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tareija's Latest Activity

  1. Hi all, I found out last week that I had miscarried my first pregnancy. I had a d & c and have been home this weekend recuperating and grieving. I'm really sad to have lost the baby. I've been off work after an injury, and am due to go back in a few weeks. I work on a postpartum ward with moms and newborns. Anyone else here have a pregnancy loss while working in postpartum or LDR? I am so, so thankful that I am not due back at work immediately after this loss. I am trying to figure out how I will cope with being around moms and newborns all shift, and right now I am thinking it will be super difficult. Any words of wisdom or advice?
  2. Hi all, Just wondering if any of the women on here use fertility awareness method, either for contraception or for trying to conceive. Part of using this method involves checking your basal body temperature (temperature first thing on waking in the morning, before getting up or any activity, and after several hours sleep). This is most reliable if you do it at the same consistent time each morning, and you are looking for a rise in the basal body temp post-ovulation. I used this method for contraception, with good effect, some years back, but in those days I wasn't a nurse and didn't work rotating day and night shifts. I'm sure you can appreciate that shift work makes taking my temp at the same time each day difficult. I just went off the pill and started charting again, and hoping to get pregnant within the next year or so. Has anyone else done this type of temperature charting while working shifts? How did you make it work?
  3. tareija

    East-Aisan Breastfeeding Practices

    This is something we see a lot in my hospital, as we have quite a high Asian (primarily Chinese) population where I live. It seems to be a stronger belief with newer immigrants. I've never heard anyone refuse to feed the baby colostrum or voice that it's harmful to baby, and they do seem quite motivated to breastfeed. However, the first few days, when they have a normal amount of colostrum, often they say they have "no milk". For this population, often the grandmothers (either mom's mom or dad's mom or both) are very involved in caring for the new mom and baby, which is great. Sometimes I think the grandmothers hold this belief strongly as well, and maybe this influences the new mom's position. Anyway, we have some of our breastfeeding pamphlets translated in to a few different languages, and I try to provide these if it seems helpful. Even if Mom's English is fine, a lot of the time the grandmas only speak Chinese, so I might give the Chinese pamphlet for grandma to read, so that she has the current information as well. I also explain how baby's tummy is tiny, and in the first few days it's normal to just have small amount of milk, but there's lots of calories and antibodies in that milk. Also, that the more baby breastfeeds, the more often it will help to have the mature milk come in. As for supplementing, it depends on the situation. If, after appropriate patient teaching, a mom is insistent, I will give them formula, since it's her baby and her choice. If a patient is a multip, I will ask if she supplemented previous babies, and if she had any supply issues. If she did and had no issues, then I'm less concerned. If she is a primip, I explain that sometimes giving supplements can make the mom make less milk, because baby doesn't breastfeed as often, and that we can't predict in advance which moms this will happen to. It might be fine, or it might cause issues, and we don't know what will happen for each individual baby. Even with primips, again I think as long as you do the teaching, it is the mom's choice whether to give formula or not, so I will give it if the mom gives an informed consent.
  4. If anyone wanted an update - I found a new job a few months ago, in an entirely different area of nursing. I am totally blown away by how night and day different it is. SO DIFFERENT. My current job of course is not perfect, no job is, and of course there are little disagreements from time to time, or certain staff who don't love other certain staff. BUT overall the environment is friendly, supportive and non-bullying. I had no idea just how badly the last job was affecting me until I left and saw the difference. Just wanted to post an update in case anyone else is in the same boat, and wondering if they should find a different job. My only regret is that I didn't leave sooner.
  5. tareija

    RN job with 'normal' hours?

