NotReady4PrimeTime RN

NICU, PICU, PCVICU and peds oncology

Pediatric Critical Care Columnist

All Content by NotReady4PrimeTime

  1. NotReady4PrimeTime

    Dumb things new nurses do....

    Ah yes... the saline shower. That reminds me. One night I was helping a newbie on our unit prepare dialysate and replacement bags for his patient on CRRT. We use PrismoCal and add calcium, magnesium,...
  2. NotReady4PrimeTime

    Cops and Nurses

    I was pulled over one night on my way to work. January, 53° N latitude, colder than a witch's toe, glare ice at most intersections... and I have to go through a traffic circle at the halfway point of...
  3. NotReady4PrimeTime

    Nursing Safe Harbor Rule

    How I wish it were that simple here. We have similar provisions (not legislated but collectively agreed upon) but too many nurses are intimidated by management into abandoning their concerns without...
  4. NotReady4PrimeTime

    Need advice! Private clinic nursing..

    The bills have to make it out of the Leg. There may be some PCs that haven't drunk the KoolAid and won't vote the party line. Even so, this just might be the hill to die
  5. NotReady4PrimeTime

    Alberta Cuts Nursing Jobs and to "Restructure Health Care"

    I think Redford's comment about change and new responsibilities was intended as damage control. It looks really bad for the province to be eliminating RN positions at the same time they're supposedly...
  6. NotReady4PrimeTime

    Stupid New Grad mistake, Can I get fired? Please help!

    Heparin has a duration-of-effect of four hours. The usual DVT-prophylaxis dose is only 5,000 units. As long as the surgeon was notified that the patient got the a.m. dose there would be plenty of time...
  7. NotReady4PrimeTime

    Any PICU RNs from CHOP or Boston Children's here?

    Thanks so much for that, umcRN... that's exactly the kind of information I'm looking for. We've been in the process of separating our PICU from our PCICU for about 3 years and it's not going well. In...
  8. NotReady4PrimeTime

    Any PICU RNs from CHOP or Boston Children's here?

    NeoPediRN, now I have some questions. Does each of the ICUs at CHB have a dedicated transport team? Does each of the ICUs have a charge nurse? Do the ICUs utilize techs or nursing assistants? I'm...
  9. NotReady4PrimeTime

    AHS Media Campaign

    They're all working on my unit. Our OT is approved a month or more in advance. And we have a LOT of it. We get a calendar with the staffing numbers on it for both shifts so we can "choose" our...
  10. That would be worth its weight in gold, Do-over! I'm tiptoeing around right now trying not to set off another poo-splosion. We're at 5 and
  11. NotReady4PrimeTime

    verification of registration

    The College in the province where you hope to live and work will give you forms to ill out and paperwork to send to the Saudi nursing council. You are aware that you don't apply to write the CRNE, you...
  12. NotReady4PrimeTime

    Impossible standards

    Wow, that's a risk management nightmare, canoehead!! I've recently had several procedures and signed consent forms even for simple things. Seriously, I can't imagine the crap storm that would ensue if...
  13. 3 full-on poo-namis since the beginning of my shift... 4 hours ago. Linen changed right down to the mattress x
  14. NotReady4PrimeTime

    Impossible standards

    In my part of Canada we have very detailed written consents for procedures. The onus is on the person who will perform the procedure to obtain it although we nurses are expected to ensure the document...
  15. NotReady4PrimeTime

    Question dealing with HR at a union hospital...

    It probably has nothing to do with it being a union hospital and everything to do with a lack of integrity on your part. You likely would have had the same experience with a non-union hospital. We're...
  16. NotReady4PrimeTime

    AHS Media Campaign

    The document also includes Phase II plans on pages 3 and 4, plus both phase plans for casuals on page 5. My unit is one of the Phase I's. We're supposed to get MORE FTEs - 9.9 to be exact, and our...
  17. NotReady4PrimeTime

    PICU difference

    Children tolerate hypoxia much less well than adults do. When adults go into cardiopulmonary arrest, it's typically due to cardiac causes, but kids with normal hearts will stop breathing well before...
  18. NotReady4PrimeTime

    I feel guilty when staffing calls me and I say no.

    Exactly!! Well said GrnTea. That's my mantra. I've told my employer that I shall not be available at short notice and that I will pick up an occasional extra shift at my convenience and
  19. NotReady4PrimeTime

    CNO fees

    If you're not working at the moment and can afford to wait until January 1 to start (or you have an understanding employer who will let you continue to work as a GPN), I'd suggest delaying your...
  20. NotReady4PrimeTime

    Central Line associated BSI's

    We follow sterile procedure for insertion of both CVLs and art lines. That means the doc sets up a sterile field for all supplies, scrubs, dons bouffant cap, mask, sterile gown and gloves, drapes the...
  21. NotReady4PrimeTime

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

    That's how it works in all
  22. NotReady4PrimeTime

    AHS Media Campaign

    If you'll tolerate a link to the evil UNA website on your thread: AHS misleading Albertans on nurses work hours - UNA On my unit 69% of our nurses work full time. 94% work at least 0.6 FTE. We have so...
  23. NotReady4PrimeTime

    "I don't know how you do it"

    ^THIS^ My uncle, who is now in his early 70s, was told in the spring for the 5th time that he has cancer. He has had two relapses of oral cancer requiring radical surgery, prostate cancer and now his...
  24. "Termination" isn't necessarily a negative word. It simply refers to an ending of some sort. When you quit a job, you're terminating your employment with that employer. In that case the HR information...
  25. NotReady4PrimeTime

    Peds CCRN

    I wrote the Canadian equivalent of the CCRN this past April. I wasn't convinced I would pass, by any means but I'm a great procrastinator so I left my prep a little longer than I probably should have....