A Career in Cardiology

1. Specialization tasks
2. Pathway
3. Common job scopes
4. Common terms
5. Career opportunities

Cardiology

Cardiology is a branch of medicine dealing with disorders of the heart as well as parts of the circulatory system the field includes medical diagnosis and treatment of congenital heart defects, coronary artery disease, heart failure, valvular heart disease and electrophysiology. Physicians who specialize in cardiac surgery are called cardiothoracic surgeons or cardiac surgeons. The supporting role of the surgeons and physicians are cardiology nurses.

Although the cardiovascular system is inextricably linked to blood, cardiology is relatively unconcerned with hematology and its diseases. Some obvious exceptions that affect the function of the heart would be blood tests, decreased oxygen carrying capacity, and coagulopathies.

Coagulopathies

source: Resus.me

Specialization Tasks

All cardiologists study the disorders of the heart and all cardiology nurses are trained to take care of either adult or children conditions. This is due to differing aspects of training for adult and paediatric physiology. Surgical aspects are not included in cardiology and are in the domain of cardiothoracic surgery.

For example, coronary artery bypass surgery and cardiopulmonary bypass are both surgical procedures performed by surgeons, and not cardiologists. As a nurse, your task will be that of assisting the cardiologists in this matter. A properly-trained cardiology nurse would have the necessary critical thinking in order to draw conclusions to make meaningful impact of treatment.

Common tasks in the wards that you might have to do include the insertion of stents, pacemakers, and valves.

Pathway

Cardiology OT

source: verywell

Cardiology is a specialty of internal medicine. To be a cardiology nurse, a three-year work experience followed by a post-basic or relevant course is required. It is possible to sub-specialize in Malaysia. Recognized sub-specialties in cardiology for Malaysia are cardiac electrophysiology, echocardiography, interventional cardiology, and nuclear cardiology.

Currently there is insufficient data for Malaysia, for salary, but it is guaranteed to be higher or on par with other similar nursing specialists.

Common job scopes

Cardiology is a vast field. Not only does it involve the heart and its systems, it also involves supporting systems such as haematology and its diseases. It is important to know and train for this when pursuing this specialization.

Cardiac electrophysiology

An example of echocardiography

An example of echocardiography

This is the science of elucidating, diagnosing, and treating the electrical activities of the heart. The term is usually used to desccribe studies of such phenomena by invasive catheter recording of spontaneous activity as well as of cardiac responses to programmed electrical stimulations. These studies are performed to assess complex arrythmias, relieve symptoms, evauate abnormal ECGs, assess risk of developing arrhythmias in the future, and to design treatment.

Cardiac examination

The cardiology nurse is able to carry out cardiac examinations of patients. It is performed as part of a physical examination, or when a patient presents with chest pain suggestive of a cardiovascular pathology. It would typically be modified depending on the indication and integrated with other examinations especially the respiratory examination. Like all medical examinations, the cardiac examination follows the standard structure of inspection, palpation, and auscultation.

Paediatric cardiology

Paediatric cardiology

source

Paediatric cardiology is a specialty of paediatrics. To be a paediatric cardiology nurse, one must complete at least three years of registered working experience and pass all the required courses. Adult cardiology certifications are not valid due to differences in physiology in children.

Common complications that you will see as a nurse practicing paediatric cardiology are paediatric hypertension, paediatric hyperlipidemia, heart palpitations and arryhthmias.

Diagnostic tests

Diagnostic tests in cardiology are the methods of identifying heart conditions associated with healthy vs. unhealthy pathology heart function. It is commonly started by obtaining a medical history, followed by auscultation. Blood tests soon precede after, and imaging can be done on a need-to-do basis.

Common terms

1. Tetralogy of Fallot

It is the most common congenital ehart disease arising in 1-3 cases per 1000 births. The cause of this defect is a ventricular septal defect and an overriding aorta. These two defects combined causes deoxygenated blood to bypass the lungs and going right back into the circulatory system. The modified Blalock-Taussig is used as a treatment for this condition.

