Tips and Advice

Are You Getting Enough Sleep?

Tuesday, August 31st, 2010 by NU_admin

Sleep is important for everyone. But for nurses and other healthcare workers - who can cause serious injury to others if they are careless for even a moment, it is even more important.

sleep

But how are you supposed to get enough when you’re switching from a morning shift, to an afternoon shift, to a night shift? You come home and the sun is shining, cars a driving by, people are talking, and dogs are barking.  You arrive home, have breakfast, greet your family, then head to the bedroom, draw the curtains, and go to bed. All the while your body clock is thinking ‘what the heck is going on?!’

All adults require seven to eight hours of quality sleep each night. Sleeping during the day is not as restorative as night sleep.

Nightshift workers, especially those with unpredictable shifts rarely get the amount of sleep they need.

There are numerous suggestions for helping nightshift workers sleep better but do any of these really work? 

  • Wear sunglasses on the way home from work. It signals to your brain that your shift is over.
  • Nap during your lunch break. Studies indicate that just twenty to thirty minutes of sleep can make you more alert.
  • Limit your caffeine and only consume in the first four hours that you are awake.

Do you think these tips work? Or is sleeping well during the day just something you have to get used too?

How much depends on the individual? I have two family members that regularly work nursing night shifts. One swaps back and forth between morning, afternoon, and night and always feels like a ‘zombie’ even after having a decent sleep, the other works nightshift four nights a week, every week and can sleep anywhere at the drop of a hat, and wake up completely alert and ready to go. She has no problem sleeping at night on her nights off either.

So what’s the difference? Is that the ‘routine’ that makes the difference? Or does it depend on the individual?

We would love to hear your thoughts!

Image credit: pedrosimoes7

Make sure you’re updated with the latest on Nurse Uncut, subscribe to our FREE NEWSLETTER 

Don’t forget to enter our SPRING CONTEST

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

  • Share/Bookmark

Nurses, ice cubes can save your life. Surviving the Night Shift.

Thursday, August 12th, 2010 by NU_Editor

We recently ran a competition here at Nurse Uncut on the “best nursing tips”. We found the tips not only helpful to student nurses or those new in the nursing profession but also to veteran nurses who’ve got 10, 20, 30 years of nursing experience under their belt. As they say, you always learn something new every day!

ice cubes

Here is one practical, easy-to-do tip that we’d like to highlight. It may even save your life!

We all know the strains on our safety (more than health, though they are both connected once you run into that tree!) –

Before you leave, grab a cup of ICE CUBES from the ice machine (most hospitals should have one) – if not , be nice, stop at McDonalds asap after the night shift, or a pub! – and get a cup of ice. – The MOMENT you feel your eyes tire, suck on an ice cube – you will “WAKE UP” almost immediately! – and take an ice cube to suck on while you drive whenever you get that “my brain wants to die” feeling – you will be so alert you actually remember the entire trip home. I have used this system for years, and recommended it to dozens of people, from nurses to police, musicians, truckies.

Remember that you do NOT have to be tired to get a microsleep – the ‘flickering’ of the light through the trees, or a boring bit of road, will do it to you – it’s called mesmerism. Tell your kids and spouses about this, unless you want them to be killed by you one day. Let them give you the ice cubes – they’ll see your eyes tire, or notice you swerving, while you claim you ‘avoided hitting a bunny’ or some other lame excuse.

Is there a study of how many night nurses had acccidents and/or died on the way home after a shift?

With the ice, they’d be here now. Choose your future – and so cheap to implement, and easy to try and disprove, so I challenge you – try it and respond.

If you have any other tips, please share it with us by leaving a comment on this post.

Make sure you’re updated with the latest on Nurse Uncut, subscribe to our FREE newsletter!

Image credit: sxc.hu

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

  • Share/Bookmark

Keeping the Bugs at Bay – What are your tips?

Wednesday, June 23rd, 2010 by niknak30

hand_in_hand-ilco-sxcIt is that time of year again and people are doing all they can to stop themselves from getting the common bugs that find their way from person to person faster than the speed of light!

I am thankful that it seems people are becoming more accustomed to hand hygiene being a part of every day life. Sanitisers of various types are much more visible in the community – in public toilets as an alternative to the standard soap and water, in RSL club bistros, at the nail salon, in schools and in the foyers of many hotels and hospitals. It is also much more common for people to carry a pocket sized sanitiser in their handbag or car for when needed. As an isolation nurse I am obsessed with the stuff and thankfully my 12 year old son (and lets face it, he is of that age where cleanliness is not a priority) is now well practised in hand hygiene.

