kheemooy

Hi there, would love to know how your transition was. And if you're still working in ER. I am a NICU nurse with 15years of experience and thinking of transitioning to ER. Would love to know what helped you and how it's been. Hope to hear from you! ?

I didn't say your comments were not helpful. It's just that some previous comments (not you) sounded condescending. But hey I might have taken it in a different way or so. I appreciate all the comments here regardless. I mentioned "USA" coz i'm still deciding which state to go for. I've been considering Texas, Nevada and Minessotta. I've done my research for each state, and still gathering all the requirements. And I was wondering if somebody had at least a similar situation as mine, i'm not saying that I would just rely on other people's experience/words. Anyways, I'm just saying my point and why I made that comment. And I appreciate everybody's insight.

*i meant thread* sorry

Ok got it! Thanks! Finally somebody who actually made a helpful comment. I've read some threat about IEN in Texas got exempted because they were able to provide certification that English was the language used in teaching and textbooks used in the nursing program. Not that I want to bypass the English exam, but it would be nice to save time and money. But I think I'll just do it either way since majority of the states require it.

Well obviously I know that I can't be licensed in USA, same as you can't be licensed in "Canada". What I'm asking is general since every BON 's basic requirements are almost the same.

Hi everyone! I'm wondering if there's anyone that has the same case as mine. I am an foreign educated nurse (Philippines) who is now Canadian citizen and licensed and working as an RN here in Ontario, Canada or 3.5 years. I would like to work or get licensed in USA. Here are my questions: 1. Do I still need to renew my Philippine nursing license for CGFNS reference? My dilemma is i haven't renewed my license since 2012 so it would be a lengthy process if I do need to. 2. Is there any way I can bypass the English proficiency? Maybe get a certificate that method of teaching and materials were delivered in English? -- Can't CNO just submit my language proficiency result to the licensing state? 3. Any Canadians there who moved to USA? What were your experiences with regards to finding employer/recruiter or migrating? Any response would really be appreciated. Thank you so much!

Thanks bebbercorn! Well yea, I guess I'm psyching myself. Besides it was my first try and I kinda got frustrated right away and just let my preceptor take it away. I was nervous of not getting it the second time. Hopefully I'll get more chances next time.

Hello there, I'm a NICU/Peds nurse with 4yrs experience and so far I can say that I'm comfortable with IV inserts on peds and neonates. But to be honest, the largest gauge I've used on a peds pt is gauge22. Anyways, I recently took a casual position on a Pediatric floor that actually receives off-service Gyne patients! I didn't know about this until I was orientated on the floor. To be honest I don't mind taking care of them I'm only a little uncomfortable doing IV sticks on them. One day, on my orientation we received a patient that needs bloodwork and IV. I insisted to try it out, and my preceptor asked me to use gauge20 instead. Of course I'm not used to this HUGE bore, even a gauge22 is already so big. I tried on the AC. I saw the vein but it was a little flat, not as juicy but my preceptor recommended to start it on the non dominant arm of the patient. In my mind, this shouldn't be difficult I've started IV's on the smallest veins and why couldn't I miss on big adult veins. And of course, first stick no flashback and I had to fish a little bit got flashback but flow is not good and I knew I missed it! Tried to flush it and of course it's interstitial. Holy crap! Was I ever frustrated! My preceptor might be thinking how come Im bad with IV's with all that 4yr experience. I'm not used to adult iv inserts. I think I went to superficial, I'm still applying my NICU/paeds tricks on an adult ivs. Also, I'm so used to having another person with me to assist in IV insert. Like we do in paeds/nicu we got another person to assist me. I guess I'm not used to the independent IV starts too. I'm kinda frustrated. Now I'm looking into IV therapy course to brush up my adult iv sticks . Anybody had the same experience? Can you give me some tips on how to adjust when it comes to doing adult IV's?

