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toronto rn

toronto rn

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  1. toronto rn

    Angina question

    we pronounce it an gi (long i) a here
  2. toronto rn

    Narcotic storage

    Just wondering how other units sign out and store multi-dose narcotic syringes. for example mixed morphine 2mg/ml 10 mls or other narcotic. Can a filled syringe be kept at the bed side?, what safety practises are used? What practise is used for storage if syringes are left at the bedside? or must all doses be individually signed out of narcotics storage. I would appreciate any responses
  3. toronto rn

    Lasik Surgery Opinions Needed

    My husband kept getting scratches on his corneas from prolonged contact use, he hated glasses and as a result took the risk of the lasik surgery. That was 2 years ago and he says it was the best money he ever spent. Immediate improvement and he didn't have any complications. My only concern is the longer term issues with aging eye changes. Presbyopia will still come with age and result in eventual need for glasses with most adults. In any event he's happy+++ and recommends it to any who qualify. Cost was around $1400. both eyes canadian.
  4. toronto rn

    Have you ever "caught" anything from your patients?

    I've had to take rifampin three different times after meningitis exposure. A coworker of mine was exposed to cytomegalo virus while pregnant and tested positive resulting in an agonizing wait to see if her child was born with problems. (thankfully not). We had many floors quarantined because of Norwalk virus over the fall and christmas, many nurses became ill with this virus. And of course the worst of all is the SARS epidemic which has affected many nurses and health care workers, some who still remain in critical condition. Universal precautions are no longer enough to protect health care workers.
  5. toronto rn

    Concert for Toronto Tickets

    Ernie Eves announced that 3000 tickets have been released for the concert for Toronto being held this Saturday. Apparently they will be distributed to front line health care workers who have dealth with the SARS crisis. Has anyone out there heard how to get tickets or have anyone's hospital started distributing them. I had tried to buy tickets when they went on sale but they sold out quickly. I have been in contact with various people at my hospital none of whom have heard of the tickets. Any leads would be helpful as Saturday is coming soon.
  6. toronto rn

    Take-home pay

    Hi Gail, generally pay is every 2 weeks although your first check may take 3 weeks to come through. The tax rate seems about the same as you have stated with pension deductions, employment insurance and health benefits. Likely your take home pay after deductions will be in the range of $1400.00- 1700.00 canadian dollars every two weeks. Working weekends and night shift can add a hundred or so to the total. You may not start contributing to the HOOPP pension until you have been employed for several months, also extended health coverage - dental, drugs, etc can run in the neighbour of $70.00- deducted once a month, union dues are mandatory as well deducted the first pay of the month-$55.25. Parking is a problem downtown with lots close to the hospital charging up to $18.00 a day. I believe St Michaels hospital gives a travel/parking allowance to staff of $85.00/month. Good luck with budgeting! rents can be a little steep.
  7. toronto rn

    danger pay

    I believe some nurses and health care workers will be compensated for lost shifts due to quarantine. I saw a government notice about it at work last night but I don't know if it covers inconvenienced vacation time , by rights it should. I spent yet another shift working in the SARS critical care area and am schedualed to work there for the next two weeks. The RRT that was on reported how health care workers from Scarborough General Hospital were already starting to receive double pay, herself included, as she works there too. I agree that the quickly agreed upon danger pay is a ploy to distract from the bigger issues, but it still smarts to work with the same risks, same patients, and not receive the same pay. I have decided to start working with an agency on a casual basis, not just because of the money, but because the politics are too much and I need a break from it. Safety comes last unless you work at the select 4 hospitals. The nurses working the SARS unit were informed this morning at Screening that the 3M 9211 N-95 masks that a lot of the nurses were fitted for, wouldn't be available in the future. These masks were in short supply so the government has recommended that the nurses at St Michaels hospital get first dibs at them. Nice to know that we count.
  8. toronto rn

    Funny phone calls

    One night we were unindated with calls, a harried nurse answered the visitor line for the 10th time. The caller identified himself as Mr. Subdeliveriman. Used to a large compliment of Sri Lankin patients with long names the nurse checked the name several times before announcing to the visitor he had the wrong area. Only then did another staff come forward to say he had ordered out and had his Sub arrived yet.
  9. toronto rn

    Shortage of SARS masks?

    good one!
  10. toronto rn

    danger pay

    I'm glad for the health care workers who will benefit from this but totally miffed that only a segregated few, out of the many who have risked their safety, will be recognized. From the Toronto Star SARS workers' pay to double Deal would pay full-time nurses roughly what temps are paid The Ontario government will cover the cost of doubling pay for health-care workers on SARS duty at four Toronto hospitals, Ontario Health Minister Tony Clement said today. Clement said the government supports the move to increase compensation for front-line workers but did not endorse requests from other health workers in hospitals dealing with severe acute respiratory system that they also get more money. "There's a lot of pressure right now," said Clement. "(But) if you're saying that the solution to SARS is to pay everyone double in the system, that isn't the solution." Clement said the four hospitals, which have formed an alliance to combat the SARS outbreak, are a "special case." "That has to be recognized as such and that has to be remunerated as such." Nurses combating SARS have been particularly unhappy that agency temps brought in to help in the fight are being paid at a premium. The new hospital deal would pay nurses at the top end of the salary scale about $66 an hour, roughly what the temporary nurses are being paid. "I'd rather have a full-time nurse than an agency nurse," said Clement. X-ray technicians and other staff who work with SARS patients or in SARS screening will also get the premium. The Ontario Nurses Association says the extra money is welcome but wants it paid to all nurses at risk of contracting SARS at work, even if they aren't working directly with SARS cases. The four hospitals are Scarborough General, North York General, St. Michael's and the Etobicoke site of William Osler Health Centre. All are part of a new alliance formed to handle the bulk of SARS cases in the new cluster discovered late last month. Clement's comments came as nurses gathered at Scarborough General to protest the province's handling of the outbreak. They have previously expressed concerns that they have not been adequately protected from contracting the illness. NDP Leader Howard Hampton, who attended the rally, said he will introduce a private member's bill in the provincial legislature in an effort to initiate a public inquiry into how Ontario has responded to SARS. "The refusal of the government to hold a public inquiry says to me that this is a government that has something to hide," Hampton said. The health workers want the province to implement a standardized system at hospitals provincewide to better protect them from infectious disease. Hampton said the government acted prematurely in promoting tourism and business following the economic fallout from the first outbreak of SARS and should have focused on harnessing the disease while protecting health-care workers. "The government let its guard down and the government doesn't want the public to know it," Hampton said. "We need a full, open and independent public inquiry that provides health-care workers with whistle-blower protection-that's exactly what my bill prescribes." Ontario Premier Ernie Eves has promised a review but will not commit to a full-scale public inquiry. In an open letter to health-care workers today, Clement acknowledged their safety concerns. "We are taking appropriate steps to help prevent the spread of SARS and other infectious diseases," he said. Clement also praised their dedication, but reminded them of their No.1 priority: "While I know how hard it is sometimes, our patients must remain our priority."
  11. toronto rn

