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[Uni] ALL ABOUT NUS NURSING 2.0!

Hello! I’m a current NUS Nursing student. This LONG, INFORMATIVE post is for those thinking about NUS Nursing but have some doubts regarding Nursing in general!
I can understand how daunting it can be - especially since you’re signing up for a specialized course / professional degree where you know exactly what you’ll be at the end - a nurse.
I wrote a post similar to this last year - see ALL ABOUT NUS NURSING 1.0. THIS IS AN UPDATED VERSION of that post from the many more things that I learned the past year, during curriculum time and clinical placements.
*Please note that I have made this post/factsheet as accurate as I possibly could, with hard evidence in some of the qns unlike the first version last year. I will *try* to answer qns here like what I did last year, but it is better to hear from our teachers and fellow students straight during the open house! Links below.
*Edit: My friend has super kindly done a website sobs so helpful!! Here it is! https://allaboutnusnursing2020.weebly.com But continue to share this reddit post cuz discussion can only be here!!
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NUS Nursing Student Factsheet ALL ABOUT NUS NURSING 2.0 :) https://www.reddit.com/SGExams/comments/f8pvec/uni_all_about_nus_nursing_20/?utm_source=share&utm_medium=ios_app&utm_name=iossmf
NUS Nursing LIVE Session 1: Common Admission Questions (with current students and lecturer) https://www.facebook.com/nusnursing/videos/813232925812151/?vh=e&d=n
NUS Nursing LIVE Session 2: Student Life Opportunities (with current students) https://www.facebook.com/nusnursing/videos/198903404518260/?vh=e&d=n
NUS Nursing LIVE Session 3: Busting Nursing Myths (career progression discussion with current student, alumni and current lecturer) https://www.facebook.com/nusnursing/videos/191684272178481/?vh=e&d=n
Timestamps for all LIVE Sessions: https://docs.google.com/document/d/1LieZzvDYa4X8uEYXZyksBDzmIBK6KVY10ncOOkzFcSE
If you have anymore qns outside the factsheet and live sessions, feel free to ask me :)
Follow our Instagram too for more updates :) NUS NURSING INSTAGRAM ACCOUNT
Official website: NUS NURSING OFFICIAL WEBSITE
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1 Curriculum

1.1 NUS Nursing

Curriculum overview

Generally, the first 2 years we focus on learning the different body systems, how they function (Anatomy & Physiology) and dysfunction (Pathophysiology), coupled with each condition’s nursing management and hands-on skills. Interesting modules will also be taught such as communicating effectively and being culturally sensitive in the clinical setting, basic psychology for nurses, mental health nursing, and even ethics and law. The 3rd (and final year for most) will focus more on gearing us for eventual practice in the clinical setting with modules tackling leadership and community health. Finally, we will embark on a 3-month final clinical placement to emulate the real pace and nature of work, ensuring that we are competent to practice as registered nurses upon completion.
For people who can and choose to finish with an Honours degree, they embark on a year-long research project usually in their area of interest. Faculty staff members and hospital staff will act as mentors for these projects. Some examples of research projects can be found here: https://medicine.nus.edu.sg/nursing/wp-content/uploads/sites/2/2019/11/Project-list-AY2018-19.pdf
Difference between honors and without honors:
Complete information here on the NUS Nursing website, subject to changes every year: https://medicine.nus.edu.sg/nursing/education/bachelor-of-science-nursing-bachelor-of-science-nursing-honours/academic-information/

Day-to-day lessons

Fun! We have fake FULL wards in school where we learn all the nursing skills, practice on mannequins that can breathe and have pulses etc. We also have these people called standardized patients who are trained actors for us to practice our communication skills. They act like real patients with real symptoms and real family issues!

