As India Struggles With Doctor Shortage, Govt Gives A Push To Nurse-Led Clinics

The Nursing professionals may soon be allowed to run autonomous clinics in India. At the behest of the government, the Indian Nursing Council, the regulatory body for nurses and their education, is preparing a draft bill to amend a 1947 act which will bring nurse practicing rights in the country up to global standards.

The programme may allow nurse practitioners (registered nurses educated to a master’s degree level) to prescribe medicines for primary care and conduct invasive procedures in the presence of senior doctors. It is also expected to institute a new examination process to issue nursing licences.

Once the draft bill is ready, it will be sent to the ministry of health and family welfare for approval and introduction in Parliament. The council is likely to send the draft in the next three months.

“Nurse practitioner programmes and licentiate examination for nurses are among the key initiatives under the National Health Policy 2017 of the government of India. The ministry of health & family welfare has entrusted the Indian Nursing Council with their implementation in a time-bound manner,” Rathish Nair, secretary of the council, told ThePrint.

With nurse-led clinics, the idea is to increase the scope for nurses to practice more autonomously and to develop and apply advanced practice. The move is in line with the government’s vision of raising a non-MBBS cadre in certain fields to combat the shortage of doctors, especially in rural areas.

Prescribe drugs, conduct invasive procedures
The government has already introduced an amendment in the National Medical Commission (NMC) Bill, a wide-ranging legislation for reform in medicine, to allow nurse practitioners to prescribe medicines.

The amendment has been cleared by the union cabinet.

According to the bill, nurse practitioners may also be allowed to perform some invasive procedures under the supervision of senior doctors, and in certain circumstances.

“To fulfil the delivery of healthcare services in rural areas and share the workload of senior doctors, we have decided to allow nursing practitioners to prescribe and practise modern medicine,” Jayshree Mehta, president of the Medical Council of India, had told ThePrint.

“The nursing practitioners with specialisations such as tertiary nursing and ICU care, cardiac problems and pharmacy, as well as physician assistants and optometrists are eligible for the upgradation.”
Stricter licencing
To ensure quality healthcare, the nursing council plans to make the process of obtaining the licences stricter.

The planned amendment is likely to introduce a licentiate examination for registering nursing professionals.

At present, after completing academic programmes, one needs to register with the relevant state nursing registration council to get the licence to practice. However, under the licentiate examination, the government could make it mandatory for nurses to pass two examinations — theoretical and practical — to get the licence.

What happens the world over
In several countries, apart from playing their traditional roles, nurses also work under titles such as ‘advanced practice nurse’, ‘nurse practitioner’, and ‘clinical nurse specialist’ such as anaesthetists.

Nurses are allowed to practice independently in some middle- and low-income countries such as Thailand and Nigeria, as well as in high-income countries, such as the USA, Australia, Canada, Ireland, the UK, Finland and the Netherlands.

“I recently met an Indian nurse who is now settled in United States. She is a paediatric nurse practitioner who successfully runs her own clinic. She has two other nurse practitioners and two paediatric medical practitioners working at her clinic,” said Nair.

“The medical practitioners perform procedures and therapies which might be needed in case a patient requires further medical evaluation or intervention beyond the scope of practice of a nurse practitioner.”

While in some provinces of these countries, nurses need to have collaborative practice agreements with physicians to practise independently, the ministry expects discontent among the medical fraternity. The idea of alleviating the status of nurses in a doctor-driven healthcare system is likely to face some backlash.

But according to the Indian Journal of Medical Ethics, there is evidence across the globe to show that nurse practitioners are increasingly being used as the point of first contact and that patients are equally or even more satisfied with them than doctors.

“The cost of the health service is also lower with NPs. Several studies have found that there is no difference between the clinical outcomes with NPs and general practitioners,” the journal said.
Hmani Chandna | The Print

Midwestern Oil and Gas Company Limited 2018/2019 Secondary School/University Scholarship Award Scheme

Midwestern Oil and Gas Company Limited, operator of the Umusadege Field in OML 56, Delta State on behalf of itself and its JV partner Suntrust Oil is offering a number of Scholarship Awards to suitably qualified Nigerian students.

The Scholarship Scheme is aimed at promoting academic excellence and improving the skill-base among youths of our Host Communities and Delta State in general.


