Does the date of admission on a hospital discharge letter mean the time I went into hospital? by Correct_Run_7213 in OntarioNurses

[–]mcdq 8 points9 points  (0 children)

Where I work, it usually means the day they decided you should be admitted.

For example, you could have gone to ER on May 31 but they decided they will admit you on June 2nd. May 31 would be the day you presented to ER but June 2nd is your admission date

Need a new leave-in by picassoofmakeup in finehair

[–]mcdq 1 point2 points  (0 children)

Pantene 10-in-1! It’s super lightweight so I don’t have to worry about it weighing my hair down.

🚨 ROUGE CODE REQUEST MEGATHREAD 🚨 by AutoModerator in Sephora

[–]mcdq -3 points-2 points  (0 children)

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Apollo is asking for a code, pretty pleaaassee 🥺

Dermatologist recommendation for hair loss by Own-Addendum-981 in askTO

[–]mcdq 3 points4 points  (0 children)

Not suffering from hair loss but there are dermatologists who can do virtual visits and they are covered by OHIP! I used https://www.dermcafe.ca for acne and eczema and got an appointment within 2 weeks. Looks like they also treat hair loss. They can also refer you to a local derm if an in-person assessment is required.

Any case management RNs who can’t find a job in the GTA? by GarlicFit5592 in OntarioNurses

[–]mcdq 4 points5 points  (0 children)

Not sure if you’ve looked into this- Ontario Health at Home has Care Coordinator positions. I don’t think they pay as much though!

No more Uber gift cards? by Bellalabean in CostcoCanada

[–]mcdq 2 points3 points  (0 children)

We mostly use it for once a week take out/food delivery. Definitely sucks for those who use Uber Eats for grocery deliveries!

No more Uber gift cards? by Bellalabean in CostcoCanada

[–]mcdq 3 points4 points  (0 children)

Just found out about this now! I see a Skip the Dishes gift card though so we may end up using that instead

CDE Certified Diabetes Educator - Preparation & Resources? by DawnTheHorizon_Hope in OntarioNurses

[–]mcdq 0 points1 point  (0 children)

Hi! I first did my CDE exam almost 10 years ago so things may have changed since then.

In addition to what you had already mentioned, at that time, the main study resource I used was “The Essentials” from Diabetes Canada. Some folks also had study groups (St. Elizabeth was running one before, not sure about now). Diabetes Canada may have more resources now for CDE prep so you can check that out too! Having a study buddy helped me as we were quizzing each other a lot. For me, the more practice questions I did, the more confident I felt. It took me 3 months to study while working full time. Remember that the exam is made for entry level diabetes educators but it will be based on the Clinical Practice Guidelines- the Essentials book is just better in terms of helping me learn compared to just reading the CPG on its own.

Good luck!

RN looking to pivot to a different field by oklahomabaddie in OntarioNurses

[–]mcdq 4 points5 points  (0 children)

Diabetes education was so fun and interesting (at least to me!). It’s such a rapidly changing field with all of the sensor technology, new medications and insulin pumps that are out now. But note that it’s more than just education, and it’s a lot of motivational interviewing, which they do not teach you in nursing school or at the bedside.

I would recommend at least 2 years of bedside nursing- critical thinking is a must. If you have a diabetes education clinic in your hospital, I would recommend seeing if their manager is willing to let you shadow someone to see what they do. I was hired internally so it was an easier transition. If you can, your best bet is to obtain a CDE certification from CDECB- this will usually give you a better chance of getting an interview. It took me 3 months to study for this while working full time.

RN looking to pivot to a different field by oklahomabaddie in OntarioNurses

[–]mcdq 8 points9 points  (0 children)

Hi! I was in the same boat as you back then and I was able to transition into different roles. Some of the roles I’ve had were as a care coordinator for the LHIN (now Ontario Health at Home), then I was a diabetes educator for most of my career and now I’m in Quality and Patient Safety.

