NotReady4PrimeTime RN

NICU, PICU, PCVICU and peds oncology

Pediatric Critical Care Columnist

All Content by NotReady4PrimeTime

  1. NotReady4PrimeTime

    Areas of Nursing

    Um. You can't get to work in those areas without first doing the dirty work. It's part and parcel of nursing education. Sick people make messes. Even public health nurses are required to clean up...
  2. NotReady4PrimeTime

    Pre work anxiety

    I've been working rotating shifts since 1995 and I still experience exactly what you described. I'm afraid I don't have any advice for you just an acknowledgement of your
  3. NotReady4PrimeTime

    Number of US Registered Nurses (NCLEX - RN) in Canada

    It's not a simple thing to find out statistics of that sort. I can tell you that in 2011, 10.47% (1026) of the first-time writers of the Canadian Registered Nurse Examination (CRNE) were educated in...
  4. NotReady4PrimeTime

    Surveillance Swabs

    The data I used isn't new, from 2006. It was published in the Canadian Journal of Infectious Diseases Medical Microbiology. (Can J Infect Dis Med Microbiol 2006;17(Suppl C):4C‐24C.) I took the...
  5. NotReady4PrimeTime

    Surveillance Swabs

    We don't screen every patient on admission. Our guidelines state that anyone who has been hospitalized or institutionalized for more than 24-48 hours within the last 6 months is to be swabbed. As...
  6. NotReady4PrimeTime

    Work to Canada as a Nurse (Filipino Nurse)

    It may very well mean that. It will depend on where you were educated in the Philippines, what the curriculum includes and excludes, how much clinical time you had in each subspecialty and more. There...
  7. NotReady4PrimeTime

    I got fired today...

    Any way the RN can override the secretary's order entry? Or to note on the order in red ink that the new times should be 06 and 18 before the secretary gets it? If everybody does their due diligence...
  8. NotReady4PrimeTime

    I got fired today...

    That strikes me as a system problem. If it's happening all the time then perhaps there needs to be an alternate BID standard administration
  9. NotReady4PrimeTime

    Pediatric ICU Questions!

    Aerielle, I'm writing the Canadian Nurses Association certification exam in critical care pediatrics next April. The information about the exam can be found here:...
  10. NotReady4PrimeTime

    NICU shadow soon

    I'll move it for
  11. NotReady4PrimeTime

    CNO refuse to take CRNE.

    I beg to differ. It's an absolute necessity that nurses who wish to work in Canada are able to communicate clearly, concisely and accurately in English. And not only must the standard be high, it must...
  12. NotReady4PrimeTime

    HELP! NRP Questions

    This might get more attention in the NICU Forum, so I'll move it over there. In this situation that you describe, I'd start PPV and
  13. NotReady4PrimeTime

    HELP! I need to ask a pediatric nurse some questions.

    What kinds of questions are you talking about? Ask
  14. NotReady4PrimeTime

    Special Equipment Used in Pediatrics/PICU

    I'll put in a good word for
  15. NotReady4PrimeTime

    Nursing in Alberta

    I graduated a long time ago and even then the faculty at my nursing school had no clue what the realities were. They'd take us onto the wards for clinical ostensibly believing that the nurses buddied...
  16. NotReady4PrimeTime

    Special Equipment Used in Pediatrics/PICU

    Our peds VAD director came here from Berlin in 2005. He's been with the Berlin Heart program for more than a decade. When our program was set up, the intention from the beginning was that kids with...
  17. NotReady4PrimeTime

    Failed OIIQ Exam 3 times, can 1 transfer to another province?

    If you haven't used your nursing education in 10 years, even after taking the IEN integration program and passing the OIIQ exam, it's quite possible that you won't be permitted to write the CRNE in...
  18. NotReady4PrimeTime

    Special Equipment Used in Pediatrics/PICU

    We just heard that our smallest patient to receive a HeartWare is also the youngest ever... at 6 years old. This kiddo popped in for a visit recently and we learned that discharge has already happened...
  19. NotReady4PrimeTime

    Do NCLEX PN in Manitoba Canada

    Licensed in Another Province or USA It's pretty clear: "*Please note that all eligible USA applicants will be required to write the Canadian Practical Nursing Registration Exam (CPNRE)." MERCAN needs...
  20. NotReady4PrimeTime

    Entering CCN Peds

    Having that artificial airway and ventilator experience will be very valuable when you apply to a peds critical care position. Because kids have small airways and developing lungs, virtually ALL PICU...
  21. NotReady4PrimeTime

    Intralipid (20%) infusion administration

    The only compounded drips we get from pharmacy are the very expensive ones like tacrolimus, ATGAM, mycophenolate, dopamine (we don't use it very often either)... and heparin (due to a HUGE number of...
  22. NotReady4PrimeTime

    Special Equipment Used in Pediatrics/PICU

    My unit is the North American training centre for the Berlin Heart. We've been using them since 2005 for bridge to transplant. David The Recipient: Five Years Later and I'm STILL WINNING...
  23. NotReady4PrimeTime

    NCLEX in Canada

    As Fiona59 said, the examination will remain the CRNE. The only similarity to the NCLEX will be the common administrator. The new completely computerised version of the CRNE is expected to be offered...
  24. NotReady4PrimeTime

    Intralipid (20%) infusion administration

    Our policy is to run TPN +/- lipids separately from other infusions wherever possible. Virtually all of our amino-acids-dextrose solutions are central concentrations so MUST run via central line. If...
  25. NotReady4PrimeTime

    Pretty bad at starting IV's

    Nitropaste (nitroglycerin in ointment form) doesn't numb the site. It dilates the veins. Not to be trifled with because it's absorbed through the skin and can have significant systemic effects. It's...