NotReady4PrimeTime RN

NICU, PICU, PCVICU and peds oncology

Pediatric Critical Care Columnist

All Content by NotReady4PrimeTime

  1. NotReady4PrimeTime

    SRNA Assessment for SEC

    So, just to recap: You've been told by Manitoba and Nova Scotia that, based on the CCA you undertook in Manitoba, you must retake the 4 year nursing program in order to meet their criteria. Now you're...
  2. NotReady4PrimeTime

    Not happy with bedside

    I think a lot of the dissatisfaction with nursing as a career choice is as a result of unrealistic impressions and expectations. If the only nurses a person every sees are those ciphers on TV and in...
  3. NotReady4PrimeTime

    How do you avoid burnout?

    I've been doing it for 22 years and there are days when I feel like I could walk away and never look back. But I don't. I get up again the next day and go right back to it. It's important to have...
  4. NotReady4PrimeTime

    Nurses pulling rank on assignments

    When I worked as a staffing relief nurse way back when I first graduated, I was the one with the crap assignment. Every. Dang. Time. One unit I was sent to several times was a huge, heavy medical unit...
  5. NotReady4PrimeTime

    IVPB Question

    There is absolutely NO reason why you couldn't have run it as you spiked it. We do it that way all the time on my unit. You say there wasn't an infusion already running, so in order to run your ATB as...
  6. NotReady4PrimeTime

    Full time in Canada 36 or 40 hours/week?

    When someone says full time hours are 36.75 or 37.5, they're taking about paid hours. Meal breaks are not paid although they do constitute part of the work day. Worksites with 8 hour shifts pay for...
  7. NotReady4PrimeTime

    First Time in the PICU

    As pointed out above, it is beyond the scope of this site to provide medical/nursing advice. Please don't take that as a criticism, it's simply the way it is. Your heart is in the right place; perhaps...
  8. NotReady4PrimeTime

    First nursing job - help

    All of us carry some sort of peripheral brain to help keep us organized and to keep track of important data. Some people find it very helpful to make notes on their sheets in a different colour so...
  9. NotReady4PrimeTime

    First nursing job - help

    You definitely did NOT get an adequate orientation. Are you organizing your report by system? Having a format for reporting off makes it much easier to remember the pertinent info. You're working in...
  10. NotReady4PrimeTime

    Traditional bsn school

    In Canada, entry to practice for registered nurses is a 4-year baccalaureate degree. The only 2-year programs in existence are for those who already have a university degree of some sort. The licensed...
  11. NotReady4PrimeTime

    Jury duty and new grad program

    I spent the morning taking part in jury selection for a trial beginning on Monday. The jury manager made it quite clear that anyone who was on the list for today's selection process who had not...
  12. NotReady4PrimeTime

    How did you find a job in Vancouver?

    If you apply for and are offered a full time acute care, hospital-based position and you accept, you can't simply ask to go down to part time. You'll have to watch and wait for a part time position to...
  13. NotReady4PrimeTime

    Joint commission and PICU

    Just to go a touch off-topic... there really isn't anything for nurses to do with the Camino. It's a fiberoptic monitoring device that is inserted and calibrated by neurosurgery. There is no drainage...
  14. NotReady4PrimeTime

    Coming back to work after mistake

    You're being WAY too hard on yourself. EVERYBODY makes mistakes... even the CNE has made his/her share of them and so has the surgeon. You're not only getting comfortable on a new unit with a new...
  15. NotReady4PrimeTime

    Just accepted a job in the PICU!!! Any advice??

    This forum is filled with great advice about making the transition to PICU nursing. Spend a little time reading some of the threads. It'll really expand your horizons. Welcome to the wild and woolly...
  16. NotReady4PrimeTime

    Tipping (Sacred) Cows and Evidence-Based Practice Part II

    Some (sacred) cows are much more resistant to tipping than others. We still have respiratory therapists who insist saline instillation is essential but are unable to offer rationale that makes any...
  17. NotReady4PrimeTime

    Experience before PICU

    Zooky124, did you do a scan of the topics in this forum? Lots of others have asked similar questions and gotten some very good advice. Take a look, you might find exactly the information you're...
  18. NotReady4PrimeTime

    osce

    OSCEs aren't written. They're Objective Structured Clinical
  19. NotReady4PrimeTime

    K and mag values overlooked

    The only thing that would bother me about your patient is the rhythm changes. Being mildly hypokalemic and mildly hypomagnesemic aren't huge issues... unless there are rhythm changes. And it doesn't...
  20. NotReady4PrimeTime

    No More Glass in Your Fingers: Filter Needle Trick of the Trade

    You know what works for every size of ampoule? A preemie nipple. Yep, the kind you put on a bottle of formula. Take the plastic ring off and slide the business end of the nipple over the top of the...
  21. NotReady4PrimeTime

    Be honest: do you feel valued by your employer?

    Do I feel valued by my employer? Not even a little. I don't work in a profit-driven system but I'm tired of always working short, of knowing that although my assignment might not be too bad, there are...
  22. NotReady4PrimeTime

    Aussie trying to work in Eastern Canada

    Nurses educated in Canada are required to have didactic and clinical education in both maternity/women's health and pediatrics. They're part of the curriculum. Competency assessments are objective...
  23. NotReady4PrimeTime

    Any Tips For Assessment of Wiggly Kids?

    There are some things you can assess without touching her - assessing mental status, respiratory rate and rhythm, work of breathing, colour, and so on. So do what you can before you need to do any...
  24. NotReady4PrimeTime

    ADN Needs To Move To Rural Nova Scotia. What Is The Process

    It's possible that you might not have to write the exam, depending on how long ago you wrote the NCLEX. But it's probable that your education won't be accepted at par to be classed as an RN. Your...
  25. NotReady4PrimeTime

    Ridiculous medical mistakes on TV

    Oh, what was I watching the other day where I saw a real clanger? Oh yeah... there was a kid being treated for respiratory distress on NCIS: New Orleans. He was maybe about 10. He was sitting up...