NotReady4PrimeTime RN

NICU, PICU, PCVICU and peds oncology

Pediatric Critical Care Columnist

All Content by NotReady4PrimeTime

  1. NotReady4PrimeTime

    Want to move to North Canada from with partner.

    One thing you must know about health care in Canada is that hospitals aren't quite free-standing entities with have absolute control over their hiring. They're part of a larger health care system in...
  2. NotReady4PrimeTime

    Must we "pay our dues" by working night shift?

    It's not paying dues. It's the reality that much of nursing is a 24/7/365 operation and SOMEBODY has to work nights. I've been working rotating D/N 12-hour shifts for more than 20 years. Do I like it?...
  3. NotReady4PrimeTime

    Sicu to picu? Help!

    You're welcome. It seems like I answer this question or one very similar to it at least a few times a year. If you spend a bit of time looking through the threads in the PICU forum, you'll find lots...
  4. NotReady4PrimeTime

    Sicu to picu? Help!

    You're going to be a real asset to your PICU. You have some solid ICU skills and instincts that will be very valuable. You already understand cardiorespiratory and invasive pressure monitoring,...
  5. NotReady4PrimeTime

    New Grad Struggling

    Relax. ANYone in your situation while weather-bound could have (and several probably did, but nobody knows about them) made similar errors. None of us is perfect, we're not machines, we're humans. And...
  6. NotReady4PrimeTime

    New Graduate in the PICU

    The glass ceiling comment caught my eye. Women have been and still are faced with glass ceilings in many occupations but they typically will batter their heads against them anyway. Both of my...
  7. NotReady4PrimeTime

    Best PICU reference/patho book

    Psychosocial care is nearly as important as physical care is for families with a child in PICU. If you review growth and development it'll be a big help. It's also good to have a reasonable...
  8. NotReady4PrimeTime

    Verbal Hand-off Reports - Are they no longer necessary?

    I must say, I'm a little envious of those who have EMRs that are accessible to any provider. In my facility only the ICUs and the ORs use EMR. Not only are the floors not connected, they have no idea...
  9. NotReady4PrimeTime

    Canadian RN licence in different provinces

    As Silverdragon102 has said, there is NO quick way to become registered anywhere in Canada. I'm curious why you are in Québec... were you not informed that you'd need to be a fluent French speaker...
  10. NotReady4PrimeTime

    Preceptorship in pediatrics

    Read through the topics in this forum and you'll get quite an education. Remember that growth and development will be the basis for most of your patient
  11. NotReady4PrimeTime

    Multiple Provincial License: Is it possible?

    Most people don't hold multiple permits to practice because the cost of doing so is prohibitive. At roughly $600 each, who wants to be shelling out that kind of money annually if they don't have
  12. NotReady4PrimeTime

    I Should Be in Jail

    I had been working in PICU for about 3 weeks and was still on orientation when I had my first murderous thoughts. As a self-directed learner I had asked to be allowed to help a nurse readmit her...
  13. NotReady4PrimeTime

    Made a child with cancer cry.

    I SO disagree! Of course she's not trying to educate this child (replying to your unedited comment). She's setting limits, which are totally reasonable. 8 year olds should know better than to throw...
  14. NotReady4PrimeTime

    How many miles does an average RN walk per shift?

    PICU... depends on the patient assignment. Sometimes I actually sit more than stand or walk. But Saturday I walked 3.47 miles during my 12 hour shift and yesterday it was nearly as far, 3.43 miles....
  15. NotReady4PrimeTime

    Which stethecope is best?

    Don't waste your money on a pediatric stethoscope. Base your purchase on the sounds you'll most often be auscultating. In peds that's usually breath sounds. The one you're using now will do just fine...
  16. NotReady4PrimeTime

    Made a child with cancer cry.

    And then there's the parent of a developmentally normal but chronically ill adolescent who treats the child like a 5 year old... and the nursing staff like they're all incompetent
  17. NotReady4PrimeTime

    Verbal warning about sick calls.....please advise

    No... they (WE) don't. FMLA is a federal law in the US. In Canada there's a patchwork of different programs that may or may not replicate the terms contained in the act. There is NO federal law or act...
  18. NotReady4PrimeTime

    Moving to Manitoba?

    Portage la Prairie is a little less than an hour's drive west from Winnipeg on the TransCanada Highway. It has a population of about 13,000 and sits on the banks of the Assiniboine River. It's a...
  19. NotReady4PrimeTime

    Anyone entered PICU nursing already a parent?

    I was not only a mom when I started working in the PICU, I was the mom of a PICU graduate. I've only had a couple of situations that were really difficult emotionally. My worst fear for a long time...
  20. NotReady4PrimeTime

    New Grad in Toronto Cannot find job

    Integrity. Accountability. Ethics. Morals. Values. Trust. Respect. As the CNA Code of Ethics states: Nurses are honest and practice with integrity in ALL of their professional interactions. Nurses...
  21. NotReady4PrimeTime

    New Grad in Toronto Cannot find job

    That's not true. With AHS since June 30, 2010, an individual is only allowed to have one relationship with the employer. While it's entirely possible to pick up casual shifts on other units, an...
  22. NotReady4PrimeTime

    New Grad in Toronto Cannot find job

    Health Force Ontario is a government agency that was developed in the mid-2000s when there actually was a shortage of nurses. It is not an employer of nurses. This shortage was fairly rapidly...
  23. NotReady4PrimeTime

    Advice for after termination

    Okay. A few things stand out here. Not only is it possible to terminate someone without cause during their probationary period, it's very well articulated in the majority of union contracts across the...
  24. NotReady4PrimeTime

    Am I Crazy to Leave $$$$ Job?

    My path to nursing started exactly where yours did, ahud2015. My son was born with a congenital heart defect and has had enough additional health woes for 10 people. Like you, I spent a lot of time in...
  25. NotReady4PrimeTime

    Feeding oral meds to children

    OMG, how did I miss