My boyfriend swears by a much more old fashioned method of preventing colds and flus and that is eating garlic with every meal in some form. He has even been known to eat a garlic sandwich at 11pm just because he believes it will help.  As a pharmacist’s daughter I am all for whatever medications are required but my boyfriend just sticks to the garlic.  He adamantly believes that it is all you need.

I think trying to eat a well balanced diet is probably your best defence against the ills and perhaps staying away from anyone who you know is unwell.

What is it that you do to keep the bugs at bay? Does it work? Do your loved ones think you are crazy for believing it?

  • Share/Bookmark

Healthy Eating Is Not So Hard (with a Free Recipe!)

Tuesday, February 9th, 2010 by shoils

I don’t know if you read one of my latest blogs about obesity, but I thought I would counter balance it with a blog on healthy food and healthy eating.
vegetables

As we all know the benefits of heating healthy are endless, and if we put our minds to it, and do a little search,  we can find healthy recipes that taste oh so good.

People often associate healthy food as being boring, lacking in taste and the same old green rabbit food. My friends this is not the case, there are many many recipes that have high nutritional value, are low in calories and taste amazing.

I started to really search for healthy alternatives when my 1st daughter started to eat solid foods. At first it was quite daunting as I hated cooking, it was so time consuming and seemed so difficult and complicated, but in reality not so. The more I cooked, the more I enjoyed it, the more I would search for recipes to tackle. My daughters are the toughest critics (as anyone with toddlers would know) and when you have made them something to eat that they enjoy that is full of vegetables and protein your feel quite chuffed I must say.

The recommendations are (and I’m sure you all know) to eat 5 veg 2 fruit a day, you need protein in your meals and complex carbohydrates ie grainy bread, whole grain cereals, or vegetables. How many people do you know eat 5 veg a day? Well, it actually isn’t that hard. My family and I average about 7-8 veg a day and I try to get as many of the different coloured veg as I can in ie red, green, yellow, orange, white.

Lots of people that work full time state that they don’t have the time to cook complicated meals, they are too tired and it is easier to take that pre-packaged frozen food and stick it in the microwave, or order that pizza, or wack the nuggets, frozen fish or chicken in the oven. But the truth is these foods are high in salt, preservatives and high in calories. They all seem like healthy meals, they state on the packet that they are low in calories, contain real meat, full of vitamins etc but don’t be fooled my friends. If you look at the ingredients you will see preservatives disguised as numbers, sugar is added unnecessarily, and the salt content is very high.

To make the food from scratch really doesn’t take that long, and many foods you can freeze and save for later. I discovered wonderful recipe web sites when I was very pregnant about to give birth to my 2nd daughter. I wanted to fill the freezer full of food so that when I was in hospital my husband had good tasty food and he could feed our older daughter food I was happy to give her rather than rubbish. All I did was google recipes that freeze and many web sites came up. If you are really pressed for time and hate cooking you only need to cook once a week and freeze your meals in portions so you can come home, stick your food in the microwave and eat, Just as simple as your pre-packaged frozen food but without the preservatives and high salt content. You can also take these foods to work to avoid having to buy your lunch.

The weekly cost of buying your lunch is very damaging on your budget, $10 a day even if it is healthy food like a salad doesn’t sit well on your pocket. Bringing your lunch from home can sometimes be dull the same old sandwich, greens in a small Tupperware box, can of tuna on the side, cup a soup etc, makes me cringe just thinking about it. Let me give you some very healthy recipe ideas that are outside the box.

Recipe for Zucchini Slice

(full of veg, had protein and really quick and easy to make)

Ingredients:
2 zucchini’s grated
1 carrot grated
1 red capsicum diced
1 onion chopped
1 cup self raising flour ( I use wholemeal flour but you can use what you like)
6 eggs
1 cup grated cheese
¼ cup parmesan cheese
2 chorizo sausages or 100g ham or bacon or I poach chicken in chicken stock and garlic
For 15 mins and shred it.

2) Pre-heat oven 180 degrees Celsius

3) Place all the ingredients together add salt and pepper to taste pour into a non stick lamington tin, sprinkle parmesan on the top and bake at 180 Celsius or until golden.

This recipe freezes so you can cut it into individual squares ready to pull out when you need it for lunch or you kids dinner.