Lectures and tutorials

Some lectures are video lectures - can watch at home at the pace you want! School is only around 3 MAX 4 days a week, only 2-4hrs of lessons each day. Plenty of time to work or have CCAs. But of course, there are e-lectures to watch and tutorials to do and textbooks to read, so it’s not like you won’t have to do much studying outside those 2-4hrs/day. But if you manage your time well, it’s alright!

For those worried about having no bio background:

There are people in Nursing who haven’t done bio since sec 1/2, and from poly who did non-science courses such as international business or mass communication.
The kind of bio that we learn is different from H2 Bio. H2 Bio deals with the very minute things like oxidative phosphorylation and ETC and Krebs cycle and all its small molecules. However, we deal with humans here. Human anatomy and physiology, the human body and how it dysfunctions. The anatomy and physiology mods are pretty similar to secondary school bio - you learn about the heart and how the blood flows in general, as well as how it dysfunctions. However, we don’t delve too deep into the molecules at all - that’s for the medical students to do. Yes, there will be a LOT of medical terms, and you have to be ready for that if you join nursing or any healthcare-related field, honestly. It’s hard at first, but once you get the hang of it, it will come naturally :)
Just like learning a new language, the bio content in nursing is like that. Once you learn the alphabets, the phonetics, you can start stringing words together. Nursing doesn’t delve into the very minute things like molecules and stuff, so no worries.

For those scared of blood

During nursing school: We have cadaveric sessions - this means that you get to see real, preserved human bodies and you are required to touch and observe them, texture and all, during those anatomy sessions. They don’t look like normal fresh organs anymore - you can search some “science cadavers” to see what they look like! As for blood, generally you have to be alright with the sight of it as your first lab session will already have a finger-prick glucose test that you do on your friend (and vice versa). During clinicals, you will be exposed to wounds that may be huge and bleeding, etc, so you have to be okay with it. I do have some friends who enter nursing and medicine who are afraid of blood and needles and things like that - you can get used to it, through repeated exposure.
As a real nurse: You have to be alright with these sights as there of course may be some instances where the patient vomits blood/starts bleeding from somewhere and you have to manage the patient. If you are scared of blood and get posted to the operating theatre as an OT nurse, then you will be assisting doctors in surgeries where you WILL see these. I suggest you try to watch some youtube videos to see if you can take it. Do know that you can get used to it!! Bottomline is, you can’t be afraid of your own job.

Lecturers/tutors

All teaching staff in ALCNS are previously doctors, nurses or pharmacists (for pharmacology). Usually, our heavily science-based modules are taught by previous doctors (eg: anatomy and physiology, pathophysiology), whereas more nursing-based modules are taught by previous or current nurses. This honestly helps a lot as our lecturers and tutors have had vast experiences in the clinical world, and therefore better able to relate what they teach with the clinical setting.

Clinical placements

Do note that NUS Nursing students (and all other nursing students in the country) are very special. For every university holiday, half of it will be spent in the wards (eg if 3 months break, 1.5 months in the wards). But you will be reimbursed (paid) for the whole duration of placements!

1.2 Nursing degree vs diploma (polytechnic)

Main differences would be the pay, how fast you get promoted, and the jobscopes. For the pay, the difference will be around $800-1000 monthly, depending on the hospital (based on this https://www.channelnewsasia.com/news/singapore/more-poly-graduates-employed-six-months-after-graduation-with-12261278 and this https://www.moe.gov.sg/docs/default-source/document/education/post-secondary/files/web-publication-nus-ges-2018.pdf). You will come out as staff nurse I with degree, and staff nurse II with diploma (I is higher than II). I is only one position away from senior staff nurse (so promotion is faster, pay goes up faster etc). For pay, degree holders earn about $3,500 a month, which is the same as Pharmacy degree holders. From government employment data from last year, Life Science degrees/Arts degree holders earn only about $3100-3300 a month on average (just refer to the MOE website above).

