Monday, January 20, 2014

A sweet Lesson on Patience

Let’s start 2014 with a sweet lesson on patience, a virtue we have to practice every minute of our life because we never know when we unexpectedly become a blessing to someone.. <3

A NYC Taxi driver wrote:

(Source: elderhelpers.org)

I arrived at the address and honked the horn. After waiting a few minutes I honked again. Since this was going to be my last ride of my shift I thought about just driving away, but instead I put the car in park and walked up to the door and knocked.. 'Just a minute', answered a frail, elderly voice. I could hear something being dragged across the floor.

After a long pause, the door opened. A small woman in her 90's stood before me. She was wearing a print dress and a pillbox hat with a veil pinned on it, like somebody out of a 1940's movie.

By her side was a small nylon suitcase. The apartment looked as if no one had lived in it for years. All the furniture was covered with sheets. There were no clocks on the walls, no knickknacks or utensils on the counters. In the corner was a cardboard box filled with photos and glassware.

'Would you carry my bag out to the car?' she said. I took the suitcase to the cab, then returned to assist the woman. She took my arm and we walked slowly toward the curb. She kept thanking me for my kindness. 'It's nothing', I told her. 'I just try to treat my passengers the way I would want my mother to be treated.'

'Oh, you're such a good boy, she said. When we got in the cab, she gave me an address and then asked, 'Could you drive through downtown?'

'It's not the shortest way,' I answered quickly.

'Oh, I don't mind,' she said. 'I'm in no hurry. I'm on my way to a hospice’. I looked in the rear-view mirror. Her eyes were glistening. 'I don't have any family left,' she continued in a soft voice. 'The doctor says I don't have very long.' I quietly reached over and shut off the meter.

'What route would you like me to take?' I asked. For the next two hours, we drove through the city. She showed me the building where she had once worked as an elevator operator.

We drove through the neighbourhood where she and her husband had lived when they were newlyweds. She had me pull up in front of a furniture warehouse that had once been a ballroom where she had gone dancing as a girl. Sometimes, she'd ask me to slow in front of a particular building or corner and would sit staring into the darkness, saying nothing.

As the first hint of sun was creasing the horizon, she suddenly said, 'I'm tired. Let's go now'.

We drove in silence to the address she had given me. It was a low building, like a small convalescent home, with a driveway that passed under a portico. Two orderlies came out to the cab as soon as we pulled up. They were solicitous and intent, watching her every move. They must have been expecting her. I opened the trunk and took the small suitcase to the door. The woman was already seated in a wheelchair.

'How much do I owe you?' She asked, reaching into her purse.

'Nothing,' I said

'You have to make a living,' she answered.

'There are other passengers,' I responded.

Almost without thinking, I bent and gave her a hug. She held onto me tightly. 'You gave an old woman a little moment of joy,' she said. 'Thank you.'

I squeezed her hand, and then walked into the dim morning light. Behind me, a door shut. It was the sound of the closing of a life. I didn't pick up any more passengers that shift. I drove aimlessly lost in thought. 

For the rest of that day, I could hardly talk.What if that woman had gotten an angry driver, or one who was impatient to end his shift? What if I had refused to take the run, or had honked once, then driven away? 

On a quick review, I don't think that I have done anything more important in my life. We're conditioned to think that our lives revolve around great moments.

But great moments often catch us unaware-beautifully wrapped in what others may consider a small one.

My CAP Journey (Competency Assessment Program, New Zealand)

Hi again, I just want to share some thoughts and ideas for fellow Nurses who wants to come and work as a Registered Nurse here in New Zealand. this i what I know of and based on what I experienced.

What is Competency Assessment Program?
This is the program required by the Nursing Council of New Zealand to ensure Internationally Qualified Nurses are able to practice and demonstrate the ability to meet the Competencies of being a Registered Nurse after the completion of the program.

What do you do during the course and how long is the course?
Length of the CAP course will depend on the school, but the minimum is 6 weeks. 2 weeks of theory- this takes place at the school and then another 4 weeks of placement (practical nursing). Some school requires a maximum of 3 months to complete the CAP course. 

