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Countrynurse17's Latest Activity

  1. Countrynurse17

    Paramedics and palliative care

    Hi everyone :) i am looking for some insight on a situation i ran into lately. Im a rural visiting nurse, and have palliative care training etc. but this was something new for me. This client is at a retirement residence, in which there is a UPC in charge over the weekends - my understanding of this facility is that the nurse manager must delegate the meds and all that to this worker. Anyways besides the point. I have been caring for a lady who is palliative, PPS 30 %, symptom relief kit and orders in the home, DNR signed and expected death folder filled out. She expirienced respiratory distress over the weekend, tachypnea, so i was called in to administer palliative care meds from the symptom relief kit - all very normal for us so far, nothing out of the ordinary. The relief kit orders are standard, and we have hydromorphone 0.1-0.3 ml ordered SC q1hr as required for pain relief and dyspnea. So i started a SC line and administered the lowest dose, 0.1ml, which works out at 1mg - sat with her a while, then asked the staff at the home to continue checking on her and call me back if no relief expirienced. So a little over and hour i recieved a phone call asking me to come back as she was still tachypnic. She looked just as bad as the first time i was in, so i reassessed, and administered 0.2ml this time, as covered in her orders. These are the bare minimal orders, i have seen higher for those who could not achieve lain relief, but there is how we always start off and ive never had any issues. So i stayed with her again, until she was comfortable, she was able to talk again, short answers but enough to say no pain, and breahing was becoming easier. So i reported back to the upc and told her to call me again if she has any problems. I got a frantic phone call about 2 hours later from her asking me to confirm the dose i gave, as she panicked and called the EMS as when she checked on the client last her resps had dropped to 8 and her pupils dilated... The paramedic got on the phone and immediately started accusing me of overdosing her! I read him the orders and there was a copy in the home also, told him exactly what i gave and what time along with my assessment at each visit... So my question is do paramedics do much training with palliative care situations? I dont believe the ambulance should have been called. Its a normal effect of the hydromorphone to slow her respirations to where she is comfortable and unlaboured so she can rest. My only intention was to minimalize her pain and resp distress. So needless to say my stomach dropped when he said i overdosed her. Ive spoken with a palliative care nurse educator as well as the manager on call that day and both of them tell me i did absolutely nothing wrong. I understand the hydromorphone may have hit her a little harder than expected, i absolutly did not intend to snow the poor lady, but the orders were correct, extremely common, and not questionable dosing. Any thoughts? Anyone else had a similar expirience they dont mind sharing? And i should mention im in northern ontario. Just incase anything conflicts with something in someone elses jurisdictions :)
  2. Countrynurse17

    Athabasca Post LPN to RN - How long did it take you?

    Myself as well, also rpn in ontario, looking at the same root! Id love to get in touch and hear how the entry process was transfer credit wise.
  3. Countrynurse17

    Ontario RPN grad moving to Alberta.. BSCN options?

    Thank you for your reply. I apologize if i worded the education difference in an offensive manner, however, the reason i stated it is because ontario graduate requirements are different clinical hour wise. We complete a much longer consolidation term of practical hours than those studying in alberta. Our course load throughout the program however is similar. Did you take the athebasca program?
  4. Hi guys, I recently graduated from the RPN diploma program in Ontario. My sweetheart and I are moving to Calgary soon, and I'm thinking about going back to school in September. I've done quite a bit of research about transferring my license and what not, and have decided I am going to keep my registration in Ontario current as well as hold Alberta registration in the LPN class. Im wondering if anyone has experience moving out there as an RPN, and gaining your RN during that time. From what my understanding is, ontario RPN grads are educated slightly higher than the LPN programs in Alberta. Wondering what type of transfer credits may have been offered, and if anyone had any school/ program recommendations :)
  5. Countrynurse17

    Switching License from province to province

    HI :) Im preparing to write the CPRNE in Ontario to be a registered practical nurse. My spouse and I are planning a move to Alberta (Calgary) next spring, and I'm looking to hear others expiriences with nursing in another province after being licensed in Ontario. What will I have to do to transfer my license into Alberta? Is it still called RPN there, or is it LPN, and is so, is there a scope difference than in Ontario?
  6. Countrynurse17

    exhausted all options..