Soup would have to be the easiest thing to make and freeze!! You put whatever veg  you desire add water till the veg is covered add salt pepper whatever herbs you want ie parsley, dill, garlic etc bring to the boil, then simmer until veg are soft and blend all together.

This freezes as well so put it in portions and take out as needed.

I could keep going and going with the recipes but we would be here all day   but as you can see it is not difficult to make tasty healthy low calorie foods, all you need is access to a computer for the recipes, good produce and 1 day a week to cook ( if you don’t want to cook everyday)

What are some of your healthy recipes? Let’s start a place where nurses can swap recipes that are tasty and healthy that we can take to work. Let’s help us nurses get healthy in 2010.

  • Share/Bookmark

Tips for Juggling Work and Study

Friday, February 5th, 2010 by patience

octopus womanSo, you’re thinking of studying while you work full-time? How do you manage it? Here are my tips for managing a full-time job and  successfully continuing with your nursing education.

Study at any time takes some commitment so you really have to think about where you are in your life because that will impact on your capacity to study. Any big life stressors will certainly interfere with your ability to learn. So, start with some socratic questioning.

What specialty am I interested in? Is there a course for this specialty? How long am I prepared to study? How much can I afford to pay to do the study? Is this a  funded course? Are there scholarships available? Where do I want to study? How do I want to study (i.e. distance education, study blocks, weekly tutorials)? Is there anything that I can foresee that will interfere with my ability to do the course – like moving house, having a baby, being married or divorced? These are all good questions to start with and will begin to build a picture for you of how ready you are to take up the commitment of study.

Next, you have to browse through the universities, colleges and other educational facilities. Internet browsing is the most easiest. You go to any educational facilities website, look for their handbook, and go through the courses to find one that suits your needs and meets your interests. Once you have found what you want, you then have to examine what you need to do to enrol. Some courses require referees, interviews and other evidence. Read up on the requirements and gather it together before applying. Look at the costs of the course – some courses aren’t covered by HECS and even if they are, can you afford to study. You can always try obtaining a scholarship to help with fees, but you probably have to begin looking for these in the year prior to your course begins. Googling “scholarship” will get you started, but the NSW Nurses Association also advertises scholarships, as does NSW Health. There are many to be had, it just takes some time to look around, fill in the application and find your referees.

Once you have found your course, enrolled, found out if you can afford it, applied for scholarships and been accepted this is where the real juggling act begins.

As I worked full-time when I have done both my Bachelor and Masters courses, I needed to be super organised. The first thing I always do is get my course outline and work out my timetable. I divide the semester up into weeks, look at the topics to be covered and divide the weeks up by topic with a start and finish date for each topic. I also look at when assignments are due and put a start and finish date for them as well. All the readings and texts I also put into order by topic. I get an enormous store of sticky tags, post-it notes and highlighters ready to mark and highlight as I go.

Your course outline will tell you how many hours per week you need to study for your course. I use this as a guide only. Sometimes a topic will take less hours per week, and some topics take longer. I usually set aside one full day per week to study as well as and hour or two each day. The main thing is to keep to your timetable and if you get ahead of your timetable you will have time to spare on doing the extra readings and research that give you high distinctions.

I also carried my texts, readings, highlighters and a note pad around with me where ever I went so I could take advantage of opportunistic study moments. There’s nothing like studying in the Medicare queue while waiting for your refund!

The main thing is I must always stick to my timetable, because this is how I know I will get through the work. Study is a disciplined business, especially if you want to do well.

Now, for assignments – always know what your assignments are and when they are due so when you are reading and going to tutorials, you can tag and mark your readings according to your assignment. I always keep my assignment readings in seperate piles and as I read and write I do my bibliography as I go. My method is to use the laptop to write my thoughts and comments on each paper as I read and the assignment begins to form itself.

I could go on and on about reading critically and reflecting on evidence, but I won’t! The main thing is that to do both work and study at the same time you must be really organised emotionally, mentally and physically.

And remember that testamur, cap and gown at the end are such a hoot!

  • Share/Bookmark

Children’s Party Food: Healthy Alternatives (with 3 Free Delicious Recipes!)

Wednesday, February 3rd, 2010 by shoils

050(1)Birthdays are always such a happy occasion for your children. It is a time for fun, games, presents and yummy food to share with your friends. But, how do you celebrate your child’s birthday without giving all the kids the usual rubbish food that is traditionally handed out? And, without being seen as being boring, and having loads of plates left with food that you have to throw out at the end of the day?

