NotReady4PrimeTime RN

NICU, PICU, PCVICU and peds oncology

Pediatric Critical Care Columnist

All Content by NotReady4PrimeTime

  1. NotReady4PrimeTime

    PALS

    I hear what you're saying, Gina. Learning the content is really important, and I truly don't believe that it's actually TAUGHT in the 2 day PALS course. It's reviewed. The afternoon of the second day...
  2. NotReady4PrimeTime

    Tattoos

    Generally speaking, visible tattoos aren't a barrier to health care employment. There may be some employers who won't hire someone with little visible un-inked skin but I think they would be in the...
  3. NotReady4PrimeTime

    Registration Verification from Saudi Council

    Just so you all know, every jurisdiction in Canada demands that verifications such as those for registration in good standing and education be provided directly from the regulatory body or faculty of...
  4. NotReady4PrimeTime

    Patient stable when I left

    Ruby's right. I've lost count of the number of codes we've run to at change of shift, and how many times we come out of the staff room at 0700 to find a crowd at one of the bedsides on the unit, the...
  5. NotReady4PrimeTime

    PALS

    Good question. I took it before I started my first PICU job (1997) and found it a little overwhelming. I didn't study nearly enough and was lucky to pass. A month might be a bit much, but when I took...
  6. NotReady4PrimeTime

    I violated the Prime Directive!!!

    Little girls will do the same, only the nurse doesn't get wet. I once had a little man who was on cytotoxics totally soak me from the waist to the knees. He was sitting on my lap in a rocking chair...
  7. NotReady4PrimeTime

    Registered Nurse Job Prospects Canada 2014

    It's not quite that simple. Nursing employment follows the boom and bust vagaries of the economy. When times are good, health region budgets get pumped up, new beds are open and there aren't enough...
  8. NotReady4PrimeTime

    SOS

    Your post is off-topic in the forum to which you've posted. I'll move it to a more suitable spot for
  9. Please remember to use standard English in your posts, as advised by the notice immediately above the comment
  10. NotReady4PrimeTime

    Show Me the Money

    I'll echo the poster who said that people who go into nursing ONLY for the money are very soon disillusioned and don't stick around. Of course we should be paid a meaningful sum of money for the...
  11. NotReady4PrimeTime

    AFB smear and culture

    No, the culture would be for the purpose of determining strain and sensitivity to antimicrobials. Based on your posting history, I'm wondering why the almost obsessive attention to gastric intubation....
  12. NotReady4PrimeTime

    diaper rash vs. burn and CPS case

    I've seen a lot of really bad diaper-area rashes in my day, but I don't remember ever seeing one that blistered the way you've described. Usually when the skin is open it's from maceration and not...
  13. NotReady4PrimeTime

    Interesting cases anyone?

    Message received, Humbled_Nurse. Stay
  14. NotReady4PrimeTime

    PICU or NICU

    It can definitely be a bit intimidating to start in NICU/PICU with no critical care experience, but don't discount your OR/procedures experience. That's a big part of what we do in PICU - assisting...
  15. NotReady4PrimeTime

    ACLS and BLS taken in USA - are they accepted in Canada??

    Well, since you're actually going to Québec and they have basically ALL of their own rules, you'd do best to consult your future employer about the transferability of
  16. NotReady4PrimeTime

    Trouble understanding PPHN...

    Oh, I very much doubt it. Most of the drugs we use aren't! Milrinone is almost a given for every cardiac kid we have, but when you look it up the section on use in pediatrics says, "Safety and...
  17. NotReady4PrimeTime

    Best working conditions for English speaking nurses in Montreal?

    Did you not see this immediately above the comment box? Per our Terms of Service please post in English only; no text/chat
  18. NotReady4PrimeTime

    Trouble understanding PPHN...

    Steve, you missed ambrisentan... Some of our very refractory kids are on that. And we've used IV sildenafil a couple of
  19. NotReady4PrimeTime

    Help To Get Right Thing

    Omni College is similar to the Bridge program provided by Mount Royal University in Alberta and a number of other bridges across the country. Omni is accredited by the BC Ministry of Education and is...
  20. NotReady4PrimeTime

    Pediatric Nursing

    Definitely. It doesn't happen often but there are times when it's just better to ask them to leave. Usually I can get away with just asking them to move out of the way and they do. I like to say, "I...
  21. NotReady4PrimeTime

    Is there still a demand for nurses in Canada?

    We've been orienting RNs 8-10 at a time, every other month for the last two years. We've basically turned over 3/4 of our staff of 118. There are people working independently (off orientation) who...
  22. I'm not actually from Québec (born in eastern Ontario) and I don't live there any more, but I did spend a good portion of my life there. As an anglophone Canadian, I found that I was treated quite...
  23. Did you miss the warning that's right above the comment box that says: Per our Terms of Service please post in English only; no text/chat speak. You have to be aware that Canada is making very...
  24. NotReady4PrimeTime

    Crne february 5, 2014 takers

    All of this information has been provided for every single sitting of the exam for the past ten years. It isn't going to change until the new exam is in use, and then it will be a moot
  25. NotReady4PrimeTime

    Securing ET's

    Our VAP protocol very deliberately avoids mention of tube route. We're all about the 45° HOB elevation and the "tubing draining away from the patient", as one of our intensivists reiterates at the...