Dec 19, 2011, 10:37 am
PA is a Great hospital to learn...people are good and they have excellent best practices, amongst the very best in QLD. UQ's nursing school is in Ipswich. I have to be a bit skeptical as to what a student can do within an ED setting. ED nurses have to complete a transition program covering advance life support and other skills relevant to the the workplace before they can work as an unencumbered member on the floor. i.e. not restricted to what they can do within the nursing practice.
I would tend to recommend learning in an acute ward where you learn about the presentations of diseases and morbitidies, and how the medical team approaches treatment, In ED, the interventions are very REACTIVE...which means their priority is to preserve life and stabilised a pt.
There are differences in practices between public and private hospitals. In public hospitals, you tend to hav easy access to doctors and other medical staff especially after office hours. I find that some private hospitals are under so much pressure to bow to doctors that they bend rules at the risk and expense of nurses. I can share one example where I worked ina private hospital and we needed a phone order. We got hold of the pt's doctor after hours, he wasn't too impressed and when he gave the order for meds, he could not be bothered to repeat to another nurse a practice that ensures that the order is heard by at least 2 nurses as a safeguard. The next day, the even refuse to sign the stat phone order because it was too troublesome. The nurse manager has given up pushing for safe practice because the hospital relies on these specialist to bring in case loads (i.e. money$$$$). If anything goes wrong, the medication chart will only bear the initials of the nurse who got the phone order and without the doctor signing it off later, means he can den the order. Well sorry but someone's registration's gonna get burn and it ain't the doctor's.
Anyways congrats for securing your placement..all the best