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Thursday, March 6, 2014

Peripheral Cyanosis

Lack of oxygen. That is the first thing we have in mind when we see any person or patient that has peripheral cyanosis. Initially, what most of us perform is to introduce or supplement patient with oxygen. However, this can help the patient to gain more oxygen but it will not help the patient from getting rid of the bluish or purple discoloration of their phalanges. 

What do you think is the reason?

Although we have a general knowledge that a person that started to become cyanotic must have oxygen. This is true, but we need to know the cause of that problem.

A patient that is suffering from peripheral cyanosis does indeed have enough oxygen in their blood. If you are going to check their physical saturation, you will notice that the SPO2 is almost  98-100%. Now, you will think what is wrong with your patient. 


Lack of oxygen in the extremities or phalanges or fingers/toes


Cardiac problem
Respiratory problem


If unattended after referral assess patient from cephalo-caudal
Check for clubbing of fingers
Check for capillary refill
Blood works
And others

Friday, November 22, 2013

IELTS Consultation

I believed that most nurses should join this public consultation of AHPRA. You can find the information below as copied from AHPRA's website.

From AHPRA site:

Public consultation on a review of the English language skills and Criminal history registration standards

National Boards are undertaking public consultation on a review of the English language skills and Criminal history registration standards.
Released: 25 October 2013
Closes: 23 December 2013
Please provide written submissions by email, marked ‘Consultation - registration standards' to by close of business on 23 December 2013.
The Boards publish submissions received on their websites to encourage discussion and inform the community and stakeholders, unless requested otherwise. There may be circumstances under which submissions may not be published. Please refer to the consultation paper for details of how submissions will be treated. Submissions received in response to a consultation are published under Past Consultations.

Sunday, September 22, 2013


Beware of illegal agencies or even legal agencies. Think first before giving you money. At the same time, avoid those agencies giving you so many fruitful successes from their previous client.

Wednesday, September 12, 2012

Approved Program of Study for Enrolled nurse from Overseas

If you are enrolled nurse from overseas, find the approved study for you. This will also include all the bridging courses for enrolled nurses. You can also find this information in NMBA website. Just read the previous entry and click on the link that was provided.

Meanwhile, you can click on the images below for the list of the approved courses.

Monday, September 10, 2012

Approved Program Study for Registered Nurse Internationally Qualified

Below you will find the approved program for registered nurse from overseas. This copy can be downloaded as well from its original link from NMBA ( ). Kindly click on the image to view the complete programs.

Saturday, September 8, 2012

Application form for Overseas trained Nurse (AHPRA)

For all overseas nurses who planned to apply as an RN or EN in Australia, you are required to fill in the AGOS-40 form not the AGEN-40 form. You will find the difference between the two forms. You can check the form in AHPRA website in

Thursday, September 6, 2012

AHPRA Eligibility Extension and Validity

Some of you out there might have a situation where you have an eligibility letter from AHPRA but you are not yet enrolled in any bridging course. At the same time, your eligibility letter is about to expire. 

Now, you already find a school or educational provider for your bridging program. However, the program will start a month after your eligibility will expire. What you will do?

Simple, stop stressing yourself about your registration. Since, once you are enrolled in your chosen education provider, your are now eligible to register after passing your bridging course. So, it does not matter anymore if you finished your course after your eligibility letter expires. What AHPRA requires you is to submit your identity check (if not done yet) and a letter of recommendation for registration directly from your educational provider.

BUT, what if the educational provider will not accept you for the course due to the reason that your eligibility letter will expire before the course will be completed. Here are the things that you need to do:


Email your case officer and ask for a statement from him or her stating that you can still be enrolled in the course for as long as before your eligibility letter expires you are already enrolled.Then forward it to the educational provider, since majority of the educational providers are unaware of this situation or was not elighten about this issue.

(Most likely you will get a response like this " You have one year to be enrolled in a bridging course, if you are enrolled by the expiry date this willl be taken into consideration.")

Explain to your educational provider that there is no any problem of enrolling you or accepting you in the program since your eligibility will expire a month or a week after while the program has already started. Nevertheless, if they wwill ask for any support of this statement, then forward the email from your case officer to the admission officer in your chosen school or course provider.


There is some situation here that their or your eligibility letter is about to expire and you have not found any bridging school as of the moment that will enroll you. It is because that they are already full for the entire year or you though it was so easy to find a bridging course in Australia. 

With this situation you are required to contact your case officer directly. Do not be shy to contact them since they will be so happy to explain to you what are your options. It is better to give them a call,since majority of the case officer will provide their direct hotline number. 

Explain to them your situation and the reasons why you required to ask for an extension of your eligibility. However, most of the case officer will tell you that you need to re-apply again and repeat the entire process to gain that eligibility letter again. This will be frustrating side, but atleast you have tried. In some instance, your case officer will extend another month or a couple of months. This will be your luckiest day.

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