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baronessvonglitter · 4 months ago

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if love be rough with you, be rough with love | chapter 16 | "all i want for christmas is you"

Dave York x f!Reader

Word count: 5,473

Summary: Years later, you run into Dave on Christmas Eve.

(Spoilers are in the Warnings under the cut so please peek responsibly)

WARNINGS: 18+ Only! Mature and Explicit, Time Skip, TW for physical altercation (pushing, choking, pinning down), alcohol consumption, talk of weapons, hinting at reader being killed, mention of chemical paralytics (NMBA's), surprise pregnancy (happened after Chapter 15) and revelation of paternity, mention of wetwork, reader has C-section scar, wears a dress and nail polish, masturbation, pussy pronouns, p in v sex, quickest enemies to lovers ever, and one Christmas Eve marriage proposal (if I've forgotten anything please do let me know)

Author's note: I defrosted Mariah Carey earlier than anyone would like her to be, and yes I was listening to this song as I wrote. I don't care. It's one of my favorite Christmas songs ever and nobody can convince me otherwise 😜

Series Masterlist

dividers by @saradika-graphics 👑

Six Years Later

You step out of your car into the cold St. Louis night. It's Christmas Eve, and the streets are lined with snow. Brightly lit storefronts boast presents of all kinds, the electric glow of the holiday season luring in last minute customers. You keep your hands in your coat pocket as you walk, eyes scanning the perimeter.

Pour Decisions, the bar you've owned for the past couple years, is filled with its usual patrons, the atmosphere friendly and charged with holiday cheer. Checking to see that the staff is doing well and everything is in order, you ask for an old-fashioned, enjoying the warmth that spreads through you as you sip the whiskey cocktail, sitting at an inconspicuous table in the back and looking around at the one thing you can really call your own, the only place that doesn't hold bad memories.

That's when you see him enter your establishment. The man who claimed to have loved you with all his heart. The man whose life you destroyed. The man without whom you wouldn't be where you are right now.

Walking to the bar and sitting by himself, drinking to take away the pain, is Dave York.

It feels like all your breath leaves your body yet you give an audible gasp. He doesn't see you, doesn't even appear to be looking for you.

In your darkest nightmares he returns for you and kills you. You carry that fear with you. You've been preparing for it since the day your plane left for London years ago.

Emergency exit to my right you think to yourself, a habit you've formed in the six years since ruining his life. Glock, switchblade, syringe, you do a mental checklist of what you have on you.

You don't know whether to stay or leave. You're rooted to the spot, keeping an eye on him, poised to take whatever action necessary.

The jukebox finishes "Baby, It's Cold Outside" and moves onto "All I Want for Christmas is You" by Mariah Carey. You cringe at the sudden mood dissonance. This song would've expressed your feelings for him, once upon a very long time ago, but now it's almost comical. You want each other in a different way now: gone, even if it means dead.

Dave sighs and takes another sip of his drink, clearly lost in his own thoughts. He looks at the other people around him, some smiling and drinking to make the pain of Christmas a little more bearable, others in town for friends or family, eagerness evident on their faces.

He'd give anything just to be in their place right now. To be happy. To be able to smile like he used to smile. And it was all taken away from him by you.

Suddenly he hears someone calling out your name over the music.

In fact, he's been waiting for it. His head jerks up to see where you are, but he can't find you. His eyes scan the bar from face to face.. until finally he sees you. You're sunk low in your chair but he knows you immediately. He knows those eyes that have haunted him for years.

You're nodding and talking to your friend, and the moment you nervously glance around you meet Dave's gaze. It feels like pinpricks all over your body.

For one moment the world stops. All of the moments of his time with you come rushing back as he looks at you. All of the joy he felt with you, all of the pain you caused him. For a moment he allows himself the memory of your pliant body beneath his, your soft, slender throat beneath his grip, thumbs pressing just hard enough on your windpipe to make you cum.

What a waste, he thinks, keeping his cold gaze on you.

You talk to your friend a little longer then finish your drink, order another, and down it.

Now you have liquid courage to face him.

You approach him but it feels like you're moving underwater, your limbs fighting the current.

And there he is. There you are. After six years apart. He hasn't changed much in all this time. He's still handsome. A few gray hairs here and there, and a slight scruff of facial hair when he'd always stayed clean shaven. Still wearing a suit like he's just left the office, the subtle scent of his cologne wafts to you. It suits him. But you force the thought away. You take stock of your own looks: burgundy sweater dress, black boots, hair styled differently from how you used to, perhaps in the hopes that disguising yourself would throw him off your scent, confuse him and leaving him chasing his tail.

"Fifty thousand dollars," you tell him. "I'll give you fifty thousand dollars to leave."

He says nothing, just staring at you as he hears the offer.

Fifty thousand. That's all it would cost for him to let you go. Fifty thousand dollars to spare your life.

But..

..is that what he wants, really?

"No," he says firmly. "You can't make it up to me with fifty thousand dollars."

Your heart sinks to your stomach. "Then name your price. Whatever it is I'll pay it."

Dave takes a long sip of his drink as he considers your offer. For a moment he's tempted to accept it, to end this nightmare once and for all. But..

..no. It's not a question of money.

"The price is a hell of a lot higher than that," he says with cold finality. "You destroyed my family and you left me without my soul."

In your time on your own you've learned to be assertive. You're no longer the shy, simpering girl he used to know. "You did that to yourself, Dave. I only held up a mirror to show what you really are. Besides," you give him a devious smile, your words dripping with venom, "we both know you have no soul."

"Maybe I don't," he meets your gaze with unwavering ire. "But neither do you.. you destroyed everything good and beautiful that we had."

He takes another long sip, savoring the taste and savoring this moment where he's dissecting you. "You can try to blame me. You can try to make yourself the victim of this story. But you're not the victim. You're the monster. You're the one who brought darkness into my life when I didn't deserve it. When I gave you nothing but my love and my faith.. you used them to destroy everything I held dear."

"I disagree." You hop onto the barstool next to him, unafraid of him. "The real victims are my father, who you killed, and your wife and kids, who you betrayed. We both lost our families, Dave. I evened the score."

His eyes bore a hole into your soul as you speak. "That's the thing you can't seem to understand, sweetpea. Life isn't a zero-sum game. One person's loss is not another person's gain. You didn't 'even the score' by getting your revenge."

His voice turns cold and harsh as he speaks the truth. "You made a choice to try to destroy me. That's something I can never understand. And you'll never be forgiven for."

"I'm not interested in your forgiveness, David," you correct him. "You're the one in my city, in my bar, looking for me. With you, there's always an ulterior motive. Out with it."

And then he smiles at you. It's a cold, hard smile. "I came here to see you. So we can end this."

You stare into his eyes and wear a sardonic smile. "You mean, so you can end me."

"Yes," he answers simply.

You consider getting another drink, but two old-fashioneds on an empty stomach has you feeling good already. Maybe that's why you're not afraid.

"My late husband owned this bar, and now it's mine," you say, looking around with pride and wistfulness. "I met him here, years ago."

"Husband," he repeats in a dull tone. "Did you ruin his life too?" he asks.

"Well, he is dead," is your deadpan reply and you hate that your heart misses a beat when Dave smirks in reply. "It would be bad for business if you were to kill me in my own establishment, at peak holiday season," you remind him, proud of your practical tone of voice.

"You may be right about that," Dave admits. "The customers would scramble out of their seats, trample each other to get to the exits. In this day and age you know I'll be caught on camera. And that's not good for my.. 'business'.. either. But," he adds with a grin, "that doesn't mean you're safe."