    Do you Smoke?...Be honest...Please

    I smoked for many many years. I quit with both pregnancys and restarted weeks after giving birth. The last few years, especially with my kids getting older, I started feeling a lot of pressure to keep my bad habit secret. I wouldn't go on field trips because I wouldn't be able to sneak away for a smoke. I would wash my hands and face frequently and change clothes to eliminate the smell so other parents wouldn't notice. The stigma of being a smoker was getting very uncomfortable so after many attempts I quit. It's been 1 year and 5 months and up until a few months ago I still craved it every day. It's like being an alcoholic. I will be a smoker until the day I die I just have to never have another one. The magic combination that worked for me was Zyban and during non sleeping hours wearing a low dose nicotine patch. Zyban gives you the shakes for the first week but that goes away, the patch gave me technicolour dreams and I still have insomia but I don't smoke. (forgive me but I do miss it still)
  12. toronto rn

    danger pay

    I just heard that the four Toronto hospitals designated for the care of SARS patients will be paying the nurses working with SARS patients danger pay at the rate of double their usual salary. I know it is early yet in the designation of this pay but is this fair? The critical care unit I work in has taken care of SARS patients from day one and currently our SARS floor and all of our negitive pressure isolation rooms are full with critically ill patients who are designated as suspect SARS. My hospital wasn't on the list of hospitals receiving danger pay. For that matter neither was several other hospitals which are designated level 2 with nurses who are still quarantined. Many of the nurses who are hospitalized with SARS didn't work in the SARS area, they didn't percieve themselves to be at risk yet they were more at risk than anyone else. Is this designation of danger pay fair?
  13. toronto rn

    SARS What you need to know

    Epaminondas- It is very easy for you to criticize. There isn't a country in the world which could have handled this outbreak with 100% effectiveness. No one knew what they were dealing with and answers are still being sought. If you rely on newspapers for your analysis and insights you are basing them on already biased information. There is no doubt that mistakes were made. There is no doubt that isolation practices were relaxed to soon. Hindsight is always 20/20. But putting things into perspective Toronto has a population of 4 million people, based on current information the chances of catching SARS in Toronto is less than 0.001% unless you are a health care worker. Most of the people affected in this latest outbreak are nurses. Quarantine prevents community spread and so far it has worked admirably. So criticize away. Being incognito on this board means you will never have to deal with such a situation or face the same scrutiny. I thank the other nurses on this board who have been ultimately supportive and show the integrity and caring that the art of nursing is based on.
  14. toronto rn

    Support your collegues!

    Thank you for your thoughts and consideration, it is nice to have an outlet with this bulletin board, and know that our efforts are appreciated.
  15. toronto rn

    If there was a SARS case in USA?

    I think the standard for care of SARS patients is pretty much universal at this point, regardless of where in the world the patient is located. Supportive care for the most part with supplemental oxygen, Ribavirin is used but has tremendous side effects and has not proven to be beneficial. Steroids may be given on the off chance that the respiratory compromise is due to COPD rather than SARS. (now a days any respiratory patient with a fever is isolated and treated as a suspect until proven otherwise). My understanding is that regardless of treatment most patients recover in about 2 weeks. The ones who require ventilation obviously have gotten a more severe form of the illness and the mortality rate can be significant. The resurgence of the virus in Toronto, Singapore and other countries only demonstrates the difficulty in distinguishing and controlling SARS. I don't know if there is a milder form of the virus in the USA, since there have been no deaths there that I know of. I wouldn't say that the treatments are any more effective because there really hasn't been any uncovered as of yet that is working. I suspect that many of the cases in the USA were not SARS. But there are definitely probable cases there, I hope the SARS cases continue to remain contained and the affected areas keep up their admirable low mortality rate. We are in the midst of reorganizing SARS care facilities with 4 main hospitals taking on the brunt of the cases. Lots of uproar about danger pay here, since some nurses are getting up to $100.00/hr to work in SARS areas and others are just getting straight pay.
  16. toronto rn

    How is your hospital prepared for SARS?

    I think Canada, or at least Toronto is no more suseptable to people bringing in the virus than any other country. Closing borders is an extremely drastic measure. Economics aside, SARS is predominately in the hospital setting at this point, so a closed border wouldn't solve anything. Although the initial case came from China, most other cases have developed within the localized area of the hospitals. Screening people is the key, which is why I am interested in how other hospitals are prepared.