ED-Adrenaline

Yes, OT is time and a half at FH.

How funny I was actually looking to move to Monterey,CA and wondering given your user name are you from Carmel valley? You don't have to answer though......wanted to see how is it to work at Community Hospital of Monterey peninsula.

37.5/wk hrs in British Columbia (paid hrs). I cannot speak for other provinces sorry.

Soory for late reply, I have got my eligibility from CRNBC first, before I applied for a job. It was my idea though . I wanted to present my self as a full package to the employer as they will be more interested and avoid the hesitace like'...mmmm it may take for her one year to get that done ...and we need nurse ASAP). And I was right. They were happy to hear that I am eligible and will be able to come and work in no time. Hope it helps and good luck with CRNBC

My case is a different story. I just got job in British Columbia,and I am not thinking of exchanging Canada for US. I am from Non-US country and leed by the "American dream"...I spent 6 years trying live the dream and reach my goal, passing exams by exams, submiting my documents,looking for job,while some other nurses who just married US citizen-did not have to pass English exam neither CGFNS-just NCLEX was sufficient. That same nurse worked with me not knowing a word of english. Was it fair-deffinately no! When we start "to dream" about "the land of oportunity" we don't know nothing about that country neither about nursing,taxes, credit scores,retrogressions,...we are trying first to learn and understand the language to begin with. However,the years that I worked for US company( for 9 years) I have learnt more than that...saw all prons and cons starting from the health system and finishing with the birocracy. The personal true is that retrogression depleted my patience for ever reaching the famous "american dream" and changed my view so badly, that I have decided to "awake & stop dreaming" and try to live in Canada where my priorities are better assessed and responded to, so far. Every country have prons and cons, but I think that not all foreign nurses shifted their 'dreams" for Canada for the same reason. To cut it short-I think that as everything else...prioritizing of personal needs now is taking place .While one nurse is trying to raise a family...the other ones wants to travel , changing place of living and having fun in TEXAS (as far the employer pays moving expences!!!:wink2:)

Go to www.helthmatchbc.org That is a web site that will give you some more guidance onto how to find a job in Brithish Columbia.I got the job just after 1 month after I contacted them.Excelent response from this website.

in respond to lawrence01 post. i totally agree about the cir progress importance for all who wish to immigrate in us. what i don't believe is necessary is... in this blog to get news about some progress of cir that does not directly impose on nurse's immigration issue. in my opinion, all "progress notes" for cir debates should be posted in other blogs such they have in "immigration voice".:yeahthat: what matters here is news that nurses are waiting for "like desert the water". and here we are, receiving a "daily dosage" of "painkiller". in my opinion, if we don't have news that are in relation to what nurse's worries are about, that we don't have to post " just anything " that does not affects the nurses lives, because ,correct me if i am wrong...but this is nurses site, right? (with all respect to all nurses who have immigrant relatives in us) i agree that some of the issues debated, may be related to family members of our nurses and i agree to see those news (as i am concerned as well), but not here as they are available in "immigration voice" or any web news that on an off have been posted here as well. what i also disagree is...that matters about nurses immigration is not something debating parties "agreed upon long time ago or last year" and certainly this issues will be discussed again. those are the news that should be posted here and i will be happy to hear about it. to cut the story short, i don't think that you should post news about immigration just because something has to be posted today to keep the blog running. my two cents about cir (as everybody gives already): it was and is an issue that will or not be solved in the near future-lets be patient and talk about immigration news for nurses...does not matter if they will come from...cir of any other legislation....and what we can or cannot do about it. and for the record...i have no intention to fight a word war at all.:cheers:

I have read the Washington post article and I see NOTHING for helthcare porfessionals. I think NOW the main issue is the Illegal immigrants and temporary worker's program and it will stay that way. Nurses will have to wait for the final outcome and don't get overwhelmed by this article.

