fergus51

fergus51

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All Content by fergus51

  1. Watch Your Language - Breast Isn't Best!

    My only problem with baby-friendly designation is that it often isn't (baby friendly that is). I actually worked at a rural hospital in Canada that wanted to get that designation and it led to some...
  2. Well, according to the NICU nurses I know who worked at MCH before the union, the wages were terrible before CNA (LBMMC has the same contract don't they?). They were getting paid much less than places...
  3. nurse/active labor pt. ratios

    I never had more than one active laboring patient when I was in Canada, but did take two almost routinely when I worked in Washington state. It does do a diservice to the patient IMO. How are we...
  4. Watch Your Language - Breast Isn't Best!

    The problem is unless a woman tells us, we have no way of knowing her sexual abuse history. That's why NO woman should be pushed to breastfeed if she doesn't want to. We just can't know what leads a...
  5. Obstetric fistula--an epidemic in Ethiopia

    I know what you mean. A lot of people nowadays forget that women used to die ROUTINELY in childbirth. Access to a trained birth attendent is just too important to overstate. My dream is to actually...
  6. NICU Changes

    You may call vapotherm "High flow" (that's what we called it when I worked in Ontario). Basically it's just a system that humidifies the flow through the nasal canula so you can give up to 7 or 8 LPM....
  7. Obstetric fistula--an epidemic in Ethiopia

    Sure, since age can be a cause of cephalopelvic disporportion. But with good obstetrical care, this wouldn't be an issue. It's very
  8. Watch Your Language - Breast Isn't Best!

    I actually think that's important to acknowledge. I've had patients with previous histories of sexual abuse who could not get into breastfeeding (and you don't always know who has a history of sexual...
  9. Why so many quit during first year?

    I think this is more the norm in Canada. New grads who are hired on med-surg floors often get only a set of shifts as their orientation because they don't need a big preceptorship (they did that...
  10. canadian healthcare vs US

    I've never heard of a system where private hospitals were available only for cash purchases and insurance companies weren't involved. I just don't see the practicality of that since most people...
  11. need information on how to work in US

    You need to write the NCLEX and get licensed first as well as get your visascreen. It is usually fastest for Canadians to get their initial license through
  12. canadian healthcare vs US

    I think that's what Canadians would want. The problem is NAFTA. As long as that's in place, should Canada choose to privatize healthcare in any fashion they can no longer protect it from American...
  13. Surfactant use in premature infants

    We did this at my last hospital, my current hospital does not. I have noticed the babies take longer to wean and more of them go home on O2 at my current hospital. Their lungs are worse down
  14. A question re: Albumin Transfusion

    We draw it up with a filtered needle, but infuse it through regular microbore
  15. canadian healthcare vs US

    Sure it can work efficiently. It often doesn't though. I actually like a lot of things about the UK and Australia's systems from what I've read and heard from friends and family. Unfortunately, thanks...
  16. canadian healthcare vs US

    I DEFINITELY agree with you on that one. Unfortunately the Romanow report recommendations seem to have been mostly ignored by the provincial government. I just find a lot of Canadians think a...
  17. canadian healthcare vs US

    The problem here is you think Americans don't pay as much and get good coverage. I live in California and after my medical insurance and taxes I take home the same percentage of my wages as I did when...
  18. canadian healthcare vs US

    https://allnurses.com/forums/showthread.php?t=55103&page=2&pp=10 This was a thread done a long time ago, but sums up my
  19. canadian healthcare vs US

    I've lived and worked in both Canada and the US. As a patient, I prefer the Canadian system hands down for a variety of reasons. This has been covered on this bb many times so I suggest you do a...
  20. Obstetric fistula--an epidemic in Ethiopia

    Genital mutilation doesn't cause fistulas. It's the unobstructed labor that causes a fistula. Again, from the above website: Q: I heard that fistulas are a result of female genital mutilation. Is...
  21. Obstetric fistula--an epidemic in Ethiopia

    Squatting doesn't cause fistulas. This is from the website above: Q: What is an obstetric fistula? A: A fistula is a hole. An obstetric fistula of the kind that occurs in Ethiopia (and many other...
  22. Why don't nursing schools offer ICU electives?

    I should add, you don't have to be Canadian to take these
  23. One of the reasons I don't do rural nursing! :chuckle Way too stressful for
  24. Co-sleeping?

    I think that might be a little harsh. Some of them probably just don't know how soundly they can sleep when they are very sleep deprived (like most new parents are). Honest mistakes
  25. This struck me and I have to ask: Have you worked many different nursing jobs? Unfortunately in my experience, this is not the reality in MANY hospitals. I agree it should be, but I haven't seen it...