NotReady4PrimeTime RN

NICU, PICU, PCVICU and peds oncology

Pediatric Critical Care Columnist

All Content by NotReady4PrimeTime

  1. NotReady4PrimeTime

    Does Canada Have Private Duty Nursing Like The U.S.?

    This is a seven year old thread. Anything that might have been learned then has surely changed by
  2. NotReady4PrimeTime

    When to use a filter for PIV infusion

    S/he probably stopped the infusion because s/he expected the IV fluid order to change. We in PICUs almost NEVER run D5-1/2 any more due to the really serious complications seen in children caused by...
  3. NotReady4PrimeTime

    How can I say thank you?

    Our respiratory therapists will text all the others in the building if there's goodies in the break room. They come from everywhere, scarf what isn't nailed down and disappear again! Happens every...
  4. NotReady4PrimeTime

    How can I say thank you?

    I have to agree. So many times, families bring in a platter of gourmet cookies or order pizza, and none of the people actually involved with their child are there to enjoy the gift. Over the years...
  5. NotReady4PrimeTime

    IV infiltration

    I know, right? We used to have a rule that parents couldn't sleep at the bedside - for several reasons, not the last being easy access to the PATIENT if things went sideways - but it has fallen by the...
  6. NotReady4PrimeTime

    IV infiltration

    I'm so sorry this happened to your patient... and to you. But IVs infiltrate. Especially with kids. If you lose your job over it, so should just about every other peds nurse in the world. Small...
  7. NotReady4PrimeTime

    Why is it so slow to get hired as a new nurse?

    There is no nursing shortage. There is never a shortage of nurses. What occurs is a boom-and-bust cycle where there are lots of vacancies because nurses have left their practices over horrible working...
  8. NotReady4PrimeTime

    CNO Jurisprudence Exam

    Basically, the jurisprudence exam is to determine how well you know the legalities related to registered nurses' practice in Canada. It's an open-book exam, from what I understand. If you read the...
  9. NotReady4PrimeTime

    Regarding bridging in alberta

    The demand for IENs has all but disappeared and the Alberta government has reduced funding for the bridging program in response. So it could be several
  10. NotReady4PrimeTime

    Future Pediatric Nurse

    The gap between CNA and RN will be there, but in the meantime you'll be learning lots of valuable things. Like how to talk to kids to get them to cooperate. Like how to involve parents in caring for...
  11. NotReady4PrimeTime

    Min wage for new LPN?

    They're definitely taking advantage of you. They want your education but don't want to pay you for it. My instincts are saying that this job could be done by a health care aide with a med admin...
  12. NotReady4PrimeTime

    Handing Resumes to Managers In Person

    Right now our unit doesn't even HAVE a manager. Both the PCM and the unit manager left within 10 days of each other. We're being overseen by a PCM with 4 other units on her portfolio and an assistant...
  13. NotReady4PrimeTime

    NTI - How to Secure a Nasogastric Tube (NGT), Securely!

    So not useful in peds...
  14. It's quite possible there isn't anyone here who can answer your questions. This site is primarily American, with a growing, but still small, number of Canadian members. Only staff members are linked...
  15. NotReady4PrimeTime

    Ien in Canada

    Right now there is no shortage of nurses in Canada. There is a shortage of vacant positions for those without a job. Many new grads, and even those with years of experience, are having a hard time...
  16. NotReady4PrimeTime

    Nanda book

    This is one textbook that is on most book lists. Fundamentals of Canadian Nursing: Concepts, Process, and Practice, Third Canadian Edition | Barbara J. Kozier, Glenora Erb, Audrey J. Berman, Shirlee...
  17. NotReady4PrimeTime

    Nanda book

    It's definitely necessary for you to have some knowledge of how nursing is taught here. All three books you mentioned will be helpful. You should know the names we use for different drugs, classes of...
  18. NotReady4PrimeTime

    Nanda book

    The last time I used a NANDA nursing diagnosis was in 1994... on a nursing school care
  19. NotReady4PrimeTime

    Switching career paths

    The only problem with that theory is that in Canada most nurses don't work only nights, and weekend worker shift patterns are rare. Here most nurses, at least in the first decade or so on the job,...
  20. NotReady4PrimeTime

    Hospitals Firing Seasoned Nurses: Nurses FIGHT Back!

    If that's the kind of union you're exposed to I can understand your opinion. But that's not the norm in my experience. I pay about 1.5% of my gross income in union dues - roughly $800 a year. To me...
  21. NotReady4PrimeTime

    Concepts for New Grad in the PICU to review

    The learning curve is pretty steep, I'll grant you that. If the unit where you're going to work has a good orientation program and a clinical ladder in place, you should be given assignments based on...
  22. NotReady4PrimeTime

    Advice from hiring managers in peds/PICU?

    All of the postings for my unit (PICU) state a minimum of 2 years acute pediatrics experience is required but those with a senior practicum in PICU or pediatrics will be considered. Most of our new...
  23. NotReady4PrimeTime

    New nurse seeking encouragement

    Beth's answer is a good one. Don't put too much emphasis on those kinds of comments; as you say, the transfer was near the end of the shift, and everyone is a little crusty at the end of their shifts....
  24. NotReady4PrimeTime

    Concepts for New Grad in the PICU to review

    Respiratory. Respiratory. Did I mention respiratory? Most kids admitted to PICU will have an airway or breathing issue, especially in the fall and winter. Review arterial and venous blood gases so...
  25. NotReady4PrimeTime

    New Grad Peds CTICU

    Oh my, yes... you need a peds-specific resource. The surgeries kids have are VERY different from those adults have. AACN's Core Curriculum for Pediatric Critical Care has some great chapters on...