"I've been looking over my shoulder ever since I came back to the states. I was surprised you didn't follow me to London. In the meantime I've just been waiting for the day when you would come and exact your revenge."

"That's exactly what I've come to do," he says coldly. "I made a promise a long time ago that I would never forgive you."

He takes a long drink and looks at you as if he's seeing you for the first time. "And now, the time has come."

You can see it in his eyes. You can see the darkness that now resides there, different from the one that used to excite you. It's Dave, but it's not the Dave you used to know.

A chill goes through you. You nod, knowing this day is long overdue. If your father faced death at the hands of Dave York, so can you.

You put down your glass, the whiskey still on your lips. "I'm glad it's you. Poetic that way." You stand up from your seat, surprised that your knees don't buckle automatically. "Outside," you tell him.

In the darkness of the alley behind the bar, your coat offers no protection from the cold you feel in your heart. The back street is empty. You look up at the stars in the night sky, feeling small in their midst.

This is it.. the end of it all.

He looks at you and sees the same calmness that he saw in your father. He sees that you've accepted your fate without fear, and he can't help but admire that.

"You know.. I thought about it a lot as I came here," he says. "What I wanted to do to you when I found you.. and what I wanted you to feel in your last moments."

You languidly turn to him, as if in a dream. "So tell me."

"I wanted to make you suffer. I wanted to see you beg for mercy, to see you plead for your life." His smile is cold and cruel. "But you're not scared, are you, sweetpea? Either you're as tough as I believe, or your self-preservation instincts are for shit," he sneers. "Even now, you're calm.."

Your placid countenance belies your shivering heart as you stand against the wall, deep breath in, deep breath out. "How are you going to do it?"

"You really want to know? You trust me that much?"

"You're the best, right? I'm glad it's you." You smile a little, shaking your head. "I loved you from the first time I saw you, Dave. I've loved you all this time. I love you right now."

He almost laughs. It's comical to hear you talk about love at a moment like this. "And I've hated you for all these years. I hate you for what you did to my family. I hate you with every fiber of my being.."

His voice turns to a whisper. "And I hate you because I still love you."

A brief smile flickers in your eyes. "As you once told me.. 'If this is love, we're both fucked.'"

Dave seems reluctant now, as if he's had a change of heart. You love each other, despite everything, and even now you're willing to let him just take your life, snuff it out with a single blow.

"Don't disappoint me, York," your voice pierces his thoughts like an icy blast. "Don't tell me you've come all this way for nothing. Not when I've been getting ready for you."

In an instant he pins you to the wall, his weight pressing you into the bricks as his hands wrap around your throat. Your breath comes in labored gasps as you fight to free your arms and legs. Despite your efforts, Dave is physically stronger. He's methodical, using his strength to subdue you rather than overpowering you with brute force. You can feel the desperation rising, your struggle becoming more frantic as you wrack your brain for any possible means of escape.

In a moment of clarity amidst the chaos, you find a small sharp object in your purse - the syringe. With a burst of adrenaline you jab it into the soft area right below his ribs, keeping your thumb off the plunger.

He lets out a sharp grunt and loosens his grip, staring dumbfounded at the needle sticking out of him, your finger hovering over the end, ready to press the danger into his bloodstream. "Let me guess," he says, his breath warm against your face. "Propofol? Rocuronium bromide?"

"Air," you answer with a winning smile, your voice hoarse from his choking you.

He swallows thickly, face pale even in the wintry moonlight.

You've never felt a surge of power like the one shooting through your veins right now. "I'd say my instinct for self-preservation is pretty fucking good."

Right as you see that angry spark in his eye you take advantage of the temporary adrenaline rush and push him away from you. Dave stumbles back, pulling the syringe from his torso and tossing it away right before you crash into him again. You both topple onto the cold wet pavement, grappling with one another, and it doesn't escape your realization that it's all an inverted display of the way you couldn't keep your hands off each other years ago.

You're unaware that the contents of your purse have fallen out in the scuffle, until Dave pins you down and notices the knife, the gun, neither of which you bothered to use on him just moments before. Then the bright light of your phone screen illuminates its presence in the shadowy alleyway.

Your wallpaper is a picture of you, holding a small boy who's smiling as you're kissing his cheek.

Still beneath him, your stomach lurches and you scramble for phone. "Give that back!" But Dave doesn't listen.

"You have a child?" he asks, completely bewildered that he hadn't thought of you having a life apart from the history you have with him. You'd mentioned a husband, but not a child.

The photo is lovely, taken recently as he guesses from the similar hairstyle as you have now. He's a beautiful child, with his mother's eyes. The love between mother and son is palpable, something pure and sweet that he has only experienced with his own children. It takes the wind out of him. He looks at you and all of the anger, all of the hate and rage he felt towards you seems to dissolve like salt in water.

Your heart is near palpitating as you take the phone from him, gently wiping the falling snow from the screen, taking a tiny moment to admire the photo for yourself. "The last night we spent together in that little motel room.. before everything happened.. a couple months later I found out I was pregnant."

It takes every ounce of courage you have to confess this to him: "This is Benjamin.. your son.."

Dave is paralyzed by your revelation, utterly unable to move or even breathe as he stares at the photo, puts the pieces together. He sees his features in his son, the perfect combination of you and him in another being, a little boy who is the culmination of your love.

He sees you as he never saw you before. You're not the woman who betrayed him and destroyed his family. You're the woman who gave him a son, a part of himself that he never knew would exist.

"He's beautiful," he murmurs, drinking in this moment, helping you to your feet as you struggle to stand, asking if you're all right but you don't answer him.

You've never envisioned how this would go. Not even your late husband knew Ben's real paternity, just that you needed stability to raise him. A part of you is on edge. You've just revealed the person who means the most to you in this world, and in one moment Dave could take it away.

"He just turned five in September," you tell him, "That night.. that terrible and wonderful night before I left you.. something good came from all of it," you tell him.

He nods. "I guess it did." He looks at the picture once more. "Where is he?"

You take a moment before answering. "He's at home. A friend of mine is watching him."

"I want to see him."

"You already have kids, Dave. Or have you forgotten them?"

"Don't go," he pleads as you start to walk away. Around the corner you can hear the holiday music blaring from the bar. "Last Christmas" by Wham!

"I want to see him," he says, catching up with you. "Please."

Being a mom has made you soft. And the truth is you spent the majority of your energy in your short scuffle with him moments ago. "Follow me home."

"Leave whatever weapons you have in the mailbox."

You wait on him, arms crossed, ensuring your safety before you let him beyond your threshold. Dave puts his semi-automatic pistol and a knife. He had these on him all the time but didn't use them..

"Now you," he says, watching as you put your own gun and knife into the mailbox. One corner of your mouth lifts up into a half-smile as your eyes meet, realizing you've both thought alike.

Inside your home it's cozy. A brightly lit Christmas tree glows with warm golden light in front of the main window in the living room. Dave looks around, taking it all in: the decorations placed with love and care, the presents piled under the tree for Ben - his son - to open the next morning.

A woman, clad in a soft gray sweater and jeans, comes out from the hallway, carrying little Ben in her arms. "He couldn't sleep without you here," she tells you, her glance jumping quickly between you and Dave.

You take him from her, letting her know you're home for the night and giving a quick introduction to Dave. "This is Paige, she helps me with Ben from time to time."

They exchange hellos, a little awkward under the circumstances. You take Ben in your arms, and he immediately wraps his arms around you. You wish Paige a happy Christmas and she leaves.

Now it's just the three of you. "Can I hold him?" Dave asks.