Am I crazy if I switch my specialty from NICU/Paeds to Adult ICU? I've always had this inner battle in my mind. I've been working in NICU for 4 years. 1 year being purely NICU 2B-2C, and 3 years working as a float between 2 hospitals both in paediatrics and NICU. Don't get me wrong I love what I do, I love my patients I like taking care of neonates and pediatric population. However, I'm getting tired of being thrown everywhere. Being a float is very challenging, especially now that management has been cost cutting everybody is being burnt out, a lot of sick calls and people leaving the department. And the sense of belongingness in one department is non existent. While getting a full time NICU position is near to impossible too, because seniority is always followed. I don't want to leave my hospital since I don't want to lose my seniority (and the fact that Canada is laying off nurses). Ever since, a part of me also wants to try out adult and try other department. I've always had desire to try critical care or ED. I've done continuing education courses like Cardiology Nursing 1 and 2, ACLS and now I'm currently doing Introduction to Critical Care. Now my hospital has opened 12 FT lines with educational sponsorship for the whole Critical Care Nursing Program 14weeks paid education. This is something my department doesn't have--Educational support for staff. I feel like ICU and ED has so much educational support and budget. Has anybody tried this major change? or went from Adult ICU to NICU. What were the biggest challenges that you've encountered, aside from holding a 900g premie to moving a 200lb adult (vise versa).

Am I crazy if I switch from NICU/Paeds to Adult ICU? I've always had this inner battle in my mind. I've been working in NICU for 4 years. 1 year being purely NICU 2B-2C, and 3 years working as a float between 2 hospitals both in paediatrics and NICU. Don't get me wrong I love what I do, I love my patients I like taking care of neonates and pediatric population. However, I'm getting tired of being thrown everywhere. Being a float is very challenging, especially now that management has been cost cutting everybody is being burnt out, a lot of sick calls and people leaving the department. And the sense of belongingness in one department is non existent. While getting a full time NICU position is near to impossible too, because seniority is always followed. I don't want to leave my hospital since I don't want to lose my seniority (and the fact that Canada is laying off nurses). Ever since, a part of me also wants to try out adult and try other department. I've always had desire to try critical care or ED. I've done continuing education courses like Cardiology Nursing 1 and 2, ACLS and now I'm currently doing Introduction to Critical Care. Now my hospital has opened 12 FT lines with educational sponsorship for the whole Critical Care Nursing Program 14weeks paid education. This is something my department doesn't have--Educational support for staff. I feel like ICU and ED has so much educational support and budget. Has anybody tried this major change? What were the biggest challenges that you've encountered, aside from holding a 900g premie to moving a 200lb adult.

Yup Fiona is right I'm an IEN from Philippines. I applied for both RPN and RN assessment. I have BScN in Philippines and worked for a year there, that's why my credentials apply for both. But eventually, I resigned my RPN license. lol. There's no point of maintaining both if I'm not practicing RPN anyways.

Well mine is different. It was something related to patient care and in a positve way. I told them I feel rewarded and fulfilled as a nurse see that patient very healthy now and how that experience made me more passionate about NICU nursing. The neonatalogist overheard the interview from the door and jokingly asked my interviewers if that was an interview or if they bit me or something, then we all laughed.

Hi everyone, I just wanna share my experience during my interview recently. So I had an interview for level 3 NICU. They asked me what made me passionate about NICU and I shared them my patient experience about a premie who I really touched my heart when I worked in NICU. I told them that being in NICU is very rewarding. I've seen this baby ventilated and went through everything. And I felt so fulfilled as a nurse to see her so healthy and smiling that I helped her get better. Then sudenly tears fell from my eyes, and yes I cried. I felt kinda embarassed in front of my 4 interviewers. There were 4 of them, I saw a lot of reaction. They were really nice and jolly. Although I didn't know if they found it funny or if they think I looked stupid. But they reassured me that it's okay, coz they've seen a few who also cried during an interview. Now, I don't know if that would make or break my chance for the position. I really don't know. Hopefully I get it, I felt that I answered their questions pretty well. Anyways, I'm just venting. I just wanna know what you think about my experience. Or if some of you had the same experience.

