NotReady4PrimeTime RN

NICU, PICU, PCVICU and peds oncology

Pediatric Critical Care Columnist

All Content by NotReady4PrimeTime

  1. NotReady4PrimeTime

    Spiral Femur Fx in toddler

    NotReady4PrimeTime replied to lahryn18's topic in Pediatric

    I agree with all of these comments. But I personally know two outliers, both the children of nurses who ended up with spiral femur fractures from falling on the sofa when their legs slid between the...
  2. NotReady4PrimeTime

    Moving provinces, need to write NCLEX?

    NotReady4PrimeTime replied to alisondanielleg's topic in Canada CRNE, CPNRE Exams

    Congratulations on your move! No, you don't have to write the NCLEX to change provinces. You're already registered in Canada so it's just a matter of submitting all the required documentation and...
  3. NotReady4PrimeTime

    Landed my dream job in Pedi CICU...now what?

    NotReady4PrimeTime replied to NurseTiffCox's topic in Pediatric

    What great news!! There are some similarities in post-op care for kids and adults in terms of the sternotomy, chest tubes, infusions and so on. Differences in things like circulation, oxygenation...
  4. NotReady4PrimeTime

    New grads in specialties without the basics

    NotReady4PrimeTime replied to Emergent's topic in General Nursing

    I think time management, organizational skills and prioritization are key ingredients in a well-prepared specialty nurse - whatever the specialty. I've worked with many new grads in the PICU over the...
  5. NotReady4PrimeTime

    Rpn to rn bridging hybrid Centennial/Ryerson

    NotReady4PrimeTime replied to fjcruisergirl's topic in Canada Nursing Programs

    This thread is already in the Canadian Nursing Programs forum. It's quite possible that there are few or no members who have taken this hybrid program. My instincts tell me it's a very new option...
  6. NotReady4PrimeTime

    What's it like to be a PICU nurse?

    NotReady4PrimeTime replied to Jdjmj's topic in PICU, Pediatric

    Oh no, please don't let my post scare you away! Of course PICU will be very different from what you're doing right now but no one is going to expect you to function at the level of someone like me,...
  7. NotReady4PrimeTime

    Question about transfusion- PICU

    NotReady4PrimeTime replied to nickel38's topic in PICU, Pediatric

    This post is nearly 4 years old. Obviously the OP has resolved the problem long
  8. NotReady4PrimeTime

    who pays if my teeth or glasses get broken by a violent resident ?

    NotReady4PrimeTime replied to all_too_well's topic in Canada

    WCB - Worker's Compensation Board is now known as Workplace Safety and Insurance Board in Ontario. I do believe having your teeth or glasses broken in an assault by a violent patient would be...
  9. NotReady4PrimeTime

    Nclex in canada jan 5 2015: Let's meet here

    NotReady4PrimeTime replied to Signorina's topic in Canada CRNE, CPNRE Exams

    JustBeachy has it correct. It's essentially the same thing as an SEC. Beeybeeh, the assessment is to see if your work experience has helped to fill gaps in education. The examiner(s) will present you...
  10. NotReady4PrimeTime

    Workshop for Open Heart Nurses

    NotReady4PrimeTime replied to BonnieSc's topic in CCU, Coronary, Cardiac

    You should also include some discussion of associated murmurs, and the need for life-long anticoagulation. I think if you break it down into which valve is involved and do them separately, with basic...
  11. NotReady4PrimeTime

    BMI? reliable or just a short cut?

    NotReady4PrimeTime replied to nealiiih's topic in General Nursing

    A pound of muscle doesn't weigh less than a pound of fat, but it does take up considerably less space. That's how two people who are the same height and weight wear different sizes. The one with the...
  12. NotReady4PrimeTime

    Fitbit to track sleeping habits

    NotReady4PrimeTime replied to Jolie's topic in Health, Stress Management

    My device is a Garmin VivoSmart. It's simple to use and accurately reflects level of activity and movement during hours of sleep. When setting up the device it asks for the usual bedtime and arising...
  13. NotReady4PrimeTime

    Alaris pumps?

