week varies depending on the ward and staffing, but you should technically only do between 12 and 15 shifts a month. Your management can always ask you to do extra shifts, but you can say no. You can also ask to do extra shifts, it's totally up to you. 4. Food again varies, but not as much as housing and utilities. Supermarkets tend to be affordable and you'll find all the food you need there and there are specialty Asian stores in larger cities, especially if there are already Filipino communities there, but they tend to be very expensive. One thing to consider would also be commuting costs. Getting the bus and train can be expensive as can owning a car and paying for parking. Some hospitals offer bus services and rail cards to assist with these costs. I live in the Midlands but used to work in London :)

Youve already been moved to the uk forum and you dont need to do any courses to be a endoscopy nurse, you'll learn on the unit.

Most procedural nursing type jobs would be appropriate. Endoscopy sounds good. Not a lot of manual handling, 9-5 generally and endoscopy staff are widely needed. Catheter lab nursing would also be good, as would theatre and anaesthetic practitioner positions

They striked with nurses during October/November 2014 over a 1% pay rise. I was a first year student at the time, going to my first ever placement, so it was a very surreal introduction to nursing. I remember RCN were very negative about nurses striking, they were making threats about suspension which I'm sure isn't in their remit.

I'm doing a report on union policies in regard to strikes. I'm a bit lost at actually finding any specific policies on striking. RCN are very vague and talk a lot about the NMC in terms of strike. UNISON and Unite are pro strike but don't have details on the breadth of strike, e.g. whether staff nurses are legally allowed to strike. From what I thought, legally staff nurses cannot strike if they are shifted to work, and can definitely not have an all - out strike. The last strike that I do remember was in 2014, and all I was on placement at the time and pretty much all the nurses came in for work, albeit they were very sympathetic to the nurses who were picketing outside.

Pts who receive district nurse services are more likely chronically unwell rather than acute, the point of district nursing is to prevent further hospital admissions. Most tasks consist of dressings, placing catheters, administering injections, referring to GPs, placing/upping syringe driver meds etc. I would say DNs seem quite happy, i'm probably generalising but a lot of nurses seem to enter community nursing because of the 9-5 hours and holidays off. If you work somewhere in London you may have to see upto 20 people in a day, which sounds horrendous to me.

Venepuncture, so drawing bloods for whatever reason and cannulation. Afaik nurses can only place urethral catheters not foleys. I consider these advanced as we dont learn them in nursing school, you must do further training if you want to. I know nurses who have been practising 3-4 years and still arent able to do bloods or place male catheters. Its very frustrating not to be able to do these skills as a student.

1. In England you usually have to be in the process of doing masters research. At my university we do have quite a few PhDs and professors though. 2. Yeah we have theatre nurses who do all the scrubbing and circulating and assisting. We have anaesthetic nurses who assist the anaesthetists before patients enter the OR. And we have recovery nurses for post theatre care. You can rotate in all these areas if you wanted to or just stay in one area. 3. We have lots of different types of community nurses. So district nurses are the ones who go to people's houses and do dressing and administer meds. We also have school nurses, GP nurses, hospice and care home nurses etc Nurses in the community are far more autonomous in their practice than hospital nurses. I've met ANPs who prescribe meds, diagnose and refer pts to other services. We do have ANPs in hospitals but I've never seen them do anything more advanced than certain clinical procedures, like male caths and venepuncture. 4. The government doesnt give a shiz about nurses. We have socialised healthcare and nursing is the largest work sector, nursing pay is by far the biggest salary paid out to any other NHS profession. We have a weak union who dont support us and criticise nurses when they choose to strike with other unions. We have not had a real time pay rise in the past 6 years and everytime we bring pay up both the government and the public say we're greedy

I think it's because their academic side is considerably more intensive than that of England. At my university pharmacology is not a compulsory module, and its one of my weaker area's. I love the clinical aspect of my training and I'm so happy we're more hands than the US but a lot of the time students are just used as HCAs on wards and I'm rarely able to work with my mentors because they're so busy. Also I'm so surprised they're still using kardexes in Ireland? Pretty much all over England theyre trying their hardest to computerise everything, which makes things 10,000x easier

Registered nurses who didn't have degrees, diploma nurses and enrolled nurses could just top up their qualifications to degree level. There was/is no obligation to do so, but it's unlikely you will ever be able to move up the management/clinical ladder without a degree. There are a lot of nurses who chose not to top up and can not move from their band 6 staff nurse positions.