jennylee321

And a 76 in leadership is fine, don't be so hard on yourself !

Hope you like sputum! Kidding aside, it would be a great environment to start in peads

"We promise the staffing will get better". I wouldn't believe that until it actually starts happening.

I know there was a big uproar among nurses when mcdreamy's ETT was only in at like 5cm

Even without codes to consider, how about nurses being able to take the breaks they are legally entitled to. So yes minimum of 2.

I feel like orientation plays a big factor in whether new grads are successful in critical care areas. Level 4 NICUs have been hiring new grads for years through children's hospital residencies. Because I had such a extensive orientation my transition was a smooth one.

You can get into a very negative way of thinking after applying to so many positions and not hearing back. I'm sure many people can relate to this feeling. But be careful, this was of thinking can spiral out of control and affect the way you are coming off to people.

To clarify wasn't saying there's no chance LHSC will hire you but because everything is centralised through HR if they denied your application at this first point, the same thing will keep happening. Glad to hear you got a job in LTC. Because LHSC is unionised it makes it difficult to get in especially full time. What is your home county/ first language?

I think most nurses have a pretty good sense of when other nurses are drowning. Whenever I'm super busy dealing with a decompensation or admission nearby nurses are typically either helping me or if they are too busy themselves, they have the courtesy not to ask me for help until I've got what I'm dealing with sorted. Whereas I often have little stretches between my tasks where I will float around and see if anyone needs help. These are the best times to offer help because if you offering help when you really are quite busy the help you are offering won't be overly helpful (wow that was a lot of helps in one sentence lol). I think frequent communication with colleagues is important to teamwork. I'm often working in a specific clinical area with 1-3 other nurses and I communicate when I have important things going on so we can coordinate tasks that require 2 nurses as well as breaks. When you are offering help I think the most important thing to do is being specific in your offer. Particularly when someone is being held up with one busy patient. "Do you have any meds so for your other patients that I can do?" "Do you want me to do a round on your other patients?" "Should I call the on call doctor to get some orders for you?" Ect. Offer things that you can reasonably do within your current workload. Sometimes people ask me if I need anything, but they don't mean anything. They don't have time to stay for a 20 min procedure. So communication is key.

She needs to be held to a higher standard because she's the lead nurse, it isn't like she's just a peer so this behaviour needs to be addressed. There's a lot of nurses out there who love thinking they are god's gift to nursing. And only they can save the patients. Her behaviour is unprofessional.

I think when we see connections between the Krebs cycle and our practice, these are special moments that we keep to ourselves because no one else earned this special moment Hahaha I actually explained somethinh to a new staff recently and related it to the Krebs cycle. They looked at me like I was cray, but I was fresh off a pathophysiology post grad course.

I don't think any non sibling children should be visiting, siblings only when their are childcare difficulties. It's difficult having small children in the NICU all the time and they spread germs like wildfire

I work in baby land where we double check almost all medications but I imagine paralytic should be a mandatory double check.

A lot of NICUs hire a lot of new grads and then train them up using residency programs. That's not to say it's not possible, we just hired some nurses with adult nursing experience but that is because our demand for hiring is greater than the pool of nurses applying with NICU experience. NICU is a competitive specialty that may require you to move if you are really wanting it badly. I see people on here posting about how they commute 2 hrs for their dream job but then they end up resenting the job because the commute is destroying them so I wouldn't recommend that. Do you have anything on your resume that shows you are interested in neonatal? That'll be what would help you stand out in a large pool of applicants. You could volunteer for a neonatal charity or Ronald McDonald house or you could attend a neonatal course or conference. This shows the manager how interested you are in the speciality. Would you be willing to take a peads position ? Might be an waited transition from adult med surg and might make it easier to get into NICU.

Go get a few years work experience and then come back to this decision. Working in the area you might realise neither of these jobs are for you.