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  1. purseOnalityRN

    Temp CA License - how do I get permanent?

    Hey all, I have a temp CA RN license (I'm from Canada), it expires this month. How do I go about getting a permanent one?? Thanks in advance!
  2. Hey.. So I have my diploma & i am wanting to work in BC.. Since BC is one of the provinces that require degree entry practice.. Will I still be able to register to work there??? Thanks in advance!
  3. Hi everyone! I am close to taking my first assignment. I have my visa certificate & soon will have my CA license. I am currently speaking with CCTC. I would like to know of any other companies you guys can suggest based on good experiences.. Thanks in advance!
  4. purseOnalityRN

    crowded ER, solution?

    Yes! that is correct! Each unit has one emergency stretcher, recently a few units have another extra stretcher making it a total of 2 stretchers. Of course the ER sends up pts that are "stable" & already waiting for a bed. We have no choice to say "NO we are too busy" anymore. Unfortunately it makes for an unsafe situation - as none of the units are adequately staffed to handle another pt ---- never mind the shifts when we are working SHORT. I do realize this does make more room for the pts in the waiting rooms though.. It helps to improve the flow of pts in/out of the ER -- although from a floor nurses point of view.. It can be quite unsafe on the floor when that stretcher is in use....
  5. purseOnalityRN

    crowded ER, solution?

    After a recent turn of events in our hospitals here (overcrowding of ER, pt dying in waiting room, miscarriage in waiting room etc) the health region has enacted "Emergency Capacity" program. This program comes into effect in each hospital if: ER reaches full capacity, ambulances are on Red Alert with no place to drop their pts off b.c there are no beds. This directly affects the WHOLE hospital. Each unit has a designated "Full Capacity Stretcher" with a room equipped to hold the stretcher. For example, our unit had a two person room formed into a three person room to hold the stretcher in between the two beds. New curtains were installed, extra oxygen hole in the wall etc. This means that when full capacity of the ER is reached, the ER can start sending pts up to these "stretchers". We are not extra staffed for these extra "stretchers" to be used. Often times the room is so small that the most stable pt could be sitting in the hall for the rest of their stay. Each unit in the hospital has at least ONE "full capacity ready" stretcher, with some units now having two of them. A lot of staff are outraged with the implementation. It was communicated THE DAY BEFORE implementation through an emergency meeting. Many staff are angry stating that we are not staffed adequately to handle the current pts, what more with another. This Emergency Capacity program has been in effect many times on the unit I work on & at other hospital sites. But for now, this is the bandaid that the upper echelon has in place to handle an overcrowded ER.
  6. purseOnalityRN

    Crossing the Line?

    Firstly, I believe you should review your nursing ethics carefully. We have a professional bond with our pts that END when they are discharged. I am sure you had that initial feeling of uneasiness when YOU KNEW that the relationship was crossing therapeutic borders. I have been in many situations where I have felt this way - and you can still give the best care possible even when you have to vocalize professional boundaries. Even with the slightest gesture of a gift or food - I always establish to my pts & their families that gifts must be given to the unit as a group.
  7. purseOnalityRN

    nailbed pressure

    Thanks Neuro Geek... I will for sure spread the word.. I'm sure many nurses are still using nailbed pressure especially now since "sternal rub" is not allowed! Trap pinching is where it's at!
  8. Hi everyone! I am contemplating doing an MBA in public management. I am wondering if there is anyone out there that has done so before or has an opinion on it. I would like to know what kind of opportunities exist for nurses holding an MBA (Masters in Business Admin)... As far as I know: health care consulting, project management,... Any responses would be really appreciated!:balloons:
  9. Hi Everyone! I'm am on my way down to California in a couple months. I am a Canadian Nurse about to take a travel assignment with a hosp (unsure of which on exactly yet) in San Francisco. Apparently, I have heard very bad stories regarding the way travel nurses are perceived & treated by regular staff RN's. While I am sure this is not always true across the board, I would like to prepare myself as much as possible for the "dynamics" change I will face coming from a Canadian health care system. Below are some things I would like to know & in brackets I have listed how my hospital in Canada functions on a typical MED SURG unit... Please tailor your responses to a typical med surg unit in a teaching hospital if possible! Please any response/assistance would be appreciated! *type of nursing (primary with a bit of team: one charge nurse who reports to docs, takes care of lab results, takes care of pt issues as reported by the primary nurse, each nurse has own pts) *nurse:pt ratio (4:1 on days, 5:1 evenings, 6:1 nights) *beds & specialty (18 beds, thoracic/gensurg, 650+ beds in hospital as a whole) *staffing mix & duties (RNs provide primary care - vitals, assess, meds, washing etc, LPNs provide primary care - vitals, assess, meds, etc., NAs shower pts, clean equipment, run bloodwork, UNIT CLERK - processes orders) *medication admin (pyxis machine: narcs & other meds, rarely mix iv solutions as pharm does it) *iv push on the floor (rarely done except in emerg situations, only some RN's certified to do) *EKGs done by whom (EKG tech, RTs, interns, never by nurses) *unionized (yes big union) *blood work done by whom (lab techs, RNs do central line draws) *charting (tick charting, all on paper) Please feel free to copy & paste etc. to make it easier... also add any additional info you feel is important.. I really do appreciate this! I am quite anxious about it all! :balloons:Thanks!
  10. purseOnalityRN

