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Missha

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  1. Medicine units are busy. And they usually assign the "harder" patients to the new staff. Harder meaning the patients that are more work, heavy and usually total care. Usually there's turnover because people find other jobs that are less demanding for the same rate
  2. My bf did NGG at SHN during 2021. He was on a medicine unit, I think the mentorship was only a couple of months before he was on his own and working full time. I can't remember if it was a 3 month or 6 month program, but I remember he didn't have a mentor after a month or two and after the program was done he transferred to regular full time staff. He was mainly at general site, I believe. I can't really remember, he's since completed the program and successfully applied for another unit. We actually live close to birchmount site and he asked for that location, but they didn't put him there. I applied to SHN at the same time as him as well, but for a part time position, even so, during interview they tried to offer me NGG... In medicine. I think most of the NGGs are on medicine units since they have the highest turnovers. My bf mentioned that it of the 4 that were hired into the NGG with him, 2 had dropped out before it finished. Just think of it as getting your foot in the door, you can always apply to another Dept as internal staff once you successfully complete the NGG.
  3. I'm looking into nephrology and Humber college is pretty far for me and the last course in their program involves clinical placement. I've found other colleges, Durham college program is completely online, a little cheaper and seems like no clinical placement at all. Mohawk college is also fully online and seems to have identical course subjects as Durham. There's also Conestoga college that is also fully online. Most job postings say they want Nephrology 1 and 2, not the whole certificate and I have a few friends apostasy in hemodialysis and they aren't required to finish the certificate. I'm wondering, are all these Nephrology programs equivalent to each other? Or does the Nephrology 1 and 2 specifically point to Humber college only?
  4. So I'm getting interested in this field and have been job searching. Most cosmetic clinics have a well established website and about staff page and I've been noticing that a lot of these cosmetic clinics that offer full range of injections have no doctor or nurse practitioner attached. Quite a few of them are owned and operated by an RN and some even by only an RPN... so I'm wondering, how does that work? Aren't cosmetic injections counted as meds. Don't nurses need an md/NP order to inject meds?
  5. Retirement Home is significantly less stressful than LTC, and if you choose to work in a "luxury" retirement home then the environment is quite nice too. In the entire RH only about 30% actually need care, the rest are usually independent living, some might even still drive or take yearly vacations and stuff so it's less stressful. However, I would say less pay than what you get in hospital or LTC. If you're tired of bedside care, there's also working in clinics. Those are all private though, I've seen job postings for nurses to work in a private doctor's clinic for as low as 20 an hour and as high as 40. Community/visiting nursing is a different kind of stress. The job itself isn't hard, you go around and you do that one dressing change or IV and then you leave. I personally found the driving part stressful and being on time for a client who might have a time sensitive drug admin to be hard.
  6. It can be like that for the first month on your own. With me, at my LTC I usually give meds to all the "easy" residents first. By easy I'm talking about the ones you only need to spend a couple of minutes on and then move on to the more difficult or resistive residents. If you need to take vitals for your 2100 med pass, try to do all the assessments before 2000 so you don't have to lug around your cart and additional equipment. Aren't your residents mostly asleep by 2100 though? At my LTC, the heaviest evening med pass is at 1700, after dinner the aides start putting residents to bed and by 2000, around two thirds are already snoring away
  7. Missha posted a topic in Canada
    Hello, I'm a new nurse working at an LTC and I just have a question for other nurses regarding what my DOC said to me. At my LTC, we have 4 units, each unit is staffed with one nurse with 3 PSWs to approx 30 or so residents. Basically 10 residents to one PSW for personal care. It's winter and the holidays so we get sick calls often. Today, one of the units was short a PSW and because it was decided that their unit was "heavier" management decided to pull one of the PSWs from my unit to work on the other one. So now because my unit was short staffed, we weren't able to get everyone out of bed and into the dining room in time for 0830 breakfast. The ones who stayed in bed had their breakfast trays brought to their rooms and we had a PSW who was on modified duties from downstairs come up to help us feed. Breakfast and the morning meds all took longer to complete today compared to usual, but everyone got their food and medication. By lunch time, we were able to get the ones who were still in bed up and out (if they wanted to be up). My director of care comes to me in the afternoon, and tells me that next time we're short staffed, I as the nurse should just leave my med cart and focus on getting people out of bed for breakfast and only do meds after people are ALL out to the dining room. My question is: Is it right for her to say this? A lot of my residents are on levedopa which needs to be on time, insulin, inhalers, pain meds and I have to measure BP and pulse for around half the residents before some their meds can even be given, etc. A couple of residents have responsive behaviours and the only time they'll take their meds is if I catch them at the table before their entree is placed in front of them. The morning med pass is brutal on my unit. If I don't touch my med cart or bother even checking vitals and just focus on pc getting people to dining room and feeding, I'd be doing my morning med pass close to noon and dealing with the side effects of some residents who didn't receive meds on time. My unit was only short because they took a PSW from my unit to work on another one. The PSW shift also starts an hour before the nurse.