You hesitate before nodding, asking Ben if he's okay to go with him. Watching him with his father you can see the resemblance, plain as day. "Is he what you looked like as a kid?" You ask curiously.

"I think so," he smiles, still amazed that he's holding his child, a piece of him that he left behind with you for so long, your love made real.

Ben is bathed and put to bed. Dave knows everything about him by now: his birthday, favorite foods, his friends in his kindergarten class, the names of his stuffed animals and favorite superheroes. All this Dave takes in with the same interest he had when his daughters were younger.

He even reads him a bedtime story while you watch from the doorway, watching a scene you never imagined would come to life. Ben has Dave's smile, his hair. It's uncanny. You remember when you first started working for the Yorks, the first night you walked in on him reading to the girls before bed. That was the moment you fell in love with him.

It might be happening all over again.

After he's asleep you sit in the living room, sipping coffee spiked with brandy.

"Why didn't you ever tell me?" he asks.

You sip your drink, letting it warm the chill that's going through you, hoping it'll dull the overpowering emotions coursing in your veins. "I was afraid you'd come after me, kill me, and take him away."

"Is that what you think of me? That I'd kill you for our son?" For a moment he actually looks hurt.

"I don't know what to think of you."

"I deserve to be in his life," he says stubbornly, and you get a peek of the old Dave from before. "We can put the past behind us. We can get reacquainted. We can be what we should have been all along. He belongs to both of us. And I want to be here for him." He pauses, seeing the photos on the table and walls: you and Ben throughout his young life: on a beach somewhere with pure white sand, at a zoo posing in front of the zebras, and in every picture it's obvious he's loved.

"You did a good job with him, sweetpea. Our son is happy."

"He was my reason for going on," you tell him. "I was still in London when I found out I was pregnant. At first I thought it was the worst possible thing that could happen, but when I really sat down to make a decision I realized there was no other option but to keep him and love him. I knew a miracle could be reaped from the awfulness we sowed."

You raised him alone, mostly, with some help from your mother, who of course asked who Ben's father was. There was absolutely no way you could tell her, so you simply said it was a boyfriend who'd wanted nothing to do with the baby. After getting your Master's you found yourself here in St. Louis, met Liam who cared for you and your child, and lost him to sudden illness only a year after you married him. And every day you did not stop thinking about Dave.

"I assume you're still involved in your.. activities?" you ask him.

He takes a deep breath, mentally going over the jobs he'd done in the past six years, of which he'd taken more than before you'd left. Not only had he needed the money, but he needed something else to keep from thinking about you.

"Yes, I am," he replies. "I know you were hoping for a different answer than that."

"I was hoping for a different answer, but I wasn't expecting one," you tell him. "And the situation with Carol and the girls.. did she leave you? Did you work things out?" You hate that this is the answer you dread the most.

"We're divorced now," he says curtly. "And the girls.." an actual smile melts away his bitterness. "The girls are great. They're teenagers now. We've worked out a custody arrangement and we're keeping things civil for their sake. They adapted better than I thought they would."

"Do they all hate me for what I did? For my part in the affair?"

He pauses. "It's complicated.. the girls know why you left. I haven't given them any details and I doubt Carol has told them anything they shouldn't know. But you shouldn't blame yourself. It takes two to tango. I'm just as guilty."

You've finished your coffee, and just as you start to rise from your chair you pause, giving him a smirk. "Dave.. calling yourself 'guilty' after everything you've done is probably the funniest thing I've ever heard."

He takes your hand as you try to walk past him. "What would you say if I said we should be together for Benjamin's sake?"

You should have seen this coming, should have known he'd attempt to ingratiate himself into your good graces to keep some control over your life. "I've already done that. I married my late husband so that Benjamin could have a father.. I'm not going to go into any more relationships under false pretenses."

There's something more he wants to say, something that he wants to get across to you. "A lot of my life is gone. Lost. Because of what you did."

"I know. And I can say the same about you. We took each other's lives away."

"But you," Dave continues, "you gave me this. All of the happiness you took away, you gave it back to me in a way I never would have dreamed." He takes your hand in his. "And what if this isn't false pretenses? What if I'm asking because I know.. because we know, you and I are meant for each other?"

He knows he's getting ahead of himself. He's letting his emotions and his desire take over.

But you shake your head. "You only want me because I'm the one left standing in the ashes."

"You're partly right," he agrees. "I want you because you're right in front of me now. That's just natural, I'd say. But I always wanted you, sweetpea," he says with total honesty. "You were always the woman I loved."

"Fucked up people always love other fucked up people," you remind him. "And you and I are the most fucked up people I know,. Weren't we just about to kill each other in an alley?"

"Maybe you would have killed me.. but you didn't. And I could have killed you.."

"I get it, I get it," you playfully roll your eyes. "Am I your first failed mission?"

"Yeah, but.. definitely worth it."

He manages to get a smile out of you, and as he pulls you close he rejoices that you don't pull away. When he brings his lips to yours for a kiss, you don't stop him. You come together as fluidly as if you'd never been apart all this time, and you kiss him back hungrily, having missed his taste.

In the bedroom your appetite only grows stronger as you unbutton Dave's shirt, running your hands over the warmth of his chest. He lifts your dress over your head and you continue to unwrap each other. Your eyes take in every inch of his frame, seeing that he hasn't changed much in six years. His side job keeps him fit and he's kept his little belly that you've always found so attractive.

He reaches for you, takes your curves under his touch and gently kneading your soft flesh. "I missed you so much.." he whispers as you gasp with pleasure. "Missed what's mine." As his hands trace your skin he discovers the small scar on your lower abdomen, nearly hidden by the softness of your own little belly.

"What's this?" he asks, noticing that his touch doesn't seem to register there.

"It was Ben," you explain. "I had to have an emergency C-section."

His fingers trace over the scar, imagining the pain you must have gone through, the fear you must have felt. "I should have been there with you."

"I'm not made of glass, Dave." Breaking from him you lay back on the bed, legs parted as you begin to touch yourself, lifting your eyes to meet his dark gaze as your fingers continue their pleasured work across your delicate folds.

"Open wider," he says in a low command, crawling over you on the bed, watching intently. "Make yourself come."

He follows each dip and swirl of your fingers, the tips painted in red glitter lacquer, as they brush across your clit, disappearing into your already drenched cunt.

"How does that feel, sweetpea?" he asks, his voice husky with lust.

"Good," you moan. "But not nearly as good as you." You reach for him, and though he wants desperately to dive into your sopping wet hole, he practices control.

"Not yet," he says gently, chiding you. "I said, make yourself come."

He watches as you add pressure to your clit, your pussy swallowing up your middle and ring fingers while your other hand palms your breast, twists and pulls your nipple. He's never seen you more gorgeous, chasing your pleasure. The scent of your sex is in the air, beckoning him, and it takes every shred of his self-discipline to keep where he is, cock in his hand, lazily stroking as his dark eyes dance with the vision of you spread out before him, coming at last.

He takes his time about getting inside you, and though you're slippery enough to handle him it's still a tight fit after years apart. He's careful until you ask him not to be, and then he fucks you with smooth, steady thrusts, bottoming out as you arch your back, crying out his name, the sound of your flesh slapping together a perfect symphony with your moaning and his praise in your ear my good girl, missed this pussy so much, needed her all this time, and she needed me, gonna tame her, make her mine all over again.

He moves with you, as if he's connected to every beat of your heart. This is the only thing in the world that feels right, no matter how wrong it is. You can't not love him, You've never felt more like yourself, realizing that he brings it out of you. The air between you becomes electric, frantic, your movements desperate and wild.

