CRNE preparation advices needed

Pediatric Critical Care Columnist · Oct 2, 2009

I understand that there may be questions on the CRNE in regards to Aboroginal culture. Could anyone share some information regarding the culture in regards to health care. What things should I be aware as a nurse in regards the the culture?
Thanks

That's a HUGE topic. There are many, many ways the aboriginal cultural influences impact on their health care.

Their traditional diet was largely protein and often feast-or-famine, but in the last two generations they've gone to a more Western (and unhealthy for them) diet. Their metabolisms evolved around the high-protein fish and game diet and cannot cope well with the high refined carbohydrate load they're taking in so type 2 diabetes is almost epidemic in their communities along with all the associated complications. Their communities are typically isolated and have poor infrastructure; food has to be brought in at great cost, so choices are often predicated on economics rather than healthy living.

Time means different things to different Aboriginal groups. They often miss appointments because they don't have the same concept of time and may arrive too late or on the wrong day. They also may have "compliance" issues with scheduled medications and treatments because of their concept of time. Family members may visit inpatients at what might be considered inappropriate times, but it's perfectly normal for them. They also tend to be poor historians because of how they perceive time.

Most of the Aboriginal people I've interacted with are shy and don't really make small talk. It can be interpreted as an attitude or even an issue that they don't say much, don't ask many questions, or even communicate their needs (such as an inability to read written instructions) when their culture tells them that it's disrespectful to ask questions as it implies distrust. They will chatter to their family or friends but feel uncomfortable with people in a position of authority.

These are just some attributes. I'm sure there will be other responses.

dishes, BSN, RN · Oct 2, 2009

I don't think you are expected to know details about aboriginal culture for the CRNE. A question of this nature, is intended to assess the nurses competency in providing culturally sensitive care, not her knowledge of different cultural practices. For the CRNE it is likely the cultural practice will be described in a scenario, for example,

"a client from a first nations community requests that a sweetgrass ceremony be performed in the hospital as part of treatment. The ceremony involves chanting and burning some substances, this is against hospital policy but the nurse understands the importance of this treatment to the client"

What action would show the nurses committment to client centered care?

http://www.cno.org/docs/prac/41040_CulturallySens.pdf

regards

dishes

jay_j · Oct 6, 2009

FOR SUZANNE n JANFRN

i'm planning to migrate to canada next year.. i just started processing for my visa last june 2009. I'm planning to take the CRNE when i'm finally there... probably start applying by then too, not earlier. I want to make sure i'm settled in and adjusted to everything. I don't want to stress myself with deadlines or to an upcoming exam I have already paid for and having to worry about preparing myself to moving and living in a new environment at the same time.

you mentioned above that an alredy-RN-from-somewhere-else will have d title of GN until he/she passes the CRNE. i was wondering, since i am a RN here in philippines for 4 years now, does that qualify me to hold the the title GN when i move to canada (as immigrant)? will i be able to get a job as a GN until i take and pass the exam? or should i settle for jobs such as nursing aide/nursing assistant if i will decide to work before i take the CRNE?

what's d difference between a GN from aides? i know d aides' payrate's between 9-13 cad.. the most 15. how bout for GNs?

i'm just wondering coz i want to know how much i would be earning there if i work as a GN (if qualified) or as an aide until i get registered as a nurse in canada.

thank you for your posts.. it's been very enlightening and helpful. .

keep em coming! :hrnsmlys:

5cats · Oct 6, 2009

you can only work as a Grad Nurse when you are eligible to take CRNE, and depending on the province only so long.

If you have the money not to work for a while, good for you.

5cats

jay_j · Oct 7, 2009

Oh ok...so, i have to apply for d exam, be assessed and eligible to sit CRNE before i can be considered a GN (until i take and pass the exam) when i get to canada, am i right? :mad:

i would like to clarify this also. Is Canada like U.S.A. with the whole compact state? coz i haven't decided yet as to where i will take the exam when i get there.. whether in Ontario (where i plan to permanently reside which might be months away from my landing day in Canada) or in Nova Scotia (where i will be staying for a while w/ my cousin since i won't have a job and everything when i get there.) If ever i will sit CRNE in Nova Scotia, will i be able to work in Ontario or any other provinces with the licensed issued from where i took the exam? or is it like the U.S license where i can only work in certain states (compact states) depending on where i applied my license from? :confused:

Thank you very much for ur prompt reply to my previous post. Your answers will really help me with major decisions.

:wink2:

Thank you so much for

Silverdragon102, BSN · Oct 7, 2009

Oh ok...so, i have to apply for d exam, be assessed and eligible to sit CRNE before i can be considered a GN (until i take and pass the exam) when i get to canada, am i right?
i would like to clarify this also. Is Canada like U.S.A. with the whole compact state? coz i haven't decided yet as to where i will take the exam when i get there.. whether in Ontario (where i plan to permanently reside which might be months away from my landing day in Canada) or in Nova Scotia (where i will be staying for a while w/ my cousin since i won't have a job and everything when i get there.) If ever i will sit CRNE in Nova Scotia, will i be able to work in Ontario or any other provinces with the licensed issued from where i took the exam? or is it like the U.S license where i can only work in certain states (compact states) depending on where i applied my license from?
Thank you very much for ur prompt reply to my previous post. Your answers will really help me with major decisions. salamat!
:wink2:
Thank you so much for

You totally have the wrong idea about the compact state for the US and that is for another thread to discuss.

There are several threads discussing Canada and moving provinces. Regardless on where you are from (Canadian or IEN) and whether you have passed CRNE you still have to apply to the province and meet their requirements plus pay fees. they will then make the determination to whether they will issue a licence allowing you to work as a RN or whether you have to do some sort of assessment or course

jay_j · Jul 24, 2010

Hi everytone!

i haven't researched about CRNE in a long time. i just traced my previous posts.

I am halfway my immigration process. If all goes well, I'll get my immigrant visa this December or January 2011. A friend suggested that I start applying for CRNE while I'm still here since it takes a few months before I will be given an eligibility. That way, by the time I get to Canada, I'll be a GN and earn more until I have to take the exam as scheduled.

There are people who offer to give assistance in applying for CRNE. They are connected to the visa assistance I hired (which I greatly regretted) :hdvwl: These people who offer to assist for the CRNE application are asking for 1,000 CAD. I have a very bad experience with the visa assistance. The service they gave was just not worth the fee. I was close to losing my chance of continuing my immigration process because of their negligence. I'm afraid it will be the same with this one. I would rather do it myself, and save myself the trouble, money, time and too much stress.

Problem is, I have no clue what to do or where to go. First off, I'm from Philippines.

- What are the requirements and procedures I have to prepare as a non-canadian nurse planning to take the exam?

- I haven't decided yet whether I should sit CRNE in ontario or nova scotia (where my cousin lives). Basically, I haven't decided yet where to work and live. I need some insight between their differences.

- As a RN in Philippines, are my credentials enough to be approved to sit for CRNE or do i need to do more schooling in Canada? Which provinces usually requires this and which doesn't? My friend said someone told her that Nova Scotia doesn't usually require further studies. Is that true? How about Ontario?

- If i have to do further schooling, how long does it usually take and where/how do i take this up? Are there there certain schools for this? How much does it usually cost?

- How long does it usually take to apply and be eligible to sit for CRNE?

- How long is the duration of Ontario's and Nova Scotia's CRNE eligibility?

I'm sorry for the basic question. I just have no clue about the details, and so I can't make initial decisions such as where to take/move.

Your answers would be very much appreciated.

I need all the help I can get here!

:tku:

Pediatric Critical Care Columnist · Jul 24, 2010

First off, I've moved this thread to the International forum as on closer look it has more to do with IENs and immigration-related questions than it does purely preparing for the CRNE. (See the banner at the top of the Canadian Forum home page.)

Second, RUN - don't walk - as far away from the notion of paying someone $1000 to help you apply for the CRNE as you can get. You'd regret that choice as much as you did hiring the visa assistance people. Between the other IENs who have already been down the path and the others here who are knowledgeable about all of these issues, you'll have all the help you need. One caveat, you may hear some things that aren't what you were hoping to hear, not to be cruel and to destroy your dreams but to ensure you're being realistic.

Next, read the stickies listed here:

Internationally Educated Nurses - VERY IMPORTANT - READ THIS FIRST

For those considering Canada

Links to the Provincial Colleges of Nursing

FAQ - The Canadian Registered Nurse Examination (CRNE)

FAQ - Substantially Equivalent Competence (SEC) Assessments

[/url]SEC assessment _

SEC assessment NEXT WEEK NOW what to do

They will answer a lot of your questions.

Then do a keyword search here (the box is at the top right of the screen) using CRNE, SEC, Nova Scotia, Ontario and anything else you can think of as being important as keywords. You'll have a choice between threads that relate to those keywords, or posts containing them. Choose the threads. Read through those too. Once you've done that, you'll have much more specific questions that will arise from what you've read and you'll get solid information. Sound good?

pawandeep · Sep 14, 2010

I am writting exam in oct 2010 , Can any body those who already pass advice on questions.

Pediatric Critical Care Columnist · Sep 14, 2010

Please read all the other numerous posts and threads on this topic. It is prohibited to share actual exam questions so refer to the study guide for an understanding of format and subject selection.

Jamby · Sep 15, 2010

Hi everytone!
i haven't researched about CRNE in a long time. i just traced my previous posts.
I am halfway my immigration process. If all goes well, I'll get my immigrant visa this December or January 2011. A friend suggested that I start applying for CRNE while I'm still here since it takes a few months before I will be given an eligibility. That way, by the time I get to Canada, I'll be a GN and earn more until I have to take the exam as scheduled.
There are people who offer to give assistance in applying for CRNE. They are connected to the visa assistance I hired (which I greatly regretted) :hdvwl: These people who offer to assist for the CRNE application are asking for 1,000 CAD. I have a very bad experience with the visa assistance. The service they gave was just not worth the fee. I was close to losing my chance of continuing my immigration process because of their negligence. I'm afraid it will be the same with this one. I would rather do it myself, and save myself the trouble, money, time and too much stress.
Problem is, I have no clue what to do or where to go. First off, I'm from Philippines.
- What are the requirements and procedures I have to prepare as a non-canadian nurse planning to take the exam?
- I haven't decided yet whether I should sit CRNE in ontario or nova scotia (where my cousin lives). Basically, I haven't decided yet where to work and live. I need some insight between their differences.
- As a RN in Philippines, are my credentials enough to be approved to sit for CRNE or do i need to do more schooling in Canada? Which provinces usually requires this and which doesn't? My friend said someone told her that Nova Scotia doesn't usually require further studies. Is that true? How about Ontario?
- If i have to do further schooling, how long does it usually take and where/how do i take this up? Are there there certain schools for this? How much does it usually cost?
- How long does it usually take to apply and be eligible to sit for CRNE?
- How long is the duration of Ontario's and Nova Scotia's CRNE eligibility?
I'm sorry for the basic question. I just have no clue about the details, and so I can't make initial decisions such as where to take/move.
Your answers would be very much appreciated.
I need all the help I can get here!
:tku:

Hi, most provinces have similar requirements for new registration application, you can check College of Nurses of Ontario for Ontario and Nurses for Nova Scotia. Most probably as an IEN, you'll be required to undergo SEC assessment. Afterwhich you might be required to take some supplemental education/s before getting eligibility to write CRNE, but if you're lucky you'll be given eligibility right away.Additional education/s can vary from a few days of workshop/s to a year, and in extreme case, require you to retake the whole nursing course. But I'm sure the last one will not happen to you since you have nursing experience already and I haven't heard of it happening to anyone yet. It all depend on how you perform in the SEC assessment. You can do this by yourself as everything are straightforward and very easy. Don't fall for those unscrupulous agency that doesn't help a bit but instead complicate things so they can charge you even more. Hope this help. Goodluck

pawandeep · Oct 2, 2010

hi there ,

can any one please explain what to do if patient chest tube is diconnected accidently. do we have to put the end in sterile water or clamp the chest tube near the patient's chest.

thanks