Hi everyone, I just wanna share my experience during my interview recently. So I had an interview for level 3 NICU. They asked me what made me passionate about NICU and I shared them my patient experience about a premie who I really touched my heart when I worked in NICU. I told them that being in NICU is very rewarding. I've seen this baby ventilated and went through everything. And I felt so fulfilled as a nurse to see her so healthy and smiling that I helped her get better. Then sudenly tears fell from my eyes, and yes I CRIED. I felt kinda embarassed in front of my 4 interviewers. There were 4 of them, I saw a lot of reaction. They were really nice and jolly. Although I didn't know if they found it funny or if they think I looked stupid. But they reassured me that it's okay, coz they've seen a few who also cried during an interview. Now, I don't know if that would make or break my chance for the position. I really don't know. Hopefully I get it, I felt that I answered their questions pretty well. Anyways, I'm just venting. I just wanna know what you think about my experience. Or if some of you had the same experience.

Nope. you have to book your CLBA appointment to your nearest Newcomer Information Centre (NIC). Google CLBA, then you will find out which one is near you. It's a 3-hr exam with oral, written and listening parts.

I actually enrolled at Nurses Education Inc. for 1 month. I also answered their mock exams, there were all in all 1500 questions that we did during the mock exams. I also answered them again. On top of that I answered all the prep guides twice. I answered them over and over, til I get tired of them. I think I answered in total of 3000 questions. I never stopped until 2 days before the exam. You gotta set your schedule everyday, set target hours for each exam. For example, 2-3hrs for 200items. I also developed time management when it comes to test taking. I go to public library everyday, so there's no distraction, no TV, no one will bug me. You really have to work double time and exhaust all the resources you have.

Purchase the Readiness Test, it's really helpful. Really looks like the actual exam. And if u can get your hands on the CRNE prep guides 3rd, 4th and 5th edition, it's really helpful. You will master how to answer psychosocial questions. 1month prior the exam, I answered 600-700 questions everyday. Over and over, until I get 95-99% in all the exams. I answered mosby's prep guide, lippincotts, mosby's comprehensive exam for nurses (orange) and the latest one (blue and orange). I answered them all, and I take notes on all the items I got wrong, wrote the rationale and make sure I understand it. Also, I read more on the topics i'm weak at. IMPORTANT: Read the question carefully, know what is being asked. NEVER OVERTHINK. I passed both CPNRE (May 2012) and CRNE (Oct 2012). :)

CLBA is different from CELBAN. CLBA is just an assessment for your CARE4Nurses Cass Manager to determine your eligibility to become a member of CARE. It's NOT an accepted proof of fluency by the CNO, and definitely different from CELBAN. I took CLBA before, because it's a requirement to be a member of CARE. I think if your CLBA is low or

Aww. I feel sorry to hear that. May I know what kind of error was commited by the person? I wanna be more aware since I am starting my career in ED in 2 weeks.

Hello everyone! Just an update, I am offered for part time ER position in another hospital. Here's my situation, I have just started my orientation in X Hospital (NICU part time position), 2 weeks ago. Yesterday I just received an offer to work part time ER position in Y hospital starting on April. My problem is, I need to be committed for 1 month fulltime orientation for Y hospital, and on the other hand, I also need to commit two 12-hour shifts for preceptor shifts in X hospital. Do you think my NICU manager will be okay with this? I need to ask her that I won't be available Mon-Fri for the whole April, meaning my preceptor shifts would have to be on weekends. A lot of nurses here in Canada do 2 part time jobs, so I thought I can do the same. But the twist is these are completely different specialty areas, meaning I have to learn so many things.

Sounds so interesting. Right now I'm still a novice for both specialty. But I'm really motivated to be that expert nurse in the future. :)

Yup, that's why I worked hard to be able to penetrate ED. I invested on continuing education and training. I'm young and I'm at this phase that I want to explore so many things. :)