2017年10月8日 星期日

OET備試及 題目sharing

last update 30/11/17

Tips for taking OET
1 Spelling for reading & writing DOES matter
NOT for listening
2 speaking 話唔考medical or nursing knowledge
it's not necessary for you to learn all diseases
BUT it's certainly a benefit for speaking somehow....
As you'll speak with more confidence & make the conversation more interactive!

我準備OET時間個幾月. 除咗做 test paper, 會上網睇下有關health 文章/video. 揾朋友幫我改文. 每日都會做 role play(有護士/教英文/英語比自己好0既幫忙,當然好啦. 無的話, 連我老公英文麻麻,我都會揾佢練.), 另外錄低,聽返自己有咩可改善.

9 apr 2016
My speaking scenario 1
setting: community health Fu.an elderly discharged from hospital after pneumonia.she live alone. Stay at home most of the time. 1.Assess her coping. Medication: Ab tid with meal, aspirin daily.
2 ask about exercise.refer physiotherapy if necessary
3 assess if she manage cooking, washing etc. Refer home help

Scenario 2
Hospital day ward
Pt will have surgery. GA NEED INTUBATION.She has nail polish
1. Ask when she fast
2. Ask allergies,denture, Sob, exercise, difficulty walking stairs, smoking
pt unwilling to remove denture, explain to her
3. Remove jewellery / glass/ contact lens
TELL risk of injuries and INTUBATION

7 oct 2017(朋友提供)
Listening is about tonsillitis n leukemia
Writing is different from the past paper
Writing a referral letter from a gp's nurse to a day surgery center for the arrangement of colonoscopy
Speaking:
Talking With a mother of 4year boy who is undergrowth in a clinic
Talking with an old man about his ulcer dressing during home visit

4 nov 2017(朋友提供)
Writing: Cellulitis with ulcer, ward nurse refer to clinic nurse for ulcer Mx

Speaking: 1) 有位男士knee受傷有wound,要說服佢停止exercise,同一d wound care
2) 有位老人家fracture左,教佢cast care,同要留意d乜咁

1. Extraction of worm, infection care
2. BPPV and postural vertigo, provides education

Listening: about HIV

參考: 
Youtube 有唔少 OET 有用資料.
第一次考 OET就上手
2016 OET 職業英文考試經驗分享(针對寫作
OET 寫作B (2016雪梨考塲)
OET 聽說讀寫準備篇 

想要多d OET 資料,可以留言寫低你0既 gmail. 

2017年9月25日 星期一

澳洲病房工作實用資料

last update 30/11//17

宜家thru agency 去唔同病房工作.有時間, 就係屋企睇下張交更紙, google 下0的 short form, 藥, 問下朋友. 自學中.不過係醫院, IC聽完個 phone order, 自己唔寫, 叫我寫. . 有一次係某教學醫院, Day 1有人派過血壓葯比阿婆, Day 2 寫無葯, Day 3我揾唔到隻葯, 同 ic 講. ic 話佢血壓唔係好高,就算. 阿婆發我脾氣, 話自己食咗咁多年, 日日都食. 我咪fax 去葯房幫佢攞葯. 不過據經驗, stat 葯都成3-4 粒鐘先有. 有時我都替澳洲0的病人慘.

初初我曾經有念頭,唔想係度做nurse. 不過做住Agency, 責任相對唔大,開始習慣啦. 起碼有工作就好了.其實每日都好充實, 好多野可以學.


Abbreviation 
ACAS: Asymptomatic carotid atherosclerosis study
ACCR: Aged Care client record
AKI: acute kideny injury
APDC: As per Drug Chart
ATOR: At Time of Report
CALD: Culturally and Linguistically Diverse
CTPA: CT pulmonary angiogram
DT: drain tube

DWT: daily weight
FAC : Forearm crutches
FBE: Full blood Exam
FNC: Full nursing care
FWT: Full ward Test = Urine test by Multitix
GAMP: General Anesthetic and Manipulation of Plaster
GEM: Geriatric Evaluation Management
HFR: high fall risk
ICC: intercostal catheter
IDC: indwelling catheter= foley
LOMT: limitation of medical therapy
MCI: mild cognitive impairment
MVA: motor vehicle accident
OP: osteoporosis
PAC: Pressure Area Care
PRC: permanent residential care
PVR: post Void residue 即係做 bladder scan
RPAO: Routine Post Anaesthetic Orders
RTW: return to ward
STML: Short term memory loss
STS (mobility): Sit-to-Stand
TCP: transition care program
TOV: trial of void
UE: Urea and Electrolyte
WBAT: Weight bearing as tolerated
WBBS: Whole body bone scan

