NotReady4PrimeTime RN

NICU, PICU, PCVICU and peds oncology

Pediatric Critical Care Columnist

All Content by NotReady4PrimeTime

  1. NotReady4PrimeTime

    PICU Intubation-New Nurse

    NotReady4PrimeTime replied to Caroline0322's topic in Pediatric

    It's a shame you had to miss out on a great learning experience. I've seen it happen a lot, where the new person is pushed out of the way when they're actually doing a great job and would have learned...
  2. NotReady4PrimeTime

    Jumping specialities- into Peds!! Need info!!

    NotReady4PrimeTime replied to mamain's topic in PICU, Pediatric

    Have you looked at some of the other threads in the peds forum? There are a LOT of great resources here, just let your fingers do the
  3. NotReady4PrimeTime

    Drips

    NotReady4PrimeTime replied to dreamerachiever's topic in PICU, Pediatric

    Generally speaking, new nurses in most PICUs aren't the ones drawing up drugs or mixing infusions in emergent situations. That role is usually assigned to someone from the code team or to the resource...
  4. NotReady4PrimeTime

    Dear Alberta nurses...

    NotReady4PrimeTime replied to hellohobbit's topic in Canada

    That can work, but you need to keep in mind that internal (already within AHS) applicants will have the first and best shot. There are some units in the cities that are always hiring, and if you watch...
  5. NotReady4PrimeTime

    Old Interview Question help

    NotReady4PrimeTime replied to Nyah Nicole's topic in Pediatric

    There are a few key points in the scenario - the baby's age, respiratory status and LOC. Infants this young who are septic can decompensate very quickly. While his respiratory rate is within normal...
  6. NotReady4PrimeTime

    Patient gown question

    NotReady4PrimeTime replied to twahls65's topic in Pediatric

    You have to realize this isn't a chat room. People come here for a variety of reasons, and they, like you, have issues they need input for. But instant responses rarely happen, unless the topic is of...
  7. NotReady4PrimeTime

    Peds Pulmonary Unit??

    NotReady4PrimeTime replied to roo_4's topic in PICU, Pediatric

    Yes, the position would include things like RSV and CF, but it's so much more than that! Children with chronic lung diseases such as what used to be called "bronchopulmonary dysplasia" and children...
  8. NotReady4PrimeTime

    dosage question

    NotReady4PrimeTime replied to Nina96's topic in Pediatric

    Because this subject has been discussed MANY times already, I'm closing this thread. If you're still confused about how to caluclate pediatric dosages, please use the search bar and read the myriad...
  9. NotReady4PrimeTime

    Nebulizer/MDI for toddlers advice

    NotReady4PrimeTime replied to Guest915876's topic in PICU, Pediatric

    Canoehead, you described the technique perfectly! I can still remember the headache and tachycardia I experienced from all the sidestream albuterol I've
  10. NotReady4PrimeTime

    University of Calgary January 2019

    NotReady4PrimeTime replied to Kenobi's topic in Canada Nursing Programs

    Generally speaking, most universities will not accept credits more than 5 to 7 years in the past. I went through nursing school with 3 children, one of whom is medically fragile. It wasn't easy, and...
  11. NotReady4PrimeTime

    Anyone else go from adult med-surg to PICU?

    NotReady4PrimeTime replied to Caroline0322's topic in PICU, Pediatric

    You're finding out the hard way one of the most important things about pediatrics... kids aren't small adults and as you said, EVERYTHING is different. But before you throw in the towel, stop and take...
  12. NotReady4PrimeTime

    BCIT January/April 2019 Intake Discussion

    NotReady4PrimeTime replied to yellowseji's topic in Canada Nursing Programs

    I hope all of you who are willingly sharing your full names realize that you're setting yourselves up for cyber-stalking and who knows what else. And you've essentially nullified any anonymity this...
  13. NotReady4PrimeTime

    LPN - CLPNA complaint close stays on record?

