Castiela

I believe in bc LPNs have a much more limited scope of practice. I can't speak for interior health, but for my health authority, LPNs can't start IVs, hang IV meds/ blood, care for central lines etc. They can't work in critical care specialties. And I think Alberta pays more than B.C. althoug( BC LPNs just received a large pay boost this past year

I'm pretty sure our program offered the choice of being vaccinated or not going to that school. Out of curiousity, which vaccines are you against and why?

Once you become a nurse, you cannot refuse an assignment because you don't speak the same language. You will be amazed at how much you can get by with charades, pointing, pictures and the occasional web use. I would say that 50% of my patient assignment don't speak English. You make do, do the best you can, utilize patients family or coworkers to translate if needed or call the medical translator. I've only had to call the translator twice- to get consent for surgery.

At least cover the body with a blanket to hide the lines/blood

It's job abandonment ent not patient abandonment. It's fireable offence but I don't think you can be reported to the bon for it

Nothing. If you continue to pursue it you will look petty. You don't know what academic restrictions have been placed in him/ her and it's not really your business. As for the racism, it's not a fireable offence as long as it doesn't interfere with patient care or it becomes a public affair and looks poorly on the employer. I'd hazard that the majority of nurses (and people in general) have biases against various groups. It's how you act in those biases and conduct yourself professionally that matters.

I'd say they both have their difficulties but I loved being on my own without having someone always watching over my shoulder. It more than made up for some of the stresses of having graduated

My mom was a nurse and hated it and she didn't want to see me make the same mistake? She also didn't think I could handle the stress.

If you can afford to, I would. That way you can focus in passing. You will make more as an RN than your current job, maybe you can remind them that? My parents were upset when I told them I was going back to nursing school after finishing a bachelors of technology. The year between me applying and starting school was very awkward because every time I saw them, they told me that I was making a huge mistake and that I was making a terrible choice. At one point, they tried going behind my back to my husband and to tried to convince him tell me that I was making a mistake. Long story short, I've been an RN for a few years, love it and am a good RN. It's really hard to do something when your support network is adamantly against it, but I'm sure they'll come around, especially when you graduate and start working.

I would add we are an evidence based field. Please cite your resources. What studies were these that you are referencing. I can't take your article as more than a fluff story without these

Questions i like to know involve staffing ratios, continuing education opportunities, benefits (if not standardized by the union) and resources available to help on shift.

I can't speak for other provinces, in BC, you can start your specialty education after ~ 2 years med/surg experience. UBC requires at minimum 2 years nursing experience before starting NP training. Even in specialties, you still wash and mobilize patients (ER, ICU, peds) and reposition. Most new grads start in med/ surgical units In the hospital, but there are other options of home health or public health. Beyond that, you have nursing informatics, occupational health, infectious disease etc. There are so many options that you can try but ere is nothing wrong with med surg. It is also a good specialty to start because you develop your critical thinking, time management and nursing skills

If I make changes to my electronic charting, I usually link a note saying why I made the changes...

If your job is covered by the Ontario nurses Union, I would contact your union rep and find out what you rights/ employer responsibilities are

It sounds good. It addresses why you were unsuccessful and the steps you will take to correct them

You could always call or email them first to set up a time to drop off your resume

If you are concerned, your best bet is to contact the college of Ontario nurses and describe your experiences and concerns as they regulate nursing scopes of practice. I know in BC, there is are increased scopes which RNs can train for but I don't believe it includes diagnosing? I have no clue if Ontario has something like that. Are you sure they were not an NP?

Maybe you should leave ICU if having an encounter such as this has make you so frustrated? Although I feel that you will encounter these scenarios in any aspect of nursing which you are interacting with concours patients or their families. Personally my concerns in this situation would have revolved more with staffing than a family member demanding water for her mom. i would be interested in knowing from some of the older nurses if it has been more of a negative experience with patients treating nurses with less respect? Or if relationships have improved? I have a similar experience level to yours so I can't answer. Finally, nothing in that interaction you described really struck me as rude on the patients daughters part. Inconvenient yes. Frustrating sure. I wouldn't have said she disrespected you, she just didn't immediately listen and do exactly as you wanted.

Could you work per diem in the ER to get your chaos fix while working in PACU?

i don't mind open visitor hours. And I generally feel quite respected by patients and their families. Maybe 1% of my interactions are what you've described, but I find often these families are just scared/guilty that their loved one is in ICU and want to advocate for them, even if they don't know what the need to advocate for in this time. It's definitely a different approach. It's less of the authoritative relationship between doctors, nurses and patients which may be why we are "respected" less. It is unfortunate the family member entered before the patient was settled, but it sounds like the family member settled once you explained you wanted to ensure her mom was safe first.

Your best bet would probably be to reach out to educators/ managers at different hospitals and request to see copies of their policies and explain what you are trying to accomplish

I was pretty comfortable going from school to bedside. We had ~1250 clinical hours, but by the time I graduated, I was caring for a full nursing assignment +meds+charting, ordering etc. And started immediately after I graduated, so I felt it was an easier transition

I find that relationships with families can be tricky in ICU. Your patient is very sick and there is often a lot of guilt held by family members that can result in anger and unfortunately it often gets taken out in us. i agree with the previous posters to try and set boundaries but also address the families fears, it sounded to me they were concerned because he had already developed pressure sores. Acknowledging this and their fear as well as what the previous posters suggested could help.

I wonder if a coworker treated the patient that way and you were confused for that coworker? Was the patient delerious? I imagine it is hurtful being accused of something you didn't do but there isn't much you can do unfortunately. If you have access, counselling or some form of debriefing might help

Fake your confidence while performing tasks/ interacting with others but never fake your knowledge or pretend you know something of you don't