Diet
FWD: Full ward Diet
LWD: soft diet, free from fat/ fibre
Vitamised diet= smooth, blend with nutir fluid

有樣同香港好唔同0既野, 就係 nurse intiated medication有 D地方nurse可以initiate lab or radiology test. oncology nurse 可initiate K supplement
度度唔同, 而我見最common 的如下
panadol
cough syrup
coloxyl with senna
gastrogel(antacid) 15ml

Medication
Chlorvescent.= potassium supplement
Colofac(mebeverine) for IBS
FESS: nasal spray

Gastro-Stop=loperamide
Klacid = clarithomycin
microlax= microenema
Movical = Marovic
Norspan(opioid) patch for pain
Noxicid= nexium
Prozac for depression
Somac= Panoprazole
Two Cal in drug chart 其實係milk supplement Ensure
Ural= cranberry powder
Zactin= Lovan  (contain Fluoxetine) for depression


DD (S8) see 
Standard for the Uniform Scheduling of Medicines and Poisons
Hydromorphone
Oxycontin (Oxycotin) controlled release

Oxycodone (brand name:Endone,)/oxynorm:  fast acting
tapentadol/ palexia
targin= 
oxycodone and naloxone.

我係ward 其中一款 infusion pump: Infusomat 有興趣可以睇下點用
https://www.youtube.com/watch?v=7L1J4p4PXPU

氧氣機 Airvo https://www.youtube.com/watch?v=1hqQwy1X5ME

Sara Stedy Lift https://www.youtube.com/watch?v=Jp31cs9nrb8

Sara Plus https://www.youtube.com/watch?v=zLGSGlX2jgM

澳洲多醉酒佬, 評估 Alcohol withdrawal Scale (AWS)
 https://www.mdcalc.com/ciwa-ar-alcohol-withdrawal


Diabetes Australia https://www.diabetesaustralia.com.au/blood-glucose-monitoring

2017年9月2日 星期六

香港護士申請移民, 生活,工作@ 澳洲

last update: 10/10/17

不定時更新以下網址:

香港護士獨立技術移民澳洲: 申請移民資料


OET備試及 題目sharing



澳洲新生活@Brisbane :剛到步澳洲須知, Brisbane 生活資訊

澳洲揾工, 面試 -- 面試題目, free CPD website
揾工方面: 如果你揾老人院工作, 比較易揾. 醫院方面 Brisbane/ Sunshine coast 好多醫院同Agency要求一年本地經驗. NSW同Victoria 相對容易. 所以我由Brisbane 過咗去Melbourne. 



2017年8月23日 星期三

人在墨爾本Melbourne--開始工作了

Last update12/10/2017

黎咗Melbourne 一個月, 一直在忙.

黎墨爾本0既朋友可以找我啊
https://www.airbnb.com.tw/rooms/20416046?s=51

建議大家開工前, 上 ebay 訂定個 Nurse Pouch Pocket/ bag .印象中三日左右收到. 初初開工無佢, 好唔方便. 反正工作需要, 第時可退稅.
See Nurses claiming work related expense

八月初我係 Knox private hospital 返咗四個 shift. 非常惡做, 頂唔順, 辭職. 每次我同澳洲護士講開呢間醫院, 佢地都話惡做, 好多Agency nurse. 估唔到澳洲醫院咁差. 我覺得佢地 practice 都好求其. 相比我地香港 nursing 做得好好多. 不過我係澳洲工作0既護士朋友叫我唔好咁認真, "認真便輸了",要洗咗香港0個套. ok 我試著去學做一個澳洲護士.

