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Joined Feb 17, '09 - from 'Toronto, ON, CA'.
Posts: 4,027 (47% Liked)
As amolocia said the message is clear you need improvement in communication. Suggest you prepare for your performance appraisal by making a SMART (specific, measurable, agreed upon, realistic, time based) goal to improve your communication and charting skills. After you make the goal, figure out how you will achieve it. There are Canadian nursing communication courses, textbooks and videos that may help you to improve.
If you have the time and money, take a chance and try, it's the only way you will know if nursing is a good career move for you.
My main question is,would I be considered responsible for the actions that night, or would it only be the primary RN?
You should speak to your liability insurance provider about your involvement, IMO you are culpable. It would be easy for a lawyer to find experts witnesses who could argue that a reasonable and prudent nurse would send an elderly patient who fell and hit their head to the ER to rule out subdural hematoma. There are greater risk factors for this patient population to sustain a subdural hematoma and the signs and symptoms may be harder to detect due to pre-existing conditions.
I believe you need to have at posted at least 15 quality posts before you have the ability to send PMs.
Try sending resumes out to acute care hospitals, research each individual hospital and tailor your cover letter to show why you want to work there and why you would be a good fit as a casual staff member in their ICU/CCU. Do not write generic cover letters, make each cover letter unique to the employer, so that the employer can tell you have made the effort to look up up the hospital's information. Look up what do they do in addition to providing patient care, are they a teaching hospital, do they have active research etc?
Attend the Marskell group healthcare career fair, (you need to register to attend, see healthcareersinteraction.com) bring multiple resumes with you to the job fair, look up the employers ahead of time and write tailored cover letters for each employer. Go to the job fair early in the day, when the employers are fresh, not at the end when they are out of handouts or packing up their booths.
I'd be very surprised if the the op is a physician, as most would know that this is a situation in which they need to seek legal advice, I think 'lawyer up and shut up' is a part of medical school's core curriculum.
It most likely has to be trialed in research before it can be considered for use as an alternative to the current treatment. Do you have any psychiatrists who are or have been clinical researchers? If so, can you meet with them to discuss your idea?
You may need to submit a research proposal and a budget to organizations that provide research funding in order to conduct the research. Writing a research proposal and conducting clinical research is a huge undertaking and you really need to work with experienced researchers.
Are you currently working as a RPN? if so, start by applying to RPN-BSN programs, once accepted continue to work while completing the BSN. After becoming licensed as a RN, try to gain acute care experience, preferably in an area where you will be taking a variety of patient histories and doing a variety of a physical assessments. Once you have RN experience and have honed some of your skills, look into universities' NP program requirements, some prefer masters degree applicants over bsn applicants and you may need to do a masters degree before being accepted into a NP program.
You should be able to estimate the cost of the tuition for the various degrees by looking on university websites.
Before you start school, I encourage you to do your due diligence regarding post grad job opportunities. Suggest you ask hospital human resource managers and RPN union reps about the barriers to employment for RPNs who are on work visas versus qualified RPNs who are Canadian citizens or permanent residents. Also, ask what the real job market is like, how many applications do they receive per job vacancy? Do they actively recruit outside of their website? if they are just passively recruiting on their website, they have enough applicants to more than meet their vacancies.
You need to understand all the factors that impact nursing employment not just what nursing school's tell students or the information that is on Canadian immigration and citizenship website, as that information is not enough to make a true informed decision.
Suggest you look on RPNAO.org under careers
What is a RPN?
How do I become a RPN?
You can also look on RNAO.org under New to Nursing for more information on RNs
A RPN has a community college two year diploma education and a RN has a 4 year university BSN degree. The scope of practice for RNs is greater than RPNs.
Suggest you speak to a lawyer familiar with nursing licensing issues, you can find one through the American association of nurse attorneys. Also, if it makes you feel any better, it seems like you are not the only nurse who has done this, if you use the search tool in the top right hand corner you can find past threads in which other nurses have done the same thing you did. I don't know how things turned out for them license wise, but a nurse attorney will likely have a good idea.
Thank you so much.
I understand now. Therefore, if I passed the exam, then I will become a RPN, right?
Thanks for your information. But I would like to know whether I can write the exam and become a RPN after I graduated from the program? If I can write the exam and become a RPN, I am fine. For the job, I will apply for the post-graduate work permit. I know all the international students will have a 3-year work permit after they graduated.
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