"Come for me, sweetpea," he whispers, taking your bottom lip between his teeth. "Let me feel this tight little hole get her fill of me."

It's a fucking relief when you finally come, the moment prolonged as he continues to move, stimulating your clit beyond your point, only letting up when you forcefully shove his hand away. Watching you come is a miracle made true, something he never thought he'd get to experience again, and he comes with the final clench around him, keeping him there, keeping him home.

You're both vulnerable, perhaps for the first time, with each other. There are no more secrets to be had, no more devastation to wreak. Just you and him, and an ocean of possibilities before you.

"Can you forgive me?" he asks, meeting your eyes. "For what I did?"

It's weighed heavy on your mind since the day you learned the truth, and you've come to realize that all the tragedy did was allow you to move on, even if it brought you to have to face your past more clearly.

"Yes," you answer. "I do forgive you. And now you have to forgive me."

It's easier to do that now, now that the walls you both built up have been knocked down. "I forgive you," he echoes. "We'll never bring it up again."

There's a clarity you never imagined you'd receive, a gift that's long overdue after the years of being in limbo. You snuggle to him, pressing a kiss his throat.

"I thought about you every day, sweetpea," he whispers. "And maybe I'm crazy, but.. marry me."

You're at a loss for words. You open your mouth to speak but nothing comes out. "What.. what did you say?" you ask slowly, usure if you even heard him right. "Did you ask me to marry you?"

"I did," he says assertively. "So? Will you marry me?" A little smirk crosses his lips and there's a light in his eyes that you've never seen before.

"I'm just so.. stunned," you sit up against the headboard and he does the same. "Why would you even want to marry me? Don't you remember everything that happened?"

"I remember everything. I remember it every day. But like you said, 'fucked up people always love other fucked up people' and look at us: still crazy about each other even after we've ruined each other's lives. There's nothing for us except to be together."

"You sound so certain," you look at him with a conflicted smile. "Are you really sure this is what you want? To wake up every day and remember what happened and who we are?"

His smile lights up his whole face. "I'm counting on us to remember who and what we are. If we forget everything that happened between us then we've learned nothing. But now we're standing in the ashes of our old lives and look at us: we won. If anything, that just proves we're supposed to be together. We know all the bad parts of each other and we still choose to be here."

Watching him, and listening, you become convinced. You can't ignore the truth of what he's saying. "I'm gonna marry you, Dave," you tell him, your voice full of love and joy.

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taglist: @untamedheart81 @guelyury @auteurdelabre @darkheartgatita

#dave york #dave york x f!reader #dave york x you #dave york fic #dave york x reader #dave york smut #dave york x female reader #pedro pascal #pedro boys #pedro pascal character headcanons #pedro pascal fandom #pedro pascal characters #pedro pascal character fanfiction #pedro pascal cinematic universe #enemies to lovers #if love be rough with you be rough with love #ao3 series #ao3 smut

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weirdstrangeandawful · 9 days ago

Text

TW: medical (sugery), paralytics

Since this inexplicably comes up every time I talk about analgesics and sedatives, let's talk about neuromuscular blocking agents (more commonly known as paralytics and muscle relaxants).

These are normally used to facilitate intubation for surgery or when putting a patient on a ventilator. They are also used to reduce movement during surgery.

There are two main types: non-depolarising NMBAs and depolarising NMBAs. The majority of NMBAs are non-depolarising and essentially function by blocking anything from activating the receptors needed to control the muscles. Depolarising agents, among them the oft referenced succinylcholine, function by (oversimplification warning) essentially balancing the electrical charges needed for the receptor to control the muscles.

When it come to adverse effects, this can vary greatly depending on the specific drug but the most common and greatest risk is paralysis of the diaphragm which stops breathing.

There are reversal agents for the non-depolarising NMBAs commonly used in surgeries but I don't personally know of any that work on depolarising NBMAs like succinylcholine.

#whump #whump prompt #paralytic #muscle relaxant #medical #surgery

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pyr0lagnia · 8 months ago

Note

Medic x reader ageplay headcanons? Maybe some drug induced regression or straight up just playing with your unconscious body like a baby doll lol

banger of a request i hope you have a good day nonnie ♡ i ended up leaning surprisingly sfw FOR THE MOMENT because medic is. he is so. its so hard to imagine him as much more than someone who would just mockingly infantilize u

( :̲̅:̲̅:̲̅[̲̅:♡:]̲̅:̲̅:̲̅:̲̅)

tw for : nonconsensual drugging, infantilization, sexual implications at the end

♡ it's not intentional by any means, he was really just playing around to see what happens. he tends to just drug people willy nilly if things start getting a little too boring around base. i mean, what else is there to do? well, plenty, but i digress.

♡ you, being fresher than the other mercs, weren't so used to it. while the others brushed it off or got irritated at Medic once they sobered up (or died), you were a bit less resilient.

♡ that just meant he wanted to drug you more though, oopsie! less tolerance meant more reactions yippee!

♡ he wasn't sure of what he had slipped in your cup when he called you to his office for a 'routine check up'. truthfully he loved plucking random pills, powders, and liquids just to fuck around and find out.

♡ your honest, trusting (at least, more trusting than the others...) expressions made him giddy!! explaining to you that it was just liquid vitamins, you took it with only a moment of hesitance. you weren't absolutely oblivious to his shenanigans you were just more hopeful!

♡ it was obvious whatever concoction of stray pills were strong, the way your body started to visibly lean into itself only a few minutes after consuming. you expressed drowsiness, but hey, you were with your doctor, it'll be fine.

♡ he would coo at you, brushing it off as "maybe its just the leftover cleaning chemicals in the air making you dizzy! don't worry about it, this will be quick!"

♡ with only a gentle protest from you, he would slip his arms under yours to lead you to an examination table.

♡ if you asked him why the table was necessary, if it was just a checkup, he'd reason that you looked faint and pale and a table would be easier on your body if you were that weak from leftover chemical fumes.

♡ that explaination didn't sit with you well, but you didn't know enough about his routine to object.

♡ speaking of faint, you would've noticed a small little giggle from the older man if you weren't busy focusing on how limp you were suddenly feeling.

♡ great, yeah, maybe those weren't vitamins. maybe it wasn't the convenient chemical fumes that were making you dizzy.

♡ if you trust anything Medic gives you to be edible/digestable and safe, maybe you kind of deserve this, reader. don't trust fluids from creepy older men!!!!!!

♡ at this point, you cursed yourself. okay, maybe the one who is supposed to be taking care of the team isn't as trustworthy as you felt he should be. maybe Scout wasn't making up total bullshittery to fuck with you.

♡ he hovered over you, not making any movment attempts to fool you into thinking this was a checkup. he could recognize the signs of paralytics anywhere!

♡ slacking limbs, loose jaw, the worsening disorientation in your eyes. and yet you remained so vivid in your expression.

♡ if you were mad, he knew, he could tell, he didn't care.

♡ usually, NMBAs were used alongside anesthesia. considering how many surgeries he partook in, he had an excess of these laying around. maybe a few scattered across the floor, waiting for any old idiot to impulsively eat them.

♡ he debated on whatever else was in that drink, watching your body language while circling the table. but, whatever else that was alongside it didn't pop its ugly head out over the symptoms of the muscle relaxer.

♡ " mm, " he would pick up your loose wrist, and shake your hand. your fingers twitched from the movement, " you're familiar with this, i'm sure, hard to misunderstand these symptoms, yes? you're smart, hase, i know you can guess. "

♡ DONK. he let go of your wrist, letting it fall loudly against the table.