 我係knox private做 full time返過A同p. 頭兩日唔計人頭. 一更睇5-6 cases. 比例好正吧. 偶而有學生, 感恩. 平時一腳踢(餵餐, obs, 倒袋....), 懷念香港有HCA. 我幫阿婆阿伯沖涼/轉身, 要用電腦一個 orderly 0既system , 等一個無medical knowledge 0既assistant 幫我手轉,佢地係唔會抺. 病人藥瑣係patient bedside, 好多stock med. 揾葯好浪費時間, 0的野好亂.藥櫃0的瑣匙, 成日唔見, 唔夠key, 極唔方便. 護士質素參齊. 交更呢, history自己睇交更紙. 初初聽完交更, 都覺得自已唔係好識個case咁.

11/8/17 登記 nursing agency. 12/8/2017 已經有工開. 工作機會好多.
我登記 Angels nursing agency http://www.angelsnursing.com.au/   (中國人 run , 唔建議)
好處 : 我估佢太要人, 應該無揾我D referee
壞處:
1. 要我比 Aud 200 讀 CPR and first aid (自己報慳返aud 20). 其他 agency 有免費online study
2. 壓價, 話我無澳洲本地驗.壓到得 RN starting .我emal工會反映, 不過工會話, agency自由定價,比到starting 我係合法.
另外Angels 會推介你比 Aud 500 老人院舍 training, 做 volunteer.  train 完, 可以係院舍好多工作喎.

識人登記咗 Aktapid http://aktrapid.com.au/
好處: CPR 網上做題目就可以. Rate 聽聞比 Angels 好.

Working holiday 時我做過mediserve AIN https://www.mediserve.com.au/
宜家登記咗做RN
要準備幾多文件e.g. working with children check , immunisation record, statement of service (計返香港工作時數, 所以建議大家係香港離職前,叫人事部係Certificate of Service 寫埋每週工作時數), 做 online training 等
又係登記, 第日就有工開. 計返晒我香港經驗. 平日hourly rate 比 Angels多 aud10

平時返工,會遇到 Belmore, Your Nursing Agency(YNA) 同 Health care Australia 0既agency nurse
http://www.belmorenurses.com.au/Home
https://www.yna.com.au
https://www.healthcareaustralia.com.au/ (有朋友推介)

我主要返病房. see

澳洲病房工作實用資料

 返過一次High care老人院 . 係老人院, 個supervisor, 自己派完個藥, 自己唔簽, 叫我簽.病人無藥, 就咁寫住無就算, 無人理

係澳洲工作有好有壞, 有忙有唔忙0既地方


2017年7月24日 星期一

new life in australia-- Accommodation and insurance

last update 26/10/ 2017

short term one 
i suggest airbnb
我最常用揾住宿網站
註冊Airbnb帳號,你的第一趟旅程立減$50 AUD!快點進我的邀請連結:  www.airbnb.com.tw/c/fionc1019 
Booking.com
受邀的亲友仅需通过该链接预订并完成入住,就能赢取AUD 30奖励,
https://www.booking.com/s/11_6/siu0me93


long term one
Real Estate https://www.realestate.com.au/buy
Domain https://www.domain.com.au/
Gumtree https://www.gumtree.com.au/
新足跡 
https://www.oursteps.com.au/bbs/forum.php

我初到Melbourne, 住住Airbnb 先. 跟住透過 Real Estate, Domain等網站, 約睇 sharehouse 同無傢俬0既屋.後來透過 Agent 租咗間無傢俬0既屋, 係Facebook, Gumtree, 新足跡, Op shop等買二手傢具.

電同Gas 可以透過以下網站比較下
https://compare.switchon.vic.gov.au/

比較寛頻價錢
https://www.comparebroadband.com.au/get-internet-providers-in-victoria.htm


朋友建議我買Private health insurance, 因同交稅0既差唔多.
有朋友買 medibank, 有人買ahm
參考 澳洲醫保

車保
CTP(第三者傷亡責任保) 登記車時,已經強制買咗
第三者財物保 third part property
朋友用 AAMI https://www.aami.com.au/
RACQ in QLD, RACV in Victoria
Comprehensive car insurance 我買 dodo https://www.dodo.com/
亦有人推介Bingle https://www.bingle.com.au/

