Earning More Than Your Husband Can Ruin Your Marriage, Unless You Keep In Mind These Things

The inclusion of women in the workforce after the Second World War posed an immediate boom in economic states worldwide. All of a sudden industries have two times the amount of productive labor.

Although we are a modern and progressing society, we still do have some gender roles left that are still hard to shake up. This can result in unexpected issues when a woman starts to earn more than her husband.

Traditionally, men are seen as the breadwinners and protectors of their households while the women are the ones in charge of housework and raising the children. However, when women earn more than the men, this deeply-entrenched concept veers entirely off-course, causing discomfort and friction between husband and wife.

Tiresome Traditions

Humans are social creatures, so we put a lot of stock into our parents’, relatives’, and friends’ opinions of us. Statements like “Why aren’t you the one providing for the family?” or “Aren’t you supposed to be the man of the house?” can hurt men’s feelings. It bruises their egos and impacts their self-worth.

When left alone, even though small, it will slowly build up to cause resentment in the relationship.

Gigantic rifts all start from small hairline cracks. Reassure your significant other that your view on them is not determined by the money he rakes it up.

As high as your expectations

Dissatisfaction in relationships typically occur because of mishandled expectations.

The wife might feel that she still needs to do housework and care for the children, even though she has a heavy workload from her career. This can cause an imbalance in contributions to the family between husband and wife. This is further exacerbated by husbands who don’t expect to need to do housework because he’s the “man of the house.” Conversely, the wife might expect that she shouldn’t do housework or look after the kids because she earns more.

You need to talk it out.

Relationships and marriages are fluid; they are not set in stone. Roles change, and have to change, in order to do what it takes to raise a happy family and get the bills paid.

Lay down your expectations and beliefs to each other. Change how things are done if you have to.

Play for the same team

In the end, both of you are in this together, raising a family and getting along in life.

Be grateful that we are lucky to be able to live in an age where a married woman is able to work and provide for her family as much as men can. Don’t try to please everyone; it’s your life to live.

“It is not the most intellectual of the species that survives; nor the strongest; but the species that survives is the one that is best able to adapt and adjust to the changing environment in which it finds itself - Charles Darwin.

Likewise, we must change and adapt to our situation accordingly to avoid a conflict-ridden marriage and live happier lives.



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 Some of you might wonder: is it possible to practice my profession overseas?  

 Fortunately, the answer is yes. Working overseas provides many benefits. Among them is the experience that you’ll get. Moving to a foreign country will expose you to experiences that not many would have. 

 It will expand your perceptions on the profession as you go through the day-to-day challenges. Depending on the country, you get higher wages. A registered nurse in Australia typically gets paid around AUD 53,900 to AUD 75,000. This results in a high quality of life for your family. You can see similar numbers for Singapore, Canada, and the Gulf countries. 

 There are plenty of opportunities overseas. It takes a bit of creativity and resourcefulness to find them, but it’s worth it for all the benefits. It is a must-do for those of you who feel you need a change of pace in life. 

 Opportunities in: 

 
	   Specialize in a field of choice   
	   Locum jobs in free time   
	   Advance in your Career   
	   Work Overseas   
	   Ask for additional shifts from your employer   
	   Take up health writing jobs   
	   Medical Communicator   
	   Tutor (University or school)   
	   Become a field nurse at community events   
	   Something non-nursing, like passion or interest   
 



 Singapore 

   



 Home Care 

 Many foreign nurses are being hired to provide home care for the elderly in the city-state of Singapore. 

 They enter with the same work pass as a maid; and live in with the patients that they care for. 

 There is a genuine demand for nurses who are willing to work in these conditions in Singapore. Compared to sending their aging relatives to nursing homes, Singaporeans now prefer them to stay at home, where they are familiar and can be comfortable.  

 You would not need to spend on food and lodging. Also, if not working at the patient’s home, you have more time and freedom on your hands, as compared to working in a hospital. 

 The disadvantage is that your pay is only slightly more than a domestic helper. On average, home care nurses get only about SGD600-SGD1000 a month. 

 Check out Active Global Caregiver, Optinuum Health Services and Homage if you’d like to find out more about this kind of work. 



 Private Practices 

 Many clinics in Singapore are actively seeking out Malaysian Nurses; they even list it out in their job descriptions. 

 The pay is higher compared to working in Malaysian private practices: about SGD2000-SGD3000 per month on average. 