2. NUS Nursing student life opportunities

2.1 Unrestricted Electives

You are required/allowed to take a minimum of 2 (for bachelor’s degree) or 3 (for honours degree) unrestricted elective modules outside of the faculty for the duration that you are in NUS. That means that you can take almost any module of your liking, like French, Astronomy, Forensic Science, Drama, Philosophy, etc. This allows us to explore our interests outside the nursing curriculum.

2.2 Local and Overseas Community Involvement Programmes

The Faculty of Medicine (Medicine and Nursing) has a lot of student-initiated CIPs both locally and overseas. You can join many things, from conducting free basic health checks in the neighbourhood, to volunteering with patients with dementia at a community hospital, to teaching basic first aid and english lessons to kids overseas - there’s really a lot of opportunities for us to give back to the community. Furthermore, you get to work with the medical students too as most of these projects are jointly planned and executed by both nursing and medicine students.

2.3 Student Leadership Opportunities

Similar to “student council” in secondary/JC, you can join the Nursing Subclub, Mednurse Club or SNASC to champion your peers’ causes and hopefully make a difference in their lives and in the profession of nursing. Other leadership opportunities include but not limited to: leading CIPs, organizing freshmen orientation, nurses’ day etc..

2.4 Exchange Programmes

ALCNS partners with several universities in different countries worldwide for student exchange programmes. Some countries include: Japan, Switzerland, Taiwan, Indonesia, Korea, etc. The exchange programmes may occur during school time or vacation time, and usually lasts 1-4 weeks. Selection process is through application and is based on the student’s own merit (academic and portfolio, contribution to the school).

3 Admission Information

3.1 Indicative Grade Profiles

A Levels 2019

10th percentile: CCD/B
90th percentile: AAA/A

Polytechnic GPA 2019

10th percentile: 3.33/4.0
90th percentile: 3.86/4.0

3.2 Admission Interviews

Not for everyone. Usually only done for people with rp near the cut-off point, to prove that you are not joining nursing purely because you can’t apply to any other course with your grades. This will weed out people who have absolutely no idea about nor passion for nursing. There are people who get in with lower rp than the IGP, but please put Nursing as 1st choice as that is a factor too. The format is somewhat like a panel interview, with 1 or 2 faculty members as your interviewers. 15-30min each.

Tips

Be prepared but do not memorize a script. Just think through the usual interview questions and some of these additional questions below. I came up with this questions, it is in no way supposed to be representative of what the school will definitely ask. This can be used for any interview/personal statement.
Motivation: Why nursing? Why healthcare?
Exploration: What have you done to cultivate this passion? Hospital attachments? Job shadowings? Talking to nurses? What did you learn?
Suitability: from your exploration, do you think that you, as a person, with your character and attitude, are fit to be a nurse? How so?
Also one qn they may ask: where do you see yourself 10 years from now? You then flex your knowledge of the 3 nursing tracks and where you intend to go.

3.3 Scholarships

There are 2 kinds of “scholarships” - one is called MOH Scholarship and the other is called hospital sponsorship. The differences are below. There are also available financial help from NUS and ALCNS itself. Please refer to the NUS/ALCNS website for more information.

MOH Scholarship

  • pays for tuition fees, hostel fees, book and computer allowance
  • gives you $1,100 a month (given in 6-monthly basis)
  • PROS: money
  • CONS: you can only put preference for a healthcare cluster, you cannot choose which hospital you wanna work at. Also, harder to get (requires excellent A Level grades (usually >85 rp from what I heard) and >4.0/5.0 CAP for mid-term scholarship.

Hospital Sponsorships

  • gives you $1,000 a month
  • PRO: you can choose your hospital. Eg some of my classmates want to work as a paeds nurse next time, so they take sponsorship from KK hospital! Also, easier to get.
  • CONS: does not pay for anything else, just monthly allowance
You don’t need to decide whether you want to take a scholarship now. Many people go for clinicals for some hospitals for 1/2yrs to see which hospital they want to get sponsored by.

