NotReady4PrimeTime RN

NICU, PICU, PCVICU and peds oncology

Pediatric Critical Care Columnist

All Content by NotReady4PrimeTime

  1. NotReady4PrimeTime

    Stroke?

    NotReady4PrimeTime replied to littlefishy's topic in PICU, Pediatric

    Something very similar happened with a patient of on our unit not long ago - not my patient, I was in charge that day. We were never able to explain it, there were no long-term sequelae and it never...
  2. NotReady4PrimeTime

    Nurse, single and wanting to buy a home

    NotReady4PrimeTime replied to JaneSmithRevisited's topic in Canada

    Of course it's possible. I know many young single nurses who own their homes. Having a good down payment will be a wise move. As will going the bi-weekly accelerated route for repayment of your...
  3. NotReady4PrimeTime

    Proper cleaning using alcohol wipes

    NotReady4PrimeTime replied to KiyaRN's topic in Patient Medications

    Chlorhexidine gluconate has a duration of antimicrobial activity that is 5-6 hours from the time of application and it retains this activity in the presence of blood and other organic material. This...
  4. NotReady4PrimeTime

    Educational Credential Assessment for nurses- for Canadian Immigration

    NotReady4PrimeTime replied to uk.nurse's topic in Immigration Advice

    The Colleges of Registered Nurses in all provinces conduct an educational credentials assessment as part of their eligibility assessment. So this change to the FSWP really doesn't affect nurses. One...
  5. NotReady4PrimeTime

    Made it through three night shifts on my own...then...

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

    That would be called a GOOD CATCH rather than a mistake. In my institution we've been told we're to report those in the same way we report errors. I think we learn just as much from close calls as we...
  6. NotReady4PrimeTime

    meds you see most often in PICU?

    NotReady4PrimeTime replied to tots24's topic in PICU, Pediatric

    You're welcome! You already know some of this stuff. I think if you just have an idea of why they'd be ordered, what their main effects are and the usual range of doses you'd be about where all of us...
  7. NotReady4PrimeTime

    meds you see most often in PICU?

    NotReady4PrimeTime replied to tots24's topic in PICU, Pediatric

    I think we already have a thread on this subject here somewhere. But here you are: morphine, midazolam, lorazepam, dexmedetomidine, ketamine, propofol, fentanyl, insulin, heparin, aspirin,...
  8. NotReady4PrimeTime

    Questions about IEN Registration with CNO

    NotReady4PrimeTime replied to JPBL's topic in Nurse Registration

    The applications are completely separate and must be submitted separately. Two sets of documents and two fee payments. NCLEX is not recognized in Canada. You will have to write and pass the Canadian...
  9. NotReady4PrimeTime

    CRNE OCTOBER 2012

    NotReady4PrimeTime replied to kheemooy's topic in Canada CRNE, CPNRE Exams

    What is most probable is that your Philippines nursing education is not equivalent to Canadian nursing education and the only way to fix that is to go back to school. There's no magic wand that can...
  10. NotReady4PrimeTime

    Question on Lovenox injection aites

    NotReady4PrimeTime replied to NicuGal's topic in PICU, Pediatric

    We used Insufflons here for years. Then we got a thrombosis team. Kidclot did a study and learned that levels were not stable with the use of Insufflons and there was no less bruising. So we dropped...
  11. NotReady4PrimeTime

    Best working conditions for English speaking nurses in Montreal?