Open to JSS I & JSS 2 Students only
Admission letter to Secondary School in Nigeria
Result in the last 2 years in Primary School.
Birth Certificate
Identification letter signed by Ward Counsellor or CACC ( Community Accredited Contact-men Committee)

Scholarship is open to 100 & 200 level students at the time of application
JAMB/UTME & University admission letter from an accredited/approved university in Nigeria.
Minimum of 5 Credits in SSCE or GCE including Maths & English in one sitting
Current University ID Card
Birth Certificate
Identification letter signed by Ward Counsellor or CACC ( Community Accredited Contact-men Committee)
UNIVERSITY MERIT AWARD- For Delta State Indigenes Only
Scholarship is open to 200 level students who must have 3.5 and above Cumulative Grade Point Average (CGPA) in his/her first year in the University
Minimum of 5 Credits in SSCE or GCE including Mathematics & English in one sitting
JAMB/UTME & University admission letter from an accredited/approved university in Nigeria
University Admission letter from an accredited/approved university in Nigeria
Current University ID Card
Cumulative Grade Point Average (CGPA) in his/her first year in the University (3.5 and above)
Letter of identification from LGA

All Interested candidates who meet the above requirements should apply online at with Requisite details.

APPLICATION DEADLINE: Closing date for receipt of online applications is October 07, 2018.

Applications should only be submitted online.
Only shortlisted candidates will be contacted by Midwestern Oil & Gas Company Limited
Midwestern Oil & Gas Company Limited does not demand payment from applicants. The application is entirely FREE of charge.
Every Applicant should have:
*Valid email address
*Contact phone number
*Current Passport Photograph

Midwestern Oil & Gas Company Limited does not assign Representatives/Agents to assist Appliant process applications. All cost or expenses for applying is on the account of the applicant.


Ireland: Nurses and midwives continue protests against understaffing

Nurses and midwives are protesting against unsafe staffing levels and overcrowding.

The lunchtime protests in Kilkenny and Cavan are the latest in a series which began last week in Galway, Cork and Limerick.

In Kilkenny, the INMO members will gather at the gate of St. Luke’s Hospital from 12.30pm to 13.30pm today. Over the summer, the hospital was forced to close the 14-bed Ward 7 due to nursing staff shortages.

In Cavan, INMO members will protest at Cavan General Hospital on Thursday at 1pm. Eight patients are on trolleys in the hospital today.

INMO members are mobilising after the HSE admitted having no plan in place for the coming winter.

They are warning that the lack of recruitment or a cut back in services could lead to unplanned cancellations of elective appointments.

“Nurses and midwives are constantly apologising to patients for the conditions in the health service,” said INMO general secretary Phil Ni Sheaghdha.

“Thousands are trapped on trolleys every week, and things will only get worse as winter bites.

“Yet the HSE still has no plan to recruit extra staff or cut back services to cope with the demand.

“This could lead to unplanned cancellations of elective appointments.


4,000 University of Michigan Nurses Vote Yes, To Begin Strike

Nurses at the University of Michigan have voted to authorize a work stoppage of up to three days to protest what they describe as “ongoing and continuous violations” of their workplace rights, the University of Michigan Professional Nurses Council announced Monday, Sept. 17.

The vote took place during meetings among the UMPNC’s 5,700 nurses at Michigan Medicine over the past week. According to the UMPNC, around 94 percent of the 4,000 nurses casting ballots voted in favor of a work stoppage.

No date has been set for a possible work stoppage. If nurse leaders determine a stoppage is necessary, they will give the University at least 10 days advance notice to plan for patient needs.

A work stoppage is not the goal for the union, UMPNC/Michigan Nurses Association Chairwoman Katie Oppenheim said.

“Our goal is a fair agreement which respects nurses and guarantees safe staffing. The university can remedy this situation immediately, by stopping their unfair labor practices and bargaining in good faith,” Oppenheim said in a news release.

The UMPNC filed a lawsuit against the university in U.S District Court, stating that university officials are violating the U.S. Constitution by prohibiting nurses from exercising their right to free speech as expressed on T-shirts, buttons and through other means in the workplace.

The lawsuit states that prior to 2018, the University “did not censor, punish or otherwise direct the (Michigan Nurses Association)-represented nurses to remove any red apparel – the color of the MNA – while working in patient care areas,” regardless of the message printed on the apparel.

Nurses have been threatened, however, with discipline for wearing apparel which supports their union, according to the lawsuit.