2. Pulmonary atresia

This happens in 7-8 births per 100,000 and is characterized by the aorta brancing out of the right ventricle. It causes deoxygenated blood to bypass the lungs and enter the circulatory system. Fixing it can by done by a team of cardiologists and nurses by redirecting the aorta and fixing the right ventricle-pulmonary artery connection in surgeries.

3. Double Outlet Right Ventricle

Double outlet right ventricle is when both great arteries, the pulmonary artery and the aorta, are connected to the right ventricle. There is usually a ventricle in different particular places depending on the variations of DORV, typically 50% are subaortic. A VSD closure is the most common form of treatment for this condition.

Career opportunities

Search for high-paying cardiology nursing jobs on MIMS Career. Browse, save, and apply for nursing jobs, all in one-click. Take the opportunity for higher pay and better work locations. Our pages are all mobile-responsive, allowing you to take that leap for a better job whenever, wherever you are. All our job postings are heavily screened to prevent scams and mistrustful behavior.

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 Résumé’s (also known as CVs) are great. They sumarize your experiences onto a few pages so your employer can quickly get a sense of who you are before hiring you. However, employers have to go through a lot of résumés in their search for a potential hire, so making a great résumé can result in a good first impression. 

 Traditionally, résumés have been blocky, information-dense pieces of paper that you send out to employers you’re checking out. With the advancements in personal computing, software and printing, people have been more and more creative with how they craft their résumé’s. 

 The more traditional approach can look more professional and neat, but a creative approach can often help you stand out from the crowd. Choose a method that best presents you in a positive light. 

 Before you write your résumé 

 Before you write down your résumé, sit down and take note of what you’ve done. Any interesting projects taken? Achievements? List it down. 

 Also verify the dates of your education background. It can be easy to forget, especially if you’ve left your academic studies for a long time. Also try and find out the full course or programme names of your certificates, degrees, doctorates. 

 Doing great things lead to a great résumé. Take up as many opportunities as possible that can be put on a résumé, like volunteer work, teaching, skills training, etc. 

 The traditional approach 

 Easy way: Use a predefined template from Word, Pages, or Docs. 

  Tools needed: A PC, tablet, or smartphone.  

 This is as simple as it gets: 

 
	 Open the word processor, and select from the list of templates given. 
	 You can add, remove, or move around certain sections which do not pertain to you. 
	 For example, for a fresh graduate, your education background would come above your work experience because the former is more important at that stage of life. Vice versa for those already working. 
	 Want more templates? Check out  https://r  ésumégenius.com/résumé-templates . 
 

 Normal way: Build it from scratch. 

  Tools needed: PC, tablet, smartphone. Word editing software needed.  

 Building your résumé from scratch allows you to customize every single aspect of that you can present to your future employer. 

 Start by writing down your info. Be concise, truthful, and accurate. 

 Then  add your work experience , or educational background. As previously mentioned, this depends on whether you’re still studying or have already worked. Put it in reverse-chonological order; meaning the latest job first, and the first job last. Same with education. 

  Add in your skills.  It helps employers a lot if you could put in the degree of proficiency. To keep it simple, just rate it from 1-5. For example, ANSYS = ⅘ , SolidWorks = ⅗, verbal communication ⅗, and so on. Some skills to add include software (ANSYS, SPSS), or equipment handling (telemetry, ECG, cardiographs). 

  Don’t forget to add in your language ability.  When working in sectors like healthcare, where you deal with a diverse set of people (especially in multi-cultural Malaysia!) it helps to be bi- or trilingual. Employers love that. 

 Now that you’ve added all you have to add, start by styling the text appropriately. A good rule to follow is to enlarge each point by a few titles, then bold it, so the reader can quickly skim through your résumé. 

  Ensure there is enough spacing.  Think of whitespace as breathing room. You want your text to be able to breathe in order to be legible. A cramped document is not fun to read. 

 Add in the headers and footers. A good use of headers would be your  name and contact number , in 9-pt font. Employers often put your résumé in a stack, and putting something to identify you there would help a great deal. You can put a page number on the footer for continuity purposes. 

