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sparticus2008

sparticus2008

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  1. sparticus2008

    Scope of Practice in Australia

    1. You are expected to have a working knowledge of the medications that you are giving . As above there are a couple of medications that you can nurse initiate/prescribe (depending on hospitlanpolicy ) but in general you don’t prescribe unless you are working in an advance role such as a nurse practitioner. 2. Yes you are expected to be able to perform first aid, wound dressings etc. 3. You are expected to have an understanding of basic imaging, ECGs etc (and you definetly perform ECGs) - so you know when to escalate however formal interpration and giving results to patients is the role of the medical team as they will be forming the treatment & management plan 4. Yes you will be taking vitals signs and you are expected to understand what they mean and the appropriate management and escalation go abnormal results
  2. sparticus2008

    Scope of Practice in Australia

    That's a fairly broad question... Your scope of practice is defined by your skills & knowledge combined with your hospital policy and procedure. There isn't a list of skills that you can and cannot do. For example - at my hospital, Registered nurses can nurse initiate up to 2 doses of paracetamol, Coloxyl & senna, anti-acids, saline nebs, lice treatment and non-prescription topical creams. However Registered nurses working in ED are not allowed to nurse initiate - so for that department, it isn't within the nurse's scope of practice. Whereas a nurse working in a rural/remote area, especially if they are running a remote health clinic can (with appropriate training & education etc) prescribe a far larger array of medications, such as more complex pain relief, anti-biotics etc - but if that nurse where to move to a city hospital it would no longer be within their scope to prescribe these medications. IV cannulation is not within the scope of practice of a graduate nurse however most hospitals will have a training & education process for a nurse to become IV cannulation competent if that is a skill required in the area that they work in. However, this doesn't automatically mean that if that nurse moves to another hospital they will be classified IV cannulation competant there.
  3. sparticus2008

    US nurse (completely clueless about relocation!)

    (sorry it published and wouldn't let me edit it - to continue my response ) - start collecting documents now: Including copies of all your unit outlines from when you studied & a record of how many clinical/practice hours you completed as a student. The biggest thing to be aware of is that you have to show that you completed 800 clinical(practical) hours as part of your education/training. As for where to apply.... well that totally depends on where you want to live. Some Neonatal Intensive Care units in Australia are: New South wales The Children's Hospital at Westmead (Sydney) The Royal Prince Alfred Hospital (Sydney) The Children's Hospital (Newcastle - about 2.5hr north of Sydney) Queensland Mater Mothers (Brisbane) Royal Brisbane and Women's Hospital (Brisbane) Victoria Mercy Hospital for Women,(Melbourne) Monash Medical Centre, (Melbourne) Royal Children’s Hospital (Melbourne) South Australia Women and Children's Hospital (Adelaide) Western Australia - King Edward Memorial Hospital (Perth) - Fiona Stanley Hospital (Perth) These are just some of the high level/tertiary neonatal units. Any hospital that offers maternity will have some degree of neo-natal unit but these vary in terms of the acuity of the baby & the services they offer. If your area of expertise/where you want to work is high-level neonatal care, extreme premmies etc. then you will be looking at mainly public hospitals, as most private hospitals only have neonatal units/special care nurseries that are from 34 weeks (or 36 if they are a smaller hospital). All Australian citizens & permanent residents are entitled to access the public health care system free of charge - so high level neonatal care (which is expensive) is most often only available in the public health care system.
  4. sparticus2008

    US nurse (completely clueless about relocation!)

    So, first things first - Registration: In Australia nursing registration is national, so there is a single national board that nurses register with that allows them to work in every state & territory. https://www.ahpra.gov.au/Registration/Registration-Process/Overseas-Practitioners.aspx https://www.nursingmidwiferyboard.gov.au/Registration-and-Endorsement/International.aspx - As long as your can provide evidence of having completed your education, (School and university/college) in the USA you will automatically meet the English requirements without having to do further English language tests
  5. sparticus2008

    US Nurse - Jobs for Enrolled Nurses?

    That's a software package developed by Telstra to help hospitals with their patient flow.
  6. sparticus2008

    Ask me anything, Australian RN here

    no one else can tell you what to write in your selection criteria however a couple of tips. (Also Grad applications vary between different states & organisations) 1. Use the STAR format for answering selection criteria https://www.selection-criteria.com.au/starselectioncriteria.shtml 2. Find out any facility-specific requirements for selection critera (speak to the grad coordinator, attend info session etc)
  7. sparticus2008

    Midwifery

    I can't say specifically what questions they will ask but things that are worth thinking about are: 1. Why do you want to be a midwife? 2. What is your midwifery philosophy? 3. What do you know about the current status of midwifery in Australia & any current developments? 4. What does woman-centred care mean to you?
  8. sparticus2008

