sparticus2008

can't say which one is better. It is worth considering as well whether you want to live in that country permanently, or plan to switch between. For example, an Australian BSN does not meet registration requirements without further study in many US states. but for Australia: There is no exam like the NCLEX, once you graduate from your Uni Degree you apply for registration as a registered nurse with APHRA. If you do not have a visa that gives you the right to work in Australia (AKA you need sponsorship), then this excludes you from being able to apply for most graduate nursing positions in the public health care system (which are jobs that specifically hire new graduate nurses for generally 12-month contracts to assist with the transition to nursing). You cannot be sponsored by the public health care system for a working visa as a graduate nurse (you need to have specialty experience) However, there may be opportunities in private health, community etc. One advantage within Australia compared to USA is that the BSN is nationally regulated & registered, so once you have your registration you can freely move around the country without needing to go through registration. Each application is evaluated individually, however it is worth being aware that the Philippines is currently classed as a country where a BSN is unlikely to meet Australian registration standards (specifically around quality assurance and accreditation) https://www.nursingmidwiferyboard.gov.au/Accreditation/IQNM/Before-you-apply/Meeting-the-registration-requirements.aspx

From what I can see on the NCNZ website, you need to have post-registration experience to be eligible for registration in NZ ( 2 years ) I don't believe you need post-registration experience to register in Australia, however, be aware that the graduate end of the jobs market is currently saturated, with far more graduates than there are entry-level positions. You will also need to look into which visa you are planning on coming over with, for example - A skilled migration visa you need to have experience in a specialised field of nursing to be eligible for a skilled migrant visa. If you are under 30 then you can come in a working holiday visa, however you can only work for a single employer for 6 months at a time, so typically nurses on a working holiday visa will work agency, and you typically need 2 years of experience to get work with an agency. My advice would be, if possible, to get a couple of years of experience under your belt before looking at migrating

NSW - if you are public you will be paid against the award https://www.health.nsw.gov.au/careers/conditions/Awards/nurses.pdf Private hospitals negotiate their own award - you can find a list of them here https://www.nswnma.asn.au/industrial-issues/awards-and-conditions/private-hospitals/ Looking at it they all pay in the similar ballpark :)

I am assuming that you are not an Australian nursing student. I would think this would be something that you are better off approaching your university and seeking advice for them? A lot of it comes down to insurance. As an Australian student, I had the opportunity to complete an elective placement - but these were sourced by the university and then students applied to participate. The university organised for the insurance etc to cover this, just like they do for our placements in Australia. It also required that my university have an agreement with a university in the country we were visiting where we essentially temporarily enrolled as a student of their facility. Nursing placements in Australian (or in my state at least) are very competitive - and the Universities will typically have booked placements for their students 18-24 months in advance. I've never witnessed students from overseas universities completing placements in my state The closest I have observed to this was in my midwifery studies where there was a cohort of Tanzanian Midwives who did a two-week observational study tour - however, this was as part of a partnership between the department of health in my state and the department of health in Tanzania. Doing an internet search - there is a little bit of information that says you can approach hospitals directly and they can organise a contract between the hospital and the university. - however these are very old https://www.Youtube.com/watch?v=s_HbOLWTBTE (this is 2012 and at this stage only Melbourne would take international nursing students - and this is 8yrs ago, so I don't know if they do anymore, also some of the information in the video is definitely dated - like not needing to be bare below the elbows)

Depends Hospital to hospital - something you will need to ask where you start working in an area. It's not really something that will necessarily be published in a public space December we are allowed to wear Christmas Scrubs (or just fun ones for Christmas) And My hospital last year brought in "fun fashion Fridays" where on Friday we are able to wear patterned scrub tops ?

The cost of living (especially accommodation) in Palmerston North is cheaper than living in one of the major cities like Wellington or Auckland, however, New Zealand is not a very cheap place to live - but the cost of living can also be based on the perception of what you are used to ? From what I can research on the internet - the average of most indexes of cost of living is slightly cheaper in NZ, but groceries are more expensive than Ireland. Also, nursing wages are lower in NZ compared to Ireland Summer the weather averages 15-25 degrees In winter it averages 5-15 degrees HOWEVER be aware that due to proximity to the thinning of the ozone layers you will get sunburnt much quicker in NZ, even if it is a cool day.