 View over the entire document. Ensure the margins are properly aligned. Is the font legible? Clear? Then head over to save and print it out. You’re done! 

 The creative approach 

 With easy application processes from job portals like MIMS Career, employers now are as equally likely to read your résumé in a digital format, on a screen. 

 This allows for some creativity, as current screens can now reproduce millions of colors, in different shapes and sizes. 

 Remember not to overdo a creative design; keep it subtle, keep it clean, and keep the information legible. 

 Easy way: Use an online résumé builder. 

  Tools needed: PC, with keyboard and mouse recommended. An internet connection is important.  

 My favorite résumé builder is, by far,  Novorésumé . 

 Very intuitive controls. A good degree of customization available. 

 Their presets are killer design. They’ve matched out complementary colors in each of their templates so you don’t have to. They’re all subtle, yet sophisticated. Clean, yet intricate. 

 It’s also multi-lingual, so you can craft your Bahasa Malaysia résumé in it as well. 

 Have a look at Elon Musk’s résumé, generated by Novorésumé. It’s simple, packed, and most importantly, eye-catching. It already looks superior compared to a lot of the résumés we have seen. It also proves that you don’t need many pages to list down your info, despite being one of the world’s most successful visionaries. 

   

 There are also other résumé builders online:  Reed  is one of them. Just do a Google search, you’ll eventually find out with layouts or usability that you really like. 

 The Normal way: Design it yourself! 

  Tools: PC, Keyboard + Mouse, Drawing tablets optional, PhotoShop/Illustrator/Any online sketching tool.  

 To do this, you might need some additional skills with illustration software. 

 The idea is to create a layout that draws attention but doesn’t compromise on information legibility. 

 You can have a look at great designs from dribbble.com, a site where great designers like to post their work. Have a look at the ones you like, and determine what you like about them and incorporate them into your design. It’s good inspiration. 

  You need to keep in mind 4 things:  

  Typography  

 
	 Use 15-25px only. A too large text-size can look goofy and awkward. 
	 Like a kids book. Use a big font for headlines, and employ a low font weight. Like Helvetica or Lato. 
	 Since you’re sending this over the web, and it will be read on screen, go for a sans-serif font for easier legibility. 
 

  Colors  

 
	 Use only one base color. A résumé with too many colors will make it look amateur and is a pain to see. In the end, your résumé is an official document used to represent you in a good light. 
	 Never choose black for your base color. Black never appears in the real world. It is sombre, demure, and lacks energy. 
	 It is always a bad idea to use black for anything that is to be displayed on-screen, other than text. 
 

  Icons  

 
	 Icons can help increase aesthetic features and help you stand out. 
	 Use icons that are recognizable, like a suitcase for work experience, a graduation hat for education, etc. 
	 I recommend the use of icon fonts. They are scalable at various dpi on-screen. 
 

  Whitespace layout  

 
	 Whitespace is space where there’s no stuff. 
	 Use it to define hierarchy by putting some space between your education, work, skills, and information sections. 
	 Use that whitespace to build flow for the résumé reader. 
 

 Conclusion 

 That’s it! It all depends on how much time and effort you can put in to your résumé. Remember to keep it simple, accurate info, and not too long; 2 pages should be the absolute maximum. 

 You what would be a great use of that résumé? Use it when applying for jobs in Malaysia, Singapore, Philippines, and Indonesia with our job portal,  MIMS Career .. A lot of nurses, doctors, and other healthcare practitioners have been using the service, and many of them have landed the jobs at the location they’ve always wanted. Signup and apply now using our 1-click application feature. It’s fast, safe, and free. Any problems? Email us at mycareer@mims.com for more inquiries.

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 Our team got to know about this privately-run nursing in a cozy neighborhood of Petaling Jaya. Impresif Home Care is run by a total of 3 nurses, 7 workers and their supervisor. We had the chance to speak to the supervisor, Raja. Raja is a wonderful guy, and based on just a few conversations with him you can really tell that he cares a lot about what goes on in the nursing home and its occupants. 