The UMPNC continues to negotiate a new contract with Michigan Medicine officials after its contract deadline expired on June 30. Negotiations for the new contract began in January.

Key issues like retirement cutbacks, increased health care costs and guaranteed staffing levels remain unresolved for the two sides to reach a deal, Oppenheim said last week.

The health system is confident all of its efforts during negotiations have been consistent with the First Amendment and putting patients first, Michigan Medicine Spokeswoman Mary Masson said last week.

On the bargaining front, Michigan Medicine has offered the nurses a compensation package that includes competitive across-the-board increases of at least 3 percent and a competitive paid maternal/parental leave program that includes six weeks of paid leave for physiological recovery from birth of a child and six weeks of paid parental leave to employees after a birth, adoption or foster care and guardianship, Masson said.

Michigan Medicine’s nurse-to-patient ratios are in the top 2 percent of all hospitals in the country, Masson said.

“Nurses are critical to the delivery of safe patient care,” Masson said last week. “The most critically ill patients in the state come to Michigan Medicine. If any of our nurses go out on strike, their absences may put patient safety at serious risk.

“Strikes are illegal for public employees in the state of Michigan,” she added. “If an employee goes on strike, the employee is not paid for the time out on strike.”


Nursing Through It All By Nurse Membrane

I took this picture many years ago to remind myself what i went through to become the Nurse i am today. In a hospital were nothing works,a teaching hospital were nurses take over with rechargeable light on the accident and emergency center,in a place were their is no gloves or materials to take care of the sick and yet we keep coming to work unpaid, we keep taking care of the sick, we keep risking our lives, needle pricks every now and then due to darkness, loss of lifes that could have been avoided if not for corruption, and did i mention that some of us like my humble self were only employed as contract nurses,we had no permanent job,when ebola came we responded because we love to care for the sick,when lasser fever came we responded,i nursed a redeem pastor without any assistance till he died and I had to be quarantined, Luth promised to employ me but it was all empty promises.
When they called me to help fight ebola in Liberia i responded only to return and was kicked out of the room were i was supposed to be qurantined in Abuja,i returned to continue my contract job in luth,i could not marry as i couldnt afford a wife,no house,no food as the salary was nothing compared to the bills to be paid.The luth Medical director professor Bode promised me a job as i helped establish and run their infection control unit but i was not short listed as my name was finally removed,i finally resigned after 4years of working as a contract Nurse,the picture you now see were my collegues taking over critically ill patient without proper light.

If you dont know my story dont envy my glory,if you dont know were my journey started dont question my breakthrough.When i got on a plane to leave Nigeria it was not because i was looking for greener pastures but i was feed up with a system that will never reward hard work and sacrifice,if i were in America or the UK i would have been celebrated but no i was sent away by corruption.I know that i will not come home to work as a nurse in my life time,i know my heart still bleeds,i know that i have not forgotten University of Lagos teaching hospital Luth for what their management did to me,i also know that i will never have to use Lamp to take over again here in England,my only concern is what the furture holds for my collegues who are still stuck in this hospital who can not afford to make an urgent move,i do not know the furture of my children who may decide to be nurses back home.

As i share this experience i still feel heartbroken,i now live a good life better experienced than imagined but i have come a long way,i have paid dues that i shouldn’t,needless heart aches,nightmares,unspeakable fustrations and if you are out there in luth or anywere else crying for what corrupt men and women are making you go through in Nigeria and beyound,my thoughts are with you and your collegues,Nurse membrane feels your pain,i know whats it like to be a professional and yet unable to feed yourself and family.

In loving memories of all my collegues who died in this struggle both in Nigeria and all over the Continent of Africa.. Nurse membrane.

A Letter To Newly Qualified Nurses From Nurse Emeka Nwosu

Season greetings to you in advance dearly beloved,my heart is filled with joy to know that you have sucessfully concluded your general Nursing program,i can relate my dear as i was in this euphoric state of excitement many years ago,as you celebrate with family and friends,i would love to share a few words of advice from my Nursing journey;

Please note that nursing in Nigeria in terms of earnings and job availability is yet to attain a uniform status,if you work outside lagos and few places like abuja,PortHarcourt,you are most likely going to earn less than your collegues.
2,it will be wise for you to save for the furture,if you do not have sponsors,please save on a monthly bases,i will be practical on how much you need to secure greener pastures abroad,if you want to register for IELTS which is complulsory for UK,AUSTRALIA,US,CANADA,you need 68k(sixty eight thousand naira).,if you prepare well you may end up writing it once,in my case however i wrote this exam more than once.