    I think these types of jobs can be difficult to get. Some of the nurses I know with young kids get around this by working as casuals, or in part time positions. With casual work, you can choose which shifts you work, although there is no guaranteed income of course. I know some people who work casual at one or several jobs, and are quite happy with it. I also know some moms who work part time. They are still doing shift work of days and nights, but it's more manageable than doing it full time. You could also try home care, I think those are usually day or evenings shifts, but it may not be straight days, Monday to Friday. My impression of home care is that you need a few years experience, but it might be easier to get a position than a Monday to Friday day job in public health.
  6. tareija

    nurses in mental health

    My friend was told that registered psychiatric nurses are not recognized or eligible for registration in Ontario. I know that they do work in hospitals in western Canada (Manitoba, Alberta, BC and Saskatchewan). As far as I can find online, those are the only provinces with education programs and regulatory bodies for psychiatric nurses. I am not sure if she talked to CNO but I think she looked in to it pretty thoroughly.
  7. tareija

    nurses in mental health

    I am in BC but I have colleagues from Ontario. By RPNs, do you mean Registered Psych Nurses, or Registered Practical Nurses? In BC, RPN is a registered psych nurse, and practical nurses are called LPNs (licensed practical nurse). I am pretty sure registered psychiatric nurses only exist in western Canada. A colleague of mine, a RPN, looked in to getting licensed in Ontario and was told it's not possible, you have to be a RN. I believe there is some lobbying going on to change this, but I don't know if or when that will happen.
  8. tareija

    Mental Health and Fitness to Practice in Alberta

    I second using your union. As for applying for EI, did you work while you were in school? If so you might be eligible for EI medical benefits, which are different than regular benefits if you lose your job. You can get paid up to four months. I had to use these last year when I had time off for a medical reason. You could ask your union about this as well. It's important to apply for EI promptly, ideally as soon as you stop working, if you delay too long you aren't eligible any longer. Definitely involve your union. I am sorry you are dealing with this on top of being a new grad, how stressful. I work in psych. Unfortunately unfounded stigma against people with mental illness is a real thing. We would hope all health care professionals would be educated and not stigmatize, but unfortunately it is not always the case. On the other hand, some nurses are very accepting and supportive. I have had patients ask me, so, how and when should I tell people I have a mental illness? It can be a unclear decision when to disclose. In general I tell patients, once you tell someone, you can't untell them. If you're unsure of telling someone, you can always wait and see and tell them later. I tell patients, you have nothing to be ashamed of, and stigma is not your fault. If people are judgmental, it is a reflection on them, not you. That said, I say to them, your health information is your private business and you don't owe people to share your private business. As for nursing license, I don't know how that works in Alberta. In my province the nurses college has an early intervention program. The idea is for nurses who have mental illness or addiction to seek assistance from the college so they can help you address it proactively, before it impacts your practice. I would ask your union about this as well, maybe Alberta has a similar program? In my province, fitness to practice questions are between you and your doctor. You are not obliged to share your private health information with your employer (diagnosis, etc), only to share if you are able to work or not, and if you need any modifications to your job for health reasons. Some people get judgmental when they hear the term "bipolar", which can be unfair. A psychiatrist I've worked with has said, you know there are actually many successful, professional people who have bipolar, and are successfully managed as outpatients. Even people who are nurses and doctors, professors and lawyers. It can be done. It takes strength to admit when you have a mental illness and need support, and to get help. That is very tough when you are also a new grad, and I applaud you for being honest with yourself and getting medical help. As for your job, wow that sounds like a stressful day, even for an experienced nurse. Try not to beat yourself up. Again, go to your union. All the best to you and I hope this is resolved quickly for you.
  9. tareija


    One thing with wearing long sleeved shirts under your scrubs, aside from infection control - do you get warm easily? I do, and there is no freaking way I'd be able to wear a long sleeve shirt under my scrubs. I find even with just wearing a short sleeve scrub top and pants I can get overly warm (even more so when working with patients on isolation, having to wear face masks and a plastic gown). Nursing can be a pretty physical job and I think I would feel uncomfortably warm with a long sleeved shirt on. As for school and employer policies, I have tattoos but they are not visible when wearing scrubs, so I don't have any experience with that. I have seen a nurse or two with big sleeve tattoos, but it's uncommon.
  10. tareija