 Impresif Care Home is looking to hire staff nurses with minimal experience to help with their workload.  Visit their job listing page to apply.  

 
  What is the vision behind your nursing home? How did it come about?  

 The home was a house bought by our founders, En. Mohd Faizal and his wife Pn Zainab. Pn. Zainab was a matron for a big hospital. There she realized that a lot of patients still require care, but since they can’t stay admitted for too long they are discharged. 

 It was disheartening to see that, so she and her husband founded this home. We have been privately funded ever since, and do not rely on donations. 

 We have about 30 occupants, with the age range being from 55 to 90 years old. Some of them have children who are not able to take care of them; it is cheaper to send the parents here for nursing care compared to hiring a nurse who comes to the house, which can be very expensive. Some of the occupants here just do not have anywhere to go… but we are grateful we can still support them here. 

  How is the home culture like? 
 
   

 A lot of people come here to visit, thinking it to be depressed and lonely for the elderly to be here. But it’s actually a lot of fun! Everyone tries their best to be happy. I myself have never been happier in my life, now that I’m working here looking after other people. 

 It’s a relatively slow working lifestyle. We wake the occupants up at 630am, then prepare breakfast, wash, clean them, and take them out for exercise. Those who need parenteral feeding will be fed by our nurses. We have lunch around noon, and then it’s some TV time followed by an afternoon nap. Dinner is at 7, then it’s free and easy. 

 Weekends are a bit busier. Relatives and children come over to visit, and will ask the staff questions like “What medication is he/she on?”, or “How has my father been this week?”, things like that. 

 This is a suitable place for nurses out of nursing school to gain some experience before going on to do their Degrees or Post-Basics. The occupants here are all low-dependency type of patients. 

  What do you do to make your staff happy and enjoy working here?  

 It helps that the elderly are all funny and exciting in their own way. I always get “invited” to any one of the uncles or aunties houses. I’ve worked here for 8 years and I still don’t know where their “houses” are.  laughs  

 The location of the home is very nice and quiet. It has easy access to the Federal Highway and the New Pantai Expressway, so staff can easily get here from all over. It can be tiring at times but not as busy as hospital work, and they get paid well too. 

  What cool pieces of tech do you have in your clinic?  

 Everyone has their own wheelchair! So they can decorate or personalize it to fit their own characters. Some carry small tokens on their wheelchairs to remind them of people or places they used to meet. 

 We have fully adjustable beds like the ones in hospitals for our more needy occupants. 

 Our dispensary is always kept fully-stocked. 

  What kind of people are you looking to hire as your staff?  

 We’re looking for nurses who are patient, hardworking, and with a soft heart for the elderly. Applicant must also be willing to work six days a week, especially on weekends. That’s when we’re the most busy. 

  How does your staff get hired?  

 Our nurses gets hired by Pn. Zainab. She talks to the nurses that is going to work here. It’s not much of a screening; it’s just to get to know who you are as a person and how you’ll do your work. 

 We take our staff from maid agencies, so they’re mostly Indonesian. 

  What does the future of this nursing home look like?  

 We want to keep doing what we do for a long time. We’re looking to increase the number of nurses that we employ to help the current workforce cope better with the workload. At the moment we are looking to hire any qualified nurses, even ones with minimal work experience. We’ll help to guide you in the right direction. 

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Institution Highlight: Impresif Care Nursing Home

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  source: Larm Rmah  

  1. Paediatrics  
 2. History  
 3. Key differences  
 4. Ethics  
 5. Training  
 6. Job scope  
 7. Required skills  
 8. Common Cases  
 9. Career Opportunities  

 Paediatrics 

 Paediatrics is the branch of medicine that deals with the medical of infants, children, and adolescents. The American Academy of Paediatrics recommends people be under paediatric care up to the age of 21. A medical practitioner who specializes in this area is known as a paediatrician. 

 The word paediatrics can be spelled as either  paediatrics , as per British English, or  pediatrics , as per the American counterpart. Both spellings are acceptable. 