I know what some of you might be saying “Oh, get over it! It is a kids’ party. Let them eat junk. It’s only one day.” Well, that one day you can multiply but at least 20 as throughout the school year birthday invitations flow in constantly.  That’s a lot of crap and junk at the end of the day.  The number of children with obesity issues we now have is ever growing. And, we are seeing more and more children in the class with this issue. So, why don’t we cater for those kids – and at the same time-  support and help their parents lets keep it all healthy for all of our children?
When my daughter had her first birthday, naturally, I wanted to have some lovely food and with the children only being one, I wanted it to be healthy too. The food I came up with was not only healthy for children, but was so tasty that the adults ate it too and there was nothing left at the end of the party, even though I catered specially for the adults.

Now, let me share with you THREE healthy recipes that you might consider trying for your next birthday party (or family meal) -
Recipe #1:  Chicken and Vegetable rolls

We all know kids LOVE sausage rolls, but the frozen varieties are full of salt and fat- and it is questionable about the meat inside and the cardboard box it came in would have more nutrients than the sausage roll itself.

So, I found a recipe for chicken rolls that are like sausage rolls that are nutritious and very delicious. Do give it a go…

Ingredients:

500g mince chicken
1 clove garlic crushed
1 med brown onion chopped finely
1 carrot grated
100g green beans chopped finely
125g can creamed corn
1 egg lightly beaten
1/3 cup breadcrumbs
1tbsp tomato sauce
3 sheets puff pastry
1 extra egg beaten lightly

How To Cook/Make:

1) Pre-heat oven to moderately hot.

2) Using hands combine mince, garlic, onion, carrot, beans, corn, eggs, breadcrumbs and sauce in a large bowl.

3) Cut pastry sheets in half lengthways. Place equal amounts of chicken mixture length ways along the centre of each pastry piece; roll each pastry piece to enclose filling. Cut into six pieces.

4) Place seam -side down, brush with extra egg. Bake, uncovered about 30 mins or until browned.

Recipe #2 – Chicken Strips/ Chicken chippies

The other favourite of the party was chicken strips that I made. They were truly easy to make and were a huge hit. You can serve them hot or cold.

Ingredients:

Skinless chicken breasts
Breadcrumbs
Powdered garlic
Salt and pepper to taste
Eggs
Grated Parmesan cheese
Olive oil for shallow frying

How To Cook/Make:

1) Butterfly chicken so that they are thin and tenderise them by bashing them with a rolling pin or a meat tenderiser or back of a frying pan. Do this to all the chicken is thin and flat like schnitzel.
2) Beat eggs in a small bowl, in a separate bowl combine breadcrumbs, garlic powder, parmesan, salt and pepper.
3) Dip chicken into egg, then into breadcrumb mixture, back into the egg and back into the breadcrumb mixture ( twice coat the chicken this keeps the chicken from drying out and keeps it tender) repeat till all the chicken is coated with the breadcrumb/parmesan mixture.

4) Heat oil in a frying pan and fry chicken till golden brown.

5) Cut into strips like chicken chippies.

I made some more hot food for the kids like mini pizzas that I made rather than bought, so I could control what goes on them. I also made pumpkin and zucchini mini muffins.

Being summer, I also supplied cold/ frozen foods for the kids. I made my own iceblocks (which were made in advance from fresh squeezed fruit juice, I froze grape, watermelon, oranges and tubs of yoghurt. These were fantastic, and the kids loved them in the hot weather.

Recipe #3 – Chocolate Brownies
There were no lollies even in sight. For dessert I made chocolate brownies that most of the sweetness comes from dates not sugar or chocolate. This can be an everyday snack, if need be, as it is not unhealthy one little bit.

Ingredients:

90g flour sifted
60g cocoa powder
1 tsp baking powder
90g brown sugar
140g butter
140g pitted dates chopped
3 eggs
1 tsp vanilla extract

How To Cook/Make:

1) Pre-heat oven 160 Celsius, grease a 20cm square tin and line with baking paper.

2) Melt butter in a saucepan, add dates and take off the heat, stand for 10 mins

3) Sift cocoa, flour and baking powder into a large bowl, add sugar and combine.

4) In another large bowl, whisk eggs and vanilla together, then stir in the dates and butter. Add to the dry ingredients and stir into just combined. Pour the mixture into the prepared tin and bake for 20 mins or until set.