    NotReady4PrimeTime replied to Tantorium's topic in Critical Care

    I'm NOT a fan of Alaris pumps. We were told they were so much better, quicker and easier to prime than our old pumps and that we'd have fewer nuisance alarms. Not true. If you prime the tubing too...
  14. NotReady4PrimeTime

    Dose calculations, new and old nurses.

    NotReady4PrimeTime replied to Emergent's topic in General Nursing

    I have to say I do think a lot of the trouble comes from the way basic mathematics is taught in schools today. I've watched new nurses work out dose calculations on a paper towel and my mind boggled...
  15. NotReady4PrimeTime

    Pediatric vs Neonatal Nursing

    NotReady4PrimeTime replied to brimurse58's topic in General Nursing

    There are other threads that cover this topic, and you might learn a lot if you were to look at them. PICU/PCICU nurses have the broadest scope of practice of all nurses. We literally see and do...
  16. NotReady4PrimeTime

    declining a pt assignment

    NotReady4PrimeTime replied to tinybbynurse's topic in Home Health

    Many years ago I had an assignment similar to that. The client had pureed foods frozen in meal-sized portions that I was to defrost and reheat, then feed to her. Once she was finished eating I was to...
  17. NotReady4PrimeTime

    how to register in a different province

    NotReady4PrimeTime replied to ch0kecherry's topic in Canada

    I was looking at the careers postings the other day and saw one I wanted to apply for, but I was at work and didn't want to do it from a work computer. I went to do it the next day from home and the...
  18. NotReady4PrimeTime

    Offer for Peds Intermediate ICU

    NotReady4PrimeTime replied to procrastinator911's topic in PICU, Pediatric

    At my hospital we don't call our intermediate care area an ICU. It's called the intermediate care environment. Patients who are transferred to those beds are most often s/p cardiac repair of some...
  19. NotReady4PrimeTime

    What Nurses Really Want

    NotReady4PrimeTime replied to herring_RN's topic in Activism, Healthcare

    I tend to agree with you. With all the side-tracking, it's true that the general public totally shuts off. We really need to focus on the things that affect patients personally. Staffing, adequate...
  20. NotReady4PrimeTime

    nurses hours

    NotReady4PrimeTime replied to direw0lf's topic in General Students

    Mandatory overtime is a term that refers to being told by your manager that you must involuntarily work an overtime shift on a day you would have had off. Or that you must stay after your regularly...
  21. NotReady4PrimeTime

    Tips for getting pt with severe oral aversion to eat?

    NotReady4PrimeTime replied to tnmarie's topic in Pediatric

    Patience. Lots of patience. You have to start with gentle touches with your fingertips on the child's face, gradually moving toward the mouth. Once you can touch the lips, then introduce some...
  22. NotReady4PrimeTime

    Central line help

    NotReady4PrimeTime replied to NRSKF's topic in PICU, Pediatric

    Glad to help! A lot of our transplant and cardiac kiddos will have a long-term CVL placed and we're always really annoyed when they bounce back to the ICU with their single-lumen piddly little excuse...
  23. NotReady4PrimeTime

    Central line help

    NotReady4PrimeTime replied to NRSKF's topic in PICU, Pediatric

    Good questions. If you only have 2 lumens and you MUST draw labs from that line, you would be pausing your sedation/paralytic and using that lumen. The trick is to adequately flush the lumen with...
  24. NotReady4PrimeTime

    Considering applying to Peds Home Health as "stepping stone" to Peds Med-Surg at hospital?

    NotReady4PrimeTime replied to x28y31's topic in PICU, Pediatric

    It's what got my foot in the door 20 years ago. Jobs were scarce back then and the home health gig was the only one I could get at the time. When I applied to a step-down nursery, the manager...
  25. NotReady4PrimeTime

    Stethoscopes

    NotReady4PrimeTime replied to Stacy127_11's topic in PICU, Pediatric

    I'm not sure how the unit you're going to work on does things, but on my unit we're expected to use unit-supplied stethoscopes, patient-specific. They're not the highest quality, and are reprocessed...