3,CBT exam for the UK will cost you about 75 TO 80K depending on were you are and other expenses you may need to make before the exam date.
4,You will need to make payments to the British NMC for your credential assessment and verification,that will cost about thesame amount,school transcript will cost you money,Nigerian nursing council will charge you for certificate verification,all your documents will need to be sent to the UK,some will be uploaded,others sent directly,if you add this up you will see that you need about 250k or more to conclude your process and that is if you pass all your exams at once,you will need to purchase or photocopy your Royal Marsdern textbook,it will cost money,this and many more are reasons why you need to work and save money if UK is your target.
Open University is available for you to start up and upgrade immediately if you are not a graduate Nurse.
UK Universities like Anglia Ruski,University of Sunderland will cost you about 4million,if you have a sponsor,it is a good option as IELTS is waved off for you after graduation as you can go ahead to write your CBT exam and complete your nursing registration process but how about the school fees,very expensive if you cant afford it then you need to try other options.
Direct entry to Nigerian University is also an option for you,if you have a degree already you might decide to pursue further degrees in public Health In countries like America,they are better,more reasonable and can provide you an avenue to work and live in the US.
One of the mistakes i made was going for postbasic Nursing,my sisters and brothers,if you have a diploma in Nursing,the best idea would be to obtain a degree,postbasic nursing is hyped,it will not change your status when you get to the Western World as it only gives you psychological satisfaction that you have done something extra,i would advice that you rather use the money for postbasic to write board exams,pursue your degrees or better still go for certifications on Safety and Health,BLS,ACLS and diversify,Nigerian system of certificate classification in Nursing gives Postbasic Nursing a very disheartening status that only has value when you are stranded in a government hospital,if you go abroad even in South Africa,you are certified in any postbasic field by simply working in that unit for a specific period of time,be wise,spend your money with wisdom and pursue your dreams.

FMC hospitals,TEACHING Hospitals,General Hospitals have a salary structure that is yet to be reviewed to a reasonable and respectable salary scale,if you are decieved by the name and compound size, you will find yourself in a prison yard like most of your senior metrons,i worked with them for years,the salary will discourage you from giving your best,as a young Nurse,i would advice you earn higher until Nigeria is ready to have your services at the right pay,a typical example,my collegues that have spent 10 years in luth are still earning less than 100thousand naira thats about 200hundred dollars,is that what you desire in life?,my dear newly qualified nurse think before you get admitted into their prison in the name of federal job,when i resigned and got a new job as a nurse else were,my salary currently is more than that of my collegues who have spent about 14years or more in service be wise,ask questions,demand for more,study for more,pray for more,travel wide for more,you deserve more.

Your time with the private hospitals should be strictly for the purpose of sharpening your skills,learning and practicing what youve been taught,it is not a place to go and relax,it is also a place to save money to plan for the furture while you wait for your dreams to come through,do not relax there,do not argue with their Auxillaries,if you can strenghten your hands on the job that will be great,please be hopeful,one day we will win the war against quackery in Nurisng here in Nigeria.

Male Nurses and Female Nurses should not limit their selves,when you get your experience,you can apply in oil firms,construction firms,multinationals,NNPC,Military and parlamilitary,Navy,Airforce,Immigrations,Police,Nigerian Prisons,NNPC,Customs,Samsung,Nestle,the list is endless,we are usually afraid that we wont get,but shell are still recruiting on Locum basis,Mobil etc,when you take up the contract jobs or call duties you can raise money and move on to your dreams.
You need to know that you can get to the top,you have to change things,do things differently if you do not want to retire as your metron,if you must go far,you must be vissionary,LIFE WILL GIVE YOU WHATEVER YOU DREAM AND PURSUE CALCULATIVELY SO DREAM HIGH.