2017年7月19日 星期三

我的旅遊網址/My trip website

我最常用揾住宿網站
註冊Airbnb帳號,你的第一趟旅程立減$50 AUD!快點進我的邀請連結: https://www.airbnb.com.hk/c/fionc1019?s=12
Booking.com
受邀的亲友仅需通过该链接预订并完成入住,就能赢取AUD 30奖励,
https://www.booking.com/s/11_6/siu0me93

南太平洋
帛琉,台北 Palau and Taipei
Fiji 斐濟 hea 爆鯊魚之旅 26/1-2/2/2012   

關島合家歡自駕遊 2015    
中,日,韓  
東南亞

2017年6月26日 星期一

澳洲揾工, 面試

last update 7/11/2017

可能係香港揾護士工作, 太容易吧. 我宜家確實覺得係澳洲揾工有難度. 睇返 <小編來解答---工作好不好找?>, 家陣澳洲揾護士工作真係大不如前. 五月時遇到個菲律賓護士, 佢由Canberra 搬黎Brisbane, 因為係Sunshine Coast 揾到工, 佢話自己send 咗成百封求職信, 爭0的想上門叩門.邊度揾到工, 我就去邊度啦.

我知澳洲好著重 referencing. 幾年前朋友係澳洲 working holiday, 揾我做referee. 個澳洲nursing Agency打長途電話黎香港,問我野, 幾認真. 早前我係 seek.com見到 Nursing Agency HealthX post 有份醫院工,咪apply lor. HealthX 個staff 電話interview 咗兩次. 今日打比我, 話我 referee email 0既回覆太簡單. 澳洲求職要求寫0既野好鬼多. Referee 佢地通常要求係以前0既上司, 雖然我以前 NO, SRN都好好, 肯做我referee, 但希望快D 揾到工啦, 煩到佢地, 唔好意思.

另外揾工期間見到 nurse Grade 5
D 乜Grade 物 Grade, 澳洲護士人工可以睇下呢個表, 仲有大家關心0既人工 https://www.health.qld.gov.au/__data/assets/pdf_file/0020/441443/nurses-midwives-wagerates.pdf

有間nursing agency interview 問題如下:
1. 7 rights (我答以前學0既3 check 5 right), 佢講多咗樣 right to refuse
2.  What would you do if a patient complain of chest pain
3. As a team leader
4. what motivate you as a nurse
5 what difficulty to expect
6 CPD

唔知係咪我表現差, agency 無晒聲氣. 其他agency 連in 0既機會都無, 因為有0的寫明要有一年澳洲nursing 經驗. 經過呢四星期 job hunting, 感覺 QLD  揾工最難, 好快被turn down, 或被要求好多文件. NSW 只係要求面試前要有 Working with Children Check . Victoria 感覺最易. 今日skype interview 咗 Melbourne 醫院, 題目如下:
1. 識用咩equipment . 知唔知wound suction unit
2. 對該醫院0既認識
3  chest pain scenario, TNG
4. surgical scenario, pt with open cholecystectomy, drop BP, increased drainage....fluid challenge, blood transfusion
5. preference of specialty
6 why apply to xx hospital
7 difference in practice between aus and hk
8. what support do u expect from us when you start to work
9. how to deal with difficult patient
10. how to deal with conflict with coworker
11. how u work in a team
12 how you handle a OSH issue
13. you work with a senior registered nurse. seem that she's not following the care plan and you did most of the work. what would you do
14, scenrio: At the same time 1. your manager asked to you to send to patient to radiology 2. a patient prone to fall 3 another patient complained of chest pain. What would you do
15. experience of making a difference of a patient

老人院
1 UTI
2 acfi
3 how u manage if u found a resident hurt


得閒儲下CPD (即香港0既 CNE)  <——多謝James Foo分享😊
Nursing Online CPD Website

http://www.nps.org.au/health-professionals/cpd/nurses

https://www.acn.edu.au/cpd-online-courses

http://anmf.org.au/cpe

http://www.anmfvic.asn.au/education-and-training/education

https://www.ausmed.com.au/online

https://www.ifolio.com.au/

http://www.nurseit.com.au/education-cpd.php

https://www.nursesfornurses.com.au/index.aspx?page=121

http://www.nursetrainingonline.com.au/

https://www.ahpra.gov.au/Education/Continuing-Professional-Development.aspx

CVAD (free CPD)
https://education.eviq.org.au/courses/central-venous-access-devices