Questions & Answers

The Changing Nursing Workforce.

Wednesday, September 1st, 2010 by NU_admin

One of our new forum members Krishna had some interesting thoughts on the changing nursing workforce. So much that we thought it deserved a blog post. We’d be really interested to hear your views so share them below!

knowledge

She has been nursing for 30 years and says she has noticed a shift in “life values” between the 70’s-80’s trained nurse and the upcoming young grads of today.

“But this isn’t a bad thing,” she says.
“In the 80’s we looked up to Alan Bond and Christopher Skase for ‘how to make a quid’. Well…really…where did that get us? We worked and worked, to pay for the pools, the McMansions, the overseas travel, the gadgets. We commuted for up to two hours a day to work….are we insane?

Then the ‘new breed‘ came. The grads who go part-time after a year or two. The “life-stylers. I take my hat off to them. Sure they want to travel, but they don’t yearn for the stuff we did.

Where does that leave the nursing profession? With not many 3rd-6th year nurses working full-time?
Have a look around your ward. How many are “babies” newly graduated, how many are in the middle group and how many of us “crusties’ are on your staffing profile? Where are the 3rd-6th years??

If we look in to the future of the nursing workforce we have to understand what drives the newly graduated today. It is certainly not the hierarchical response of the past (do as I say.) They have the power to leave. And this will impact on our profession significantly within the next 10 years.

The change is happening. So, for example, when NSW health wants to trial “pattern rostering” like in Hunter New England, why would a young person stay?

What is happening in the private sector? Or, more significantly, in aged care? The vitriol is alive and well with the ‘party’ spin-doctors but let’s see what really unfolds. A “Hung parliament” might actually be a good thing to shake up the two major parties. We’ll “watch this space.”

Bernhard agrees that there are more RNs of less than five years post-grad experience in areas that used to have regular ‘long-term’ nursing staff.

What do you think? What is your staffing profile made up of? What drives the new graduate today?

Image credit: University of Miami.

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This post was proudly brought to you by the NSW Nurses’ Association.

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Casual Staff and Overtime…Can You Help?

Monday, August 30th, 2010 by NU_admin

Are you employed on a casual contract? do you know all the rules, regulations and entitlements?

One of our recent forum questions was on casual staff and whether they are eligible for overtime if working more than 40 hours in a week…can you help?

Q: Is a casual pool employee eligible for overtime if over 40 hours are worked in any one week period?

nurse ovetime

Amanda63 thought casual staff could not be paid overtime due to the fact that they ARE casual.

“In the public award, as far as I’m aware, casual staff do not attract overtime due to the fact that they are casual. This has been a point of debate for some time with the casual staff, particularly if you are doing more than 8 hours straight on the same day.”

Amanda63 also says: 

“Many may not be aware but in the public hospital system the award states that on Sundays an employee doing overtime will be paid double time from the commencement of the shift (not time and a half for the first two hours), and double time and a half for public holidays.

“Sunday and public holiday overtime attract different codes to overtime at any other time when entered in to the computer.”

What do you think? Do you have any advice for casual staff?

Can you help with this question? Do you have any feedback?

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Image source: Christiana Care

This post was proudly brought to you by the NSW Nurses’ Association.

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Leaving on a Jet Plane…

Wednesday, August 18th, 2010 by NU_admin

From time to time we go back and check out past questions asked by our forum members. In April Starrie asked if anyone had feedback from working overseas. She wanted to work overseas but wasn’t set on any particular destination.

plane

“Hi–I want to work overseas and was wondering if anyone had any feedback about their own travels? At this stage I’m not sold on any one destination, although not sure if I’m keen to work in the UAE. Any tips, recommended agencies, do, don’ts MUCH appreciated! Thanks.”

A few of you put your two cents worth in.

Some of the best advice was:
- To register with overseas nursing agencies to make the job-hunt process simpler.
- To contacting nursing agencies overseas and start the paperwork before you even leave home, so when your turn up the process is a lot easier.
- To ask agencies for advice of visa requirements.

