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24.01.2022 WHAT DOES IT TAKE TO BECOME A REGISTERED NURSE IN AUSTRALIA? With a shortage of nurses in Australia’s workforce, demand for those with nursing skills is expected to rise over the next decade. This represents a great opportunity for nurses from abroad to come and work in Australia. To qualify as a registered nurse, you need to satisfy the criteria set out by the Nursing and Midwifery Board of Australia (NMBA), the body that grants registration to all nurses in Australia, inclu...Continue reading

23.01.2022 There is always something in the bottom tray

17.01.2022 WHAT IS A PACU NURSE AND WHAT DO THEY DO? Nurses working in the Post Anaesthesia Care Unit (PACU), or ‘recovery’ are responsible for caring for patients immediately following a surgery or procedure involving anaesthetic. PACU nurses care for patients of all ages and can deal with a range of patients. The type of patients a PACU nurse sees will depend on the type of surgery being undertaken. The patient type is also dependent on the facility and the services it offers. Day sur...gery PACU nurses may be dealing with patients who have had short procedures requiring light anaesthetic while in larger hospitals PACU may be dealing with ICU patients or trauma patients undergoing lengthy surgery. PACU nurses assist with post-op pain management, nausea and vomiting, observations and occasional airway emergencies. Surgeons may order follow-up pathology to be done on a patient in recovery so it could involve taking blood or organising x-rays. Nurses working in PACU may also be required to work in pre- and post-op, preparing patients for surgery, or discharging them. THE PROS AND CONS OF WORKING AS A PACU NURSE Because PACU nurses typically spend a short time tending to patients before they are moved from recovery to a ward they don’t get to form relationships with their patients. This can also be a con for nurses who enjoy seeing a variety of patients. Shifts can vary depending on the hospital or facility, nurses working in PACU in a trauma hospital may be required to work night shift while other hospitals require PACU nurses to be on-call. Nurses currently working in PACU state that last minute add-on surgeries can be a challenge, as well as not knowing what might come out of theatre next. Nurses report the pros of working in PACU are not being distracted by visitors as family is usually not allowed in PACU, although a parent is often present in recovery for paediatric patients. Despite the short time spent with patients, PACU nurses often say they enjoy being able to focus on one or two patients at a time. PACU nurses also enjoy the collaborative nature of the unit, and working closely with surgeons and anaesthetic staff. PACUs are sometimes described as short stay ICUs and some nurses who have worked in both say PACU is everything they love about ICU without the things they dislike. The role of a PACU nurse involves a high level of responsibility. Those looking to work as a PACU nurse are recommended to have good assessment skills and be comfortable with pain management. Critical care, ICU, or emergency department experience is often a requirement for nurses wishing to work as a PACU nurse as the role sometimes involves respiratory instability, cardiovascular issues, or post-operative bleeding. INITIATIVE NURSING AGENCY currently has positions available in Sydney for those wishing to work as a nurse in Australia. Check out on our website our nursing job list to see if there a role to suit you.

16.01.2022 ROLES OF A SCRUB NURSE Scrub nurses, also called perioperative nurses, are registered nurses who assist in surgical procedures by setting up the room before the operation, working with the doctor during surgery and preparing the patient for the move to the recovery room. Scrub nurses work in various clinical settings, including hospital surgical departments, private physicians’ offices, clinics and ambulatory or day surgery centers. BEFORE SURGERY The scrub nurse’s duties b...Continue reading

14.01.2022 MEDICAL-SURGICAL NURSE Once relegated as the art and science of nursing on hospital wards, surgical nursing is now considered as the foundation of the nursing practice. Most nurses begin as medical or surgical nurse or at some point during their nursing career worked in this field of nursing. Many nurses continue medical-surgical nursing for the excitement and experience it brings to their career. The medical-surgical nursing field has progressed from an entry-level job posit...Continue reading

13.01.2022 WHAT IS ORTHOPAEDIC NURSING? Orthopaedic nursing is a specialty that focuses on musculoskeletal diseases and disorders. These orthopaedic issues include conditions like arthritis, bone fractures, broken bones, joint replacements, genetic malformations, arthritis, and osteoporosis. Orthopaedic nurses are familiar with traction, casting, mobility devices, and pain management. When musculoskeletal conditions require surgery, orthopaedic nurses assist physicians with preparation ...Continue reading

08.01.2022 Initiative Nursing wish you all a Merry Christmas and a restful holiday. Thank you all for your support throughout this year. We look forward to seeing you in 2020.

07.01.2022 What is a Circulating Nurse? A circulating nurse is a type of surgical nurse who circulates in the operating room to monitor the procedure. He or she acts as a patient advocate, ensuring that the conditions in the operating room remain safe and sterile. Circulating nurses also perform a wide variety of other tasks, which range from helping to set up the operating room for surgery to filling out paperwork which pertains to the surgery. This nursing career requires a very fine ...attention to detail, and a lot of stamina, as circulating nurses must be present and active throughout a surgery. In an operating room, there are two areas: the sterile operating field, and the nonsterile area. During the surgery, the goal is to keep the operating field totally sterile for patient safety. Circulating nurses monitor the sterile field, informing operating room staff when something might compromise the sterility. They also connect the people in the sterile field with the nonsterile area. For example, a circulating nurse can open an autoclaved package so that someone in the operating field can access the sterile tool inside. The other type of surgical nurse is a scrub nurse, a nurse who scrubs in so that he or she can work in the surgical field, assisting the surgeon. Scrub nurses also monitor patient safety and the safety of the sterile field while acting as assistants to the surgeon, and they generally work closely with the circulating nurse throughout the procedure. Keeping lines of communication within the surgical team open is critical, so that emergent problems can be quickly and professionally addressed. Because the circulating nurse works in the nonsterile field, this member of the surgical team does not need to be sterile. For patient safety, however, the circulating nurse and other staffers in the nonsterile area usually wear face masks, keep their hair contained under surgical caps, and take other measures to avoid compromising the clean conditions in the operating room. In order to work as a circulating nurse, a nurse must generally attend nursing school and receive special training in surgical nursing. He or she must also be very familiar with hospital policies and procedures, and attending continuing education is often required as well to ensure that the circulating nurse keeps up with emerging information in the field of surgery. Circulating nurses must also be unafraid to challenge procedures which they think are dangerous, or to inform surgeons that they have become contaminated by touching a nonsterile person, instrument, or area, so they must step out of the sterile field and scrub in again before resuming the surgery.

05.01.2022 IMPORTANT MESSAGE ABOUT CORONAVIRUS/COVID-19. The following message was sent from James A. Robb, an American pathologist and molecular virologist who has been a professor at the University of California, San Diego, a consulting pathologist at the National Cancer Institute, and director of anatomic and molecular pathology at Cedars Medical Center in Miami, Florida. Subject: What I am doing for the upcoming COVID-19 (coronavirus) pandemic...Continue reading

05.01.2022 To all nurses who will work tomorrow, we wish you a Merry Christmas.