 Regular hours for these institutions means you can opt to live in Johor Bahru, while commuting to work in Singapore. You earn in a stronger currency but live in a more affordable area. 

 However the commute can be really tiring, and it can take hours to travel to and fro across the Johor Straits. 



 Public Hospitals 

 As mentioned, the Singaporean government is investing in a lot of foreign nurses. According to sources, the country is investing SGD 24million to help fill out 9000 jobs in healthcare. 

 They even have overseas nursing graduate programs and scholarships to woo over those from overseas, even if from a different career. 

 Job prospects looks bright. With all the government actions, its a clear indication that foreign nurses are very much needed in years to come. 

 However, it can create high levels of stress to work in such conditions. Short of manpower, it creates a large amount of workload. Singaporean nurses cite great demands at work, and internal conflicts. According to a study, affected nurses cope better when with friends and family. 

 Working overseas normally means leaving friends and family behind, therefore leaving you with a lesser safety net for your mental fortitude. 

 You can check out how non-Singaporean registered nurses can work in Singapore here. 



 Australia 

   



 Hospitals 

 Also facing a shortage in nurses, they seek to hire foreigners to meet demands. Some will even sponsor you. 

 As a rapidly developing country, Australia has very high standards of nursing care that we can learn from. A job stint there will expose you to cases or methods that you would not normally have the opportunity to see here. 

 A major advantage of being a nurse in an Australian hospital is that it is one of the highest paying countries for nurses. However, the process for Malaysians to immigrate and practice nursing there can be lengthy. First you have to register with the NMBA. Then register with ANMAC, complete training with AHPRA, pass ANMAC skills assessment, obtain placement in an institution, and then only finally migrate. 

 You can check out our article on how to become a nurse in Australia for more detailed info. 



 Nursing Homes 

 As Australian society continues surging onward with better healthcare delivery, life expectancies have increased, leading to a ballooning population of geriatrics. Australian hospitals tend to want to discharge patients as fast as they can, resulting in more patients being put into extended or long term care centers. 

 These care centers are sprouting up in all Australian states. They even have one specifically to cater to those of Chinese ethnicity. Malaysians of ethnic Chinese parentage would do well here. 

 Advantages of working here include flexible hours, and locations you can choose. The work experience you gain from here can set you up for specialization in Geriatrics, an increasingly valuable specialty. 

 However, like any business, nursing homes can close down due to lack of funding, or if investor money runs out, like this nursing home in Walcall.  

 You can check out how non-Australian registered nurses can work in Australia here. 



 Saudi Arabia 

   



 Hospitals 

 The Royal House of Saud is aggressively developing their healthcare system, capacities and how they deliver it to their citizens, according to this report. 

 Nurses from Malaysia get drafted into 1st Grade, which has a salary of RM14,000/month. The Saudis are comfortable with Malaysian nurses because of our proficiency in English.   

 You get to live a very comfortable life as a nurse here. Lodging and food are often prepared by the employer to make it easier on foreign nurses coming into work. This gives a leg up for those unsure how to begin life in a new country. 

 Many Malaysian nurses are already working there. You would have a strong support system for hard times from the community. 

 Not only is the pay very attractive, the extremely low tax rates imposed on you would result in a much higher net income. The healthcare is advanced, even if the Kingdom is struggling to deliver its healthcare to its citizens because of the large country size. Also, since it is home to the two holiest sites in Islam, it is a great opportunity to be closer to one’s faith for Muslims. 

 Unfortunately, Arabs can be culturally more aggressive compared to mild-mannered, timid South East Asians. Also, the Kingdom is a bit further away compared to working in other ASEAN countries. 



 United States and Europe 

   

 There is currently an extreme shortage of nurses going on in the States. By 2022, it is estimated that the total number of nursing vacancies is projected to be more than a million. 

 According to the latest numbers from the American Census Bureau, the 76-million strong baby boomer generation will triple the number of over-65 population in 2030. This can strain the nursing workforce. 

 It has even come to a point where American institutions are now promoting nursing as a second career. They are even helping to promote the profession to men, who have traditionally shied away from nursing. 

 Working in the United States as a nurse nets you a good pay, and a high standard of living.  

 A similar situation to the USA is also happening in Europe. A lack of interest in nursing amongst the young have pushed several European countries to act by employing foreign nurses to meet demand. 