    Resume advice for seeking second nursing job

    Thanks all. Oh I forgot to mention one thing. I have only worked in psych since I graduated. I am applying for med surg jobs, but have no med surg work experience. I thought if I put details about my final practicum, where I did use a fair bit of med surg skills, it might help to show that I do have those skills, which is not as apparent if I only list work experience. I've also listed, under my current job, which med surg skills I have been using. I'm also taking a med surg refresher course and that's on my resume too, under the education section. So, in light of this is the student stuff okay, or should I still leave it off?
  11. I haven't worked in LTC but I did my final practicum in school in LTC. The time management and assessment skills I learned have been useful. I also got a lot of experience working with geriatric dementia patients, which I think is transferable to basically any health care setting. I don't work in LTC now but I have been very grateful that I got experience with dementia patients. I learned a lot from my supervising nurse, and I also learned a lot from the care aides in terms of how to work well with this population.
  12. Hi all, I am currently working on my resume and could use some advice. I graduated from nursing school 2 years ago. I got a job a few months after graduation, and am now looking for another. I've only had the one nursing job so far. Nursing is my second career. I worked as a program assistant and then a program manager for community organizations prior to going to nursing school. I did various other things as a young adult (e.g. customer service, office work), but it's not really nursing related, and I've left it off the resume. Anyway on to my resume. As a new grad, I included information on each of my clinical rotations on my resume, since that was the only nursing experience I had. Something like this for example: Maternity, ABC Hospital, Jan-March 2010 Cared for women and newborns on postpartum ward. Supported women and their families during labour and delivery. Provided patient teaching on breastfeeding and infant care to prepare families for discharge home. When I wrote my resume this time, to save space (it was originally 3 pages! too long!) I've removed the descriptive blurb from each of my clinical rotations. I've just left the dates and location, e.g Maternity, ABC Hospital, Jan-March 2010. I figure that all nursing students do similar things during their basic clinical rotations, and I'm trying to make my resume more readable. Is it okay to just list the clinical rotations but not give details? Do I even need to list my clinical rotations at all, since I graduated almost two years ago now? I have listed my current job with more details about what I do there. I also have listed my final practicum (I think in the US you call this an externship), with details of what I did. I figure that this placement is not the same for all nursing students and I did learn some skills that would be useful in a new job. Is it okay to put details of my final practicum, but not my other clinical placements? Also, I listed my last few jobs from before I started nursing school. Again, I have only had one job in nursing, but I did have a career prior. I thought if I included those jobs, it would show some level of responsibility, and professional and life experience, even if it's not in health care. I'm not sure how much information to include about them, though. Would a sentence or two about them be okay, or should I just list job titles and dates? I'm not sure if people care at all about non-health care experience. For example, which is better? 2009 - Program Coordinator, XYZ Community Organization (listing no details) or something like 2009 - Program Coordinator, XYZ Community Organization - Developed and managed social, health and wellness, and recreational programs for senior citizens at a non profit community agency. Supervised staff, managed budgets. Thank you anyone for any advice you can give! I am a bit frustrated with writing resumes and I'd appreciate any feedback.
  13. tareija


    I went in to some detail about providing reality orientation or not on your other post. I think the title of your post was "reality orientation for hallucinations/delusions". There's a lot of variables. Are you doing a clinical rotation in psych as a nursing student currently? Again I would check with your instructor.
  14. I'm not a police officer so I can't answer how they are trained to respond. I am sure I encounter people with mental illness every day on the street. They are common illnesses and the vast majority of the time, people with mental illness are not a threat to anyone. If I encountered a person in public who appeared angry and had a weapon, regardless of if they are mentally ill or not, I would call the police.
  15. Where I work if someone has a weapon the police are called. It depends on what sort of crisis the person is having. E.g. are they feeling anxious, suicidal, angry and agitated, paranoid? Intervening earlier rather than later is helpful, if you can. I find as I get to know patients this is easier to do. Luckily where I work we have a few nurses who have been there for years, and they have worked with quite a few of our patients in the past. They are a great source of information and I often ask if they've had previous experience with this particular patient and if they have advice on what might work.
  16. tareija


    I would check with your clinical instructor. Delusions and hallucinations are two separate things, but sometimes they are related. For example, someone who hears what they think is God's voice talking to them, and has no insight. The experience of hearing the voice is an auditory hallucination. Believing that God is talking to them is a delusion. Reality reorientation depends on a few factors.