♡ look, paralytics were fun and all, but what could he really do right now? theres only so much fun someone can have with a living, silent doll.

♡ hm. he thought about reconsidering that thought process. he just needed to be more creative this time around

♡ he stared over you, waiting for anything else. your pupils were thin, eyes squinted. you felt cold, achey, uncomfortable.

♡ you let out a whine at him, and he tsk'd and rolled his eyes. " now, now, don't be whiny like a little baby about this, it is just paralysis. "

♡ a small gap of silence. he leaned closer to your face. " unless you are a baby? are you, häschen? is that a little game you like to play? "

♡ the Medic would stand there, still, watching you try to fight what might be something else. he tried to pull information from his brain on what he had- oh! datura!

♡ he had kept a bit left of some ground petals from a little experiment with Heavy. he recalled he stored the rest of the powder in a little baggy in his desk, and mindlessly, earlier, he had snatched that same baggy.

♡ don't ask what he was doing with Heavy. curiousity about the gruesome hallucinations that could come from this plant drove him a little insane.

♡ with THAT knowledge....

♡ " you are quite like a little toddler right now, aren't you? all limp, stupid, probably couldn't even eat without my help, could you, häschen? " he would bark out a laugh, " who am i joking with? of course you couldn't! look at you! silly silly me. silly me." he grabbed both of your arms, and tugged you up into a loose sitting position, keeping you still with a grasp to your chin and a hand on your side.

♡ he would spend plenty of time fiddling with your loose limbs mockingly teasing you while he waited for the poison to settle in you.

♡ as anxiety started to swathe you like a blanket, unfocused eyes catching shadows where they shouldn't be, you were able to work yourself into being able to grind your teeth. the loud noise made him grimace, and he'd hold your jaw shut.

♡ " not sure what i expected from you. hah, there was a reason i could never be a father. " he gripped your jaw so tight, bruising formed easily under his fingers. " would be so easy to just- rip everything from you, ja? wouldn't you agree?" he forced your head to nod, and subsequently dropped you against the hard table when all support was focused onto your head.

♡ " as if to prove my point, i dropped an infant. " Medic would remark lazily.

♡ knowing he wouldn't get an answer, he would poke and prod at you to get you to 'tell him about your hallucinations', but it was debatable if you could even process his words, even without the inability to speak.

♡ his infantilizing words did sink into you, influencing your weak mind state as you drifted in and out of being aware of being an adult. you felt five, but the size of your body and the blood soaking your body made your belief quake a bit.

♡ he would eventually get bored of just fiddling with you limbs as you attempted to make noises in response to the stimuli. as cute as the very quiet babbling and soft whimpers of fear were, he didn't expect it to last so long.

♡ he had work to do, so eventually he'd kind of. toss you on the ground next to his desk. he would look around for anything for you to fiddle with, before throwing a scalpel in your general direction.

♡ luckily you just kind of laid there like a dead fish against the cold ground.

♡ just to really be a dick, he'd probably pull off your shirt so when you pulled back from the drugs, shame would hit you. maybe being partially nude would fuck with your hallucinations and mindstate, too?

♡ would probably spend the rest of the time doing paperwork, and then staring at your limp body, then going back to do paperwork.

♡ i don't think he'd end up doing sexual things the first time this idea strikes him, but that would not last long if he made this a habit. seeing someone so limp and worthless in front of him always made his guts turn. it was just a matter of time. just. a matter. of. time.

#tf2 #medic tf2 #medic x reader #antis dni #proshippers please interact

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killacharacterbingo · 9 months ago

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Neuromuscular Blockade

Neuromuscular blockade is the primary effect of neuromuscular blocking agents (NMBAs). They are used for treatment of several conditions, but their primary use is muscle relaxation prior to intubation for surgery, as well as relaxation of skeletal muscles to facilitate the procedure. While its use in the anaesthetic process is par for the course, its use for other ailments is deemed sometimes controversial. As with any drug, side effects and allergic reactions can prove fatal.

Since neuromuscular blocking agents cause muscle relaxation and analgesia, this prompt is related to any use of NMBAs. Whether from a proper use in surgery gone wrong (i.e.: side effects, to name one example) or for nefarious purposes by bad faith actors is up to the author.

#killacharacter #killacharacterbingo #writing challenge #bingo challenge #writing event #whump #writing bingo #whumpee #bingo card #whump prompt

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nursingaustralian · 16 days ago

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How to work as a nurse in Australia

To work as a registered nurse in Australia as an international applicant, it’s important to understand the specific requirements and steps involved.

The first step is to obtain a nursing qualification through a recognised program. There are various pathways you can choose, including a Bachelor of Nursing (BN) degree, a Diploma of Nursing from a vocational education and training (VET) institution, or a conversion program for those who already hold a bachelor’s degree in another field.

Once you have completed your nursing program, the following is a beginner’s guide to starting your career in Australia:

Registration with the Nursing and Midwifery Board of Australia (NMBA)

English language proficiency

Skills assessment

Visa requirements

Australian health system

Professional development

Cultural awareness

Networking and support Read Full Vlog Here:- https://nursing.australianhealthprofessionals.com.au/how-to-work-as-a-nurse-in-australia-international-applicants/

#physiotherapist

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wingseducationblogs · 3 months ago

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Understanding PTE Requirements for Overseas Nurses Seeking Work in Australia

Learn about the PTE Academic score requirements for overseas-trained nurses aiming to work in Australia, and how meeting these scores is essential for nursing registration.

Traveling to Australia is a common choice for nurses worldwide. It offers excellent working conditions, advanced healthcare facilities, and a high quality of life. However, for overseas-trained nurses who want to work in Australia, meeting the English language requirements is a crucial step. One of the most widely accepted English language proficiency tests for nursing registration in Australia is the Pearson Test of English (PTE) Academic.

In this article, we will explain the nursing pte requirements in Australia looking to work, the importance of meeting these standards, and tips to prepare for the test.

The Significance of English Language Proficiency for Australian Nurses

English proficiency is essential for healthcare professionals in Australia because they need to communicate effectively with patients, colleagues, and other healthcare workers. Being able to understand and provide accurate medical information, give instructions, and respond to emergencies in English ensures the safety and well-being of patients.

Nurses must have excellent speaking, listening, reading, and writing skills to perform their duties effectively. To ensure these skills are at a high standard, Australia's nursing regulatory body, the Nursing and Midwifery Board of Australia (NMBA), requires all overseas-trained nurses to prove their English language proficiency.

PTE Academic Requirements for Nursing Registration

The NMBA accepts the Pearson Test of English (PTE) Academic as one of the assessments used to evaluate foreign nurses' proficiency in the language. The four main skills assessed by the computer-based PTE are speaking, reading, writing, and listening.

To register as a nurse in Australia, you need to achieve the following scores in PTE Academic:

Minimum results of 65 overall, with minimum results of 65 in each of the four categories (speaking, writing, reading, and listening).

Alternatively, a combined score across two PTE tests taken within six months may be considered, provided each section has a score of at least 65.

These scores indicate that the test taker has a high level of English proficiency, necessary to handle the complex communication tasks nurses face daily.

Importance of Meeting the PTE Score Requirements

Getting an Australian nursing registration requires fulfilling the PTE requirements. Without the required scores, applicants cannot proceed with their registration, regardless of their nursing qualifications or experience.

Achieving the required PTE score ensures that nurses can:

Communicate clearly with patients who may be under stress or discomfort.

Accurately understand and follow medical instructions from doctors and healthcare providers.

Write clear and detailed patient records and reports.

Work effectively in a team, including handling emergencies.