    NotReady4PrimeTime replied to blue-sky's topic in Canada

    I know of one such unit, joanna73. The unit management views any sort of reporting on working conditions to be personal attacks... character assassination if you will. Working conditions ultimately...
  12. NotReady4PrimeTime

    CPNRE - January 11th, 2012

    NotReady4PrimeTime replied to Insomniac-88's topic in Canada CRNE, CPNRE Exams

    The answer to that depends on the province where the exam is written. Some provinces send out the registration paperwork with the results and others don't. And the provinces sometimes change up how...
  13. NotReady4PrimeTime

    Practical Nursing in Canada for 2 years

    NotReady4PrimeTime replied to kamae's topic in International Nursing

    Please read this thread: https://allnurses.com/international-nursing/iens-regarding-canadian-772857.html These changes are likely to be in place well before you will have finalized your plans and you...
  14. NotReady4PrimeTime

    For IENs regarding Canadian Student Visas

    NotReady4PrimeTime posted a topic in International Nursing

    The Canadian government is planning some significant changes to regulation of student visas in an effort to reduce fraud and human smuggling. There is some concern that people are obtaining student...
  15. NotReady4PrimeTime

    Canadian Registration Requirements

    NotReady4PrimeTime replied to missysg's topic in Nurse Registration

    Those requirements are not new and they're not limited to IENs. EVERYone who applies for nursing registration in Canada has to meet those requirements and always have. Virtually all health care...
  16. NotReady4PrimeTime

    Drug Shortages

    NotReady4PrimeTime replied to CrufflerJJ's topic in Patient Medications

    That's what I'm
  17. NotReady4PrimeTime

    Drug Shortages

    NotReady4PrimeTime replied to CrufflerJJ's topic in Patient Medications

    The current shortage of garden-variety injectable drugs stems from a production line issue at Sandoz's manufacturing plant. They had one production line that was closed for maintenance and then were...
  18. NotReady4PrimeTime

    When does it get better!?

    NotReady4PrimeTime replied to s0ad's topic in First Year After Licensure

    In Alberta, Canada, the time limit on reporting an injury to the WCB is 24 months... but... there are situations where the time limit doesn't necessarily apply. POLICY: 01-05 PART II - Application 1 I...
  19. NotReady4PrimeTime

    daily weights in your unit?

    NotReady4PrimeTime replied to picurn10's topic in PICU, Pediatric

    Okay, that's just ridiculous!! Daily weights are not necessary in the PICU EVER! Never mind within an hour or so of being weighed in PACU - which to my mind is also ridiculous. Do they not KNOW how...
  20. NotReady4PrimeTime

    Care of chest tube for paediatric cases

    NotReady4PrimeTime replied to deepurple's topic in Pediatric

    We almost never send a kid out to the floor with their chest tubes still in. JPs maybe, but not chest tubes. (There's a perception that chest tubes can't be managed on the wards. Neither do they...
  21. NotReady4PrimeTime

    Care of chest tube for paediatric cases

    NotReady4PrimeTime replied to deepurple's topic in Pediatric

    The fluid doesn't clot in the dependent loops, but it does completely fill the lumen so that your suction can't get to the pointy end. Coiling the tubing on the bed lets the fluid sort of spread out...
  22. NotReady4PrimeTime

    Care of chest tube for paediatric cases

    NotReady4PrimeTime replied to deepurple's topic in Pediatric

    One of those references indicates that dependent loops in the tubing are a cause of many drainage failures. I like to coil my tubing on the bed and whenever I notice fluid sitting in the coils I walk...
  23. NotReady4PrimeTime

    Early Extubation Protocol in PEDS/CICU

    NotReady4PrimeTime replied to karenychu's topic in PICU, Pediatric

    Help yourself! I've got a million of
  24. NotReady4PrimeTime

    daily weights in your unit?

    NotReady4PrimeTime replied to picurn10's topic in PICU, Pediatric

    Ah. I see what you're talking about now. We don't follow that practice at all so I was confused. You're totally right, the person doing the initial weight has to take responsibility for ensuring that...
  25. NotReady4PrimeTime

    daily weights in your unit?

    NotReady4PrimeTime replied to picurn10's topic in PICU, Pediatric

    I think you were missing my point. It doesn't matter what was on the bed when it was zeroed. You could have a truck on there and when the bed is told to zero, it goes to zero. Take the truck off and...