    NotReady4PrimeTime replied to calpatel's topic in Canada

    Once you have met their requirements for remediation they will remove your conditions. But be aware that if there is another complaint against you at any time, they will still have a record of this...
  14. NotReady4PrimeTime

    BCIT January/April 2019 Intake Discussion

    NotReady4PrimeTime replied to yellowseji's topic in Canada Nursing Programs

    Nursing is a self-regulating profession, in the same way that physicians are part of a self-regulating profession. The Canada Health Act and each province's Health Professions Act are the framework...
  15. NotReady4PrimeTime

    Am I overreacting?

    NotReady4PrimeTime replied to Jvn11's topic in First Year After Licensure

    My unit provides "training" on a multitude of devices. And once you've signed the sheet the trainer passes around at the beginning of the "training" you're considered competent and would be excoriated...
  16. NotReady4PrimeTime

    Pre-calculation of emergency meds?

    NotReady4PrimeTime replied to Lanesmama's topic in Pediatric

    We have emergency drug sheets printed for every patient. Our clinical pharmacist created an Excel spreadsheet with the doses and equations embedded so all we're required to do is enter the child's...
  17. NotReady4PrimeTime

    US nurse moving to Toronto

    NotReady4PrimeTime replied to sb_19's topic in Canada

    You are aware that Toronto is the most popular destination in Canada for emigrants, aren't you? That means that there are probably 15 internationally-educated nurses for every nursing job in the city,...
  18. NotReady4PrimeTime

    Dear Alberta nurses...

    NotReady4PrimeTime replied to hellohobbit's topic in Canada

    Employment for external applicants with AHS is a VERY difficult proposition. Vacancies aren't being filled; some RN positions have been converted to LPN positions and lots of LPN positions have been...
  19. NotReady4PrimeTime

    Peds cath lab

    NotReady4PrimeTime replied to bewareofthephog's topic in PICU, Pediatric

    Well, how do you feel about wearing a lead apron and necktie for your whole shift? A big part of catheterization is the fluoroscopy that shows the structure and function of the heart. Although the...
  20. NotReady4PrimeTime

    New RN Thinking About Quitting?

    NotReady4PrimeTime replied to Feenie5's topic in First Year After Licensure

    llg, there are a lot of workplaces where the "40 hour week" is an average, calculated over several weeks. For example, the collective agreement in place between employer and employee in Alberta says,...
  21. NotReady4PrimeTime

    IV FLUID BOLUS

    NotReady4PrimeTime replied to RNSAINT41's topic in Pediatric

    This is obviously a school question. In the real world the doc is going to order 110
  22. NotReady4PrimeTime

    NICU mom to NICU nurse?

    NotReady4PrimeTime replied to xokw's topic in Canada

    I went into nursing specifically so I could work PICU. Long before I went to nursing school, my son (now 35) was born with a congenital heart anomaly and had surgery to repair it on his second day of...
  23. NotReady4PrimeTime

    Low flow vs high flow nasal cannula

    NotReady4PrimeTime replied to Sjn1208's topic in Pediatric

    Hmm. If you're only going up to 6L/min regardless, then you're not really delivering high-flow O2. There's a growing body of evidence that high-flow oxygen is safe and effective for all children in...
  24. NotReady4PrimeTime

    % infants in Peds? Male RN in Peds?

    NotReady4PrimeTime replied to Lemon Bars's topic in Pediatric

    adventure_rn, that's great advice! I work with a lot of amazing nurses who are also men. I'm really uncomfortable with the double standards I see so often... why is it SOP for a young female nurse to...
  25. NotReady4PrimeTime

    Low flow vs high flow nasal cannula

    NotReady4PrimeTime replied to Sjn1208's topic in Pediatric

    The high-flow set-up has both a flowmeter and a valve that allows for adjustment of the FiO2 more precisely. If you look at the circuit, you'll see that it's connected to the wall oxygen source with...