Failing to meet the PTE requirements could result in delays in your registration process, so it is important to prepare well and aim for the required scores.

Tips to Prepare for PTE Academic

Recognize the Test Format: Become acquainted with the PTE Academic test's format before beginning your study. It has four sections (listening, reading, writing, and speaking), each containing specific questions. It can be easier to prepare if you know what to anticipate.

Take Practice Tests: Many online resources and official PTE practice tests are available. You can discover your areas of development and get used to the exam's time and format by taking practice exams.

Improve Your English Skills: Focus on improving all four language skills. For speaking and listening, practice with English-speaking friends, watch English movies, or listen to podcasts. For writing, practice writing essays, and for reading, try reading newspapers, articles, or medical journals in English.

Join a Coaching Program: If you feel you need extra help, consider joining an English language coaching program that specializes in PTE preparation. These programs offer expert guidance and can help you improve your skills efficiently.

Conclusion

Nursing pte requirements in Australia are an essential step for overseas-trained nurses who wish to work. Achieving the minimum score ensures that nurses can effectively communicate in English in a medical environment, which is crucial for patient safety and quality care. With the right preparation and dedication, you can meet the required scores and take the next step in your nursing career in Australia.

#ahpra english language test #alpha pte #apeuni english pte #brisbane PTE study centre #englishwise brisbane #ielts classes brisbane #ielts coaching center near me

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jitenderkapila · 5 months ago

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Nurse Practitioners (NPs) play a vital role in advanced healthcare, building on the foundation of registered nursing to meet the rigorous regulatory and professional standards set by the Nursing and Midwifery Board of Australia (NMBA) and the International Council of Nurses. NPs possess a high level of systems literacy, enabling them to independently manage and optimize care across various health systems. Their skills in critical thinking, evidence integration, and empathetic communication are essential in providing comprehensive care to patients, families, and healthcare teams.

NPs excel in clinical care, research, education, and leadership. They lead the way in implementing evidence-based practices and quality management, educate others on care options, and guide care teams through leadership and mentorship. In the Port Macquarie and Kempsey area, Jitender, a dedicated NP, collaborates with General Practitioners to provide a range of Medicare rebate-eligible medical services to aged care facilities, ensuring high-quality care for the community.

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onlineassignment01 · 5 months ago

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Tips to Find the Right Experts to Book My Nursing Assignment

Nursing students in Melbourne need to submit their nursing assignments to complete their academic course. With the dissertation, they are expected to gain practical experience where they apply their theoretical knowledge to the practical world of patient scenarios. These assignments help assess how best the students have comprehended medical concepts, and how well they are tuned with evidence-based practices. These assignments also throw light on the student’s understanding of healthcare settings and setting the field for the challenges and responsibilities in the practical world.

However, there are multiple limitations for nursing students due to which they prefer to book my nursing assignment. Considering that they need to complete quite an impressionable volume of assignments, throughout their student life, it is stressful to complete all of these with many of such assignments need to be done simultaneously. Additionally, they need to devote most of their times to clinical and practical practice, and some of them may be working part-time too, thus, making it even more challenging to complete assignments in Melbourne on their own.

When you book my nursing assignment, you need to take care of a few factors. We are sharing some tips here to help you choose the right service provider.

1. Ensure that the writers are experienced

The first criterion is very obvious. That’s because completing assignments in a professional-grade domain like nursing requires domain competency. Therefore, it is crucial to have the right kind of expertise in this field. That’s because with expertise and experience of nursing assignments, the team will not be able to do a fair job and complete the assignment effectively. They will evaluate the assignments comprehensively to ensure that the required standards and guidelines are met efficiently for best grades.

2. Establish the track record of the service provider

Next, before entrusting the work to a service provider, you should check their track record in completing assignments in the nursing sector. Experience in the sector increases the likelihood of completing the assignment successfully and on time. Service providers with the relevant experience in this field will deliver the assignments promptly and without delays. Book my nursing assignment Melbourne with people who have worked on their credibility and established a brand reputation so that you can have peace of mind in getting high-quality and timely assignments.

3. Customization options

The next tip for choosing the right service provider is to understand if they can offer tailored solutions, aligned with the specific requirements of the assignment. Every assignments need to meet certain standards, quality, and given guidelines. Therefore, one-size-fits-all service does not suit. With customization options, the pricing of the assignment can be accordingly tailored to suit the specific needs of the assignment and your pocket.

4. Knowledge about NMBA Standards

One crucial aspect of nursing assignments is that you need service providers that have a thorough understanding of the Standards of Nursing Practice of the Nursing and Midwifery Board of Australia (NMBA). That’s because these Standards set up the foundation for assignments for nursing in Australia and all assignments are judged based on these criteria. Remember, if the assignment is not as per the standards, you can be negatively graded.

5. Timely Completion of Assignments

When you search "Do my Nursing Assignment", you should make sure that the service provider has the reputation of completing the assignments on time. They should be in constant touch with you and inform you about the status and updates about the assignment. They should be communicating regularly with you so that you are not stressed about any potential delays. You can read reviews online to find out about prompt deliveries, without compromising on the quality of the assignments.

In short, book my nursing assignment in Melbournewith the service provider that exemplifies the following parameters –

Fast response time – not days but minutes to get back to you about your nursing assignments.

Complete and thorough exposure to relevant Standards of Nursing Practice by the NMBA.

Proficient academic writers who have a background in nursing and have extensive exposure in completing nursing academic assignments on your behalf.

Have a track record of delivering top-quality assignments well within the deadline.

Offer personalized solutions in nursing assignments so that the expected standards are met successfully.

How to search for the right service provider to book my nursing assignment in Melbourne?

Ask within your nursing or professional circle for references. Speak to your seniors and peer group to get the right advice and guidance.

You can search online with the keywords, ‘the best service provider to book my nursing assignmentEnsure that you mention Australia or the city where you reside or work. Shortlist and then use the given criteria to make a well-informed choice.

Lastly, you can seek help and support from your friends and family to ask for references, especially if you have people associated with the medical world, like nurses, caregivers, or doctors. With their expertise in the field, they are bound to give you the right advice.

Source: https://instantliveyourpost.com/tips-to-find-the-right-experts-to-book-my-nursing-assignment/

#book my nursing assignment #Do my Nursing Assignment

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efraclab · 5 months ago

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FDA has identified Seven Nitrosamine Impurities (NDMA, NDEA, NMBA, NIPEA, NMPA, NDIPA) that could, theoretically be present in Drug Products with the first five being detected in Pharmaceutical Substances/ Products. FDA’s New Regulations that have come into effect from 1st October 2023, require that Companies demonstrate Safe levels of Nitrosamines in all their Drug Products.

EFRAC Lab Analytical Capability extends to a wide range of NOCs including Nitrosamine Drug Substance-related Impurities (NDSRIs). It has diligently Developed and Validated Advanced Methods for Analysis of NOCs in Pharmaceuticals.

#nitrosaminetesting #pharmatesting #safetyfirst #pharmaquality #healthsafety #labtesting #SafetyStandards #contaminanttesting #PharmaServices #qualityassurance #drugsafety #PharmaCompliance #TestingExcellence

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free-kaze · 7 months ago

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Sugammadex Sodium API is the key ingredient in a medication used to reverse the effects of neuromuscular blocking agents (NMBAs).

#Sugammadex Sodium

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nulifelinecarerehab · 2 months ago

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Get the Best Rehabilitation Centre in Delhi for Alcohol Addiction

Addiction treatment by the alcohol rehabilitation centre in Delhi is planned to help dependent people stop habitual medication chasing and use. Treatment can happen in various settings, take multiple structures, and keep going for different time allotments. Since illicit drug use is regularly a constant problem described by incidental backslides, a present moment, once treatment usually is not adequate. For some, treatment is a drawn-out measure that includes different intercessions and regular observing.

