Briony, I could not agree more with you regarding the importance of attaining a Band 7 score in order to register as a nurse in Australia. As a manager I am sure you have seen your share of problems relating to poor English comprehension. I too have seen RNs on our wards that struggle to communicate in English with other team members. We have had some close calls where one team member is unable to communicate either verbally or written to another member of staff and fortunately it has been picked up before any problems have arisen. It can be scary out there! A IELTS score of Band 7 should be attainable for every new graduate.
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We would be wise (as I think AHPRA has been) to heed the lessons learned in the UK in the mid to late 1990s, when the requirement for competency in English was significantly relaxed for registration with their national board as a nurse. There was an explosion in medication errors in particular and a fall in nursing care quality (google the Francis Report), the repercussions of which are still being felt today. It is absolutely essential any nurse attain the minimum requirements set by APRHA in regards to language to deliver safe care.
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