I also made chocolate crackles but I made them in a very unconventional way by mixing coco pops (which now has wholegrain),  melted chocolate ( 70% cocoa), and mini M&M’s. Put them in the fridge and there you have the (must have at all parties) chocolate crackles but not the kind with the nasty trans fat of copha and butter etc. Yes, there is chocolate in it but it is not that bad for the kids if taken in moderation (and teeth get brushed!).

The birthday cake was banana cake (or you could make it carrot cake) – and this is just as tasty as butter cake or chocolate cake.

You see, kids birthday parties don’t have to be full of junk and sugar. It can be healthy and fun at the same time. Substitute junk for healthy alternatives and the kids won’t even notice and you can assure the other parents that they will be eating something nutritious so they don’t have to worry about lunch later or dinner.

What do you serve at your children’s parties? Do you try to make it more healthy or do you give them conventional  party food? Come and share some of your yummy recipes.

  • Share/Bookmark

What to Expect at Your First Day of Nursing

Thursday, January 14th, 2010 by ara-c2009

It was a morning shift, my first day as a nurse. We were in the nurses’ station of a 30 bedded medical-surgical ward…listening to the handover that the night staff was giving in a low soft tone voice.

nursing handover

From the corner where I’m standing, trying to understand every jargon their are saying as:

“Mr. X  is for ERCP”

“NBM since 12 MN”

“Mr. S is for Angiogram at 10 am all cardiac meds given aspirin withheld,ECG done.”

“Mrs. F Day 10 post CS”

“HB 9 had BT 1 unit

It was endless  until the last patient had been handed over. Handover during those days lasted for about 30 minutes, as you have  to write everything on your piece of paper (unlike today, you are given a print out of the handover, all you need to do is listen and add a little if  it’s  needed).

After that, it’s time to do the walking handover as we went to each room, where patients’ contraptions were checked, each dressings examined and every IVF checked.

That is how vigorous the start of the day was. Next on the agenda was to check all the progress notes of patient assigned to me (usually about 20 as the 10 patients were in the second level, occupying the private rooms).

As I was new, I have to be buddied to a senior nurse to give me support and assistance as I needed it. But more than usual, I was left on my own. My senior nurse buddy was needed to accompany the doctor’s round as she was the senior nurse and she knew the consultant’s routine. I was left to attend to call bells of patient needing help.

During my eight hour shift, everything had to be done on schedule but that did not happen all the timethough as I was interrupted by patients, relatives, technicians, and doctors.

A two-minute  procedure like diluting an antibiotic took several minutes at times because everybody were busy attending calls. I guess it had helped that back then, we utilised functional nursing as well as primary nursing.

Functional nursing means that as we are given functions like one nurse was assigned to do the intravenous medications, one  to do oral medications, one to carry out doctor’s orders and one to do observations.  Primary nursing was also utilized in a way when we admit patient, whomever admitted the patient, planned for her/his care until discharge.

Every day was a new experience as I worked with different sets of nurses. I’ve gained some of their good techniques especially with dealings with patients and their relatives.

I’ve seen and worked with empathetic and wonderful nurses but sad to say, I’ve also seen some bad ones. And when I say bad ones, I really mean the bad ones – those nurses who don’t even support you and who performed their nursing duties that I don’t believe should have been acceptable.

The only thing that I didn’t like during those first days were the thought of having not done what I was supposed to do.

My concerns invaded my dreams even – I have dreamt of not giving antibiotics and so many other things related to work. Even when it was my day off, take a guess what I did first thing after I woke up? I rang the ward to confirm if I indeed have given the meds.

That’s how much nursing would invade your life. It’s not just your day (or your night job!). It invades even your dreams! How ridiculous is that? Have you experienced that too?

Can you remember your first days as a newbie nurse? What was your experience?

  • Share/Bookmark

Searching and Applying for Nursing Jobs

Tuesday, December 8th, 2009 by patience

interview

Throughout my nursing career I have often had to search and apply for a new nursing position. I have also been in management positions where I have had the privilege of recruiting and selecting nursing and allied health staff. I’ve come to understand that searching and applying for a new job is an important skill we all have to learn. So here are some of the things I’ve learned along the way.

Searching for a job.