 Conclusion 

 Moving overseas can be scary. The adjustment phase can be difficult, even to the most open-minded of all migrants. But, like all difficult things, the end result is fruitful. In an increasingly globalized world, more international experiences lead to better global ties, and a more peaceful society overall. 

 One easy way to apply for a job overseas is by MIMS Career. Signup and input your resume details with us, and you can enjoy our fast, secure, and easy 1-click application process to many healthcare employers. Find nursing work that you would get excited about in Malaysia, Philippines, Indonesia, or Singapore. You can also save jobs to view later, or create email alerts to notify you of new positions you might be interested in.

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 As incidences of chronic kidney disease and other related renal issues continue to rise, the need for adequately trained nurses in those fields continue to grow. Similar conditions are seen in various parts of the world. In 1999, the incidence of patients with kidney conditions requiring long-term care is 340,261. In 2010 it is over 600,000.  

 The diagnosis of renal conditions can be done with a primary care doctor. However, treatment and care of those patients require an understanding of risks, comorbid conditions, complications, and probabilities for loss of kidneys by both physicians and nurses. 

 For nurses, a post-basic renal course can open the doors to working in this area which is sorely lacking in manpower. Here are the reasons why you should consider pursuing a renal post-basic certification. 

 From bedside to business 

 There are a lot of CKD (chronic kidney disease) clinics opening up. Having a renal certification enables you to work at these clinics as your training is aligned with what they have to offer their patients.  

  Pusat Hemodialisis Mawar  is one of them. They are the largest private charity haemodialysis organization in the country. They have 13 centres spread throughout the country. 

 A short search on Google Maps also reveals a lot of haemodialysis centres in Klang Valley. 

 Being a nurse at institutions like those will train your patient management skills as you run the day-to-day administrative tasks in parallel with your nursing duties. 

 Better work setting 

 You’ll have a less erratic schedule than your peers. Dialysis patients require a regular timing on their treatment. Your shifts would be on more regular hours. A more fixed routine can be better for your health and well-being. 

 Better pay 

  On average, renal nurses with post basic certification get about 10% more pay.  

 Hospital dialysis nurses may be offered more pay, but they may also be required for emergency dialysis treatments, making their schedule less average than others in their field of focus. 

 Adjustable pace 

 You can choose to work in smaller dialysis centres for slower pace, or larger nephrology units in hospitals if you wish for a faster paced working environment. Unlike other specialties, you have a choice to work in the kind of environment that suits your working style. 

 Rapid changes in the field 

 Technological advances in the renal treatment field progresses at a rapid pace. Previously, it was slow. Kidney diseases were complex and difficult to study. Therefore treatments were vaguely ineffective. 

 The 21st century brought in upgraded transplantation technologies with breakthroughs in biocompatible materials. 

 As a renal nurse, you will handle the care of post-transplant patients. The tasks and how you perform your duties to these patients have a high probability of changing with the frenetic pace of research. 

 High Demand 

 Renal nurses have good experience in interpreting telemetric data. This makes them efficient at being support units in surgical wards to ensure successful procedures. 

 Dialysis is expensive, costly, and there’re not enough facilities and manpower in public and private hospitals. 

 Conclusion 

 Pursuing a renal post-basic certification is a solid pathway to consider. Nurses with this certification are more in demand, have better pay, and all the listed advantages above. For people who like clinical challenges, treading this path is for you. 

 Already have a post-basic in renal care? Head over to MIMS Career to search and apply for renal care jobs in your area. Just signup and experience our convenient 1-click application process. It’s fast, safe, and easy. MIMS Career also allows you to search in our huge database of employers seeking new staff. You can also save potential jobs for later viewing, and create your own personalized job alert.

Renal Post-Basic, a certification to consider

As incidences of chronic kidney disease and other related renal issues continue to rise, the need for adequately trained nurses in those fields continue to grow. Similar conditions are seen in various parts of the world. In 1999, the...

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 Technological developments continue to improve well into the 21st century, bringing in advancements in surgical care. By extension, the responsibilities of the registered nurse that assists in patient care in the operating room/theater need to keep up with the times. 



 Definition: 

 These nurses who have more specialized duties in the OT/OR are called perioperative nurses. The word “peri-” is Greek for “about”, or “around”, “enclosing.” Just think of the word “perimeter. Hence, “perioperative nursing” means the care of a patient before, during, and after a surgical procedure. 