Nursing abroad.net says working overseas can be a very rewarding and valuable experience, offering challenges and a new outlook on health care. Many nurses find that the experience enhances their development and increases their confidence both in a personal and a professional capacity.
Opportunities for nurses to work overseas are varied, ranging from working with development organisations in remote, rural conditions, to working in developed countries in highly technical environments.

There will be many positive reasons for wanting to nurse overseas, including the challenges of working and living in another country with a different culture.
Nurses from the UK who are looking to work in other developed countries may be attracted by higher salaries and a better standard of living or a warmer climate.

It is important to understand how the health sector in a country is organised. There may be very different working practices for nurses, even in developed countries. Learning the language of the country will be important as it will be difficult to practice safely and completely without a good command of the host language. It will also make the work more interesting and enjoyable.

What other advice do you have on working overseas? What countries have you worked in? Can you share some of your experiences?

Maybe even write us a guest blog about your experiences nursing in foreign lands. Contact us at admin@nurseuncut.com.au with your stories!

Image credit: Kossy @ Finedays.

Sources: Nursing Abroad and Overseas Nurse

This post was brought to you by the NSW Nurses’ Association.

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“Between the Flags” your thoughts?

Tuesday, August 17th, 2010 by NU_admin

The launch of the standardised observation chart with a colour-coded warning system, dubbed ‘Between the Flags’, was implemented at all NSW hospitals this year.

The program was dubbed “Between the Flags” because it was based on the way Surf Life Savers keep watch over us and ensure we remain within safe boundaries.
Research into health systems around the world shows that some warning signs can be recognised earlier.

Surf flags

Between the Flags supports doctors and nurses in knowing these signs, making clinical decisions on when to seek help and what sort of help is needed.
The chart dictates exactly what action staff must take when a person’s vital signs (obs) fall within the ‘yellow’ zone, which indicates early deterioration and the need for a clinical review, and the more critical ‘red’ zone, which calls for a rapid response.

The standardised system improves the way medical staff recognise and respond to patients who are clinically deteriorating.

A question regarding mandatory obs was raised by Bookworm, one of our Nurse Uncut members in our Forums:

“Since between the flags came in it is mandatory to do obs on patients at least three times a day. This is not required for aged care patients in a designated aged care unit.
I work on a Medical ward and we average half of our patients waiting for placement. A few have been with us for two years. Apparently we might get around the requirement for tds obs if the docs change the frequency and document it on the obs chart.

We have enough trouble trying to get altered calling criteria. We’ve tried to get them to document altered obs frequencies on the obs charts but then you have to get them to do it every week with the new chart.”

Has anyone else come up with a solution to this?”

What are your thoughts?

Does anyone else have trouble getting altered calling criteria?

Has anyone had trouble adjusting to “Between the Flags”?

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Image credit: Horizon 2035

Sources: NSW HEALTH; NSW NURSES’ ASSOCIATION.

This post was brought to you by the NSW Nurses’ Association.

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Public Holidays equals respite for Nurses. Is this a myth?

Friday, June 11th, 2010 by NU_Editor

It’s the Queen’s Birthday holiday on Monday (14 June) here in Australia and I wondered, do nurses get the option of having their days off to coincide with these statutory holidays so they can enjoy some time with their families?

queens birthday

In order to find out, I run a small poll at our Facebook Page and this is what our Aussie nurses have to say:

  • I am working the Monday but only b/c every Monday I am on whereas the rest of the weeks days, it is one or the other is a roster.
    I am in Aged Care. It can be more ‘quiet’, dare I say it…on Public Hols (no ‘distractions’ from Admin/docs/physio etc).
  • I am in Age Care as well , its the same as every other day except for our salary
  • Me too, it”s my rostered day on, same as every other day, no admin, and better rates…I don”t know the meaning of public holidays anymore…..
  • Public holidays in aged care….the only days when we are paid nearly what we are actually worth…lol!
  • I’m on casual nurse bank in a hospital and managed to have Monday prebooked so I’m rapt. I would never usually get a shift on a public holiday.