Can't really answer your questions because where I work we never take a phone order for a dose change. We only take phone orders for a once off stat dose of a medication & these are written in the specific area at the front of the med chart

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

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.

(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.

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

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

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/storificelectioncriteria.shtml 2. Find out any facility-specific requirements for selection critera (speak to the grad coordinator, attend info session etc)

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?

I recommend using the STAR set out for selection criteria https://www.selection-criteria.com.au/storificelectioncriteria.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 ....

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

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

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

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.

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 ?

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

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

Hello So as an international student you will not be eligible for a commonwealth funded university position - so you will need to pay full fees upfront (Also if you come on a student visa you are not allowed to work more than 40hrs a fortnight) As you already have a bachelors degree you may be able to do a Masters of Nursing practice which is 2 years full time - The cost at the moment for full fee paying international student is approx $65000 AUD If you need to do a full bachelor of nursing then as a full fee paying international student it will cost you approx $116 000AUD As for doing study in the US and then emigrating 1. It is virtually impossible to meet APHRA (the national registration body) standards for a registered nurse with an ADN 2. If you are doing your BSN in the US be very sure that you get an accurate record of your clinical hours & that your university will be happy confirm these hours with APHRA - you must have completed 800 clinical hours in your training to meet APHRA standards (basically this is the biggest difficulty US BSN students have when coming to Australia ) So within Australia, there are officially only two types of nurses 1. Enrolled Nurses - this is a (generally) 18-24 month course conducted via TAFE or a similar training organisation (I think this is similar to like a community college in the US). EN's can further be divided into those who are IV medication competent & those who aren't, but IV medicine competency is increasingly common. ENs are employed over a wide variety of practice areas however are far less common in critical care areas (ED, ICU etc) and are more common in areas such as Long term care and aged care. ENs are also employed by higher numbers in private hospitals compared to public. At the basic bedside level there isn't a massive difference in practice between ENs and RN, however, there isn't the same opportunity for career develop - you can't move into supervising, management etc as an EN. Also RNs are better paid. ( I think an EN is the equivalent of a US LPN) 2. Registered nurses - This is either a 3-3.5yr bachelors degree (or less commonly a 2 yrs Masters degree) at university. RNs work in a large variety of practice areas. They have a greater capacity for career progression and are better paid than ENs. There are significantly more RNs than ENs in Australia https://www.aihw.gov.au/reports/workforce/nursing-and-midwifery-workforce-2015/contents/how-many-nurses-and-midwives-are-there Australian registration for RNs and ENs is national, not state based, so once you are registered you can work anywhere in Australia EMPLOYMENT Graduate nursing is a very competitive market - the most common Job that new nurses get is a graduate program/transition to practice program. This is where you get a fixed term contract (generally 12 months, some are 18-24) where you are hired and work as a registered nurse (or EN) but receive additional support as a beginner practitioner HOWEVER these are hard to get, so for example in my state only about 50% of graduates got a graduate position. Once you are registered you can apply for any entry-level nursing position, however, it becomes a lot harder as most employers want experience. This also means that if you decide to do your bachelors in the USA you will want to work for at least 1 year (and preferablly 2) before coming to Australia, or else you are just one more graduate RN without experience looking for work. You will want to be an Australian Permanent Resident by the time it comes to graduating & looking for work, because if you aren't, you are not eligible to apply for graduate programs & you can't be employed by a public hospital (unless they can prove that there is not Australian citizen or permanent resident available to do the job) ...and public hospitals employ approx 2/3 of nurses in Australia.

The cost of Bridging will vary depending on what deficits APHRA/NMBA require you to make up. But to get an idea. The Australian College of Nursing Bridging course is $14300 AUD The Internationally Qualified Nurse Program at Monash University is $14,950 Graduate Certificate in Nursing (Bridging & Re-entry) at Universty of South Australia is $13,500. These courses are based of you being Degree qualified. If you are diploma qualified you may need to either apply for registration as an Enrolled nurse rather than a registered nurse OR carry out further training in Australia to meet the education requirements.

Nursing and Midwifery Board of Australia - Fact sheet: Nurses with a sole qualification in mental health nursing, paediatric nursing or disability nursing