NotReady4PrimeTime RN

NICU, PICU, PCVICU and peds oncology

Pediatric Critical Care Columnist

All Content by NotReady4PrimeTime

  1. NotReady4PrimeTime

    which province/place in canada is best to work as a nurse

    NotReady4PrimeTime replied to sweetsugarrush's topic in Canada

    I completely understand wanting a better life and I said as much. Who among us doesn't want better pay, better surroundings and better opportunities? The point I'm trying to make is that when someone...
  2. NotReady4PrimeTime

    which province/place in canada is best to work as a nurse

    NotReady4PrimeTime replied to sweetsugarrush's topic in Canada

    Let me see if I understand what you're asking. You came to Canada without first laying the ground work to be able to work. You haven't given any information about what circumstances led you to go to...
  3. NotReady4PrimeTime

    is alteplase EVER contraindicated for central line occlusions?

    NotReady4PrimeTime replied to holdensjane1's topic in General Nursing

    Don't forget that clots are not the only problem that causes obstruction in central lines. Ever seen what happens when you mix phenytoin (Dilantin) with a dextrose-containing solution? When the...
  4. NotReady4PrimeTime

    I've been a nurse since.....(fill in the blank)

    NotReady4PrimeTime replied to meanmaryjean's topic in Patient, Colleague Relations

    Hmm. I remember when Elvis died... it was 37 years ago Saturday. I was at work when I heard, slinging hash in a coffee shop. I've been a nurse since just before the Internet entered the public...
  5. NotReady4PrimeTime

    What did your manager do for you?

    NotReady4PrimeTime replied to KerriMcDaniel's topic in Patient, Colleague Relations

    One thing I can't stress enough is to understand the pressures your staff operate under. When patient turnover is rapid, with transfers only happening because of emergencies outside the unit forcing...
  6. NotReady4PrimeTime

    CRNE will become NCLEX by 2015? Philippines

    NotReady4PrimeTime replied to van12's topic in International Nursing

    Nursecejay wasn't referring to Canada with 'state boards'. S/he said 'college or state board' since the OP seemed interested in both Canada and the
  7. NotReady4PrimeTime

    Why can't we tell pts/families we're understaffed?

    NotReady4PrimeTime replied to delphine22's topic in Nursing Professionalism

    Another difference in acute care between Canada and the US is that we don't have such a thing as "patient care tech". On my unit, I do ALL aspects of care for my patients. Our nursing assistants (when...
  8. NotReady4PrimeTime

    Advice regarding finding RN employment

    NotReady4PrimeTime replied to careforyoujanu's topic in Canada

    I've moved your thread from the Canadian Nursing Programs forum to the Nursing in Canada forum since you're not enrolled in school, planning to enroll in school or offering advice on school, which is...
  9. NotReady4PrimeTime

    Can I just say this?

    NotReady4PrimeTime replied to meanmaryjean's topic in PICU, Pediatric

    We just had a visit from a patient we had actually given up on months ago. She's older than our usual population and has a chronic neurologic disorder that severely impacts her life. She was near...
  10. NotReady4PrimeTime

    Standard concentrations and frequency of infusate changes

    NotReady4PrimeTime replied to NotReady4PrimeTime's topic in PICU, Pediatric

    I'm trying to pin down our CRBSI rate. It's quite low, but I think it might be heading for a
  11. NotReady4PrimeTime

    Standard concentrations and frequency of infusate changes

    NotReady4PrimeTime replied to NotReady4PrimeTime's topic in PICU, Pediatric

    Thanks ac3070. I forgot to clarify, we don't mix our meds under a hood... we barely have room to set up the bag of fluid we're using as a diluent, the vials with the med we're mixing and the syringes...
  12. NotReady4PrimeTime

    Standard concentrations and frequency of infusate changes

    NotReady4PrimeTime replied to NotReady4PrimeTime's topic in PICU, Pediatric

    We're still fumbling around with this. Some drugs we have only 2 possible choices and others we have 6. The only way to know what the choices are is to pull up the spreadsheet with all of our...
  13. NotReady4PrimeTime