This is the easiest bit. The best place to search for jobs is of course on the internet and many employers are requesting that applications be sent electronically. I have found places like Seek.com, NSW Health employment site & individual Local Area hospital sites all enabled me to set up an personal account. All employment that I accessed web sites provided me with the ability to browse and choose the types of positions I was looking for and request email alerts be sent to me as new positions came up. I could also have my CV, cover letter and other important stuff stored in their system. However, I always preferred uploading my own CV, cover letter and other documents from my  own files ready at a moments notice. You will find that there are two different ways of applying. If the add is through a recruitment agency they will only require a CV and cover letter; if the job is through a specific health service there will usually be a person named to contact before applying.

Applying for a job

So you’ve found a job you like the look of and think you could do. First thing you do is read the advertisement carefully. Sometimes all a recruitment agency wants is a CV and cover letter and that’s easy, you can upload on line and wait to hear back from them. They’ll let you know if you are suitable.

However, some positions require you to make some sort of phone or email contact with the contact person listed on the advertisement. You must do this. This is where you will find out if there’s a formal application process that involves a package being sent or more commonly emailed to you. Do not apply for this type of job until you have received the package, read it and thoroughly understand what you have to do to make your application acceptable to the interview/culling panel. The interview/culling panel will usually have a document that lists the criteria and a tick box to check off  to see if you have provided all the items and relevant information requested in the application package. This tick-box gets you an interview!

Now read the Position Description and the Selection Criteria carefully. Look at where it’s based, the salary level and the duties of the position. Can you do this job? Do you like the sound of the job? If you do like what you read, then go to the selection criteria.

Never underestimate the importance of the “Selection Criteria” document and don’t think that your CV replaces it. These are two very different yet equally important parts of applying for a job and nurses have missed out on interviews because they haven’t provided answers to the selection criteria. Answering the selection criteria is your first interview – the written part.

On a separate document headed “Selection Criteria” write each criteria as a paragraph heading and then briefly answer how you meet each of the criteria in order. Don’t give theory! Don’t use generalisations! Give an example and be specific. If you find that you are having difficulties answering the selection criteria and can’t give examples, then this may not be the job for you. If you are a new grad then you will give examples of work experience. Keep your answers short and to the point. Don’t waffle as your application will be put on the “too hard to read” pile. Remember that your application may be one of 20 or 30! So make it easy for the culling/interview panel to read and remember.

Your CV

Your CV is also very important. This and your answers to the selection criteria is what will get you to a face to face interview. Your CV needs to be brief, succinct, businesslike and objective. This is an example of a format:

  • Name, address and contact details. Whether you are male/ female and your DOB is not important so don’t add it.
  • Qualifications – dates obtained
  • Professional affiliations – that is what nursing organisations do you belong to. This is important particularly if you have a specialty. It shows a committment to knowledge and maintaining currency in practice
  • Education – Formal under grad and post grad  nursing education as well as any other certificates, diplomas and short courses you may have done. Primary and secondary schooling is not as important but many people add it if they believe it provides extra evidence to support your application
  • Specialty area(s) of practice
  • Employment history – this needs to be a clear, concise and chronological account of where you have worked. Start with your current position, stating what you were employed as an EN, RN, CNS, CNC, etc and work back in time. Under each position briefly list what your job entailed and the skills you acquired from that position. Dot points are fine – long rambling descriptions will lose your audience.
  • Publishing & presentations - if you have written papers or presented at seminars or conferences list them.
  • 3 referees
  • You do not need to add your hobbies, interests, philosophical beliefs or any other information that does not pertain to your nursing career. Having been the reader of many applications I find this information irrelevant and irritating. It may also lose you a face-face interview if you come across someone who dislikes certain of your non-nuring activities and beliefs. I’ve seen it happen!

The Cover Letter

This is written to the contact person, is kept short and businesslike and briefly states what position you are applying for and the documents you have enclosed in your application. These enclosed documents should be your CV, document addressing selection criteria and names of your 3 referees

The Referees

Ideally your direct line manager should be your referee, however, we all know that this is not always possible so find someone who is in senior management and who can vouch for your work. The other referees should also be persons who you have worked with and can vouch for your nursing skills and clinical experience; this could be a CNC, CNE, NE, NP or University Lecturer. Personal referees are not appropriate or only included if you have 3 other work referees.

Preparing for the Interview

Prepare, prepare, prepare! The face-face interview can be like an oral exam and first impressions count for everything.

Buy yourself an interview outfit. Your “interview outfit” needs to be smart and business-like, gives a message of confidence and says that you understand that first impressions are important. If you wear makeup make it natural and hair tidy. Jewelry too should be minimal – you have no idea how distracting jangling, brightly coloured bling distracts the panel! Like it or not grooming and clothes are very important.