 Duties: 

 Typically, perioperative nurses fall into two categories: 

  Scrub nurse  - These nurses select and pass surgical instruments to the surgeon during the operation. He/she might also assist in the procedure. 

  Circulating nurse  - This kind of nurse manages the operating room. She ensures the place is safe for the patient and operating staff. 

  Anaesthetic nurse  - Provides support to the anaesthetist during or before the procedure. Duties include preparing the equipment, and administering anaesthesia to the patient in a safe manner. 

  Holding bay nurse  - this term might be called differently in other countries. The holding bay nurse is responsible to bring the patient up to speed in the pre-perioperative environment. She is also responsible for all the information to be correct prior to procedure, such as fasting status, reports, and medication. 

  Post-surgery Recovery Nurse  - As the name indicates, this nurse cares for the patient immediately after surgery. Tasks such as ensuring patient’s airways are open, recording results, are the norm. 

  It is common for a single perioperative nurse to carry two or three of the aforementioned duties during a patient’s course of the surgery.  



 Education: 

 A post-basic certification is needed in order to qualify one to take up perioperative duties. The duration of the post-basic training might be within 1-2 years. Nurses undergoing training are exposed to surgical care, intensive care, and treatment of critically ill patients.  

 Most post-basic programs require 3-4 years of work experience as a registered nurse beforehand.  



 Workload and Working Conditions: 

 Surgical procedures can be very long. Moreover, complications can sometimes occur, further delaying the endpoint of the surgery. 

 Perioperative nurses are expected to be alert of the patients’ vitals during the post-surgical state to monitor any signs of abnormalities. 

 Working hours may differ across institutions. A small clinic specializing in aesthetic surgery might have more regular hours, compared to a teaching hospital that has multiple wards. 

 Work conditions and intensity also depend on the severity and complexity of the patient’s surgery. 



 Opportunities in Perioperative Nursing 

 Like most areas of nursing, job opportunities continue to grow. This specialization is expected to grow at a high rate as more institutions begin to provide surgical procedures. 

 The additional training provided to nurses with perioperative backgrounds can open many career doors. In the future, they will be able to function as OT directors, handle fiscal matters, and other managerial aspects of the operating theater. 

 With some more experience, nurses can proceed to becoming academicians or educators, as well as go into research. 

  Read more on advancing your nursing career into nursing education HERE.  

 Salary and income  
Nurses with specialization (such as perioperative nursing) stand to earn higher than the national average of nurses’ income. However, it is subject to location and healthcare institution facilities. 

 For those in the public sector, you have a high chance of being put in a higher grade. 

  Read more on how nurses can increase their income HERE.  



 Source: 

  https://healthtimes.com.au/hub/perioperative/46/guidance/nc1/perioperative-nursing/563/  

  http://www.mayo.edu/mayo-clinic-school-of-health-sciences/careers/perioperative-nursing  

 Search for high-paying perioperative nursing jobs here at  MIMS Career . Sign up and apply today with our safe, secure, and free site. MIMS Career is an extensive job portal for healthcare practitioners such as nurses, doctors, and dentists throught Malaysia, Singapore, Indonesia and the Philippines. 

 Browse through our vast directory of job vacancies by top healthcare employers. See any jobs you like? Apply with one click, or save it for later if you need some time to think about it.  

 Can’t find what you’re looking for? Set up an email alert, and we’ll notify you when a job vacancy that meets your desired criteria becomes available.

Career Highlight: Perioperative Nursing

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 Think about working in Australia. The salary of nurses are one of the highest in the world. They have a large, interesting country with endless things to explore. The quality of life is great; it is second best globally. People live outside a lot more than they do here, are laidback, and friendly. 

 Working overseas, while initially scary, can be one of the best decisions you ever make. Being outside your comfort zone forces you to grow as you are tested by challenges that not many people will get the opportunity to go through. 

 Depending on where you go, it can be very different from back home. This change in environment builds confidence as a result of changes in your perspective. Not only will it look good on your resume for future career opportunities, a new country is a land of endless discovery that you can make during your downtime after work. 

 Want to work as a nurse in Australia? Read on to find out. 