 The word paediatrics comes from two Greek words: “ pais “, meaning children, and “ iaitros “, meaning “doctor” or “healer”. Paediatric nurses usually work in hospitals, assisting physicians in specialized subfields like  neonatology . 

 History 

 Paediatrics is considered to be a new subset of medicine today. Ancient Greek physicians like Hippocrates, Aristotle, Celsus, Soranus, and Galen understood the differences in growing organisms like children; as compared to fully-mature adults. Soranus, a Greek physician and gynaecologist from Ephesus (located in modern-day Turkey) has published  records dealing with neonatal paediatrics . 

   

  source: EIT Mental Health  

 Paediatrics as a specialized field of medicine continued to develop in the mid-19th century. The first generally accepted paediatric hospital is the L’Hopital des Enfants Malades, which literally translates from French as “The Hospital for Ill Children.” It opened in Paris in the month of June, 1802. It accepted patients up to the age of 15 years, and still continues to operate today. 

 Key Differences Between Adult and Paediatric Medicine 

 Maturation of the human body is paralleled by differences in body size. In other words, the smaller the infant, the more different the physiology of the said patient. The smaller body of an infant or a neonate (a baby) provides a greater concern to physicians or nurses in the paediatric ward. Congenital defects, genetic variance, and developmental issues adversely affect children more than adults. 

 Children, therefore, must not be treated as “a smaller version of adults.” 

 Nurses and physicians in the paediatric specialty must take into account the immature physiology of the infant or child when considering symptoms, prescribing medications, and diagnosing illnesses. 

 Ethics 

 Another major difference between adult and paediatric medicine, is that  children cannot make decisions for themselves . This is important enough to warrant its own subsection in this article. 

 The issues of guardianship, privacy, legal responsibility and informed consent must  always  be considered in every procedure. 

 
 … children cannot make decisions for themselves. 
 

 Rather than just treating the child, those working in paediatrics often have to treat the parents and the family. Adolescents are in their own legal class, depending on the country, and they have rights to their own health care decisions in certain circumstances. 

 Not only will a paediatric nurse or doctor take into account the desires of a child when considering treatment options, he or she will conform to the wishes of many people. This becomes especially  important when dealing with conditions of poor prognosis, and complicated or painful procedures.  

 Training 

 Courses are available to registered nurses who have completed a minimum number of service years. The number of years differ according to country. The qualifications range from advanced diplomas, to PhD research focusing on paediatric care. Many academicians forgo clinical practice in order to pursue research that will improve the quality of healthcare or bring about favourable policies to the care of children and adolescents. 

   

  source: paediatricemergencies.podbean.com  

 It is very common for paediatric nursing training to be comprised of  didactic  and clinical components covering the management and treatment of acute and complex child patients. 

 In Malaysia, paediatric training also comprises of management of sophisticated technology, providing nurses with the capability to offer quality care in a variety of situations. Training for disease prevention and recuperative treatment are also common modules in a paediatric nursing course. 

 Core modules of training would include  interpersonal skills and counselling ,  values and ethics ,  paediatric principles and practice ,  nursing of children with special needs ,  paediatric oncology , and some clinical practice. 

 Job scope and responsibilities 

 Typical activites may vary according to the role and work setting of the paediatric nurse. Children with special needs often require a different level of care compared to others. With that said, responsibilities include: 

 
	 assessment and critical reporting of patients 
	 preparing patients for pre- or post-op 
	 setting up drips, transfusions 
	 administering drugs and injections 
	 explaining procedures, treatments, to patients or guardians to acquire their consent to treatment 
	 support, comfort, and advise the child and family 
 

 Required skills 

 Children are sensitive, therefore tread lightly when giving care. Paediatric nurses need to display: 

 
	 respect towards the patients and their family’s decisions 
	 excellent communication skills 
	 be able to communicate on a level that the child would understand (if required) 
	 ability to deal with a range of patients at one time 
	 emotional resilience, and mentally strong to handle patients under difficult conditions 
	 compassion to others’ suffering 
 

 Common cases 

 Flat feet 

   

  source: smartlivingnetwork.com  

 Usually happens when the bar ossifies, about 8-12 years old. The tarsal area coalesces and causes rigid and painful flat feet. Operative treatment is not usually needed, unless severe. Usually managed non-operatively. 

 SUFE (Slipped Upper Femoral Epiphysis - also known as SCFE) 

   

  source: Raymond Liu, MD  

 This is a disease that afflicts adolescents (13-18 years old). The growth plate widens during growth spurt and some factors then predispose to slip. Adolescents who suffer from obesity, femoral neck retroversion, endocrinopathies, and trauma are particularly likely to be diagnosed with this. 

 Bradycardia 

   

  source: cardiachealth.org  

 Bradycardia is defined by a heart rate less than the lower limit of normal for age. For infants below 3 years, it is 100 bpm. For children 3-9 years, it is 60 bpm. For 9-16 years, it is 50 bpm. Bradycardial abnormalities can be diagnosed using the 12-lead ECG or the 24-hour holter monitor. 

 Exercise stress testing is not needed in the diagnosis, but may be helpful to determine chronotropic competence. 

 Non-neonatal jaundice 

   

  source: patient.info  

 Jaundice is a yellowish discolouration of the skin, sclera, and mucous membranes due to high counts of bilirubin. It occurs as a result of abnormal bilirubin metabolism and/or secretion. Typically occuring in neonates, jaundice can occur in all age groups. 

 Treatment is done after classifying the jaundice as conjugated or unconjugated hyperbilirubinemia in the older child. Jaundice in older children may be the first clinical manifestation of unrecognized chronic liver disease. 

 Career opportunities 

 Paediatrics is one of those specialties that becomes deeper with more things to explore the more experience you have. Subspecialties in hospitals and community areas include: 

 
	  neonatal intensive care  
	 paediatric oncology 
	 child protection 
	 ambulatory care 
	 asthma 
	 diabetes 
	 counselling 
	 special needs 
 

 A more senior paediatric nurse is likely to have less and less clinical duties as a ward manager or ward sister. A future as a clinical unit manager is entirely within reach. 

 Outside clinical settings, opportunities to work in private healthcare, social services, NGOs, charities, or volunteer organizations are aplenty. 

 Search for high-paying nursing jobs on  MIMS Career . Browse, save, and apply for nursing jobs, all in one-click. Take the opportunity for higher pay and better work locations. Our pages are all mobile-responsive, allowing you to take that leap for a better job whenever, wherever you are. All our job postings are heavily screened to  prevent scams and mistrustful behavior.  
   

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Career Highlight: Paediatric Nursing

source: Larm Rmah 1. Paediatrics 2. History 3. Key differences 4. Ethics 5. Training 6. Job scope 7. Required skills 8. Common Cases 9. Career Opportunities Paediatrics Paediatrics is the...

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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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 Intensive care nursing 

 Intensive care nursing or critical care nursing is a branch of medicine concerned with the diagnosis and management of life-threatening conditions requiring sophisticated organ support and invasive monitoring. 

 Overview 

 Patients requiring intensive care may require support for instability, airway or respiratory compromise, acute renal failure, potentially lethal cardiac arrhythmias, or the cumulative effects of multiple organ failure. It is also commonly known now as multiple organ dysfunction syndrome. They may also be admitted for intensive or invasive monitoring, such as the crucial hours after major surgery when deemed too unstable to transfer to a less intenseively monitored unit. 

 Intensive care is usually only offered to those whose condition is potentially reversible and who have a good chance of surviving with intensive care support. A prime requisite for admission to an intensive care unit is that the underlying condition can be overcome. Patients with a non-overcomeable condition are not admitted into intensive care units (ICU). 

 ICUs are the most expensive area of nursing or medical care. It is also the most technologically advanced, requiring nurses with a higher level of qualifications and education than most. Telemetry, data-analysis, and surgical procedures are all part and parcel of the ICU nurse’s daily responsibilities. 