    Alberta Health Services Employment Letter

    NotReady4PrimeTime replied to SepKiku's topic in Canada

    Wow. Who knew Alberta Health Services has 321 employees in the HR
  14. NotReady4PrimeTime

    Alberta Health Services Employment Letter

    NotReady4PrimeTime replied to SepKiku's topic in Canada

    The manager SepKiku needs to talk to is on vacation. SepKiku, I'm sending you a personal
  15. NotReady4PrimeTime

    Alberta Health Services Employment Letter

    NotReady4PrimeTime replied to SepKiku's topic in Canada

    You will get an employment letter eventually, but it wouldn't hurt to call the zone's HR department and ask to have it expedited. My recent experience was a verbal offer on June 13th, a written offer...
  16. NotReady4PrimeTime

    Nursing newbie: Nursing education and work settings

    NotReady4PrimeTime replied to Nursing Padawan's topic in First Year After Licensure

    Sorry, there aren't as many people who speak Jedi here as it might seem. The title "nurse" is protected by law and cannot be used unless it has been earned. It's also against the Terms of Service of...
  17. NotReady4PrimeTime

    Standard concentrations and frequency of infusate changes

    NotReady4PrimeTime replied to NotReady4PrimeTime's topic in PICU, Pediatric

    Our CNS actually attached that reference to the email telling us to change our pressure line BAGS daily and the transducer/tubing q96h. I don't think it had been read the GH because I read and...
  18. NotReady4PrimeTime

    Standard concentrations and frequency of infusate changes

    NotReady4PrimeTime replied to NotReady4PrimeTime's topic in PICU, Pediatric

    Thanks for the comments. Hopefully I'll hear from a few more people before I go to our CNS with a list of common practices. I forgot to mention that once we've decided which of the as many as SIX...
  19. NotReady4PrimeTime

    Is it a Full Moon?

    NotReady4PrimeTime replied to Fiona59's topic in Canada

    Ain't that the truth. And physicians. When I started on my unit 12 years ago we had 6 intensivists, 2 fellows and 1 clinical assistant. Now we have 14 intensivists, 4 fellows and 3 clinical...
  20. NotReady4PrimeTime

    AN Nursing Award - We Need Your Input

    NotReady4PrimeTime replied to tnbutterfly - Mary's topic in General Nursing

    Most of the nursing awards I'm aware of here are rather elitist. The people who are nominated are generally part of the "in crowd" of the group making the awards (CARNA). By that I mean people who...
  21. NotReady4PrimeTime

    When to hold meds

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

    I definitely wouldn't like that wide pulse pressure and I'd be on the phone ASAP. A diastolic of 40 is barely enough to perfuse the coronaries in a healthy person, never mind someone already on...
  22. NotReady4PrimeTime

    parents

    NotReady4PrimeTime replied to thickness's topic in Home Health

    How frustrating is that!! My first home care peds case was similar (worse, but not by much) and I was lectured to on many occasions even though I only lasted there a month. I figured out pretty...
  23. NotReady4PrimeTime

    nova scotia temporary work permit

    NotReady4PrimeTime replied to yogi143's topic in Immigration Advice

    You cannot register as a nurse anywhere in Canada without a current IELTS or CELBAN passing score. That is one of the criteria for registration in every province except Québec, where it's the French...
  24. NotReady4PrimeTime

    New Graduate looking for a job!

    NotReady4PrimeTime replied to starlane's topic in Canada

    Passing the CRNE doesn't automatically confer registration. The paperwork still has to be filed and the fee
  25. NotReady4PrimeTime

    Understanding accents as a new nurse

    NotReady4PrimeTime replied to MidLifeRN2012's topic in First Year After Licensure

    About half of the physicians I come in contact with are not native English speakers, given that I work in a teaching hospital where international residents and fellows (and their money) are welcomed...