  About Australia  
 Register with NMBA  
 Apply for skills assessment with AMNAC  
 Get on AHPRA online public register  
 Pass the AMNAC skills assessment  
 Living in Australia  

 About Australia 

 Because it was geographically isolated as an island for millions of years, many species can only be found on the Australian sub-continent. Australia is a rapidly advancing country: it is the 13th-largest economy, and is ninth on the list of income-per-capita. It ranks highly in terms of quality of life, healthcare, education, economic freedom, civil liberties and human rights. An influx in migration from all over the globe to Australia has resulted in the country becoming a rich, diverse, and friendly melting pot of cultures and ideas. 

 Register with NMBA 

 The process of migrating to Australia for work as a nurse involves a few regulating bodies. In a nutshell, in order to practice nursing, you’d have to register with the Nursing and Midwifery Board of Australia (NMBA). This board handles your qualifications, and deems your education to be relevant, meeting Australian standards. Then you have to apply with the Australian Nursing and Midwifery Accreditation Council, or ANMAC. This body takes into account your work experience, and handles your migration to Australia. It is possible to be accepted by the NMBA, but rejected by the ANMAC. 

 The suggested pathway is to register with the NMBA first. For registration, they will assess you on three things: 

 
	 Criminal history
	 
		 English language skills (a recent result of tests like IELTS or TOEFL is needed) 
		 Recency of practice. You need to clear this part if you’ve already been practicing as a registered nurse here in Malaysia. Recent grads without prior work experience need not do this step. 
	 
	 
 

 Apply for skills assessment with AMNAC 

 Once this is done, and approved by NMBA, you then apply to AMNAC for a skills assessment. This is the application that will approve your migration to Australia. 

 They have five criteria to submit: 

 
	 Proof of identity 
	 English language proficiency (similar to NMBA criterion) 
	 Educational equivalence (whether or not the nursing degree or training is the same standard as AMNAC’s standards) 
	 Professional Practice 
	 Fitness to practice. 
 

 Get on AHPRA online public register 

 If you’ve graduated from Malaysia, you would have to complete some further training. This is because you do not meet Criteria 3- Education equivalence. Hence you would not be suitable for a skills assessment from AMNAC, which prevents your migration. 

 To get over this hurdle, you need to be on AHPRA’s online public register, which determines that you are fit to practice, and that your education and training are both deemed usable for their healthcare system. 

 This training can be in the form of a bridging program or something similar. Contact the Dept of Immigration and Border Protection for a visa to go to Australia to complete your training. 

 Pass the AMNAC skills assessment 

 Then there’s only left the final step! AMNAC will approve your application to go through their skills assessment. Once that’s done, they will issue a Letter of Determination. If you are suitable for migration, congrats! Head back over to Department of Immigration and Border Protection website to start the visa process. 

 Living in Australia 

 Australia has seven of the top 100 universities in the world so great place for education. Also, each year Australian Government provides approx $200 million dollars in scholarships for local and international students. It’s a good opportunity to raise your children there. 

 Australia is a safe, multicultural, friendly and harmonious society. It has a comparatively very low crime rate and strict gun control laws providing a safe place to live. 

 Medical insurance, healthcare facilities and doctor’s prescription medications are cheaper than many developed countries. So you can have a peace of mind whenever misfortunes happen. 

 Halal food is relatively easy to get in the larger cities. Lately the vegetarian movement has been very well-liked with the local populace. Regardless of your dietary needs, Australia is open enough to accommodate everyone. 

 Conclusion 

 Migration to another country can be scary. There are no certainties. No guarantees. You’d be leaving familiar environment behind, and embracing the change that will happen. Be proud of yourself for taking this next big step in your career. 

 As the world gets smaller and more connected, employers are more in need of healthcare practitioners who are open-minded, culturally-exposed, and competent to meet the needs of 21st century challenges. 

 You stand to gain a new skillsets from experienced specialists who work in challenging environments. It will solidify your confidence - and compassion. That compassion will come from the realization that despite differing borders and flags, we are still one big family. The realization that we’re not so different after all, and that access to health care is a basic human right. 

 Start applying for nursing jobs overseas with MIMS Careers. Just signup, input your details and resume, and you will be able to apply for those job posts with a single click. Not only that, you can save jobs you are interested in for later viewing. 

 Can’t find what you’re looking for? Set up job alerts so we can notify you of new employers that meet your search criteria.

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 A close relative of mine is a young nurse. Two years ago she started taking care of this nice lady who was partially paralysed; her breathing muscles would no longer function autonomously, hence a tracheostomy was done so she could breathe. The condition left her bed-ridden on bad days, and wheel-chair bound on good ones.   