    EN Grad Selection Criteria response

    I recommend using the STAR set out for selection criteria https://www.selection-criteria.com.au/starselectioncriteria.shtml 1. Discuss One (or a couple) incidents where you faced a conflict or issue & how you used conflict resolution, negotiation & problem-solving skills. "I was caring for a patient who was refusing to take any medications. I asked the patient why and they said they didn't know what the pills were. I explained to the patient what each of the medications where and why the doctor's wanted them to take them. The patient was then happy to their medications as prescribed" and so on ....
  9. sparticus2008

    Division 1 and Division 2 Nurses in Victoria

    Hello So to be dual registered as a nurse and a midwife you have a couple of different options. 1. Do a dual degree as an undergraduate at uni - this is a four year course, at the end you will have both a bachelors of nursing & a bachelors of midwifery. (RN/RM) 2. Do a bachelors of nursing (RN) & then do post-graduate studies to gain your midwifery qualification (these can either be pursued independently, or you can be hired by a hospital to do your midwifery training) 3. Go to tafe/college and become an enrolled nurse, then do a conversion course at uni to become a RN (typically 18-24 months) & then do post-graduate studies to become a midwife. Also, do you want to be a nurse or a midwife? If your main passion is midwifery you can also just do a 3 year bachelors of midwifery
  10. sparticus2008

    US Nurse - Jobs for Enrolled Nurses?

    Working in a doctors office is much lower pay than hospital. aged care facilities do tend to hire more ENs but it is more hands on clinical work
  11. sparticus2008

    US Nurse - Jobs for Enrolled Nurses?

    I can’t speak for every ward but on my ward - the doctors send a referral tomorrow to any specialist or medical imaging the patient needs - May either be done privately or the patient may be booked to come back to the hospital as an outpatient. we send a discharge summary to the patients GP (primary doctor ) and advise the patient if they need to book an appointment with the GP. in terms of home services - depending on what they need this will be organised either by the nurse, the social worker or the allied health team . At my hospital we have a complex discharge team who also help for complicated discharges. On my ward as well we run an outpatients clinic - so we will often send patients home with outpatient MRI, halter monitor etc booked (which the doctor does) and then they are booked to come back to our outpatients clinic after 2-3 weeks for our doctors to go over the results. (This isn’t normal for all wards) The government funds different levels of community support - patients should see their Gp to get assessed for that package - sometimes we will assess for this in hospitals but we encourage it to be done on a primary care level
  12. sparticus2008

    US Nurse - Jobs for Enrolled Nurses?

    Under the Australia Health care system whilst EN's are responsible & accountable for their own practice they are not able to provide oversight of, or delegate to others: What this means in practical terms is that hold any sort of organisation/managerial role you need to be a RN. Because of the difference between the Australian Healthcare system (which is universal although private health insurance also exists in partnership) and the US health care system, I don't think that the kind of role that you describe exists in Australia - and definitely not at the pay rates that you are used to - for context the EN pay rates QLD: ~$62300 - $72300 WA: ~$58900 - $68068 VIC : ~$52400 - $69160 NSW: ~$55000 - $62972 As you have not been working in a clinical setting for seven years you may also find it difficult to prove recency of practice if APHRA does not recognise your work as being "nursing" - I would recommend contacting APHRA and discussing your circumstances.
  13. sparticus2008

    Australian degree nurse wants to work in the US

    Contact the local nursing licencing authority (unlike australia the US does not have national registration) and work out what you need to be licenced. Be aware that in many US states an Australian degree is deficit in maternity/paeds - and you may need to do additional study to meet licencing requirements.
  14. sparticus2008

    I am freaking out- US RN to start working in Oz

    Well if you get sent to FSH in Perth they use Pyxis for meds - otherwise its really not that complicated - they're in the cupboard in alphabetical order and you just pick them out manually. Again - paper charting, it may be less technology-based than what you are used to but it isn't that complicated - the paperwork is pretty self-explanatory/tells you how to fill it out - the biggest thing is follow the esculation criteria on the obs/vital sign charts. And don't be scared to ask for help - let people know you're new Ask your agency if you can do some buddy shifts to help you get a handle on the differences
  15. sparticus2008

    how often do you chart a note and PRIORITIZATION

    I document progress notes once per shift for my patients Even as a student on prac in ICU where observations etc were documented as a minimum once an hour we only wrote progress notes once per shift. The only circumstances where I have documented more frequently is Labour & delivery where we documented at least once every half an hour. The only times I document about other members of the multi-disciplinary team is when I have made a referral/escalated something to them - It is their job to document/record what they have or hasn't done for the patient
  16. sparticus2008

    US nurse wanting to move overseas???

    For Australia https://www.ahpra.gov.au/registration/registration-process/overseas-practitioners.aspx https://www.nursingmidwiferyboard.gov.au/Registration-and-Endorsement/International.aspx
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