  8. Missha replied to Missha's topic in Canada
    The job I got hired for is community nursing and I asked yesterday during orientation. They don't do tb testing themselves like a hospital and apparently don't compensate us for doing the test. I called my doctor and she insists that I need to make an appointment to pick up a prescription for tuberculin. Buy it and then make another appointment to see her for her to do the test. She's also insisting for a 2 step even though the lay time I did the test was for school which was only around a year and a half ago. In thinking I'd have to buy another dose for 2 step and of course, she would charge me to sign my paperwork. Does anyone know of a clinic or anything where they wouldn't require me to get a prescription and buy the tuberculin separately? My friend's family doctor doesn't make her purchase it separately... I really don't understand why I would bed to do all that just because I need this test for work and not school
  9. Missha posted a topic in Canada
    I just got hired at a new place and it's been a few years since my last tb test, which was during my final placement. My new employer had a standard page for listing immunisations etc. When I brought it to my family doctor she told me that I would require a new 2 step tb test. She also told me that my employer would be considered as a "third party request" and she cannot use her government supply of tuberculin... She would need me to buy it from a pharmacy and then she could administer it, and that it was expensive. I'm just wondering, are there clinics for health care workers to get tb tests done at a cheaper cost or if my negative test from a few years ago is still valid? Has anyone had this experience with a new job and what did they do?
  10. Jaimie, did you end up leaving the LTC? I feel like we might be working at the same one as the DOC and ADOC both changed from the ones the hired me. I used to be able to go up to the previous management for anything and now I honestly don't even know who the new ones are. There is a lot of paperwork to do, especially with the new medi system and because I'm casual and only pick up a few shifts a month, I'm completely unfamiliar with it. I can't even say I'm familiar with the old system yet either. Management always has their doors closed, I asked to see the new DOC to discuss having a refresher and she ended up just leaving at the end of the say without a word. It makes me a little uncomfortable to work there, I'm scared something will happen with the lack of support or I'll forget to do something because I didn't know about it.
  11. Since you're willing to even look into going to another province to do RN... you could try this option. If bridging is no longer an available option for you, you could just straight apply to any university for their RN program with your high school diploma. (Upgrade your science and math if your grades are low, they only look at your top 6 classes anyways) It's 4 years rather than 3 with bridging. I feel like they're less strict on grades/fails if you're applying straight into Uni as opposed to bridging from an RPN. I'm working in a hospital with a new grad RN who failed a couple of courses in their first year and graduated from Ryerson with just a 3.0 GPA. She still ended up passing her NCLEX on first try.
  12. I'm currently working full time in a non-clinical role and I recently received an offer from a hospital for permanent part time nurse. I want to leave the full time job (I'm not happy there) for the nursing one but financially, it would hurt if part time was only one or two shifts a month or something. So, I was wondering, for all you hospital RPNs, how many hours a week do you get as permanent part time and is your schedule fixed to certain days or not? Is there still seniority ranking for scheduling, etc?
  13. Did you do the full time bridging or the flex/hybrid? Are there evening classes? I keep hearing about this 20 page essay for Centennial, but what is the 20 page all about? Is it from formatting or are you actually writing an essay with paragraphs and no tables and charts? How is the clinicals set up? One day a week? I'm really considering Centennial because it's close, but I'm working 9-5 everyday, if there's no evening classes then it's no longer an option. I emailed Centennial but it's been months and no one got back to me for details.
  14. Did you end up finishing the bridging program? I e-mailed Centennial a few questions two months ago but still have yet to get any reply... I was hoping you could answer some? How is the hybrid program set up? The website says "Students who choose the hybrid delivery program will spend time asynchronously online and will attend in-class tutorials once a week to support their learning." Does that mean there's just one tutorial a week for the each semester or one tutorial per subject? And are the tutorials in the evenings? And how are the clinicals set up? Is it one day a week or two? Only reason I ask is because I'm currently working Mon-Fri 9-5 and want to bridge without having to step down from my full time job.
  15. I am from Seneca as well, just graduated this June 2016 and finished 520 in April. I was in the part time program as well, they raised it from 70% to 75% for us and we had the exact same requirements but ON TOP of all the quizzes and exams we had to pass an ASI exam with 75% minimum. From what I heard, they removed the ASI exam after our class. I passed all the quizzes and exams on my first try, and from my class I am only aware of around 10 people out of the 70 that passed. I wasn't really surprised. The problem with the PT program is that the teachers hired for the classes leading up to consolidation are all part-time staff. They only come to campus to do their 3 hours and go, there's not much commitment to the students. A lot of my friends that didn't do well tended to "shop around" at enrollment time for class sections with teachers that were known to be easy markers or ones that give out really good "reviews" before exam time. My advice to anyone trying to pass the PT Seneca program is to study prep guides and to buddy up with your Preceptor if they're recent grads and ask them how they studied. I do have to say, the Seneca comprehensive exams were a lot tougher than the actual CPNRE, so if you do pass, you'll have a great chance at the CNO exam!

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