    nailbed pressure

    Hi! In my neuro orientation we were taught: Do: 1st Peripheral Stim: nail bed pressure 2nd Central Stim: trap pinch Now I have always questioned the above sequence, wondering if we can just go to central stim? (I no longer work Neuro) Can you please clarify? Is it just pointless then to do the nailbeds?
  11. purseOnalityRN

    UNA negs

    Hey Gals, I too read through the 17!!!! pages of negotiations/positions as of April 5th & I am utterly appalled. How can the employers REALLY treat us this way when there is a critical shortage, problems with retention & recruitment to say the least! We've been literally breaking our backs, burntout, stressed to the max! Now really, I have only been a nurse for 4 years now - I have spoken to nurses with 25+ years experience & they have stated that working conditions have NEVER been so bad. I really do feel like I'm voiceless, helpless etc. as upper management never seems to listen to any issues. At the local meeting they stated we should keep voicing our concerns to management. Can we count on our union to keep fighting?? I'm really worried.
  12. purseOnalityRN

    Upper Management

    THAT IS BS! What the heck. Sure some nights are boring & you may find useless things to do... But for the most part - on my gen surg unit anyway - we are constantly on the run. There are three nurses (1 lpn, 2 rn's). Some nights we run like mad doing frequent assessments, admitting from ER, taking off service pts at like 0300. What the heck do they want you to do more of during nights? Do they want you to wake up pts and do bed baths? They really do have balls of steel to speak that way to you.. how appalling!
  13. hi everyone, i am a canadian nurse ready to accept a travel assignment with cctc. i would like to go to the san francisco area. in particular i need good transportation ie. bart access. are there any hospitals that are connected directly with a train station in san fran? any comments on the hospitals suggested by my recruiter below would really be appreciated. i am really trying to set up the best experience for myself so please i welcome any comments at all. thanks in advance! california pacific medical center ucsf medical center sequoia hospital in redwood city st luke hospital in san francisco st mary's medical center :spin::spin::spin::spin::spin::spin::spin::spin::spin::spin:
  14. purseOnalityRN

    CAN you believe this! - Bad Portrayal of nurses in my local paper

    Here's my letter: RE: Nov. 7: Ivan Miller, It's unfortunate that you find it insulting nurses are regarded as professionals. Nurses save lives, tend to sick ones, create a shoulder to cry on for family members, and make critical decisions on a daily basis - ones that you may never understand or find important because you do not possess the years of training a registered nurse must endure. We would not need four years of university to simply follow a manual. Unfortunately you are incorrect - we do perform HIGHLY COMPLEX tasks, and demonstrate a HIGH LEVEL of judgment ON A DAILY BASIS - we are regarded as professionals. There are over 25 000 nurses practicing in Alberta today. We are the quarterbacks of this health care system and it is truly demeaning to have a member of the community make an opinion without walking in our shoes. It is also surprising an accountant would demonstrate such insolence.
  15. purseOnalityRN

    CAN you believe this! - Bad Portrayal of nurses in my local paper

    here is yet another posting in the paper's opinion section.. the first one is really bad, the next one is a sort of rebuttal.. omg i don't know where to begin how frustrated i feel reading this in the newspaper. :angryfire:angryfire:angryfire:angryfire:angryfire:angryfire:angryfire:angryfire:angryfire:angryfire:angryfire:angryfire:angryfire:angryfire:angryfire re: oct. 29 letter. i oppose carol carbol's labelling of nurses as professionals. nursing should not be awarded the same status as a true profession such as law, accounting, medicine or dentistry. a true professional performs highly complex tasks and demonstrates a high level of judgment. nurses must follow policy and procedure and make low-level operational decisions. as an accountant, i am insulted that a nurse would believe they are my equal. ivan miller (don't get sick.) re: nov. 4 letter. t.a. ball. i certainly hope that if you ever need a nurse your opinion of nurses takes a drastic change. walk a mile in my shoes! there is a nursing shortage because nurses are overworked and under-appreciated by people such as yourself. i have been a registered nurse for 31 years. i make life-and-death decisions on a daily basis. would you want an uneducated person paid minimum wage administering your medications? starting your iv? assessing your wound or incision and changing the dressing without knowing sterile procedure? changing your tracheotomy? joanna hysler link: http://www.edmontonsun.ca/comment/letters/2006/11/07/2264780.html