How to Move to Australia as a Travel Nurse

How  to  Move  to  Australia  as  a  Travel  Nurse

Many want to move to Australia to work as a nurse in search of greener pastures or their love to live in this country. Some requirements are in place for nurses to fulfill before they can practice in Australia as a travel nurse. These are the criteria to fulfill before moving to Australia as a travel nurse.

Registration requirements to Move to Australia as a Travel Nurse

Nurses who declare an interest to migrate to Australia must produce their qualifications and experience to nursing and Midwifery Board of Australia for it to determine if they meet the requirements.

Another body that requires nurses to submit their qualifications is the Australian Health Practitioner Regulation Agency that is abbreviated as AHPRA. There are five basic criteria that these two bodies use require applicants to meet before consideration of their request to work in Australia as a travel nurse. Applicants must do the following:

1.Establish their identity by providing a range of proof of identity documents.

2.Meet English proficiency standards by completing the international English Language Testing System (IELTS) examination with a minimum score of seven in each of these four components:

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Tips To Get The Best Mortgage As A Nurse

Tips  To  Get  The  Best  Mortgage  As  A  Nurse

Many nurses wonder if there are special programs for RNS to acquire mortgages in the same that doctors get financing to buy houses, there are these options for nurses.

Grants for nurses to buy homes

Nurses qualify for national specific nationwide programs for nurses as well as no government-sponsored programs. It is, however, essential to check if the website by some of those who claim to offer loan for buying loans belong to lead generation companies. Some mortgage providers restrict their home loan service to certain states. The genuine stand out for these qualities:

  • A low down payment that is little as 10%

  • No monthly mortgage insurance
  • Adjustable rates with term options
  • Down payment and the closing funds might be gifted

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The Latest Technology in Health Care

The  Latest  Technology  in  Health  Care

The internet and digital technology are changing the world in various aspects of life including healthcare. The healthcare industry is a beneficiary of high tech solutions that improve healthcare and make it more accessible.

1.Robotic surgery

Robotic surgery might not be the newest technology but it has not been in extensive use since its invention, and it is the time that hospitals are inventing its use. The healthcare facilities in developing states are yet to buy surgical robots, so the technology is still new regarding use. Da Vinci Surgical robot performs precise surgery that sometimes achieves more precision than a human being. Another different robot called McSleepy provides the anesthesia. Hospitals are adopting the use of robotic surgery. At least one in four hospitals in the USA has one or more da Vinci robots that a surgeon directs to operate. The newer systems can perform surgery without human input after programming. Studies show the robotic surgery reduces the risk of blood loss for obese patients with cancer. A comparison of surgery by a doctor and a robot shows that those got robotic-assisted operation are less, likely to need blood transfusions. Their stay at the hospital after surgery takes a shorter time than patients that a doctor operates.

2.Smart inhalers

Inhaled bronchodilators and corticosteroids are now the cornerstones of asthma treatment. Corticosteroids control inflammation while bronchodilators provided quick relief when the symptoms the symptoms occur. Both inhalers are efficient, but they require proper use. Unfortunately, most of the users do not know about the proper technique to use the inhalers. Standard care works for around 90% of the patients who take the medication correctly and according to prescription.

3.Bluetooth-enabled smart inhalers

More than half of the asthma patients lack proper mechanisms and knowledge to control their condition, and there was a need to find a solution. It is the idea behind the manufacturing of Bluetooth-enabled smart inhalers that gather data about inhaler use by a patient to guide care.

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Reasons Why Nurses Need Mental Health Days

Reasons  Why  Nurses  Need  Mental  Health  Days

A mental health day off is that which an employee takes a break from work for stress relieve and renewing vitality.

Occupational stress is not unusual for nursing because it is a fast-paced profession that requires tremendous amounts of energy, focus, and responsibility. Nurses need mental health days rather than always holding onto the culture of survival among nurses even when the work environment is difficult to the extent of causing because with time it might cause anxiety and depression. Nurses have to deal with long working hours, short staffing, uncooperative patients and emergencies. Depressed nurses will have difficulties concentrating, thinking critically, communicating and time management.

The aftermath of depression for nurses might cause a lapse in nursing judgment and medication errors. Nurses, therefore, require taking some time off their duties. Sometimes a mental health day off is the best thing that a nurse can do when they are feeling anxious because it allows relieving of stress and prevents burnout. A day off might not solve bigger underlying problems that cause burnout but provides the necessary break to pause, recuperate and return to work with high levels of energy.

When do Nurses Need Mental Health Days

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Are employers missing the boat on nursing benefits?

Are  employers  missing  the  boat  on  nursing  benefits?

Research shows that hospitals with a satisfying work environment and nurse staffing give better nurse outcomes. The nurses report less job dissatisfaction, burnout and intention to leave a job.