    Hi there, Im new to the site, looking for some direction or guidance, or even some ideas of where to go from here. so I guess ill tell you my background to better understand the situation: I was a 3rd year BSCN student at York U in Toronto Ontario, a collaborative program with the first two years being at Georgian - not a problem while I was at Georgian - was able to obtain osap to cover my tuition and books, and worked as much as I could to cover my living expenses, it was hard, but it was do-able. so now at York in 3rd year, about 2 weeks prior to final exams, I get a letter from OSAP stating ive been re-assessed and no longer eligible for funding - including the semester I was just about to complete - yes, the funding was actually withdrawn, and I was told my osap I was not eligible to apply nor receive any further funding until I re-payed a portion of what I owe. (there was no lapse in schooling here, my loan was never in repayment status) so ofcourse at this point im devastated, I managed to finally speak to someone who takes care of loan decisions and what not at OSAP, this lady was extremely rude, didn't have a care in the world to speak to me, and had the nerve to call me a "princess" for wanting to save myself money and remain where I live now and just commute, rather than sell my car, move close to the school and pay extremely high rent for half the size place I live in now and have to struggle to find another job that was willing to work around my school hours and still provide me enough hours to keep the roof over my head. the school was ABSOLUTLY USELESS, and suggested I take an LOA for financial reasons and take the year off to work and try to save up some money. so at this point I had no options, I was unable to pay the tuition being that I didn't have enough saved to pay the tution being two weeks to the end of semester, so I lost all my credits for the semester, and was put on LOA status to return this September. In the mean time, I have worked full time for an agency with steady reliable hours. Unfourtunetly, it doesn't pay a fortune, but I am happy there. i managed to pay off what i owed to OSAP - i re-applied for this September to go back and guess what? IM NOT ELIGIBLE FOR FUNDING NOW BECAUSE I HAVE SUFFICIENT RESOURCES AFTER WORKING FULL TIME FOR HALF A YEAR. they didn't take into account that i wasn't able to save enough to get me through a whole year because i was busy trying to pay them back after being harassed every month i was off about my loan status and not being able to apply until it was paid and blablabla. so long story short im not returning to school full time at this point as i have no other options. I am not eligible for OSAP, can't get a student loan ( believe me, ive tried everything, i have no co-signers, family is unable to help, and my credit rating is much less than perfect due to circumstances that happened in my first year of college very much out of my control ) ive applied for grants, bursaries, you name it, ive tried it - my marks are not competitive because i spend almost every waking hour outside of school working to pay my bills as when i did receive OSAP, it was very minimal. I've dropped into the part time RPN course at Georgian where i did my first two years of the collab BSCN program. they were quite helpful in the transition, i get to work during the day and go to school 3 nights a week. ive paid the tuition out of pocket. but now im starting to panic - my consolidation starts in September, 44 hours a week for 10 weeks - how the heck am i going to pay my bills!?!? OSAPS not an option, loans not an option, and i can't rely on possibly being selected for a bursary, i need some sort of steady income while i complete my consolidation but i am so exhausted of being shut down and told too bad your on your own, i don't know what else to do. I am so close to finishing and being in my dream career, i don't get why its so hard for osap just to help me out!! i gotta pay it back any how! if anyone has any advise or ideas of what i can do to get through my consolidation id really appreciate it. please don't say save up..... i just had to save up all the money for my tuition out of pocket on an extremely tight budget as it is, i need approximately 3800$ more in living expenses (tuition not included) to get through my consolidation without missing any bills. is EI a possibility while completing my consolidation? does anyone have experience with that?