4 Nature of Work

4.1 Job Scope

As for job scope, you go in as SN I as mentioned earlier, which is more senior than SN II, Enrolled Nurses, healthcare attendants, etc. The implication is that you will be usually the main person in charge of a cubicle, for example, with around 4-8 patients at any given time, updating the family members, doctors, other healthcare professionals.

DO WE JUST WASH BUTTS?

I love this question about the stigma hehe. Okay anyway, the seemingly “dirty” jobs like cleaning butts and bathing patients and changing diapers MAY not be done (or not usually done) by staff nurses - it is usually done by nursing aides/nursing assistants/enrolled nurses.
Staff nurses’ *main* roles are as follows:
  1. Dispense medications. You will be the last check bw the dr’s orders and the pt. Some drs may order the wrong dose or wrong meds due to fatigue - the onus is on you to check whether the drug is appropriate for the patient (some drugs for heart failure cannot be used for diabetic pts etc).
  2. You are THE EYES. IC of assessment of patient - skin integrity, making sure that the patient is well during the hospital stay in general. We spend the most time with patients - hence, we are the perfect people to see any subtle changes in their conditions. Side effects of medications. Psychological state. Family/patient concerns. All these subtle changes, if needed, should be immediately escalated to the doctor for further treatment.
  3. Patient and family education - we spend the most time with patients. Doctors are only there for about 5min a day, hence any qns will be directed at you. Eg: “nurse! Why does my father have an IV drip???” - have to explain that it’s because he needs to be hydrated etc as he cannot take anything by mouth before surgery etc.
Sometimes SNs may get assigned (or just do) the “cleaning” duties due to reasons such as understaffing or skin integrity assessment. That’s honestly good, to remain competent with basic nursing care of the patients such as helping with activities of daily living (bathing, toileting, etc).

4.2 Salary

Nursing is actually one of the highest paid degrees in the market.
As mentioned earlier, refer here:
https://www.moe.gov.sg/docs/default-source/document/education/post-secondary/files/web-publication-nus-ges-2018.pdf

4.3 Career progression

There are 3 different tracks that nurses can pursue after a basic bachelor’s degree. After working for about maybe 1-3 years, you can take an advanced diploma or master’s degree then pursue one of the 3 tracks.
They are: management, clinical and education tracks.
Management - in charge of the ward, the staff, troubleshooting patient staff probs, patient patient probs, staff staff problems etc, admin stuff.
Clinical - called Advanced Practice Nurses, they will be like “mini doctors”. If you don’t know, some clinics in the polyclinics are PURELY run by nurses alone - they can manage diseases like diabetes, hypertension etc and prescribe meds (must take extra course) without doctors. The only thing they cannot do will be surgery.
Education - come back to the nursing polys/nus to teach.
Occasionally, some people do clinical and education for example, this is called joint appointments. So please, let your parents know that degree nursing is really not about washing butts anymore! :)
​

5 Other common questions

5.1 Medicine vs nursing

Know that: doctors cure, nurses care. So everything we learn is geared towards our roles. While doctors learn much, much more in-depth stuff to pinpoint what is the dysfunction in the body exactly, nurses learn just enough so that we are able to catch any potential mistakes. For example, sometimes medications are mistakenly ordered when patients have drug allergies, or when patients have other conditions that are contraindicated for that drug. Nurses play a big role in knowing the general science so as to prevent such fatal mistakes. Short answer for theory: Medicine delves deep, deep, and wide, while nurses generally just learn the basics, good enough to catch mistakes but not deep enough to the point that we are able to treat diseases with multiple complications for example!
Also, when a patient walks in with a limp, a doctor will zoom straight into the condition. Eg: what meds can I give or surgery can I do to cure this patient? If the same patient walks into the room, nurses will look at the patient and family. Eg: He is limping, how will I help him up the bed? How will this affect his job? His family? Does he have children? What will the side effects of the meds/surgery be? Will he be able to cope?
So ask yourself, which role do you want to play?