 She cared for the lady to the best of her abilities, for about 18 months. One day the lady started feeling cold. She was sweating and shivering at the same time. She went unconscious, and had five cardiac arrests within 36 hours.  

 After unsuccessfully trying to stabilize her blood pressure, she died of heart failure.   The young nurse was devastated. It wasn’t her own mother, but it might as well seemed like it. It was her first patient death while working as a nurse. It affected her so much she found it difficult to work for the next week.   

 This experience is shared by many nurses in the country.   How nurses bond with their patients depends on circumstances and the length of time they provided care to them. A strong bond between patient and nurse is essential to effective nursing, but when death happens, it can deal a very significant blow.   

 The first death of your patient can massively impact you as a nurse. So will subsequent ones.    

 It is extremely important that this doesn’t mentally compromise your ability to do your work. 

 How can you, as a nurse, deal with it? 



 1. It’s okay to feel emotions. Embrace it fully. 

 You are human. You are in a compassionate profession: the very basis of nursing started on the principle to relieve pain, assuage suffering, and provide help to those of ailing health.  

 It is okay to feel overwhelmed at first, especially when you have cared for the patient for so long. 

 Empathy is good for your job, it makes you a better nurse, but it makes loss more painful.  

 Allow yourself some time to feel, and understand your emotions. 

 Your line of work is to care for people, the noblest of all human traits. Your grief on the death of your patient means that you have done your job. 

 2. Try to accept the death happened. 

 Some wards have it harder than others for this. 

 A geriatric ward would have the oldest, most needy patients. Conducting CPR on these patients can be cruel, especially if you or your team are not willing to “let go” of the patient. 

 However, death in these parts of the hospital would be a routine part of the day. It is wise to accept it, so you can continue giving out the best care to the other still-living patients without letting it affect the quality of your work. 

 Accept their deaths, and the fact that you have done all you could to alleviate their suffering. Know that you have done your best to keep them comfortable and retain their dignity. 

 3. Remain in control and neutral if breaking the news to the family. Don’t add to the problem. 

 It is okay to share your emotions with the patient’s loved ones. 

 Respect the family; if they do not wish you to partake in their grief, then kindly leave them alone. They have also gone through much, just like you. 

 Some relatives will blame the doctor/nurse for causing the death. Don’t take this to heart. The Kubler-Ross model of grief lays out five stages, and anger is one of them.  
Find your own ways to vent, either through support groups, family, or colleagues. 

 4.  Talk about it. Don’t bottle it in. 

 One of the best things about being in the nursing workforce is that you’re surrounded by people who have gone through similar experiences too. 

 Death is prevalent amongst healthcare professions, and sometimes just talking to a senior can help a lot. 

 Find someone you’re comfortable with. It can be a senior nurse, a matron, or even your other colleagues in the ward. 

 Ask them how they managed to overcome such periods of distress. Pour out whatever you’re feeling to them; it is very likely that they have felt everything you are feeling right now. 

 Talking about it helps you make sense of what you’re feeling. By articulating it into words, you can pinpoint exactly what’s bothering you, and help you to come to terms. 



 5. Realize that these things happen. 

 Things happen. Death is part and parcel of the life in a hospital. Some areas will be more prone to dealing with death than others, like the ER, surgical ward, the ICU.   
You might find yourself poring over the moments that led up to the death in your mind, going over what you could have done better, what you could have done differently. 

 This leads to a general feeling of guilt. This can be very destructive to your well-being, and can affect the performance of your work to other patient who also need your care. This is not a good coping mechanism if it jeopardizes the health of your other patients. 

 6. Believe that you are making a difference. 

 The death of a patient does not equal to failure. 

 How you deal with the patient’s relatives is an extension of how you treated their late relative. 

 For all the grief that you may be feeling right now, the patient’s family has it harder. 

 Showing that you cared provides a monumental difference, and leads the family to a safer path of acceptance. 



 Conclusion 

 The trait that sets humans apart from other species is our ability to empathize for our fellow brethren. 

 Other fauna have demonstrated this to a certain degree, but only humans have been able to take it to their very core, make it into their reason to live, and deliver it back to their community. 

 Nursing is more than just facts or skills or the amount of certifications that you can obtain to move your career. It is founded on empathy; the ability to understand others’ suffering and pain. 