Read everything you can about the agency, organisation or unit you are wanting to work in. Go to their internet site, read and familiarise yourself with their vision, missions, goals, achievments, core business beliefs and principles. read the annual report and figure out “who’s who in the zoo”, look at the organisational chart, how money is obtained, demographics, people and organisations who support the organisations. You need to understand where you are going to be working and you might find you don’t actually like it! Maybe your beliefs clash with theirs – after all you are interviewing them as well. You need to know if you and your potential employer are going to be a good fit!

I always found that if I prepared myself with a written script for my interview and practiced answers I always did well.

Going into the Interview

When you enter the room smile, make eye contact as you are introduced to each member of the panel, greet each politely and follow their lead regarding shaking hands. Generally if someone stands up for you they will shake your hand. Take the seat they offer you an get ready. When you answer the questions make appropriate eye contact with the person who asked.

Usually there will be some water for you. Use it when you have to think about a question it gives you time and refreshes you; ask the panel to repeat questions if you need to; ask if you have given enough information to questions; if they prompt you it’s because they are interested in getting something out of you they think you might know. The panel know you are nervous, that goes without saying, but if you prepare yourself the interview will go much more smoothly.

Here are some common questions and answer techniques:

  • Always be ready to highlight your key strengths and your ability to perform a task by answering in the following way:

Describe a situation -

What you did in the situation -

What results you achieved.

  • Don’t use generalisations when you answer a question – be specific and give examples to back up your answers
  • Keep focused on the question and give bottom-line answers; if you think you’re not answering a question ask the interviewer if you’re on track
  • Always give positive answers
  • Balance out answers about the effectiveness of your clinical practice with quantative data if possible; or use phrases such as “the majority of feedback expressed….” or the satisfaction level was estimated as…..”. You won’t always get questions that need this type of response but best to be prepared. This is more a management level question for those of you thinking about management.
  • Always consider what are the opportunities and challenges of the position you are applying for and be ready to give talk about them as well as how you would positively address an opportunity or challenge
  • Be ready to talk about any key achievements in your current role – list them proudly
  • Be able to list 3 of your key strengths and give examples of how you have demonstrated them in your current position
  • If you’re unlucky enough to get the “what are you weaknesses” question; don’t list weaknesses in any way except to say something like “previously I had trouble with ’such and such’, but I have gone to lectures, staff development, worked on it in my last performance review etc and have learned….”. All anyone wants to know is that you are reflective and can learn.
  • Be able to tell the interview panel what attracted you to the position; that means you talk about the vision and goals of the organisation; furthering your expertise; working in a multidisciplinary team; your special interest in a clinical area. Don’t tell the panel “I love children” or “I love helping people”. This might be true, but it’s not relevant and it’s one of those lines that make the interview panel “glaze over”.

    Saying something like “I always have been interested in providing the best possible care   for my clients/patients”. This is a much better way of saying you love to help people.

  • Always be prepared and ready to answer questions about how to work in a team, how to resolve conflict and how to communicate. Always add that if you have any difficulty in resolving anything yourself you would look up policies and go to your direct supervisor for advice. Always show you understand protocols and how you are able to work in a team.
  • Always show that you understand OH&S, human resources and following policy and the organisations codes of conduct.
  • The panel will ask if you have any questions and you should really show that you’ve thought about this position and have a couple of questions ready. Don’t ask about salary or benefits though, if you get the job you can ask all that then!

    Think about the position you’re applying for and ask relevant questions such if it’s a new position; how many people in the team; when would the organisation like the successful applicant to start; things like this that give you a better idea of what you’ll be doing.

  • Be ready to give them an idea of a starting date; make sure your referees are ready to be called and when it’s over thank them for the opportunity to be interviewed and shake hands if it seems appropriate.

    Finally – GOOD LUCK!

    nice job

Anything else you want to add to our new nursing graduates or those thinking of moving on from their current workplace?

  • Share/Bookmark

GUEST POST: A Nurse’s thoughts on dealing with HIV/Aids

Monday, December 7th, 2009 by NU_Editor

I come from an emergency department background and I don’t think asking every person who presents to triage if they are HIV positive is a good idea.