There is an assortment of proof-based ways to deal with treating habit. Medication treatment can incorporate social therapy (like psychological conduct treatment or possibility the executives), meds, or their mix. The particular kind of treatment or blend of medicines will change contingent upon the patient’s necessities and, frequently, on the sorts of medications they use.

Treatment medications for the drug rehabilitation centre Delhi are methadone, buprenorphine, and naltrexone (counting another long-acting detailing), accessible for people dependent on narcotics. In contrast, nicotine arrangements (patches, gum, tablets, and nasal splash) and the drugs varenicline and bupropion are accessible for people dependent on tobacco. Disulfiram, acamprosate, and naltrexone are meds accessible for treating liquor dependence, which regularly co-happens with other chronic drug habits, including reliance on doctor prescribed meds.

Steps to Step Guide for the Treatment of Addiction

The initial move towards healing is recognizing that substance use has become an issue in the individual’s life, disturbing a mind-blowing nature. This can result from debilitation in school, work, social, sporting or other significant capacity spaces.

When individuals perceive the adverse consequence of a substance on their lives, a broad scope of treatment alternatives is accessible.

An individual with a habit-forming jumble expects admittance to treatment. For a great many people, treatment may keep going for the remainder of their life. They should avoid the substance on a long-lasting premise, which can be troublesome. Treatment plans for habit-forming issues will regularly change to address the problems of the patient.

Detoxification

Detoxification of the de-addiction centre in Delhi is ordinarily the initial phase in treatment. This includes clearing a substance from the body and restricting withdrawal responses.

If individuals depend on more than one substance, they will frequently require drugs to lessen withdrawal manifestations for each.

Counselling and behavioural therapies

Treatment may be balanced or a gathering meeting. This is the most widely recognized type of treatment following detoxification. Treatment may happen on a balanced, gathering, or family premise contingent upon the person’s requirements. It is typically severe at the start of treatment, with the number of meetings steadily decreasing over the long run as manifestations improve.

Various kinds of treatment include:

Psychological conduct treatment, which assists individuals with perceiving and change perspectives that have a relationship with substance use.

Multi-dimensional family treatment, intended to help improve family work around a young adult or youngster with a substance-related confusion persuasive talking, which amplifies a people eagerness to change and make acclimations to practices influential motivators that energize restraint through encouraging feedback

Directing the rehab centre in Delhi for habit plans to help individuals change practices and perspectives around utilizing a substance, just as fortifying fundamental abilities and supporting different medicines.

Rehabilitation programs

Longer-term treatment programs for substance-related and habit-forming issues can be exceptionally compelling and ordinarily centre around outstanding medication-free and continuing capacity inside friendly, expert, and family duties.

Completely authorized private offices are accessible to structure a 24-hour care program, give a protected lodging climate, and supply essential clinical intercessions or help.

To know more about NuLifeLineCare Rehab in Delhi, call us on +91–8958305058

Or visit: https://www.nulifelinecare.org/

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chemicea1 · 7 months ago

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N-Nitroso-N-methyl-4-aminobutyric Acid/NMBA

Chemicea pharma is your one stop solution to purchase top quality N-Nitroso-N-methyl-4-aminobutyric Acid. Check out our complete range of Nitrosamine Compounds with more than 400 Genotoxic Nitrosamine Impurities.

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aptechvisaglobalimmigration · 8 months ago

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Australia PR for Nurse from India.

Australia PR for Nurse from India

If you are looking for Australia PR for a Nurse from India then there are several options available to a registered Indian nurse seeking permanent residency in Australia. The General Skilled Migration program, which encompasses the Subclass 189 Skilled Independent visa and the Subclass 190 Skilled Nominated visa, is one popular route. These visas are point-based and require the fulfilment of certain requirements, such as age, English language competency, skills evaluation, and character and health standards.

Employer sponsorship, such as that provided by the Regional Sponsored Migration Scheme (subclass 187) or the Employer Nomination Scheme (subclass 186), is another possible route. A qualified employer must sponsor the nurse for a post in Australia to obtain one of these visas.

To successfully negotiate the complexities of Australian immigration law, the nurse must thoroughly investigate, comprehend, and apply for each pathway. They should also get expert counsel or assistance from an immigration consultant.

Why is AUSTRALIAN REGISTRATION – Nursing and Midwifery Board needed for Australia PR for a nurse?

The Australian Nursing and Midwifery Board (NMBA) has to have registered you as a Registered Nurse for you to be able to work in Australia and apply for Skills Assessment. In addition to deciding on issues about registration, endorsement, notation, and compliance for nurses, midwives, and students, the NMBA also establishes policy and professional standards for the nursing profession. The following viewpoints are included in the registration standards:

• Past Criminal Records

• Fluency in the English language

• Professional indemnity insurance policies;

• Recent Practice;

• Ongoing Professional Development

Which skill assessment body is required for Australia PR for Nurse?

You need to take a skills evaluation to qualify for a permanent resident visa. The Australian Nursing & Midwifery Accreditation Council (ANMAC) is the authority for assessing skills for registered nurses. It can evaluate internationally qualified nurses or international students who have completed their nursing degree program in Australia and are registered there, as well as those with an equivalent qualification and registration in New Zealand. The following list of three primary eligibility pathways:

Full Skills Assessment: You are eligible for a full skills assessment if you are not registered in Australia and have a degree in Nursing from outside Australia. For example: India, Pakistan, Bangladesh etc.

Australian Visa Application for Registered Nurses (Nurse Visa Australia)

A variety of visas are available for Australia PR Visa from India. Registered Nurses to apply for immigration to Australia, including the following:

Skilled Independent Visa (Subclass 189): For skilled professionals subject to a points system who wish to live and work in Australia and apply for permanent residency on their own, the visa (subclass 189) is a permanent residence permit. These days, applicants must score substantially higher on the Points in order to be invited, due to the government's limited allocation of spots for this category and the fierce rivalry among applicants

Skilled Nomination Visa (Subclass 190): For skilled professionals who meet certain requirements and wish to work and settle in Australia, the visa (subclass 190) is a permanent residence permit. An Australian state or territory government agency must nominate the application. The need for nurses in Australia is high and is expected to remain so, particularly during and after the Covid-19 worldwide pandemic. If their profession is listed as a state occupation, qualified registered nurses may be eligible to seek for a nomination to the Australian state.

Skilled Work Regional Provisional visa (Subclass 491): Itis a temporary residency permit for skilled professionals who meet the requirements and wish to work and reside in Australia. An Australian state or territory government agency must propose the applicant, or a qualifying relative must sponsor them. After the necessary requirements are satisfied, the holders of this visa may then apply for the subclass 191 Skilled Regional (Permanent) visa.

The Temporary Skill Shortage Visa (Subclass 482 visa): It permits foreign workers whose designated occupation is on the approved occupation lists to be hired on a temporary basis by an approved business sponsor. The visa validity period for jobs involving registered nurses may be up to four years. If the necessary requirements are met, the visa may be renewed. After meeting the necessary requirements, sponsored nurses may submit an additional application for a permanent resident visa under the 186 Employer Nomination Scheme. Employer Nomination Scheme (Subclass 186): workers who wish to work in Australia and apply for Permanent Residency through their employment opportunity can do so using the Employer Nomination Scheme visa (subclass 186). An authorized Australian employer must nominate a candidate for this visa in the first phase, and the candidate must then apply under the nominated stream. It is a component of the program for permanent employer-sponsored visas. If their employers are prepared to help them, sponsored nurses may be able to apply straight for permanent residency through this route.

