I bet other professions are deliberately different from each country well it is the same as nursing. Nursing in EU, Middle East, and South East Asia are way different from each other. Roles and responsibilities, policies and procedures, materials used, communication barriers, temper, ETC ETC. Nakakahilo, pero ganon talaga :)
Here comes the adaptation phase.I am currently on my week 5 of adaptation in a big hospital here in Dublin. It gets me familiarized with what the hell is going on in my unit and how to act/react, prepare, and deal with patients, family, doctors, physiotherapist Etc etc. It gives me the feel of how to be a nurse with a preceptor who will supervise me if I am capable of the job in the ICU.
It is nerve-wrecking and scary. You really will feel stupid on many things. From medication to preparation of a patient for tracheostomy, there are a lot of things to consider. There are resources mind you, but a tough day is a tough day. I will be held responsible for all my actions after my adaptation finishes. OMG OMG!
Well, how different is different? example lang to.In the Philippines, we dilute our noradrenaline in 250 ml of normal saline. In the UAE we do it in a syringe. We usually place 8mg of noradrenaline in 50 ml D5W. Normal saline is not a choice to dilute noradrenaline as their compatibility is questionable. In Ireland, we are using 2:1 mcg ratio. We dilute 6mg of noradrenaline in 50ml of D5W. This is their double concentration. It can make you flip really. There is an online formulary but how tough it can be to browse it in a very busy day huhu. Familiarization, familiarization!!!!
Adaptation is a phase of nurses to just observe and know the multiple difference of practices from the previous workplace. There will be no exams, however, there are reflection papers, case studies, presentations, competencies, and subjective observation from the unit's educators/seniors. Our absorption is in the hands of preceptors and seniors who checks out how capable we are in dealing with all of the stress.
After my adaptation ends, I can get my critical skills visa, I'll get more stable and I'll have an opportunity to bring my family here. So yeah! I'm hopeful! <3 I really hope to pass. I really hope to be a safe nurse. Praying, hoping, believing and DOING.