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Tax deduction as RN in Alberta
in alberta the starting wage is $30 but with previous experience that would be different we get taxed about 25% on our wages. evening shift diff is 2-3$ night shift dif ins 5$ weekend diff $2 charge pay 2$ alberta rns are very well looked after if you want to look at the contract that was just signed it is under united nurses of alberta UNA
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Registered nurse vs Registered Psychiatric Nurse?
Are you talking about psych nursing in Canada if so there are a few options: 1) there is the rpn program that allows you to graduate as an rpn and work in a psych facility, if however you at some point want to leave psych it is next to impossible for a rpn to be hired into a med-surg environment (although it is legal) 2) you could get your rn and work in psych. to upgrade from an rpn to an rn it is an extra year of schooling. rn's are allowed to work psych or anywhere else once in the psych environment you could definately specialize just like any other field Hope this helps
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Checking placement on a PEG tube?
We always confirm placement on all tubes such as these not only through a bolus of air but always with an x-ray before using the tube. This is to ensure that we are not in a lung. Once the tube it confirmed as placed, the md calls and tells us to advance it or retract it such and such a length it is measured so that we can ensure that it doesn't move over time. If it is an intermittent feed it is measured each time we hook it up and if it is a continuous feed it is measured once a shift and anytime that the nurse suspects that it may have moved (like if the tape has come loose)
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post-op question
We use a sliding scale if they are just going to be npo for a while. If they are going to be npo for longer than we use an insulin drip. usually we do not give dextrose iv to a diabetic patient even if they are npo. They just usually give ringers lactate. insulin sliding scales are effective for short term management. if the pt is going to be npo for a while and they want to maintain nutritional control then why would they not do tpn or ppn which can have the insulin mixed into the bag
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IV start trouble
Another great tip I learned from an ER nurse is to float the insyte in . So you puncture the vein and you get a little flashback then remove your needle a little bit. Now this would be the part where you advance your catheter. dont. occlude the vein and connect the catheter to the iv tubing. Open your clamp about 1/2 way slowly move the catheter into the vien. This way you will never blow a valve or preforate the other side of the vein
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Why you want to be a nurse?
I am a third generation nurse and my grandfather was a doctor. So I was brought up around medicine and knew from a very young age that I wanted to be a nurse. I throughly enjoyed teaching and really was conflicted as I had no interest in teaching any school subjects. I went into the nursing program and found that alot of jobs involved teaching. I originally wanted to do community nursing and go into schools to do presentations but then I went through my preceptorship in surgery. In our hospital surgery also includes daysurgery and pre admission clinic. I loved every minute of it and found that there was alot of teaching to be done on the unit. I am a people person and excelled in my role as cashier at a grocery store. I found it interesting how my attitude and the way that I treated someone really made or broke their day and how much more of an impact I could have as a nurse. I am a compassionate person who loves people and I still cry over every single one of my patients that dies. As much as everyone tells me that this will pass I hope that it never does. I hope that I remember every one of my pts as a person. Basically I LOVE NURSING Some of it sucks (NG's really gross me out and so does suctioning mucus ) but I can't think of a career more soul rewarding than nursing. When that patient looks you in the eye and tells you that you made a difference in their life, day, hour than its worth a whole day's worth of bad things.
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Please Help!!!
You can also use other diagnosis such as risk for second mi as many people who have one will have another this can then lead you to help the person change their lifestyle exercise and diet changes to improve their chances of having a second mi you could also use risk for diabetes as many people who have mi have underlying diabetes, has your patient been tested? if he does have diabetes then that opens up a whole realm of lifestyle changes you can help him with and a whole bunch of complications that you can help him prevent
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an appropriate pre-op medication
I work on a surgery floor and the doctors are great they usually prescribe different analgesics to try like prescribing T3's, demerol and morphine until the patients find one that works for them and then the nurses use the one that works for the patient we also make sure to teach the patient to ask for the analgesic that works for them Surprisingly the most effective analgesic that I have found is toradol
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Nursing diagnosis
I just completed my RN program and I found that the thing that helped the most for diagnosis was NANDA you use the diagnosis and elaborate Like: Pt at risk for uncontrolled pain due to inability to take meds due to vision and dexterity changes with disease progression Website for nanda http://www.efn.org/~nurses/nanda.html
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Moral Issue Question...
I always wondered how I would feel about letting a pt go. I think that people sometimes glorify what a really sick, close to death person in the hospital looks like and what they go through on a day to day basis. I always thought that it looked like the movies and was quiet and peaceful but then reality slapped me in the face. Once you see what these people go through you may change your mind about how you feel. Just keep and open mind. I always thought that I would have a hard time not pulling out all the stops to save someone and that it was moderately cruel not to do everything in your power to help them. Then I got placed on a unit with very sick people and quite a few of my patients were palliative or were diagnosed as palliative while I was caring for them and I changed my mind. I know now that if it were me in the hospital bed with no cure in site, people changing me 2x a day, feeding me because I can't feed myself, drugged up with every narcotic in sight to keep the pain at bay and having to eat (not drink) all my fluids because I could no longer swallow that I would rather move on.
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Pre-Nursing Student Trying Which Route is Best to get her BSN
Well in Canada you have the option of applying to the college under open studies you can get a list of courses from the college and take many first year courses and then apply to the nursing faculty. You can also just apply to the nursing faculty but they are very tight on spaces, depends on you high school grades
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Is it customary to give clinical instructor's gifts at the end of a rotation?
we always gave our instructors a gift at the end of clinical rotations but then again our school kind of set the bar on that one the students would buy a gift for the unit, the college would buy a gift for the unit, the students would buy a gift for the instructor and the instructors would buy a gift for the guest speakers in fact i had one clinical rotation where the instructor bought each one of us a little gift
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Name hospital and salary--everywhere
i live in alberta canada and starting wage is about 28 per hour i am a diploma completion student soon to be rn
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Where do you purchase your scrubs???
i like scrublovers.com for nice scrubs but wallmart sells cheap ones that are nice 14.00 for the top and 14.00 for the bottom they have the wrap around style, plain colours and prints
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Can someone please explain INR & Coumadin therapy to me?
I once was told this and it really helps me remember INR OK so the if the normal persons blood takes 30 secs to clot a person on coumadin you want their INR to be 2 or 3 so you want their blood to take 60 to 90 secs to clot So 90/30=3 If I prick your finger it would take 30 secs I want my pt's pricked finger to take 60 to 90 secs to prevent complications Bingo INR