A study on employer-provided benefits shows that they play an essential role in achieving nursing satisfaction. They are also a necessary part of the compensation that nurses receive, and most of them are happy about it. However, a significant number of nurses do not have complete satisfaction with the benefits it receives because they feel that their employer does not ask about their interest and some of the things they offer does not make nurses happier.

Wage contributes much to job satisfaction or dissatisfaction depending on whether the nurses feel that the amount of pay they receive is enough. Salary also has much influence on an intention to leave but does not change burnout. Work environment and patient to nurse ratio have a considerable effect on nurse satisfaction and patient outcome. Wage is essential to making nurses, but some employers do not know that it does not mean everything to nurses. The pay that nurse receives still does not diminish a significant influence of the staffing and work environment.

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Are For-Profit Nursing Schools a Good Choice?

Are  For-Profit  Nursing  Schools  a  Good  Choice?

For-profit nursing schools are those without any funding by state or another agency. They are in the business of offering education and provide offer nursing training to make a profit.

There are many for-profit colleges around the world exceptionally most developed countries such as the United States. Some have a wide range of degree choices, but some focus on specific fields within nursing.

Most of the programs are customized for the working class that needs the flexibility to balance their career responsibilities and earning a degree mostly online without minimal on-campus interaction. Some of these for-profit nursing schools might not have a campus. They provide everything online except administration and testing. Most of the private nursing colleges use the claim of providing programs that enable students to earn their degrees in less time. They can fulfill the promise, but it comes at a higher cost.

A challenge for many students is that some for-profit nursing schools are expensive and the cost of pursuing a course might be expensive than studying at some four-year universities. It is essential to consider some factors before selecting a for-profit nursing school even if it offers accredited degrees in a shorter period because the approach to education might be different from what you require.

These are the factors that potential students should consider when comparing for and non-profit nursing schools and also side by side with other private institutions offering similar programs.

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What’s the difference between progressive care and intensive care?

What’s  the  difference  between  progressive  care  and  intensive  care?

Hospitals admit patients who require critical care in regular or intensive care units. Both units serve critically ill patients who need special care, but they are different in these ways;

Progressive Care

Hospitals might use progressive care for varying purposes in different facilities, but most utilize it as an intermediary step between an ICU and a medical/surgery floor. The patients in this still need a high level of specialist nursing surveillance and care although they are more stable than the patients who require critical care. They receive care in a specialized facility called the progressive care unit. Others refer to it as step-down, transitional, intermediate care or telemetry unit. PCU is a unit specializing in treating surgical and medical patients who are in a condition that is too complex for attention at regular hospital floors but not serious to warrant admission at intensive care unit.

The nurse to patient ratio at PCU is higher than in ICU standing anywhere from 1-3 to 1-5 patients which is still lower than a med.sug unit. Some hospitals offer general progressive care, but others have more focus on specific conditions such as cardiac care. PCU patients receive treatment for various pulmonary and cardiac problems. It includes the patients who have begun taking potent drug regimens requiring monitoring. Other patients who are likely to need progressive care are those with:

1.Stroke

2.Defibrillators

3.Myocardial infractions

4.New pacemakers

The nursing care that PCU patients require is more than what they can get at general nursing units. For a reason for more attention, PCU personnel must work in close-knit environments with more support staff that those in general care units. PCU has an additional nursing staff including nursing assistants, unit clerks and patient care technicians. Progressive care in different hospitals might vary. Some of the progressive care units offer specialized help with a design that focuses on caring for a specific segment of patients like those with respiratory or cardiac problems.

Others have a design to eclectic focusing on care for a wide assortment of patients.

The name of a PCU might also vary in certain hospitals. Some hospitals might call them by other names like intermediate care unit. The units might also vary in size. Some hospitals might have 12 or fewer beds while others have up to 30 beds. Patients receiving progressive care get extra nursing care for their medical conditions and close monitoring but not for the same level of intensity of patients in ICU. The health status of the patient in PCU often is improved to the extent that the patients under close monitoring can start eating, stand and probably move around.

Intensive Care

This type of care as the name indicates is for the patient who requires the highest level of care that stabilizes the condition. Patients receive intensive care in an intensive care unit (ICU), a special facility in a hospital or other healthcare facility to serve the extremely ill. People also refer to ICU by these other names.

  • Intensive treatment unit
  • Critical care unit (CCU)
  • Intensive therapy unit (ITU)

A patient admitted in an intensive care unit requires constant monitoring. The monitoring involves the use of specialized equipment that might include cardiac monitoring, mechanical ventilation and multiple IV lines.