It seems that most nurses like to work during the statutory holidays because of better pay!

What about you? Which statutory holidays would you like to work and those that you want to be given the days off?

What are the policies in the hospital you work in? Especially during the Christmas season and Easter Holidays? Do you get Christmas Day off then work on New Year’s Day?

Photo courtesy of AlphaVille

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Nurses do anything illegal, Occupational Health & Safety Officer gets fined

Monday, May 31st, 2010 by NU_Editor

This is a question raised by Nursezilla, a Nurse Uncut member in our Forums.

occupational health and safety nsw

occupational health and safety nsw

So is it true? If the nursing staff do anything illegal and they get hurt, the Occupational Health and Safety Officer in their facility gets fined?

A helpful comment from Shoils eased the worry of Nursezilla:

The onus is on the individual nurse if:

  • the OH&S team is meeting regularly and making improvements
  • the education is taking place and the officers are doing everything in its capacity to prevent injuries and problems and
  • as long as there is a paper trail of all of this in the form of documentation

It is only if issues have been raised and nothing gets done about it and there is no education on “no lift, no injury” and there is no supporting equipment etc then it is the OH&S team that is responsible.

You have to make sure that you have done everything possible to prevent injury in the work place. Also there is a thing called vicerious liability where your employer must take legal responsibilty for you thus if the problem falls on you then they have an obligation to help you.

What are your thoughts on this? Of course, this is Shoils’ individual opinion and that any OH&S team member must read the manual provided to them regarding the matter.

We will pass this question on to WorkCover Authority of New South Wales and see what response we get.

Watch this space!

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My year in review (from Shirley)

Sunday, January 24th, 2010 by shoils

Nurse Shirley shares her 2009 memories and highlights…    ist1_7766439-calendar-day-31

1.  What did you do in 2009 that you’ve never done before?

Write blogs and give birth and get pregnant again in the space of 6 months.

2. Did you keep your new years’ resolutions, and will you make more for next year?

I don’t make NY resolutions as I can never stick to them.

3. Did anyone close to you give birth?

I gave birth to my 2nd daughter on the 29.04.09.

4. Did anyone close to you die?

Thank goodness no one close to me passed away.

5. What country did you visit?

No overseas travel this year.

6. What would you like to have in 2010 that you lacked in 2009?

A big house with a backyard in North Shore suburbia.

7. What date from 2009 will remain etched upon your memory, and why?

29.04.09 for the obvious reasons

8. What was your biggest achievement of the year?

Being a mother a 2 beautiful girls and still remaining somewhat sane.

9. What was your biggest failure?

Spending more money than I care to.

10. Did you suffer illness or injury?

No, thank goodness.

11. What was the best thing you bought?

My car ( Holden Captiva LX)

12. Whose behaviour merited celebration?
I lost 13kg in 3 months through hard work and dieting.

13. Whose behavior made you appalled and depressed?
No one I try not to have expectations of anyone that way I don’t get upset or depressed.

14. Where did most of your money go?
Car and living expenses.

15. What did you get really, really, really excited about?
My brother coming to visit with his family for the 1st time in 2 years.

16. What songs will always remind you of 2009?
Hmmmm I haven’t listened to adult music in 2 years!

17. Compared to this time last year, are you:
i. happier or sadder?  Happier
ii. healthier or sicklier? Healthier
iii. richer or poorer? Much much poorer

18. What do you wish you’d done more of?
Go on Holidays with my family

19. What do you wish you’d done less of?
Nothing! I regret nothing.

20. How did you spend Christmas this year?
With my husband’s family and with my family.

21. What was the best book you read and why?
The Immigrant by Manju Kapur. It is a really captivating story. And, if I can read it tired and brain dead feeding in the middle of the night it’s got to be a good book!