5.2 Why NOT nursing?

This is not a why NOT nursing, but someone asked me if there’s anything that made me want to turn away from Nursing. From my convos with many nurses in the wards, it’s mostly these:
  1. You will inevitably get attached to some pts, especially if you work as a community hospital nurse where pts there stay for 3 months or more, as compared to acute hospitals where they stay for only 3-4 days. So you have to be prepared for deaths because everybody dies eventually. While doing that, try not to get too desensitized too to the point that you lose your humanity. However, it is a privilege to be there with people in their last breaths.
  2. Sick people are angry people, their relatives are angry too. Be mentally prepared to be scolded and criticized (but SG law protects healthcare workers from physical and verbal abuse). But still. However, the satisfaction is worth it when they show gratitude after recovery :)
  3. Nursing is an extremely tiring job, physically and emotionally. Be prepared to work long hours with limited time for your own needs such as food or even simply toileting. While it is my intention to elevate the profession of nursing by addressing stigmas, I do not intend to over glorify the profession and give everyone the false hope that nursing is very fun and easy. It takes real guts and strength to be a nurse, and you should only join if you think you are up for the challenge to learn and push yourself.

5.3 Overseas nursing

I think different countries and THEN different schools have different niche areas that they focus on. For example, we import a lot of nurses from other Asian countries - firstly because they are extremely good with their skills even though the labour cost is relatively cheaper as compared to poly/nus/sit nursing graduates from Singapore. The Singapore nursing schools - ie poly/SIT and especially NUS Nursing, are trying to produce nursing leaders of the future in Singapore. Hence, on top of hands-on skills, the focus will be on cultivating that ability to lead the healthcare team that they are part of - cuz indeed, as a fresh grad, you are already in the same position as foreign nurses who may have years and years of experiences more than you.
There’s also a flip side of the coin. In other parts of the world, that is. Nursing in the US, UK, Australia, from what I heard, have much more autonomy than nurses here in Singapore - they are generally able to do more. If I’m not wrong, they are called Nurse Practitioners there, similar to our Advanced Practice Nurses in Singapore - with much more autonomy in prescribing meds/doing procedures etc (you can search all about it). Generally, their pay is higher also - but that may be due to the fact that the standard of living is much higher there as well - a fast food meal in the US can easily cost $15.
I think one thing you should ask yourself is, do you want to serve your home country? If yes, you have to settle for the pay here. On tope of that, how do you want to serve your country? An overseas nursing degree, like any overseas course, will offer you insights that you can hopefully translate back to the clinical setting here in Singapore. However, getting a local degree will ensure that you are the most up to date when it comes to the Singapore healthcare system and its current issues.
Bottomline is, it’s up to you, and what is the most important for you :)

5.4 Dealing with deaths as a nurse

I haven’t personally experienced it as a nurse as I haven’t been in the wards long enough. However, I will answer based on my personal experience when my grandma passed away, as well as my conversations with other nurses/healthcare professionals.
  1. Give yourself time to grieve. We are all humans, with real emotions and feelings. While many many years of being in healthcare may get you used to people dying / being struck with fatal illnesses everyday, someday, you may still encounter a patient whom you may get too attached to and the unthinkable happens. Please, take the time to grieve and reflect. Talk to people who understand.
  2. See the bigger picture. I once performed CPR on an elderly lady (not in the hospital - at her house), and she passed on a few days later in the hospital. Though it may seem tragic, since it’s a death after all, I know that she’s in a better place now. She does not have to suffer the complexities of her diseases + any broken ribs due to the CPR, if ever.
  3. Remember not to be too hard on yourself. Sometimes you may feel that it’s your fault, for not checking on the patient enough, for missing out the signs. It’s alright. Everybody makes mistakes and we all learn from them.
Hope y'all found this useful! Thanks! :)
submitted by pinktreachery to SGExams

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