NotReady4PrimeTime RN

NICU, PICU, PCVICU and peds oncology

Pediatric Critical Care Columnist

All Content by NotReady4PrimeTime

  1. NotReady4PrimeTime

    RNs experiences in Manitoba (Rural)

    Since August 12, 2014, all of Canada has switched from local assessment of credentials to having credential screening performed by the National Nursing Assessment Service(NNAS). The criteria are...
  2. NotReady4PrimeTime

    Immunization records

    Interesting that you say that about your coworker, Fiona59. I work across the river from you in peds and when the measles outbreak last year was going on we all were told that it didn't matter if we...
  3. NotReady4PrimeTime

    Nursing Debt and Salary in Canada

    That used to be true. For the last couple of years it's been harder and harder for new grads to find work other than casual or temporary positions. My unit hired about a dozen new grads last year and...
  4. NotReady4PrimeTime

    Nursing Debt and Salary in Canada

    The OP was referring to OVERTIME not occupational therapy. Provinces in Canada do have higher taxes than many US states but overall, I think the average Canadian has more security. The typical nurse...
  5. NotReady4PrimeTime

    Please I need advice!

    I understood the OP to be referring to new-hire orientation rather than a school based practicum, andreasmom02. Precepting new staff is a lot of work and a huge responsibility. There are people for...
  6. NotReady4PrimeTime

    New to Peds

    KelRN, of course kids who are being straight-cathed at home for myelomeningocele/spinal cord injury/whatever would be delegated to parents. In the same way that kids with long-term trachs have their...
  7. NotReady4PrimeTime

    New to Peds

    Wow loaded questions!! Social interactions with children will depend on the child's age and developmental stage. It's always a good idea to have a little knowledge of current pop culture. Dora the...
  8. NotReady4PrimeTime

    red and raw bottom

    I've seen Maalox applied topically to very excoriated buttocks before, with variable success. One compound I know for sure works is 20% sucralfate to 80% zinc oxide. We used it on a kiddo about 15...
  9. NotReady4PrimeTime

    Immigration nurse concern

    Yes, you still must have an assessment through NNAS ($650 + $220 for each additional province you wish to apply to). There are other requirements that must be met, and depending on which province...
  10. NotReady4PrimeTime

    Specialty for RPN's

    Certification, in the way I think you mean, is only available to RNs. Certification is obtained through the Canadian Nurses' Association (RNs) with a lot of very strict regulations. One must have a...
  11. NotReady4PrimeTime

    Immigration nurse concern

    Currently none of the provinces has work for immigrant nurses. The exam is the same for every province, the cost is pretty much the same in all provinces, and the requirements for registration are the...
  12. NotReady4PrimeTime

    Fired now what

    ADMIN NOTE: Please don't use non-standard abbreviations, text-speak or chat-speak. There are a lot of members whose first language isn't English and who aren't versed in the digital-age lingo either....
  13. NotReady4PrimeTime

    advice requested= track to PICU

    I'd go Bed 9, Bed 3, Bed 5 and Bed 14. The reason why I'd attend to bed 3 before Bed 5 is that post-op cardiac surgical patients often have hypotension shortly after admission and the usual measures...
  14. NotReady4PrimeTime

    Options after failing CRNE 3 times

    This thread is nearly 4 years old and a lot has changed as regards registering as a nurse in Canada. Although Canada has adopted the NCLEX as entry-to-practice, there will still only be 3 chances to...
  15. NotReady4PrimeTime

    ON nurse wanting to transfer to AB

    As the two previous responses indicate, there's a bit of homework you need to do. First, I'm quite sure that your employer cannot refuse to fill out a reference form from a college of nursing. The...
  16. NotReady4PrimeTime

    What's it like to be a PICU nurse?

    For me there are lots of aspects of PICU that drew me in. I like the complexity of care, the variety and the pace. I also like getting to know families and help them understand their child's illness,...
  17. NotReady4PrimeTime

    What kind of kids do you see in your PICU?

    We see a handful of overdoses a year, often toddlers who got into grandma's purse and took her heart meds. Every once in awhile we'll have a cluster of methamphetamine ODs that usually have tragic...
  18. NotReady4PrimeTime

    Differences between Floor and PICU nursing?

    Many of the patients on a PCICU will be infants or toddlers. Most repairs are done early in life. Although there are the older kids who come in occasionally for valve repair/replacement or who have...
  19. NotReady4PrimeTime

    Hydrocephalus

    No, it's more like falling through the rabbit hole... into Not-So-Wonderland. One of our cardiac surgeons more than makes up for the neurosurgeons. Our GI transplant surgeons are all pretty high on...
  20. NotReady4PrimeTime

    Nursing experience

    I'm not sure how the HR department where you are will handle receiving a late letter of portability/ROE. Those are usually expected at the time you do your initial orientation to the facility - along...
  21. NotReady4PrimeTime

    Hydrocephalus

    I guess I'm exceedingly lucky to work with a group of extremely competent and very respectful neurosurgeons. Not one of them is a prima dona. They treat us as partners in care and even when things go...
  22. NotReady4PrimeTime

    Starting PICU Job...nervous!

    ICP isn't really that huge of a hurdle for the less-experienced PICU nurse. On our unit it's considered to be a Phase 1 skill, so our new grad new hires are being assigned to these kiddos. ECMO...
  23. NotReady4PrimeTime

    Starting PICU Job...nervous!

    That's really hard to answer. So much depends on the acuity of their average patient. If they're a Level 1 trauma center, or do cardiac surgery +/- ECMO or transplants, the answers will be different....
  24. NotReady4PrimeTime

    Nursing experience

    Your Record of Employment is the gold standard document. Some employers will accept Letters of Portability of Hours. What the actual step on the scale would work out to be will depend on what is...
  25. There's really not a lot I can add to the responses you've already received. Except maybe this: About those murmurs. They do take a trained ear to pick them out. So how do you train your ear? Let all...