NotReady4PrimeTime RN

NICU, PICU, PCVICU and peds oncology

Pediatric Critical Care Columnist

All Content by NotReady4PrimeTime

  1. NotReady4PrimeTime

    Mohawk College Practical Nursing January 2018

    A bird in the hand is worth two in the bush. Just know you're risking ending up
  2. NotReady4PrimeTime

    Chest pain r/t work?

    Medical advice aside, the unfortunate truth is that nursing is a HARD job - on EVERY level - and it's not ever going to get easier. Nursing schools don't prepare students for the real world and its...
  3. NotReady4PrimeTime

    NICU Scrubs

    I just watched the video linked in Guy in Babyland's post. The woman in street clothes is seen kissing the baby on the head... and although I won't lie and say that doesn't happen with some of us...
  4. NotReady4PrimeTime

    NICU Scrubs

    You were probably seeing their NPs and lactation consultants. Staff nurses in both NICU and PICU wear scrubs same as all the rest of the hospital. Some hospitals provide greens for their critical care...
  5. NotReady4PrimeTime

    Writing CPNRE in 3 weeks!

    Yes... you should know the most commonly prescribed drugs, what they're used for, what assessment data you need before giving them, what the major side effects are, contraindications and what...
  6. NotReady4PrimeTime

    I don't think they trust me at work

    You can't take that as a sign you're failing at your job. If you haven't had any feedback since you came off orientation, I'd say that means you're doing just fine. There are only so many "sick" kids...
  7. NotReady4PrimeTime

    AACN Peds ECCO

    Nope. No formalized didactic orientation process at the time I was hired. We had 5 days of lectures that followed no discernible format, just a TON of information thrown at us willy-nilly. Our buddy...
  8. NotReady4PrimeTime

    PICU Nightmares

    I started my first PICU job 20 years ago next week and I STILL have those dreams! Most of the time I know I'm dreaming, but it doesn't make them any less bothersome. I remember one dream I had (not...
  9. NotReady4PrimeTime

    NICU to PICU

    Let me second that, meanmaryjean. Each group is obsessive about a lot of things, but those things don't really overlap much. You might be horrified by the rate at which feeds are advanced, even in the...
  10. NotReady4PrimeTime

    Good Critical Care Nursing Programs in Canada

    But how do you get around the clinical practicum part of the course without a local
  11. NotReady4PrimeTime

    Confusing o2 orders. Help!

    Jolie and I are thinking the same thing. The order is meaningless as written. It should read "SPO2" in the first place, and in the second place, are there orders for continuous oximetry, or are you...
  12. NotReady4PrimeTime

    Can I land a PICU job as a new grad.

    A lot depends on the culture of the peds hospitals in your area. My quaternary care PICU (in Canada) has hired new grads in significant numbers over the last few years, typically those who had senior...
  13. NotReady4PrimeTime

    Health Care is Not a Right

    Several things have occurred to me as I worked my way through all 25 pages of this thread. Some I will not put voice to for fear of being called nasty names. But one thought that has recurrently...
  14. Any of those routes would be helpful, for different reasons. General peds lets you become used to calculating medications based on weight and using smaller equipment and supplies. It will give you...
  15. NotReady4PrimeTime

    Grad Classes During Orientation?

    You can ALWAYS ask. They are just as likely to say yes as they are no, depending on the culture of the organization. If you DON'T ask you won't get... A lot will depend on how you word your request....
  16. NotReady4PrimeTime

    NNAS inquiry

    That's not really how you do it. You should be basing your choice of province on where you want to live and work, not on which one will assess you faster. The process is what it is. If the College...
  17. NotReady4PrimeTime

    Random question

    How will it clot in the IV fluid? In the same way the IV fluid mixes with the blood in the vein, blood mixes with fluid in the catheter/tubing. Without you see a visible clot, there's no issue here....
  18. NotReady4PrimeTime

    Getting attitude about transferring to PICU!

    I suspected we were kindred
  19. NotReady4PrimeTime

    Getting attitude about transferring to PICU!

    I did the neonatal-to-pediatric critical care leap 20 years ago this month and never regretted it for a second. My reasons for moving were similar to yours, the feeling of being a bit of a robot...
  20. NotReady4PrimeTime

    Alberta RN overtime rules

    It's calculated over 4 weeks. The collective agreement states: "A casual employee shall be entitled to overtime worked in excess of 147.25 hours averaged over a 4 week period starting October 6,...
  21. NotReady4PrimeTime

    Do You Have a Toxic Boss? (eyeroll)

    Certain work environments create toxic managers. Rewarding austerity, no matter how it's achieved, tends to empower bullying managers. Promoting people who are power-hungry is easy to do. It's also...
  22. NotReady4PrimeTime

    Tb testing on hire

    Yes, as raindrops said, occupational health should provide the test for you as part of your on-boarding. The 2-step test is a bit of a PITA because there has to be 8 weeks between them. If you had to...
  23. NotReady4PrimeTime

    New Grad & Scheduling Difficulties

    Three months sounds like a long time, but it really isn't. My family all live many (hundreds of) miles away and have for most of my adult life. In fact, I haven't seen my parents, my oldest daughter...
  24. NotReady4PrimeTime

    Mom suing nurse after suffocation accident

    After our son (my third C-section delivery via vertical incision) suffered several strokes as the result of what I call "medical misadventure" when he was five years old, we would have been very happy...
  25. NotReady4PrimeTime

    New Grad Interviews for AHS

    There were probably well over 100 applicants for those 20 positions. They likely interviewed 30 people, and as you've noted, only filled 18 spots. The standardized interview format they've been...