 During times when you feel overwhelmed or devastated by the loss of your patient, stand firm and be proud of who you are, because nurses do things that not many will have the capacity to accomplish. 

 You will find your way to deal with it as you become more experienced, and become better at learning what is the best way to help families cope with grief over time. 

 Steel your heart, adjust that uniform, and carry on providing the best that you can give to your other patients.

How to Cope with Death and Loss, as A Nurse

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 Emergency Nursing 

 Emergency medicine, formerly known in some countries as accident and emergency medicine (A&E), is the medical specialty involving care for  undifferentiated and unscheduled patients with illnesses or injuries requiring immediate medical attention.  

 Overview 

 As first-line providers, emergency nurses and doctors are responsible for: 

 
	 initiating investigations and interventions to diagnose and/or treat patients in the acute phase 
	 coordinating care with doctors from other specialties 
	 making decisions regarding a patient’s need for hospital admission, observation, or discharge. 
 

 Emergency nurses generally practice in hospital emergency departments, wards, units or intensive care units. They may also be working at pre-hospital settings via emergency medical services, such as in the event of a calamity like a road accident. Moreover, emergency nurses also may work in primary care, such as urgent care clinics. 

 History 

 During the 18th century the French Revolution brought upon the development of the ambulance. After seeing the speed with which the carriages f the French flying artillery maneuvered across the battlefields, French military surgeon Dominique Jean Larrey applied the idea for rapid transport of wounded soldiers to a central place where healthcare was accessible. 

 Emergency medicine and nursing is a relatively new field. It was only in 1979 that a vote by the American Board of Medical Specialties that emergency medicine became a recognized medical specialty in the United States. Other countries followed suit soon thereafter. 

 Scope of Work 

 Emergency nursing is a specialization based on the knowledge and skills for the prevention, diagnosis and management of acute and urgent aspects of illness and injury affecting patients of all age groups with a full spectrum of undifferentiated physical and behavioral disorders. 

 It further encompasses an understanding of the development of pre-hospital and in-hospital emergency medical systems and the skills necessary for this development. 

 Common Tasks 

 
	 Triaging of patients 
	 Suture complex lacerations 
	 reduce a fractured bone or dislocated joint 
	 treat a heart attack 
	 manage strokes 
	 stop severe nosebleeds 
	 placing a chest tube 
	 conducting emergency tracheostomy 
 

 Work location 

 Emergency nurses are tasked to provide the acute care of internal medical and surgical conditions. In many emergency departments, nurses are tasked with seeing an alarmingly large number of patients, treating their illnesses and arranging their next steps. 

 Training 

 There are a variety of models for emergency nursing training across the globe. In some countries the emergency nurse rides in the ambulance to and fro the scene of emergency. This is done to provide stabilizing care to the affected patient. 

 Nurses in emergency departments require a broad field of knowledge and advanced procedural skills of many nursing fields. They must know how to: 

 
	 Resuscitate a patient 
	 Carry out surgical procedures 
	 provide cardiac life support 
	 Manage patients’ airways 
 

 Specialization for emergency nursing often happens after a post-basic certification proceeding three years of service as a registered nurse. 

 Required skillset 

 Emergency nurses require an extensive amount of cool-headedness to handle the oncoming onslaught of daily tasks that present themselves. A great number of emergency ward cases are urgent and time-sensitive in nature, therefore the nurse needs to exercise great caution and patient, while being curt and efficient at the same time. 

 Good teamworking skills is essential. The role of an emergency nurse also involves proper triaging of patients into in- or out-patient services, and work with various specialists or fields to determine the best course of action following prognosis. A positive, proactive, and supportive nurse is beneficial in any emergency setting. 

 Clear communication skills are required in order to convey the correct information to emergency dispatchers or hospital emergency personnel. Failure in conveying correct medical info will prove to be disastrous for the patient, incur financial losses, and increase chances of litigation due to malpractice. 

 Career opportunities 

 Emergency nurses can work in a wide variety of settings, and they include: 

 
	 First aid volunteers 
	 Emergency medical services (BOMBA, paramedics) 
	 paediatric emergency medicine 
	 rescue squads 
	 emergency medical technician 
	 traumatology 
 

 It is not uncommon for nurses to leave clinical work in order to focus on research, especially at the post-graduate levels of study. 

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