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sparticus2008

sparticus2008

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  1. sparticus2008

    Moving from Ireland to Newzealand

    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.
  2. sparticus2008

    Phone order documentation.

    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
  3. sparticus2008

    Nursing in Australia Queensland and Western

    For WA - Level 1 is standard floor RN, you automatically move up a pay-point each year of employment/working as a RN (So 1.1 - first year, 1.2- second year, 1.3 - third year etc) Level 2 is a senior/clinical nurse - you don't automatically go up to a level 2 position - they are positions that you apply for when you demonstrate skills & knowledge of that level - there is often a greater involvement in things such as quality development, safety projects etc. You will most likely be employed as a level 1.3 if you have three years full-time experience.
  4. 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
  5. 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.
  6. 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.
  7. 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
  8. 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
  9. 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
  10. 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
  11. 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.
  12. 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.
  13. sparticus2008

    2016 US RN to 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.
  14. sparticus2008

    Ask me anything, Australian RN here

    For wages refer to : http://www.qirc.qld.gov.au/qirc/resources/pdf/certified_agreements/cert_agreements/2016/ca32_2016.pdf This will also cover your penalties for weekends etc. You are generally paid based on experience rather than the area that you are working in. For QLD nursing ratios refer to: Frequently asked questions | Queensland Health Most Australian hospitals will use more paper charting than you are used to in the USA. to get an idea of current jobs in the region of Mackay https://smartjobs.qld.gov.au/jobtools/jncustomsearch.searchResults Generally only speciality areas such as ED or ICU offer 12 shifts (can vary a bit between hospitals and states) you can estimate how much tax you would pay using the ATO calculators Calculators and tools_Host | Australian Taxation Office to do your Master of NP at University of Queensland is approx $14000 IF you qualify for a commonwealth supported position Master of Nurse Practitioner - Future Students - University of Queensland You would not be able to get a homeloan for $600k on a nursing salary, more like $350-400k HOWEVER for example ... looking at south Mackay, there is only one house in the $600k region, and it is a massive 9bed 4 bathroom place. Most houses are in the $250-400k range
  15. sparticus2008

    Selection criteria

    The best way to approach this is to use the STAR format (STAR Selection Criteria) Situation, Task, Action, Result. So for example: Whilst on my placement in rehabilitation I managed a four patient load under-supervision of the RN. All of the patients that I was looking after required showering prior to physio at 10am. I identified that three patients where able to shower independantly with set-up only, but one required full assistance. In partnership with the RN I performed the morning observations & medications to ensure that the patients had their pain medications prior to mobilizing. I then set up the bathroom for each of the patients who could shower independantly. Once this was completed I then helped the patient who required assistance to mobilise to the shower and assisted them with showering. This meant that all the patients where showered and ready when the physio team arrived at 10am. Whilst on my clinical placement in theatre I was collecting a patient from the holding bay with the RN, however I identified that the patient was over 65 years of age however had not had an ECG done recently, whereas this was hospital policy for patients over 65 recieving a General Anaesthetic. I contacted the anaesthetic department, who requested an ECG be performed. I notified the RN and theatre co-ordinator of the delay, and informed the patient I needed to do an ECG. I then set up and performed an ECG, i notified the Anaesthetist so that they could review the ECG and then transfered to patient to the theatre.
  16. sparticus2008

    CRNA

    There are Anaesthetic nurses who assist the Anaesthetist, however, there is no scope in Australia currently for Nurses to perform in the role of an Anaesthetist. Also in a number of hospitals they use anaesthetic technicians rather than anaesthetic nurses :)
  17. sparticus2008

    workplace support/policies for nurses with mental health?

    Australian Health Practitioner Regulation Agency - Health assessment
  18. sparticus2008

    First Clinical Experience

    Prac 1 is aged care (1 week) - lots of basic nursing care; toileting, showering etc. Prac 2 is aged care (2 weeks) - similar to prac one :) (you may get hospital placement but it will be rehab/geriatrics, so effectively still aged care) Prac 3 is 4 weeks, can be in any area, for example Hospitals, GP, Community care, Mental Health, Aged care. I did Surgical short stay unit Prac 4 is 4 weeks, again can be in any area, I did orthaepedic ward. Prac 5 is 4 week, you can request an area (no guarantee but they try) I did ICU Prac 6 is 6 weeks, I did Theatre.
  19. sparticus2008

    Best Nursing school in Australia

    There is no simple "this is the best" nursing school in Australia. Different university's have different strengths - whether it be amount of clinical placement, flexibility of study, the location, the staff, the research focus etc. They suit different people for different reasons. Within Australia we have national standards & accreditation, so all recognised courses will get you the exactly the same registration at the end.
  20. sparticus2008

    12 hr shifts in Australia

    You're Allowed (There are no laws prohibiting it) however most of your standard ward nursing doesn't do 12-hour shifts. I've most commonly seen 12-hour shifts in ICU, ED & Labour/Birth (which is staffed by Midwives in Australia, not RN's) The standard shifts however for RN's in Australia is 8 hour shifts, or 10 hours for night shifts
  21. sparticus2008

    Nurses in australia

    To be a registered nurse in Australia you must have at least a bachelor's degree, a diploma is no longer accepted. you may meet the requirements for an enrolled nurse : Nursing and Midwifery Board of Australia - Meeting the registration requirements
  22. sparticus2008

    New Grad Program Salary in Australia

    Hello graduate programs are offered: firstly, to nursing graduates from that state then if all places are not filled they will offer to nursing graduates from others Australian states + NZ basically in all Australian states there is a glut of new graduates . I can't speak for the other states but in WA only about 50% of grads for programs . Some have managed to secure level 1 RN positions, others are working in ages care, GP, clinics etc, others have still not yet got employment
  23. sparticus2008

    New Grad Program Salary in Australia

    You start on a level 1 salary (or equivelant depending on your state) Remember this is only the base rate, you get shift loaded for afternoons, nights, and weekends so your take home salary is often higher
  24. sparticus2008

    8 hour shifts?

    In Australia most common shift pattern is AM: 7-3.30 PM: 1.00 -9.30 and night: 9-7 so a mix of 8&10 some specialty areas such as ICU, ED & midwifery do 12 hours
  25. sparticus2008

    Does Australia have a registration exam

    Hello No there is not a registration exam, completing your degree or an APHRA recognised bridging course means that you are eligible to apply for registration.
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