22. What did you want and got and what did you want and did not get?
I wanted and needed a bigger car and got it. I wanted and needed to sell our town house and buy a house but didn’t.

23. What one thing would have made your year immeasurably more satisfying?
Winning Lotto but I guess you have to play it to win it (lol).

24. What political/health/work issue stirred you the most?
The ever ongoing conflict in the middle east.

25. Tell us a valuable life lesson you learned in 2009:
With kids you just HAVE to go with the flow.

Thanks for sharing!

Now, what about you? Anything you’d like to share from 2009 too?

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Christmas Holidays mean Compromise for Nurses

Thursday, December 24th, 2009 by niknak30

I was having a think the other day when asked what nurses do at Christmas and I realised that the biggest thing we do is compromise. From what I hear, most nursing shift work roles have a work one or the other policy over Christmas and New Year but it seems to vary as to what the various area consider “working”.

John Hunter Hospital-2

Persoanlly I believe that an evening or night on Christmas Eve and then any shift on Christmas Day should be considered working and an evening or night New Year’s Eve and a morning shift New Year’s Day. I am sure we all have varying opinions on what you would say “working” should include. I also believe that the reasons we have that opinion relates strongly with the our own holiday activities.

I have though had to re-evaluate my beliefs this year because I am now working 12 hour shifts and whilst I would never have considered working a day shift on New Year’s Eve as “working” the new year, I now finish work at 8pm and I have about 45 minutes travel home. So, that being the case I will most likely miss my annual ritual of the nine pm fireworks with my son and friends.

As nurses, we don’t have the luxury of having every public holiday off work and sometimes it is hard for our families and friends to understand why it is that we have to work. I do often think when I hear nurses complain about it that they knew what they were getting into when they took on the role of a 24-hr job, but the people we care about didn’t.

Should people with children get Christmas off and work New Year? I don’t think so, and I am a mother. I believe that everyone is someone’s family and that whether or not we chose to spend it with our family, I think we all have equal rights to a fair share of holiday time.

What do they do on your ward? Is there a system that works well?

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Why do Agency Nurses get More pay? – Do They??

Wednesday, December 16th, 2009 by NU_Editor

Everywhere I go, I hear comments about that agency nurses get better wages.

I hear it from hospital nurses, from nursing administrators, and sadly even from the agency nurses.

How easily they are deceived!

horrified expression

“Earn $42 an hour NOW – Join <Insert Name Here> Agency! lots of work!” – and off they run!

Too bad they don’t look at the figures. You should never work for an agency that doesn’t pay you a percentage of their commission ON TOP OF your wages.

Before I explain the maths, let us hear your thoughts:

  • Do you work as an agency nurse?
  • Are you paid more?
  • Do you work for a hospital?
  • What do you think of agency nurses? of them getting more money?

Have your say!

By: Bernhard

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Advice Needed: 3 Questions for You

Saturday, October 3rd, 2009 by NU_Editor

An image of old paperSome of our friends and visitors here at Nurse Uncut are seeking some advice.

A student, alfigjam, asks:

I am currently doing an acute care case scenario and my patient is on IV Tramadol 100mg 6/24 . I have looked in MIMS and other drug books and I can’t find IV Tramadol. Is there such a thing?

Share your advice

emmalou, a new nurse educator, asks:

Hey there. I’m new in the role of clinical nurse educator and I’m looking for a one day workshops in preceptorship for my staff. Any ideas? I know the College of Nursing runs one but it won’t be on again till next year. Any advice/hints would be great? Thanks!

Share your advice

jollygaly, a new nursing graduate, asks:

Hi there! ‘hope someone can give me tips with this. I am a new grad, wanting to apply for an RN job. How will I fill the job specification in the application forms? Thanks in advance.

Share your advice

Please share your advice on these other topics too:

If you need any help or advice yourself, please feel free to share your questions at our Help Forum.

Image source: Mykola Velychko (via PhotoExpress)

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