ICU patients are unstable and might be relying on a range of equipment such as artificial ventilators for patients who cannot breathe and most of the machines beep or set off an alarm to alert staff if the condition of a patient changes. There might be much medical staff in ICU, but each patient is likely to have a dedicated specialist nurse to check any life support systems and other equipment regularly. The patients in the unit cannot feed without help. Most rely on several tubes for input of nutrients or fluid while others remove fluids out of the body.

ICUs usually have a large care team that might not provide care at the same time, but each of them provides service that complements the care beach professional to save the life of the patient and enable healing. The specialists who make up the team of an ICU team include:

  • Physicians
  • Nurses
  • Patients care, technicians
  • Physical therapists
  • Pharmacists
  • Dieticians
  • Respiratory therapists
  • Critical care coordinators

Since the patients at ICU are in critical condition, the nurse to patient ratio is low with most hospitals assigning one nurse to one or two patients only. They work in shifts to offer round the clock monitoring.

Both progressive and critical care requires a team that offers extra care and surveillance. The intense care in these units is responsible recovery from life-threatening illnesses and injuries.

How to Perform IV Insertion on Very Fragile Veins

How  to  Perform  IV  Insertion  on  Very  Fragile  Veins

IV insertion is inserting a needle into a peripheral vein to administer fluids, medications or blood. IV allows venous access also to enable sampling of blood, parenteral nutrition and chemotherapy.

A nurse must be ready for challenges that occur during IV insertion and build skills to overcome them. One of the difficulties that they encounter is patients with moderate to severe fragile veins. Some patients also have thin, dry skins complicating insertion further and increasing the risk of injury as well as susceptibility to infection. Many instances will require IV insertion and the patient trusts you as the nurse to insert without complications. Nurses should develop tips and strategies to insert an I.V device without causing harm to the patient.

1.Apply only minimal friction

Avoid applying too much friction as you prepare the skin if it fragile due to factors such as age. Too much friction on a sensitive skin might damage the surface tissues and put them at more risk of bacterial infection.

2.Avoid tourniquet much as possible

Do not use a tourniquet to facilitate IV insertion in a patient with very fragile veins unless it is vital. It is essential to be careful when handling older patients because many of them have dilated veins and tourniquet in such instances should be out of the picture. Choose light material tourniquet if it is necessary to use it. Apply it lightly but remove son after you notice some backflow of blood in a cannula. Improper use of a tourniquet on a patient with very fragile veins may cause venous "blow," skin damage and formation of a hematoma.

3.Use the smallest size of catheter available

The type of therapy that a patient should receive determines the gauge of a catheter to use for IV insertion. Nonetheless, health practitioners should choose the smallest size available to prevent possible damage in patients with fragile veins. The standard practice for IV therapy is that patients with delicate veins according to infusion nurses society should only get gauge 22 or 24. A catheter that is too large for vessel lumen can cause irritation as well as mechanical phlebitis and possible thrombus formation.

4.Insert the catheter slowly

Inserting an IV device for patients of all ages should be slow and steady. There should be no rush when inserting. You should use a bevel-up approach to slowly insert the needle on top of a vein to ensure that it stays stabilized. Try to keep it almost flat with a patient’s skin or at an angle of 20 to 30 degrees. Start by penetrating the vein with a single short stroke then slowly advance the needle and cannula. It is essential to begin by determining the proper needle-skin angle to use and provide good skin traction for stabilizing the vein before you proceed to IV insertion. You should from here use a bevel-up approach by slowly inserting a needle on top of a vein making an angle that is almost flat with the skin especially for dilated veins that are visible through the skin surface. You should take your time to insert to avoid causing more damage and harm to the veins.

5.Use a paper type tape to secure the catheter.

Dry skins can get unnecessary damage if you use silk or plastic adhesives for securing the IV catheter. Paper-type tapes are the best method to maintain IV safe insertion for patients with unstable veins and sensitive types of skin. Use an adhesive solution to simplify the process of removing the adhesive with ease and without causing more damage to the skin.

Some factors can make a vein to be too fragile to pass an IV catheter. Aging, use of illicit drugs, long-term use of particular prescription drugs, heredity and exposure to UV rays are among the factors that cause fragility in a vein.

It is impossible to change the state of a vein immediately hence the need to use the above strategies to make it simpler to perform IV insertion. A long time measure is to educate the patient on how to improve the condition over time. Patients can reduce and prevent veins from becoming fragile by these ways;

  • Avoid excessive exposure to the sun

  • Use moisturizers
  • Eat a balanced diet with much protein
  • Take an adequate amount of fluids

Practice and learning how to perform IV insertion on very fragile veins simplifies nursing work .it also reduces discomfort and risk of infection to the patients.