From Nurse Emeka Nwosu

Challenges Facing Nursing Profession in Nigeria


1. Poor Remuneration
2. Lack of interest in Research
3. Poor Working Environment
4. Poor funding of healthcare
5. Advancement in science and technology
6. Non implementation of Nursing process
7. Non participant in policy making
9. Lack of hospital equipment
10. Lack of Continuous Training
11. Lack of commitment to nursing practice
12. Rural Urban Migration of Nurses
13. Poor information system
14. Nurses satisfaction with basic certificate
15. Poor academic regulations
16. Professional Rivalry
17. Nurse to patient ratio
18. Obsolete legislation on nursing education and practice
19. Poor Leadership
20. Female Dominated profession

OET: A Easier English Test Helping UK Easing Nursing Shortage

Many more nurses are successfully passing a healthcare-specific language test that enables them to work in the UK, having tried and failed other tests multiple times.

The “much higher pass rates” reported for the Occupational English Test (OET) follow concerns that the only other test accepted by the Nursing and Midwifery Council was preventing competent nurses from taking up posts at trusts desperate to fill vacancies.

The NMC started accepting OET in November last year and, since then, the company that runs it has seen a huge surge in the number of candidates.

Surge in overseas nurses taking new NMC-approved English test
Early evidence presented at the first ever OET Forum held in the UK, suggests a much greater proportion of nurses who sit OET go on to achieve the required standards for NMC registration – grade B in speaking, listening, reading and writing.

Previously, the only way for overseas nurses wishing to practice in the UK to demonstrate their language skills was to take the International English Language Testing System (IELTS) exam.

However, there was concern the test – which purely tests linguistic ability – was getting in the way of recruiting nurses with the skills to practice safely in health and care services hit by severe shortages of qualified staff.

Results from a survey of candidates sitting OET found more than a quarter of those taking the test in the UK and Ireland – often healthcare assistants already working successfully in the NHS – had previously failed other English tests.

In all, the survey of more than 4,000 candidates – including 200 from the UK and Ireland – found nearly three quarters – 75% – had opted to take OET because it was specific to healthcare.

Meanwhile, 53% said they felt more confident about taking the test because it was content they could relate to, according to the survey by test administrator Cambridge Boxhill Language Assessment.

Sujata Stead, chief executive of Cambridge Boxhill, told the forum that numbers taking the test had shot up dramatically since it had been accepted by both the NMC and General Medical Council.

She said numbers had increased from five to 10 per month before NMC acceptance last autumn to almost 1,000 per month across the UK and Ireland.

Globally, the numbers taking the test have gone from 2,000 between August and September 2016-17 to 8,000 for the same period during the current financial year.

The company hopes to double the number of test centres across the globe within the next year, as well as increase the number of test dates with the aim of moving from one test per month to three or four dates per month in the future, she revealed.

The success of OET has been linked to the fact it tests language and communication skills within a healthcare context with nursing candidates asked to do tasks relevant to everyday practice, including role plays where they interact with “patients”.

The fact candidates can relate to the tasks and topics they are being asked to do means they are more likely to persevere with studying, with participants learning new and useful communication skills along the way, according to developers.

NMC commits to further work on language test amid ‘urgency’ concerns
NMC to assess whether controversial English test is too hard
NMC finds ‘no evidence’ so far to lower English language test
Recruitment agencies, language teachers, and researchers said there was evidence more people were able to pass OET first time round – especially those who had been supported to prepare.

Chris Moore, managing director of Specialist Language Courses – an OET test centre and course provider – said he was seeing “much higher pass rates”.

Of 54 candidates who sat OET, 30 passed with four grade Bs first time round – a pass rate of 56%, he noted at the event held at the Royal College of Nursing.

Meanwhile, of the 216 individual speaking, listening, reading and writing tests taken by those candidates, 176 – or 81% – were marked grade B.

Shannon Dudley, of health and social care recruitment agency HCL, revealed her firm had stopped mass nurse recruitment drives overseas because so many candidates were failing English language tests.

However, since OET has been accepted by the NMC the company has started recruiting in volume again.

One such exercise saw the company recruit just over 200 nurses from the Philippines in February this year. Of those, 43% passed OET and most achieved that first time round.

Ms Dudley said nurses were successfully passing OET after “multiple IELTS attempts”. “The OET exam pass rates are significantly higher than we have seen – especially with IELTS,” she said.

“OET is not the solution for all English language problems for healthcare professionals”

She said issues included the cost of the OET exam, at around three times the cost of IELTS, although most trusts were offering to cover the cost of one attempt for nurses who took up a job.

Meanwhile, many had to complete IELTS anyway due to visa requirements so decided to stick with that.

