Nursing Associates cheap substitutes for RN’s

Nursing Associate: A role that was introduced in 2915 by Health Education England. It was created in order to Bridge the gap between Registered Nurses and Healthcare Assistants. If you have not already watched my video on this topic, watch it below. Subscribe to my YouTube channel for more videos like it.

 

 

I will use this post to highlight comments/questions from the comment section of this Video on YouTube. This will give us the opportunity to expand upon and reclarify points mentioned in the video. Let’s continue the discussion on Mariaavi.com

National express + Tips and Hacks

National express is an inter-regional coach operator providing service throughout Great Britain.  I have had the pleasure of taking more than 100 trips with them over the past 4 years.

My reasons for taking them are simple. They are the cheapest and most convenient form of transport for me. A return coach ticket with my national express card would normally cost me anything from £25-£28. If I was to take the same journey by train. I would be paying around £100 for a return journey, and more if I purchased the ticket on the day of travel, and or without a travel card. No matter how many times I say I am going to take a train. I always end up taking a national express coach.

Travelling with national express is particularly useful when:

  • Travelling to and from university halls. The baggage allowance means you can pack your bedroom, kitchen and front room in one trip.
  • When travelling to the airport. They stop right by the terminal doors.
  • Visiting new destinations such as London or Brighton. You can be picked up or dropped off at locations that are easily accessible and very easy to find. Drop off and pick up points are often located near train or bus stations.

Travel Hacks and Tips when traveling with national express:

  • Sit at the front of the coach.

The toilets on the coach can be a blessing or a curse depending on how close you are to them, and if you need to use them during your journey. The reason why I suggest sitting at the front of the coach is because the toilets are located at the back of the coach. The closer you are sat to the toilets. The stronger the smell of urine. Trust me, the smell is BAD.

  • Buy your tickets at least 24 hours in advance

In comparison to train tickets. Coach tickets with national express are relatively cheap. So, they tend to sell very quickly. I have been caught out a couple times by leaving it too late to buy my tickets. If you want to avoid disappointment, buy them at least 24 hours in advance.

  • Get a national express card

If you are eligible, get yourself a coach card and save yourself a 1/3 on all standard and fully flexible coach fares. National express offers a young person coach card, a disabled coach card, and a senior coach card. There is an upfront charge for a Coachcard. However, it only takes a couple of trips to ‘make your money back’. So, if you only plan on using national express coaches 2-3 times a year. It is still worth investing in one.

  • Download Vuer

Taking long coach journeys can be pretty boring. Especially when you have taken the same trip more than once. So, download VUER. That way you can connect to the Wi-Fi on national express coaches, watch a couple T.V shows or a movie to keep you entertained for free.

My vegan journey: How I did it

I became a vegan very slowly. Having somewhat of a ‘why’ before I completely transitioned into a vegan diet helped to keep my progress consistent.

Quick note: I didn’t watch those vegan conspiracy programmes, Cowspiracy or earthlings. I don’t ever plan on watching them. I’ve seen clips, and I feel like, well I know for a fact that they have the potential to have a very negative impact on my mindset. (i.e nightmares and displaced anger).

So how did I really become vegan?
Well, I was a vegetarian for 18 months before I became a vegan. I cut out meat but was still eating dairy, eggs and fish. So more specifically, I was a pescatarian for 6 months and a full-on vegetarian for 12 months. Once I became a vegetarian I noticed that my diet wasn’t completely complete (ironic at the time, yes I know it).


As a vegetarian my diet was heavily based around carbs, a lot of carbs, bread, rice, pizza and POTATOES, a lot of POTATOES, and more bread which just annihilated my digestive system. I was at this stage of digestive annihilation for a while. Slowly I began to eat more foods that I knew were good for me, fruits vegetables and pulses.

IMG-20180410-WA0004

I then began to cut out cheese from my diet. Cheese and milk were very easy for me to give up. I never really had a craving for them. While I was still a vegetarian, the next thing that I cut out was mayonnaise, this was harder considering the amount of POTATOES I was eating. However, after about 3 weeks I was complete over it.
All that was left for me to give up was eggs. Simply because eggs are so convenient. They are in a lot of snacks and can form a whole meal on their own. Once I made and was successful at the active intention to give up eggs, I was completely done with it. There was no backtracking. If I knew what eggs really were. They would have been way easier for me to give up. But hey, that’s what you call progress.

Once I finally cut eggs out I was a vegan. On Jan 1st, 2018 I made the decision that I was going to trial out being a vegan for a year.

 

 

 

 

(DISCLAIMER: THIS POST WAS WRITTEN A LONG TIME AGO BEFORE I HAD MY OWN WEBSITE)

Student Nurse Interview Q&A Part 3

Welcome to Part 3 of my Student Nurse Interview Q&A. In this post I will be answering five interview questions. Make sure to read Part 1 and Part 2 of this series if you have not done so already, and share this post with people who may find it helpful.


‘A rising tide raises all ships’.


If you would like a professional and comprehensive guide (detailed, supported with referenced nursing literature etc), alongside one that provides multiple examples of each questions let me know. I am able to create a ‘comprehensive interview guide for student nurses’, but only if there is a demand for it. The responses to the questions in this post are incomplete, solely relying on it to pass your student nursing interview is not advised.

 

If you are interested in videos specifically for nurses and student nurses, subscribe to my channel Maria Avi on YouTube.

 

 

If you are interested in vlogs subscribe to my Vlog channel Maria Avi Vlogs.

 

 

 

Answers to question 1-3

Answers to questions 4-8

9. Is there anything that may impact your ability to become a student nurse?

This questions is very similar to ‘what is you biggest weakness’? I also consider it to be a trick question. Watch the video below for guidance.

 

 

 10. How will past experiences enable you be successful as a student nurse?

Make sure you link your response back to the role of a nurse and what it is you will be required to do as a student nurse. Your response to this question should include a reflective element as it directly askes you to draw from experiences from the past. I suggest that you use the STARR method to answer this question rather than the STAR method. In the video below I explain the difference between the two.

 

 

11. Talk me through a current nursing issue, is there anything you can do to resolve it?

Nursing pay, Brexit, nursing shortages, we all know about that. Whilst they are very (very) good topics to talk about when answering this question. I would suggest talking about topics that are not as publicised. It demonstrates to the interviewer that you have done research beyond what the media is selling. Topics you could cover when answering this question include:

The use of agency nurses

The introduction of Nursing associates

 

12. Are you aware of any nursing interventions/initiatives?

In short, a nursing intervention is any treatment that a nurse performs in order to improve the health outcome of a patient. Based on your experience, is there anything you can think of? When I look at this question, I think that the interviewer wants to know how involved you are in healthcare, how deep (rather than how long) your experience in healthcare is. 

 

13. What is patient experience?

Patient experience. It is the process of receiving care. It includes how, when, where why patients receive care. Thus it is often used as an indicator for the quality of care alongside clinical effectiveness and safety. The way people exist and interact within the health system is determined by their cognitive framework and expectations. Therefore what I may interpret as a positive experience (my overall level of satisfaction) may differ from what you believe to be a positive patient experience. Nonetheless. Learning from Patient experiences illustrates that people who have had positive experiences with their care generally have better health outcomes.

Patient experience included several aspects of healthcare delivery:

Did they manage to get and appointment at an appropriate time?

Where their antibiotics administered on time?

Did their Doctor communicate the patients diagnosis clearly enough?

Was the patient call bell within the patients reach?

Are we as nurses introducing ourselves to patients, or do we just assume that they know who we are?

  • It is important to note that patient experience and patient satisfaction are two different things. As mentioned above patient, patient experience includes several aspects of healthcare delivery. Whereas, patient satisfaction is the extent to which our expectations have been met.
  • To improve your response to this question you could suggest ways to improve patient experience, you could also touch on things that act as a barriers to improving patient experience.

 

I will be answering four questions in the next post in this series.

 

 

Student Nurse Interview Q&A Part 2

 

Welcome to Part 2 of my Student Nurse Interview Q&A. In this post I will be answering five interview questions. Make sure to read Part 1 of this series if you have not done so already, and share this post with people who may find it helpful. This post also includes 2 drug calculations.

‘A rising tide raises all ships’.

If you would like a professional and comprehensive guide (detailed, supported with referenced nursing literature etc), alongside one that provides multiple examples of each questions let me know. I am able to create a ‘comprehensive interview guide for student nurses’, but only if there is a demand for it. The responses to the questions in this post are incomplete, solely relying on it to pass your student nursing interview is not advised.

 

If you are interested in videos specifically for student nurses, subscribe to my channel Maria Avi on YouTube.

 

If you are interested in Vlogs, subscribe to my vlog channel, Maria Avi Vlogs.

 

Answers to questions 1-3.

 

4. What is your understanding of evidence based practice?

Evidence based practice involves using the best available evidence to support your nursing practice.

It is unlikely you will be asked this question. Nonetheless, I believe the response below will give you a better understanding of some of the things you will be expected to do as a student nurse, and as a registered nurse In the future.

Example: ‘Evidence based practice is using the best available evidence to guide your nursing practice. The best available evidence changes all the time, this requires nurses to keep up to date with their nursing practice through continual learning. Whilst it is important to keep up to date with evidence based practice. It is also important to be aware of the fact that it is not a one size fits all policy. Every patient we care for is different, and may all respond differently to the same type of treatment. So whilst evidence based practice is extremely important to ensuring patients get the best care. We must remember that every patient comes with their own set of values that may or may not affect the way that they interact with the care that we have to offer.

  • Evidence based practice is an interdisciplinary approach to care. Sometimes patient preference is neglected, and importance Is only placed on research evidence and clinical expertise.

 

5. Why do you want to be a nurse?

  • This question is personal to you. Everyone who wants to be a nurse has different reasons, however there are similarities. If you are practicing these questions with a friend, do not be concerned if your answers to this question are similar. It is your past experiences (previous jobs, summer schools, work experience, maybe helping to care for a family member) that will set you apart.
  • What the interviewer is looking for is a response that reflects nursing values. To help you articulate your answers to this question, I suggest that you make a mental note of the 6C’s and the 10 commitments.
  • As already mentioned above, use past experiences and examples to support your answer.

 

6. What is your understanding of the culture of compassionate care?

Example: ‘I understand the culture of compassionate care to be a vison and strategy for nurses, student nurses and anyone who works in the caring profession. It mirrors the work that they do. The culture of compassionate care can easily be understood by breaking it down into 6C’s. Care, compassion, competence, communication, courage and commitment’.

  • Make sure you elaborate and explain each of the 6C’s. Just because you can list them does not mean you understand what they mean and how they relate directly to nursing practice.
  • Make sure that you use experiences and examples to support your answer to this question.
  • I suggest including a brief overview of each component of the 6C’s and then spending more time elaborating on one or two of them. The specific ‘C’ you choose to elaborate on will depend on how you feel you have demonstrated your understanding of each of these in the interview so far.

 

7. Why should we give you a place on this nursing degree over the other applicants?

This question provides you with the opportunity to sell yourself.

Talk about the individual skills you have and how it will help you to be successful as a student nurse.

 

8. Tell me about yourself?

  • Do: Give a brief overview of yourself professionally.
  • Do: Highlight your strongest points.
  • Do: Use facts and figures.
  • Do: State that you want the position and why.
  • Don’t: Talk about where you were born or how many siblings you have.
  • Don’t: Assume the interview has read the whole of you application. With that being said, this question is not the opportunity for you to list every single achievement.

 

Questions that I will be answering in the next post in this series are:

Is there anything that might impact your ability to become a student nurse?

How will past experience enable you to be successful as a student nurse?

Talk me through a current nursing issue, and is there anything that you can do to resolve it?

Are you aware of any nursing interventions/initiatives?

What is your understanding of patient experience?

 

BONUS Drug calculations

1a. Bob who weighs 80kg is prescribed 5mg/Kg of drug X in 24 hours. If drug X is to be administered over 3 doses, how much will he receive in each dose?

80kg*5mg=400mg

400mg to be given in 24 hours.

400mg to be given over 3 doses

400/3 doses= 133.333mg to be given per dose 

1b. If drug X comes in 80mg/2ml. How much would you draw up to administer one dose to Bob?

what has been prescribed/dose available*what it is in

133.333/80*2=3.333ml to be drawn up. 

 

2. Bob is to receive 750ml of IV fluids over 5hrs. The IV set delivers 20 drops per ml. At what rate in drips per minute should it drip?

750ml/5hr=150ml/hr         Divided by 60 (because there are 60 minutes in an hour). This is equal to      2.5ml/minute

The IV set delivers 20drops/ml

20*2.5=50drops/minute

There is more than one way to reach the answers above. The methods I have used is one that I am comfortable with.

 

 

 

Questions that I will be answering in the next post in this series are:

Is there anything that might impact your ability to become a nursing student?

How will past experiences enable you to be successful as a student nurse?

Talk me through a current nursing issue, and is there anything you can do to resolve it?

Are you aware of any nursing interventions/ initiatives?

What is your understanding of patient experience?

 

For more tips and advice on how to pass your nursing interview watch this video.