I just have a HUGE thank you for excelent explanation that Suzanne gave to all. It cannot be clearer than this. Thank you Suzanne:kiss For all of you there...waiting...:bowingpur Do you know where from the word PATIENT comes from?... From all our patients that are waiting in ER to get checked by US. Soooo, be PATIENT...and everything will come to a resolution. "Life is not a destination,it is an adventure"

Haven't you done your homework today? It takes a little browsing/few minutes. I have learned that from Ms.Suzanne.:) Documentarily Qualified Refers to an immigrant visa applicant who has: 1) returned Form DS 2001 (from the Instruction Package) to visa-issuing post (or in some cases, to the National Visa Center), OR 2) informed post in another way that he/she has all the documents for his/her immigrant visa application, and the post has completed its clearance procedures. Source: U.S. Department of State.

For all those interested you can have a look and eventualy apply for job. http://www.minoritynurse.com/features/nurse_emp/02-14-01a.html

These are good conditions that apply for U.S.-flag vessels. However,the requirements and contracts are different for Non US flag vessels. The major passenger cruise lines are registered under Bahamian and Liberian flag and therefore different conditions apply.

Hello to anyone interested in cruiseship nursing. I have been working on a cruise ships for 8 years so far and I am oging back in July. You are right about the prior experience that is must for this position on board. ER/ICU min 3 yrs and valid ACLS.If you have PALS that is a plus. In regards of the vacation, usualy the companies give 2 months off (not paid!). Also you may consider that the hours of work are much more different than on land and they dont pay you by hour. In most cases there is flat monthly pay and on some cruiseships they give some 1-2% commision pay as additional. You work 24/7 on call (for emergencies)for 6 months. However there are office hours and on some ships there is only 1 doctor and 1 nurse for 1400 people on board when it gets realy bad if an outbreak hits on that ship. So overal , lots of prons and cons. Anybody have more quiestions, I will be happy to answer. happy and smooth sailing for all those on board.:monkeydance:

check this out http://medi-smart.com/documentation.htm http://www.amazon.com/Nursing-Documentation-Handbook-Tina-Marrelli/dp/0323010970 http://www.amazon.com/s/ref=nb_ss_b/002-2007241-6729635?url=search-alias%3Dstripbooks&field-keywords=chart+smart I tried and I have learned a lot. trust me , they worth the money!

Ddd pacing ddd pacing is a form of dual-chambered pacing in which the atria and the ventricles are paced. In ddd pacing the atrium and the ventricle are sensed and paced or inhibited, depending on the native cardiac activity sensed (fig. 4). Other forms of dual-chambered pacing are available, such as dvi and vdd, but ddd is the most common. The principle advantage of dual-chambered pacing is that it preserves av synchrony. Because of this advantage, dual-chambered pacing is increasingly common. Ddd pacing. (a) atrial pacing with native ventricular qrs activity without ventricular pacing because of intact av conduction. (b) there is atrial sensing of native p waves (a) that triggers subsequent ventricular pacing. (c) atrial and ventricular pacing occur. From chan tc, et al., eds. Ecg in emergency medicine and acute care. Philadelphia: mosby, 2004; with permission. In ddd pacing, if the pacemaker does not sense any native atrial activity after a preset interval, it generates an atrial stimulus (fig. 4a). An atrial stimulus, whether native or paced, initiates a period known as the av interval. During the av interval the atrial channel of the pacemaker is inactive, or refractory. At the end of the present av interval, if no native ventricular activity is sensed by the ventricular channel, the pacemaker generates a ventricular stimulus (fig. 4b, c). Following the av interval, the atrial channel remains refractory during a short, post-ventricular atrial refractory period (pvarp) so as to prevent sensing the ventricular stimulus or resulting retrograde p waves as native atrial activity. The total atrial refractory period (tarp) is the sum of the av interval and the pvarp. In a simple ddd pacemaker, the tarp determines the upper rate of the pacemaker (upper rate [beats per minute] = 60/tarp). Mode switching as one might imagine, if a patient who has a ddd pacemaker were to develop supraventricular tachycardia, the pacemaker might pace the ventricles at the rapid rate based on the atrial stimulus (up to the preprogrammed upper rate limit). To prevent this, most ddd pacemakers now use mode switching algorithms, whereby if a patient develops an atrial tachydysrhythmia, the pacemaker switches to a pacing mode in which there is no atrial tracking, such as vvi. On cessation of the dysrhythmia, the pacemaker reverts to ddd mode, thus restoring av synchrony without being complicit in the transmission of paroxysmal atrial tachydysrhythmias. I hope it helps.