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Nurses spend a lot of time with their patients as it is part of their healthcare system. It is part of their job as they get lots of opportunities in observing and monitoring patients to see how they are faring and spot problems early. Understanding how to asses a patient’s wellbeing i.e. checking his or her pressure and temperature is part of her daily routine. Undertaking this career often leaves nurses with lots of questions. Many are not always content with their selves as it is a process which requires deep preparations and the right attitude for the job. Nurses are in demand for their services in many healthcare centers. It is also evident because many schools require admission letters of purpose before joining. Nursing skills are vital in preparing yourself for a future of serving and caring for others by learning and acquiring upon the skills and characteristics needed to succeed on the job. Many clinical skills are important that will help you achieve greater strides in your career.

1. Good communication skills

Nurses are always on the frontline of care. Many will have to pass critical information that is coming from a physician to a patient. He or she must create an open dialogue with patients and their families so they fully comprehend medication, diagnosis or any other medical concerns that may be in need. Clear concise information amongst fellow colleagues is key as it involves sharing of responsibilities and caring for your patients. Many nurses find themselves sharing information with critically ill patients or their doctors. Strong communication is critical for achieving this.

2. Possess critical thinking skills

For one to be admitted to the nursing field, critical skills are vital to employing in your everyday life situations. Crucial decisions need to be met and solved on the spot as it always a matter of life and death. Showing confidence and quickly mitigating the issue is necessary to the nursing profession field.

3. Flexibility

Nurses often meet surprises in their daily operations. Emergency situations are constant in their day to day operations. Many nurses should be able to juggle the strenuous schedules that they have. Showing the capability to adapt to the evolving schedules is imperative to them succeeding. Apart from acquiring skills, nursing must constantly attend remedial classes or go back to books to improve their nursing skills. as the world continues to evolve so is the emergence of new medications and diseases that should have them prepared for the rest of their careers.

There are multiple sources for improving nursing skills. resources help improve a nurse’s competency in the profession and provides an overview of procedures or the desired outcomes that need communication with the patient’s family. Nurses can also improve their skillsets by acquiring additional resources that include resources covering a wide range of topics that relate to their communication skills, critical thinking skills and about drug information.

Enhancement of your clinical skills also includes accessing drug information and also knowing those that contain precautions, side effects before administering them to patients. Another way of enhancing your skillset is by continuing to work on education modules that will help expand their knowledge capacity and thinning areas. Having a broad scope of knowledge is beneficial to one’s career. Many diseases are emerging in this fast-paced moving healthcare environment. One can increase their skills with additional resources that includes going through research information’s found in clinical libraries and textbooks covering a wide range of topics. Nurses can greatly improve their skills through resources which focus on many areas of clinical nursing that include patient care, technical, nursing, communication, and critical thinking skills as stated above.

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Assignment Details: 

Post a substantive 250- to 400-word response to the

  • Select one of the stories presented in Chasing Zero: Winning the War on Healthcare Harm (Links to an external site.), and research additional background information as necessary.
  • Provide a summary of the story, the errors, and how those errors can be prevented.
  • What strategies can APNs employ to prevent errors and contribute to a culture of patient safety?
  • What challenges in the implementation of continuous quality improvement (CQI) have you observed in your own clinical practice?

Introduction

Chasing Zero: Winning the war on Healthcare Harm is a documentary that  looks at the growing problem of medical errors will providing various ways and ideas  on how the risk could be reduced.  The documentary shows a list of medical errors and how these errors have on a family life as it also describes the way that the families have been affected.  Among the errors is the medical negligence when Dennis and Kimberly Quaid twins were accidentally given Heparin (1,000 times stronger) in the place of Hep-lock, fortunately for them it did not cause death to the lives of the twins (TMIT, 2012).  Also the other error was due to the fact that Heparin and Hep-lock were stored in a similar colored bottle and were also labelled the same way which made it difficult to know the difference (TMIT, 2012). 

From watching the documentary it is evident that some of these errors can be avoided by APNs and promote the culture of patient safety. One of the ways includes improving the old system and processes of administering or labelling medication and coming up with new ones (TMIT, 2012).  For example having a checkbox list is one of the ways that resident surgeons can use to prevent errors. Also the barcode technology is among the safest ways to check for medication safety before administering it. 

One of the challenges that I have observed in the implementation of continuous quality improvement during my clinical practice has been poor coordination between the various departments of patient care (TMIT, 2012).  There is also poor communication between nurses and the system of care which does may promote various medical errors.  It thus important for APNs to educate themselves about problems of patient safety and the potential solutions to improve care within their environment. 


 

References

TMIT. (2012, August 3). Chasing Zero: Winning the War on Healthcare Harm. Retrieved October 17, 2019, from https://www.youtube.com/watch?v=MtSbgUuXdaw