 Work Location 

   
ICU or Critical Care nurses are provisioned in a specialized unit of a hospital called the intensive care unit (ICU) or critical care unit (CCU). Many hospitals have also designated intensive care areas for certain specialties of medicine, such as: 

 
	 the coronary intensive unit for heart disease 
	 medical intensive care unit 
	 surgical intensive care unit 
	 pediatric intensive care unit 
	 neuroscience critical care unit 
	 overnight intensive recovery unit 
	 shock/trauma intensive care unit 
	 Neonatal 
	 and more 
 

 The terminologies and nomenclature of these units may vary from hospital to hospital. They are also subject to funding, research capability, and availability of trained medical staff. 

 Equipment and systems in unit 

 In the ICU/CCU nurses are required to fundamentally understand and able to operate certain equipment and systems that are critical to the survival of the patient admitted. Common equipment in the unit includes mechanical ventilation to assist breathing through an endotracheal tube or a tracheotomy; hemofiltration equipment for acute renal failure; monitoring equipment; intravenous lines for drug insusions or total parenteral nutrition. 

 A wide array of drugs are also kept in the ICU/CCU, such as inotropes, sedatives, broad spectrum antibiotics and analgesics. 

 Work staff 

 Intensive care/critical care medicine is a relatively new but increasingly important medical specialty. The ICU/CCU is staffed by multidisciplinary and multiprofessional teams including nurses, respiratory therapists, physicians and critical care pharmacists. Doctors with training in intensive care are called intensivists; ICU/CCU nurses are a major form of support for this group. 

 Training 

 ICU nurses will have completed a minimum of three years as a registered nurse following their nursing diploma or degree. Depending on the hospital, ICU nurses may have opted to do a BSN or MSN in order to develop the critical thinking skills required of medical staff in a such a high dependency ward. 

 A post-basic certification in ICU care is commonly around the duration of 12-24 months, where nurses in training will cover internal medicine, pediatrics, anesthesiology, surgery, and emergency medicine. 

 Nurses may also pursue additional education and training in critical care medicine leading to certification by bodies such as the American Association of Critical Care Nurses. This certification carries a lot of weight in terms of qualification for those seeking career advancement. 

 ICU/CCU nurses choose to specialize in one or more of the nine key systems, which are: 

 
	 Cardiovascular system 
	 Central nervous system 
	 endocrine system 
	 gastro-intestinal 
	 haematology 
	 microbiology 
	 peripheries 
	 renal 
	 respiratory system 
 

 Work Conditions 

 Common tasks and responsibilities 

  Hypoxemic Respiratory Failure 
   
The primary aim in treatment of this kind of failure is maintenance of adequate oxygenation, while limiting ventilator-induced lung injury and oxygen toxicity. 

  Assist Patients to Wean Off Mechanical Ventilation 
   
Weaning is the process of gradual withdrawal of mechanical ventilation. The process is uneventful in most patients, but may take up half the time on a ventilator in problematic patients. Nurses are to assess the readiness of patient to wean using clinical and objective measures, and moderate weaning failure on difficult-to-wean patients. 

  Inotropic and Vasopressor Support for Hypotensive Patients 
   
This treatment aims to maintain a perfusion pressure necessary for tissue oxygenation in patients with hypotension and inadequate tissue perfusion. Tasks are to correct hypovolemia, titrate doses of inotropes and vasopressors to targeted levels, monitoring of blood pressure via the arterial line, and prevent septic shock. 

  Feeding via Enteral or Parenteral Methods 
   
In ICU care, nutritional therapy is plays an important part. The goal is to provide adequate calories and protein to keep up with ongoing losses, prevent or correct nutrient deficiencies and promote wound healing and immune function. 

 Work Opportunities 

  Search for high-paying ICU/CCU nursing jobs  on  MIMS Career . Browse, save, and apply for nursing jobs, all in one-click. Take the opportunity for higher pay and better work locations. Our pages are all mobile-responsive, allowing you to take that leap for a better job whenever, wherever you are. All our job postings are  heavily screened to prevent scams and mistrustful behavior.  
   

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