JellyBean1

I am an RN in BC and as far as I know you only need to prove your graduate RN status to become registered. The universities now provide a BSN for graduation.

We are faced with this issue alot in our LTC. Even a doctors order for Tylenol four times a day is disregarded because it's thought the patient doesn't show any signs of pain. So some say anyway. She is frail with huge ulcers to the bone. At leas...

You're right doing VS in LTC is not routine, particularly if they are Palliative. We usually monitor the temp only and give Tylenol per standing order. We are beginning an educational campaign specific to this however there remains a few nurses who...

I was always taught that maintaining a sterile environment and a closed drainage system is crucial in catheter care. If a resident switches between a leg bag and reg. drainage bag in the day it is routine at our facility that the larger drainage bag...

I need some advice. Would you consider things like fleet enemas and ear syringing necessary in Palliative Care? I ask because we have alot of new grads. One of our ladies has been Palliative Care for a couple months, she is extremely weak, barely e...

I've had it. I started nursing later in life. I'm in my forties now and find I just can't do it. I thought I could but find I'm not comfortable with the amount of self doubt I have. I am a LTC nurse which I love. Recently started in a home where...

I'd like to prepare myself for this young mans death. I know it will be unbearable for him, his family and myself to watch as he fights for his last breaths of air. Anyone with some ideas on what I can do for him both physically and emotionally to ...

Okay I'm new to all this and I need someone to give me the straight explanation on a couple issues. 1: Ativan po dose compared to Ativan SC dose. ( like 0.5mg po and 4-8 mg. SC) Both routes ordered. How to explain to the family why there is such ...

Sorry for the confusion. It is 4-8mg. in a subcutaneous butterfly. This person is palliative care. :imbar

Yes we are giving Ativan through a butterfly needle so it's SC or IV prescribed. I do believe it is 10-20 mg.

Well I'm in Canada and in my province the move is to drastically reduce the RN positions and have only LPN's. It is happening at many facilities now. Legally there should be 1 RN in the building for consult and the rest could be LPN. Seems if they...

It is too bad you couldn't keep taking shifts at both places. I know for me, I only have worked LTC. I only did acute for a few months and now it's been 8 years. It will be next to impossible for me to return to acute unless I have a few months pe...

I felt the same when I first started in LTC. I got 3 shifts each one in different areas. Basically gave me a full overview of my facility but nothing too specific. It is daunting at first but remember to ask LOTS of questions. I think most places...

Had an elderly man who lost his balance and fell backwards. Xray showed a crack in back of hip. Went downhill after a couple of days, vomiting blood and then died. I believe he had some lung disease, silica or asbestos. How would a fall have tr...

Wow lots of replies. Thanks. Actually the man was in long term care and not a transfer. He was walking and likely lost his balance and fell backward. No bruises or trauma immediately noted. He was more or less fine for the first night then the n...

I am an RN in extended care. We have all been advised that we will be losing our jobs in the next couple of years if not sooner. I've thought of starting my own business but am looking for different ideas. Foot care seems to be the one I see alot ...

What would a normal dose for Vitamin B12 injection be, the dose as well as how it is prescribed. Thanks

Thanks for the tip. I'd never been to that website before and it's a good one. It sounds like if I was to work in the US on a temporary assignment I would not only pay tax in the US but in Canada also. How is that good or am I missing something? ...

I have heard there are states that will allow Canadian RN's to practice without writing the NCLEX. Anyone know of a website that might list the different states? I'm thinking of heading south. There is supposed to be a nursing shortage in BC but m...

Thanks Mama. What would that be in cc/ml ??? Reason I ask, pharmacy error at work. The order transcribed correctly, pharmacy filled incorrectly, wasn't caught by nurses. We're in the sh_t house again, as usual. Guess we should also know their j...

I'm with you on all of that. We've already been told that we are out the door in 1-2 years max. Course like you say that is the plan for the week. I think it all comes down to there is a supposed shortage of RN's in the acute care setting and that...

Just wondering what your thoughts are on what is happening with the government/health authority plans to replace/displace RN's.

I'm in Canada. It is one of our classifications of facility care. We also have intermediate care. Just means residents are dependant on us for their everyday needs. Can't do for themselves!!!

I'm an RN thinking of doing the same. Where did you find the info on RN's getting a visa?

Yes we have all figured that out. Only problem is many of us never wanted to be in acute care and don't want to go there. They will likely lose us and make the shortage worse.