The theory aspect will focus on the Nursing practice of New Zealand and history of the country and introduction to the culture. I had my CAP course at Otago Polytechnic and we had the mentioned topics plus return demonstrations on NGT insertion, catheterization and CPR. We also had demonstrations in using lifting equipment (hoists, slippery sam sheets, lifting belts, etc) used here in New Zealand. We also had to pass a couple of quizzes on drug calculations. We had to complete a comprehensive NCP, Nursing Assessment, and Critical Reflections on the 4 domains of Nursing. It was a full 8 weeks. Some schools they just require  one exemplar (it's like a summary of the 4 domains of nursing, easier than doing 4 separate reflections).

The placement period will be your time to shine! You may be assigned to an aged care facility, acute hospital setting, district nursing and others. You will be given the chance to experience the nursing practice setting of NZ. Where ever you will be placed, take every opportunity to show them how competent and deserving you are to be registered as a nurse of NZ. Borrowing Rihanna's lyrics, "Shine bright like a diamond".. :D 

You will be handled by a Preceptor (CI) who will be with you all through the placement period and who will assess your performance. You will also have a tutor (from the school) who will over see the progress you make on the paper requirements.

Does someone fail the CAP course?
Yes, I actually did fail my course, (I'll defend myself on that and say, I did not deserve what my tutor and preceptor did). What I did was to complain on the result of my assessment with the help of my sister. How did it happen I was able to still pass the course? As I went to sign a document that states I failed my course, the course coordinator (who was also my tutor) went to ask the nursing head if I still needed to sign or do anything before I go. The head then suggested I extend for another 2 weeks back to the old placement, I refused to be back at that old batty place.My sister called and talked to my tutor, she was very mad and unapologetic for how she talked to her, I guess she was just really mad to what happened to me. But there will be no point for you to go back to the same old placement who has already given you a negative feedback. Request politely for another facility, with a new tutor and a new preceptor. I got this one and for 2 weeks, I had to show them what I got and finally, I passed with flying honors.

You will be given a chance to prove you meet the competencies set out by the Nursing council, since most CAP course finishes on the 6th- 8th week (depends on the school again), you still have 2-4 weeks chance to meet the competencies. 

Remember: DON'T JUST ACCEPT WHAT THEY TELL YOU! (well, that is, if you really believe that it was an unfair decision and that you could provide some evidence that negates the result of assessment)


Who decides if you pass or fail?
From my experience, the preceptor will do your final assessment. My second preceptor told me that you have to be present when your preceptor is doing the final competency assessment. This did not happen with my first preceptor, it was the nurse manager who did the assessment and she did it by herself. And the reason you have to do it together is to give you a chance to defend yourself in case, your preceptor will say you have not met a certain competency. 

And of course, you have to complete the school requirements for you to finish the program successfully.

How much does the course cost?
It depends again on the school but it ranges from NZD 5500 to NZD 8000. Of course, that is just the tuition fee/ school fee. You will have to pay for your own board and lodging. Rent is paid weekly, cost of rent depends. You will really invest before becoming a Registered Nurse here in NZ.

What happens after you pass the CAP course?

Well, relax and enjoy! Wait for your Registration certificate then apply for your Annual Practicing Certificate. You need your APC to work as an RN, it comes with a fee (NZD 110 annually).

While waiting, you have to think about your visa. Usually, the Immigration NZ will give you 3- 4 months of visitor's visa when coming in for the CAP course. You can renew your visit visa provided you have the financial support. Check the requirements http://www.immigration.govt.nz/migrant/stream/visit/visitors/default.htm.

Next step: FIND A JOB and fulfill your middle earth nursing journey!

best of luck to all incoming CAP students.. :D


******Hi everyone, I am really sorry for not answering many of your questions. I have been really busy these past few months that I haven't checked this blog. So, I've read your comments and thank you (thousand times) for those taking time to answer questions of other hopeful (then successful) applicants. Certainly, there's like several changes in the process with NCNZ being online now and to which I don't have any idea how it works. So, once again, Thank you, Maraming Salamat po, to everyone who answered. See you all here in NEW ZEALAND. Be kind to one another. Best of Luck to everyone!!!


----rachel, 29/06/16





Saturday, January 18, 2014

Competency Assessment Program (New Zealand Nursing Council): Tips and Steps to becoming a NZ Registered Nurse

I have a lot of friends and acquaintances asking me how I came here. I decided to post how I did it and it may help others in reaching their Middle Earth nursing dreams. The Nursing Council of New Zealand has recently changed some of their policies and it pays to read their updates before starting to apply.