As nurses, we need to treat every patient as if they are infected with HIV, Hepatitis or some other blood borne disease. This generally comes out in the past medical history section of the triage assessment form prior to entering the department regardless of their triage category.

blood testing

From a patient’s perspective, here are things you should look out for:

  • If a nurse is not wearing gloves when taking your blood you can always demand they do.
  • If they respond with an answer such as “I’m sure you’re ok” which I have heard nurses say before, I answer with “I might be free from HIV but I personally don’t know if you are. Please put your gloves on.”

I suggest the following protocols for HIV testing:

  • I think we have too many posters in ED’s that are irrelevant and should be more on health prevention such as sexual health. ANYONE in an ED or clinic who is getting an HIV test MUST be seen by a counsellor or even a social worker first explaining the test, how they will cope if the test comes back positive and talk to them about the 3 month incubation period.
  • I would actually refer them to a professional sexual health clinic rather than do the testing in an ED or unsupportive clinic. Send them to Albion Street Centre. They are fabulous. Or Sydney Sexual Health Clinic at Sydney Hospital or some other sexual health facility where these resources are available and the protocols are followed.
  • If one of these are unavailable, an infection control nurse in your hospital is a great resource to refer patients to.
  • I would also contact the IC nurse and tell them what expectations you have as the patients‘ advocate in receiving pre and post test counselling and telling the patient their sample is collected as a number and their names are not put on the vial.
  • The patients also need to be aware that the DOH collects HIV data but names are not identified, just the collection numbers.
  • All of this information MUST be relayed to the patient, and whilst doing this it is an excellent time to talk about safe sex, using condoms and dental dams.
  • Nurses can be a bit lax sometimes due to the business of our jobs but HIV and AIDS needs to have time allocated to these patients in a quiet, isolated setting where the patient is free to talk. Gay or straight.

World Aids Day Nurse Uncut

What about you? What are your thoughts on AIDS and HIV testing and protocols?

Contributed by a Nurse Uncut member: Nathan Brew in response to our request in our Forum for thoughts and opinions on AIDS in observance of World AIDS Day 2009.

If you want to contribute a blog post or an article to a Nurse Uncut that you think our community would be interested in, please drop me a note on admin@nurseuncut.com.au with your name and the topic you want to write about. Thanks, Christine.

Image credits: World Aids Day NSW and Photoxpress

  • Share/Bookmark

Are you a new grad nurse who’s in over your head?

Monday, November 2nd, 2009 by NU_Editor

Ever been told that you can’t work in the area you have always dreamt of working in? I have. You see, when I was in the new grad programme at the Royal Prince Alfred Hospital (RPAH), I wanted to go straight into Accident & Emergency (A&E), as I was probably a bit of an adrenaline junkie back then. I was told by nursing admin that I had to have two years experience in a general ward and then I could apply for a transfer to A&E.

schiffsbergung - versinkend

I was disappointed but accepted their advice and picked a cardiology ward (Page 11) to work in. In retrospect, I was so fortunate that I worked in the general ward BEFORE working in A&E. In the Cardiology ward, I was on a steep learning curve and was soon in charge of shifts and learning how to do the staff rosters. I was very fortunate to have had the best boss I have had in my entire 21 years of nursing on my first job as an RN. Susan the then-NUM (Nurse Unit Manager) taught me a lot in a short time. She was hard but fair, and I liked working in that environment where we all worked as a team and pulled our own weight.

As it turned out, I was able transfer to A&E after working just twelve months in Cardiology. I soon realized that the nursing admin were wise to delay my admittance into A&E. After training in a rural district hospital under the apprenticeship system in the late eighties, it would have been quite overwhelming for me to have worked in a major metropolitan trauma centre as a new grad.

If my request to work in A&E straight out of Uni (as it would be now) was to play out today, would the advice given by nursing admin have changed? When I started out, there was an acute shortage of nurses similar to now, but now we seem to have an acute shortage of $$$ to pay for the nurses.

Are new grad nurses being placed in areas that they aren’t yet able to handle? I have noticed that there has been a gradual reduction in the support offered by the health service for nursing staff to attend training days, seminars and courses and no funds are available to be able to release staff or pay for course registrations.

Is it that nowdays our newbies are being thrown in the deep end without the sort of support I had 20 years ago from nursing admin and not getting the opportunity to receive ongoing training to be able to survive and thrive in their chosen specialty area? Is my perspective accurate for what the situation is like nowdays for many of the new grad nurses?

It would be great to hear from the new grads, nurse educators and those nurses working along side new grads in a specialty area.

Rich

photo by www.photoxpress.com by Lofik

  • Share/Bookmark