Researcher and policy adviser Ceri Butler, who has investigated the role of international nurses in the NHS and investigated the challenges faced by refugee healthcare professionals, said there was evidence language testing – and IELTS in particular – was a barrier to recruitment.

Her research with refugee doctors in the UK found most had sat IELTS multiple times. Failure to pass the exam had a big impact on their confidence and self-esteem and led to some giving up trying to work as a doctor in this country, she told delegates.

However, she highlighted that some of this group had been able to pass OET first time – including one who had previously failed IELTS 13 times.

Reducing the time it took for skilled healthcare professionals to return to practice was a “hugely positive” step, she said.

She also stressed the need for ongoing support for overseas professionals when it came to helping them work in an unfamiliar health system and feel at home in a new country – a key message to come out of the event.

“OET is not the solution for all English language problems for healthcare professionals – people still need English language support,” she said.

Lyn Middleton, associate director of nursing at Aneurin Bevan University Health Board, also highlighted the importance of ongoing support and mentoring for overseas staff.

For the past year, she has looking at ways to recruit “under-employed” overseas nurses who were already living and working in the UK but employed in support roles.

This has included developing a support programme to get nurses through the requirements of NMC registration, including English language with the OET test now the “preferred choice”, she noted.

“They don’t write referral letters but nurses do write referral notes and read referral letters”

Professor Tim McNamara, who developed OET, described the challenges of creating a language test that balanced the need to ensure patient safety with a fair assessment of communication skills that did not place “unreasonable restrictions on practice”.

Extensive research has been carried out with nurses and doctors to try and pinpoint the elements of communication that “really matter” in clinical practice to inform the content, he said.

From this month, candidates taking OET will be judged on new “clinical communication” criteria including key skills, like building relationships, understanding a patient’s perspective and the ability to translate complex medical terms into lay language – although grades will still be weighted towards linguistic elements.

Professor McNamara, from the school of languages and linguistics at the University of Melbourne, said the changes were designed to make the test more relevant and “allow a better fit with what the test is asking and what really matters in clinical settings”.

One issue that emerged at the forum was the fact nurses were expected to write a referral letter in the writing element of the test – shown to be the part candidates found most challenging – despite the fact this was not something most nurses do.

Professor McNamara acknowledged this section of the test may appear less “authentic”. However, he added: “They don’t write referral letters but nurses do write referral notes and read referral letters – they read referral letters from doctors quite a lot.”

He highlighted that the test was constantly evolving and there was a need to ensure it did “reflect the majority of written communication with nurses”.

Source: NursingNews

Doctor Slaps Pregnant Nurse in Duty in Uganda Government Hospital

According to the Uganda Nurses and Midwives Union on Twitter a midwife in Kamuli District was slapped below is the message posted on her Twitter page

Assaulted Nurse

Heated day in Kamuli District as one of our Midwives Nangobi Sarah, who happens to be pregnant was slapped on duty by the Medical Superintendent in Kamuli General Hospital.

Who is A Nurse? Differentiating Nurses from Auxiliary or Quacks

According to International Council of Nurses (ICN),
“A nurse is a person who has undergone the basic training in the profession called nursing,in an authorized/accredited school licensed and authorised by NMC to practice the profession nursing”
So regardless of who trained you, or where you are trained,
what you are trained for,
your level of education or acceptance, who authorized you or licensed you,
if your training fall short of the above, you are definitely a QUACK,
an endangered species,
practicing what you know not.
It is great illegality and deceitfulness to dabble into what you are not proficient in.

Nursing is not what you think!
It is an art, you must learn it.
It is a science, its application is evidence based.
It is spiritual, nurses are called to act as angels to helpless humans
It is demanding, you need agility
It is interesting, you have to derive joy practicing it
It is incriminating, you have to be licensed.
It is thought provoking, hence, you need intelligence.
It is not so rewarding in Nigeria, hence, you need passion.
It requires your entire life, so you need to be dedicated
Do not dabble into nursing if you have not gone through the training in an accredited training school,
you will only be rendering unaccredited services to humanity, which can even land you in jail because you are not licensed to practice the profession.
Do not make yourself a stooge to those looking for cheap labour, you can still learn the art of nursing. Just with determination, you’ll get there!!!
Stay within your limits. Stay away completely!!!
To the general public, PLS note: