Re: Canadian province hiring international nurses.
Everything is ridiculously expensive up there. That's because everything is flown in to many of those communities due to the fact there's no road in during the summer and in a lot of years even the winter roads (over frozen lakes) aren't open long enough to truck things in. Processed foods with long shelf-lives are the staples there; fresh food spoils soon after it arrives since it may have been in transit for more than a week when it gets where it's going. It's much cheaper to eat potato chips than it is to eat a baked potato and to drink Coke rather than milk. The rates of Type 2 diabetes are astronomical. The 100-mile diet Fiona refered to would be pretty restrictive - fish, game and berries.
Communities are small and very widely spaced with few amenities. My dad spent 12 years working up there in different places and the stories he tells makes me think I'd never survive. I like to see the sun - have a 10 foot wide window in my living room - and I live far enough north that from October to late March I go to work in the dark and come home in the dark no matter if I'm on days or nights. There, it's dark 20 hours a day for those same months. The sun doesn't even appear from mid-November to early January. These charts are for one of the places where my dad lived.
http://www.climate-charts.com/Locati...5025006000.php
There are only two hospitals of any size up there in the western aprt of the country, Whitehorse General (49 beds) in the Yukon and Stanton General (79 beds) in Yellowknife. And there is one hospital in Nunavut, Baffin Regional in Iqaluit. Patients are at least 90% First Nations. Most of the nurses working in the far north are employed by the federal government. As Fiona says, they're largely NPs with advanced scopes of practice because they are the only source of health care in many small communities. It definitely isn't for the faint of heart. I have a friend who flies adult medevac out of Yellowknife; pediatric patients transferred south for treatment are transported by our PICU transport team. The eastern part of Nunavut is serviced by Quebec and the central part by Manitoba. 5 Nunavut communities are serviced out of Edmonton.
As you can see, Canada is much more than the sum of all its parts!
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