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Which year of nursing school is most difficult??
Depends on the individual. First year you usually have full course load BUT may not if you have other college/university diploma's or degrees THEN you can hopefully be EXEMPT from electives. Second year you have more sciences. Third year you have more papers/assignments. Fouth year I found less assignments AND enjoyed the practicuum. We had to choose a med/surgical and specialty area. I graduated from Laurentian with a BScN. Hope this helps.
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retroperitoneal bleed
I had a pt. who was a cardiac pt. and she was a rather larger woman. Came on to the unit, while doing my morning assessment she complained of ® flank pain. Her abd. was getting larger, 30 mark drop in hemoglobin from a.m. labs, went to CT, diagnosed. She was elderly as well. The internal medicine (locum) who was working with us for the week told me that it isn't uncommon and hers was related to enoxaparin. First time I had a pt. with this at all and I have been nursing since 1993. (18 yrs). I would of suspected post op, trauma pt. but not this. I can't remember her dose of lovenox. Very interesting though. There wasn't anything to do surgically and thankfully she was a DNR so family was called in and we kept her comfortable.
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Yet another CEN!!!
COngratulations! Do they give you your results or is it a pass or fail? Just curious. Thanks!
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Nursing in northern communities
Northern Ontario There are communities such as Fort Albany, Moosonee, Attawapiskat, Moose Factoy, Kaschewan (spelling?) and James Bay. I personally have never worked up there. I have worked with a husband and wife though who have lived up there, the one being from there. They too have challenges (working up north). Food is expensive, isolated, money is good, fly in and out. Really depends what you are looking for. Good luck and please fill us in.
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Job conditions in Ottawa area?
Check out the Ontario Nurses Association website and they may have notices of jobs and (layoffs) for specific areas. I am not from Ottawa area so I can't comment. Sorry!
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Confused New Grad...help!
There are jobs in Timmins, Ontario. A friend of mine reallocated from Toronto to Timmins. She enjoys it and finds the same as Northern Student's post. Relaxed. Fun. Challenging because you see everything and you and the MD's are it. No teams as larger centers so you get very hands on experience.
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Jobs for RN's in Canada?
Have you checked out Ontario. Where do you want to relocate? Do you need FT with benefits?
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Registration By RNs in Triage or ER Registration Clerk?
No. After we triage, our clerks enter their hospital (health card) information, changes in address, insurance, etc, and they put the id. bracelet on the pt. (yellow = no allergies), (red = allergies). There name, DOB, HCN, address, FMD (all this information is on their bracelet. Hope this helps.
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Triage
When a pt. first comes to our ER from outside, they take a number. They are first seen by a RN. Once we triage them (EPOD) computerized chart, it prints off and the admitting clerk who are right beside us, process the outpt. form. Any triage code 3,4,5 (we leave in our waiting room) until a spot is available. Our CTAS 1 (usually are VSA's) come in by ambulance. Our CTAS 2 (they are usually brought in quickly (cardiac, asthmatics) etc... On occasion we have brought in CTAS 2 CP non-cardiac features, quick ECG, show MD and send them back to the waiting room. RN's are doing this not the clerks. Our triage is 24/7 by RN. Waiting room seen at all times from desk. Our clerks will interrupt us and advise if someone is in the waiting room with CP. I have had this happen and I quickly do a check over the pt. and have sometimes bypassed the one I was triaging due to history and so forth. Experience, clinical judgement are important. It sounds to me that your employer is practising poor risk management.
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Registration By RNs in Triage or ER Registration Clerk?
Walk into our ER waiting room, take a number. The triage RN calls the number...assess the pt....assigns a CTAS code...if they are 3, 4, 5, they are sent to the waiting room. The triage nurse puts the EPOD chart (electronic triage) into the appropriate slot. Everytime a patient presents to the ER, we EPOD / triage them and it is a blank sheet. The registration/admission clerk registers them. CTAS 1, usually VSA come in by EMS CTAS 2, depends could be chest pain, diabetic ER or HTN ER, CVA, pain...etc....some you just bring in and start the work up....they are usually keepers.
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How to warm IV fluids??
We have a warmer unit. Date the bags for 2 wks. d/c if not used.
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Tropical Nursing Diploma
None that I know of. Let us know if you find something.
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Nurse/Patient Ratios
Northern Ontario ICU 1-3 per RN depending on acuity and staffing on Med. and Sur. 1 -5-6 (So 1 RN for that many patients.) Do you fill out PRC or work load complaints....they may protect you in the long run if you are looking after sick, sick patients....
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is it easy to get a RPN job in ontario as a new graduate,regardless which area
I should have mentioned that the NGI is for both RPN an RN's.
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is it easy to get a RPN job in ontario as a new graduate,regardless which area
Have you heard of the New Grad Initiative program. There is a portal website I believe it is called Healthforces.ca in which you can enter your information and look up where they have positions in Ontario. I know at our hospital, they have hired New Grad's from this portal site. I don't know anything more than that though. We have one in ICU and she was given 6 months full time orientation and then she /he is eligible to apply for any positions in the hospital. If you goggle you may find more info. than I know.