Things to consider: (Source: www.nursingcouncil.org.nz) I have the links for the application process but I will just dish out these following criteria for an easy check:

1. Applicants must have completed the required two years post-registration practice, within the immediate 5 years preceding application (no less than 2,500 hours).
- this simply means that you should have 2 years post registration experience within the last 5 years to be considered for application, and the total number of hours should be a minimum of 2, 500 hours or almost 1 year and 3 to 4 months, depending on how many hours you work a day. Newly passed RNs will not be considered as you lack the required post registration length.

- some schools are now particular with the nursing experience, the better you have, the higher probability of getting picked.

2. Pass the IELTS or OET- you need a band score of 7 with all categories also rating 7 each.
- there are some schools here that have increased their IELTS rate to 7.5, so, do your best. A good IELTS score can make a difference.

- An applicant must pass the OET with a score of at least B in each section.

3. And of course, you must be a Registered Nurse in your home country. 

There are more requirements that you have to achieve but these are the most basic ones that you will need initially to start with your application.

Now, there are 2 stages in the application and the above mentioned steps are part of stage 1.

The links above will provide you all the requirements you will need in each step, Stage 1 will cost NZD 485.00, non refundable. Once approved with stage 1, then they will send you an email and hard copy of the result and will give you the signal to proceed to Stage 2. 

And finally, they will require you to undergo the Competency Assessment Program once you are cleared off Stage 2. Your problem now will be looking for a school, there are approved CAP providers all over the country and you will want  to get an offer of place ASAP. The NCNZ will give you 18 months to look for a school and complete the CAP course otherwise, your approval will expire and you will have to do it all over again. The following link will provide you with the list of schools providing the CAP program.

If you are doing this all by your own, I'd suggest you apply to all schools listed and accept the first one that gives you an offer. There are limits to the slots available, so I say, just accept the first one regardless of the school's location. And I'm not sure if this is true but it looks like that agencies are given priority of slots for placement. 
With me, I had a hard time finding a school because I did it on my own and got an offer of place after nearly 16 months. I noticed also that the application process is harder when you are overseas, the communication takes time unlike what I've seen here where our fellow Pinoy nurses working as caregivers would receive immediate reply from the council and schools once they submit their applications. That's why it's best if you just submit all your applications to all schools.

Otherwise, if you have a budget, you can find some of the agents that are affiliated here for easier school acceptance. Just be wary of opportunist, scrupulous, money brained agents. One agent I know, she charges NZD 2500, depends on the currency exchange but that will be around Php 80,000.00.

You will need an offer of place from the school before you can apply for your visa. The Immigration will give you a visitor's visa because the CAP course is under 3 months of study. You can extend your visa when it expires and while you wait for your Registration.

The Nursing Council sometimes will deny applications based on some criteria which they will let you know. They may require you to provide additional documents which you will need to submit ASAP. But they can deny your applications even if you have provided supporting documents, if this happens:

           What if I disagree with the decision?
             You may disagree with the decision and want to discuss the outcome or provide further information. If this is the case, you should write to the Registration Manager explaining why you disagree with the decision and setting out any concerns or questions you have.

Don't be afraid to speak your mind, this is New Zealand, they listen! I was declined due to the reason that apparently, my school's education standard was not in standard with NZ nursing school even if I have provided all the supporting documents they asked. I made a letter and defended my transcript and the supporting evidences I have submitted and after a week from rejection, I received a positive answer and they wanted me to do the CAP.


Now, I'm on my second year here in NZ, 1 year and 8 months as a Registered Nurse. I had a hard time coming here but it was all worth it! Hope to see you soon, fellow RNs!

I'll do my best to answer questions if you have.

ta!




******Hi everyone, I am really sorry for not answering many of your questions. I have been really busy these past few months that I haven't checked this blog. So, I've read your comments and thank you (thousand times) for those taking time to answer questions of other hopeful (then successful) applicants. Certainly, there's like several changes in the process with NCNZ being online now and to which I don't have any idea how it works. So, once again, Thank you, Maraming Salamat po, to everyone who answered. See you all here in NEW ZEALAND. Be kind to one another. Best of Luck to everyone!!!


----rachel, 29/06/16