How to apply for Australia PR for Nurses from India?

There are usually multiple steps involved in becoming a registered nurse and moving to Australia from India. This is a broad synopsis of the procedure:

Step 1 : Verify Your Eligibility: The first step is to determine if you are qualified to practice nursing in Australia. To make sure your credentials fit Australian requirements, you will need to have them evaluated by the Australian Health Practitioner Regulation Agency (AHPRA) and the Australian Nursing and Midwifery Accreditation Council (ANMAC).

Step 2. English Language Proficiency: You must take an authorized English language test, such as the PET or IELTS, to establish your English language Proficiency Score.

Step 3. Apply for Registration with AHPRA: After fulfilling the requirements for eligibility, you can apply to the Australian Health Practitioner Regulation Agency (AHPRA) for registration. In Australia, becoming registered is required to practice nursing. Step 4. Skill Assessment through ANMAC: The Australian Nursing and Midwifery Accreditation Council (ANMAC) must evaluate nurses' skills. This evaluation confirms that your credentials and abilities meet Australian requirements.

Step 5. Submit your Expression of Interest (EOI): The first step in applying for a points-tested visa is to submit an Expression of Interest (EOI) via the SkillSelect system. Once submitted, you must wait for the Invitation to apply (ITA).

Step 6. Submit the documents and visa fee: Once an applicant receives his or her ITA then they need to submit their documents along with the Visa fee.

Step7. Wait for your Australia PR: Once the Australian immigration authorities process your documents and application and approve them you receive your Australia PR.

Because immigration rules and procedures are subject to change, it is advised that you speak with a registered migration agency or immigration consultant for the most recent information and advice about your situation

How will Aptech Visa help with Australia PR for Nurses?

Aptech Visa helps the applicants with documentation.

Aptech Visa also helps the applicants with gaining the required license.

We will get the nurse registered under AHPRA.

Prepare the portfolio as per the requirement.

Enroll with NCLEX

Get your skill assessment

Help the applicant throughout the process.

For more information, you can refer to https://www.aptechvisa.com/blog/is-it-easy-to-immigrate-to-australia-as-a-nurse-from-india and you can also connect with our Australia Immigration Consultants at 9289289006, 7503832132.

#Australia PR for Nurse from India

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englishwiseae · 8 months ago

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Ultimate Guide to Understanding PTE for Nursing Registration

Imagine working as a foreign nurse working and improving people's lives in Australia. This may seem like an illusion, but it can be a reality. Working in English-speaking countries as an eligible nurse requires more than a nursing degree and experience.

Having an English proficiency is equally important to communicate with patients and coworkers, while complying with Australian Health Practitioner Regulation Agency (AHPRA) standards.

In this blog, we will guide you through AHPRA language proficiency requirements, emphasising its PTE Academic score requirements. We will also learn why preparing for online PTE classes in Muscat is advantageous compared to other language proficiency exams. Let's begin.

AHPRA Requirements

Australian Health Practitioner Regulation Agency (AHPRA) is responsible for verifying a nurse's qualification and competency in providing appropriate patient care services. If you are a nurse working in any country and are planning to move to Australia, you must pass the following requirements.

Educational Qualifications

Language Proficiency Test

Criminal History Checks

Practical Experience

Minimum number of hours in Continuing Professional Development (CPD) Activities.

Compliance with NMBA requirements

Professional Indemnity Insurance

AHPRA Requirements for PTE Academic ExamWhen submitting evidence of your English proficiency, PTE Academic is one of the necessary English language proficiency tests that sets the standards for safe and effective practice in Australian healthcare settings.

Here's how AHPRA analyses PTE for nursing registration scores:

1. Verifies Your PTE Academic Scores

Requires Direct Score Report from Pearson Website:

AHPRA requires direct PTE Academic scores from Pearson's Official Website. For this reason, you must authorise Pearson to send your scores digitally to AHPRA while requesting them to prevent any differences or fraudulent submissions.

Validate Individual and Overall Score:

Upon receiving the score report, AHPRA verifies if the scores meet or exceed the 65 scores as a minimum score in each skill: Listening, Reading, Writing, and Speaking. You must also receive an overall 65 score to pass high-quality English proficiency in the PTE Academic exam.

2. Analyses Your Communication Ability Beyond Scores

Comprehensive Review:

AHPRA focuses on a comprehensive review of your score report to understand your communication skills beyond the score eligibility. The agency ensures that you balance each of the four communicative skills. This approach also helps you to plan a complete preparation strategy to ace PTE for nursing registration.

Single Sitting Requirement:

AHPRA checks if you have attempted the PTE Academic exam in a single sitting. This is important as it shows your ability to perform well across all skills simultaneously, which is crucial in high-pressure healthcare environments.

3. Recency of Scores

Two-Year Validity:

AHPRA cross-check the test date to verify that the scores are no more than two years old at the time of application for registration. This requirement helps ensure that you have the latest understanding and knowledge of practising in healthcare institutions.

4. Final Results

Acceptance or Further Assessment:

If the PTE Academic scores meet all the above additional criteria, you become eligible to work as a nurse in Australia on the basis of English language proficiency. Remember, you must fulfil the other eligibility requirements (outside PTE for nursing registration) set by AHPRA authorities to be considered eligible. However, if there are concerns about the scores or if they are borderline, you may have to appear for the exam again to verify your English competency.

Why Choose PTE Academic Over Other Accepted Exams?Choosing the right English language proficiency test is a decision for nurses planning to register with the Australian Health Practitioner Regulation Agency (AHPRA). In Muscat, where several options are available, the Pearson Test of English (PTE) Academic offers specific advantages that make it a compelling choice for nursing registration over other accepted exams like IELTS or OET.

1. Fast Results - Processing You can expect to receive the results within 5 business days, often sooner. This quick turnaround is useful if you are within tight deadlines for registration or job applications. In contrast, other tests like IELTS or OET might take longer to deliver results. 2. Computer-Based Testing with Objective Scoring - PTE Academic is entirely computer-based, which provides impartial results. The use of AI scoring in the exam is also compatible with the scoring in online PTE Classes in Muscat.

3. Flexible Test Dates - The availability of test dates for PTE Academic is another compelling reason for choosing this exam. PTE centres in Muscat offer numerous testing slots throughout the year, allowing candidates to select a date that best fits their schedule.

4. Widespread Acceptance - PTE Academic is the latest addition to other English proficiency exams like IELTS and OET. It has quickly gained global recognition and acceptance, including from AHPRA for nursing registration in Australia.

5. Skills Assessment - The format of PTE Academic, which integrates speaking and writing tasks and reading and listening sections, may offer a more comprehensive assessment of a candidate's ability to use English in realistic scenarios. This integrated skills approach mimics multitasking and quick thinking in nursing.

6. Practicality and Convenience - Finally, for nurses in Muscat, the practicality of taking the PTE Academic, including the location of test centres and the ease of registration, makes it a convenient option. The ability to book and take the test within a short window minimises disruption to their professional and personal lives.

Final Words In conclusion,

The Pearson Test of English (PTE) Academic stands out as an excellent choice for nurses in Muscat seeking AHPRA registration. Its quick results, objective scoring, flexible scheduling, and comprehensive skills assessment make it a pragmatic and efficient option for meeting English proficiency requirements.

Choose EnglishWise AE for online PTE classes in Muscat to pass the AHPRA registration and establish your nursing career in Australia.

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