NotReady4PrimeTime RN

NICU, PICU, PCVICU and peds oncology

Pediatric Critical Care Columnist

All Content by NotReady4PrimeTime

  1. NotReady4PrimeTime

    U of T Nursing - Class of 2017

    Terms of Service reminder: You may not invite, solicit or coerce others to join other community websites through posts, email, PM, use of ALLNURSES.COM, INC. membership list or any other resource...
  2. NotReady4PrimeTime

    Art line set up and blood sampling

    What in particular are you looking
  3. NotReady4PrimeTime

    Nursing experience

    Generally speaking when determining where to place a person on the wage scale it will be based on the equivalent to full time (EFT or FTE depending on where you're from) the person's position is. Your...
  4. NotReady4PrimeTime

    Hydrocephalus

    My blood is boiling over this. None of our neurosurgery staff would EVER speak to or about a nurse in that way. If they did and it got back to the medical director - the sweetest, mildest, gentlest...
  5. NotReady4PrimeTime

    adult patients admitted to a pediatric hospital

    eYoung adults who were born with congenital cardiac defects, spina bifida, gastroschisis/omphalocele, biliary atresia leading to liver transplant and all those ex-prems out there with long-term...
  6. NotReady4PrimeTime

    What kind of kids do you see in your PICU?

    They're some of the hardest situations you'll ever have to deal with as a peds nurse. I remember covering a break for a coworker whose toddler patient had come in with severe head trauma and bilateral...
  7. NotReady4PrimeTime

    NTI - 2015 - San Diego

    I will be there. This year will be my 8th NTI; I missed last year because I was on a bucket-list trip with my cousin at that time. (Had to make a very difficult choice there.) I spend some of my time...
  8. NotReady4PrimeTime

    What kind of kids do you see in your PICU?

    As MMJ said, a lot of the psychosocial stuff is done on the fly. And often the same information has to be reframed and restated multiple times. With the kids, having a good "kid" vocabulary is...
  9. NotReady4PrimeTime

    What kind of kids do you see in your PICU?

    Our pediatric VAD program uses four different ventricular assist devices: Berlin heart, Pedivas (formerly Levitronix), Heartware and Heart Mate. We've had babies only a couple of weeks old on Berlins...
  10. NotReady4PrimeTime

    What kind of kids do you see in your PICU?

    Besides the obvious, (size, cognitive and developmental stages) older children are more likely to injure you in some way. As you've said, a lot of PICU patients are 5 years old or younger, so the...
  11. NotReady4PrimeTime

    What kind of kids do you see in your PICU?

    Oh yeah... I meant to answer your question about renal failure and got caught up with counting noses instead. Besides HUS and infectious glomerulonephritis, there are many cases of CRF in children....
  12. NotReady4PrimeTime

    What kind of kids do you see in your PICU?

    For most units it depends on the time of the year. Where I live, RSV season, which runs from late October to May here, means small people. But our census as of yesterday looked more like this: 1...
  13. NotReady4PrimeTime

    osce ( observational structured clinical examination)

    That information should have been provided along with your results. You don't say which province you're in so it's very difficult to know what to tell you. (Side note: Please refrain from using...
  14. NotReady4PrimeTime

    Ready for nursing in northern Canada?

    There are LPN positions in the north, at the larger hospitals. Currently there are no vacancies posted for LPNs in Nunavut or the Northwest Territories. Yukon has a couple of postings for continuing...
  15. NotReady4PrimeTime

    Northern/Outpost/Reserve/Native Nursing

    This thread is already 5 years old. The OP hasn't posted since September 2011 so the thread will now
  16. NotReady4PrimeTime

    Differences between Floor and PICU nursing?

    I agree with ~PedsRN~ that kids on the floors are sicker than ever before. The same can be said for kids on the unit. And as ~PedsRN~ said, so much depends on what kind of hospital you work for. I...
  17. NotReady4PrimeTime

    Ready for nursing in northern Canada?

    Depending on where you plan to go, you may find yourself one of only a handful of health care professionals (mainly nurses) who take turns being the go-to for everything health related. You would be...
  18. NotReady4PrimeTime

    New Grad PICU RN

    Do NOT let the CNE/manager try to convince you that your preceptorship on the unit is interchangeable with orientation. As a student there were many things you didn't do or experience that you should...
  19. NotReady4PrimeTime

    Dealing with pediatric patients

    There's not a lot I can add to what you've already been told. Honesty is the best policy, of course. The first time you downplay something that really hurts you've lost that kid's trust forever. I...
  20. NotReady4PrimeTime

    IEN out of practice for over 5 years

    With 5 years of zero practice hours you'll have a lot of difficulty getting authorization to test in any province. You'll have to do a refresher. MTI Community College seems to be legitimate, but...
  21. NotReady4PrimeTime

    What is the process to being able to work as a nurse in another province?

    That seems to be a rather circuitous route to become registered in Manitoba. You can apply for registration with CRNM as soon as you've been registered with CNO. Yes, you have to pay for registration...
  22. NotReady4PrimeTime

    Baby RN's running ICU?!!

    It won't. This scenario has been playing out on my unit for at least 5 years. The solution to that was to have the most recent people off orientation precept the next group. Those of us with the years...
  23. NotReady4PrimeTime

    After OSCE...is it back to school for 3-4 yrs??

    Those two little competency gaps -ethics and self-regulation - aren't little ones at all, in fact they're HUGE. Every single facet of nursing work is impacted by them and all nurses registered in...
  24. NotReady4PrimeTime

    question about picu and vented

    You will interact with your PICU patient many, many times in the course of a shift but your patient probably won't interact nearly as much with you - if you know what I mean. The kids who come to the...
  25. NotReady4PrimeTime

    tracheostomy

    This isn't entirely true. I've worked peds for nearly 20 years and can say with complete honesty that the FIRST trach change is done after 7 days - by ENT, then it's once a month and PRN in all of the...