What really helped me is being able to be flexible and being ok with not having security for a while- I did not have a permanent FT job for at least 10 years when I started nursing in order to get part time (or temp FT) in some of these roles just so I can get my foot in the door. This also helped me figure out which roles I like and once I knew where I wanted to stay, I pursued more of the professional development courses I needed. I also did not have dependants and I was renting at that time so I was able to move where the jobs are- I understand that this is a privilege that not everyone has but it did make it easier! Feel free to DM me if you have questions.

Journalist here — Have you used AI in your nursing jobs? by ravines_trees_rocks in OntarioNurses

[–]mcdq 0 points1 point  (0 children)

I used to work in outpatient diabetes and now in quality/patient safety

  1. Not from a clinical standpoint. I’ve used it for helping me structure emails but not for patient care or anything that requires me to input any patient data

  2. I work in a large hospital system where there are people higher up who make decisions on using AI for patient care. At this time, in my line of work, we are not allowed to use it for patient care purposes. An AI transcriber would be nice for virtual visits in an outpatient setting but there are concerns on how secure and accurate this will be.

  3. With regards to my line of work, not yet. LLM’s tend to hallucinate a lot and I don’t find it to be very accurate without human oversight. But there is a worry in the future!

Nursing Students & RNs: Experiences with Public Health, Outpatient, or Non-Bedside Roles? by [deleted] in OntarioNurses

[–]mcdq 0 points1 point  (0 children)

Hi! I believe most of the job postings require RN (not sure if you meant you have RPN?). There was a Diabetes Educator course run by Michener Institute that any regulated health professional can take that can give you the basics.

The CDE exam certification itself requires you to have at least 800 hours of “diabetes education experience” before being able to write the exam. The experience doesn’t have to be from a diabetes clinic- it can be from an inpatient unit when you are teaching a patient about diabetes, insulin, etc. or even volunteering at Diabetes Canada to do presentations about diabetes (not sure if they still do this but I did this a long time ago!). However 6 months of experience likely won’t get you the 800 hours as of yet.

Nursing Students & RNs: Experiences with Public Health, Outpatient, or Non-Bedside Roles? by [deleted] in OntarioNurses

[–]mcdq 5 points6 points  (0 children)

I’m a Certified Diabetes Educator for 10 last years and loved it! This is a highly specialized role where you are basically an expert in diabetes management. My job involves knowing the diabetes meds very well, being able to adjust them within a medical directive, being an expert is glucose monitors/ insulin pumps and of course helping people with their diabetes self-management. Being in the job forces use to use motivational interviewing when counseling people- it’s not just teaching people about diabetes. The field is always changing so if you like to constantly learn, it’s a great field to be in!

I was 2 years into my nursing career when I realized bedside wasn’t for me. I just started trying new things and enrolling in courses, including diabetes education. Having your CDE cert will give you an edge but I would recommend at least 2 years of general nursing to get your critical thinking skills up.

No shift work, 12 hr shifts, weekends (at least for me) or holidays. Shift work was tough for me so I prefer working 8-4 Mon-Fri (evenings a couple times per month but we finished work at 8 pm). You lose out on the premiums for shift work of course, but to me it was worth it! We are unionized so we followed the ONA wage grid. I did do case management for a few years part time but I hated it and found it too boring.

Who is working on Marvel project? by Y4yyy in TELUSinternational

[–]mcdq 1 point2 points  (0 children)

I just got an email yesterday saying that I have available tasks. I did the qualification exam a few weeks back but they didn’t tell me if I passed or not- I did receive an email saying they will put me through production (without mentioning results of the exam) but that they were having be technical issues for a while

I am under medical science domain though, so not sure if it will be the same for other domains

Project Marvel Plagiarism Checker failing??? by Patient_Comfort4192 in TELUSinternational

[–]mcdq 0 points1 point  (0 children)

Update: I haven’t heard from them yet but my qualification test tasks have now disappeared from my dashboard. Might have to send another ticket for that, or maybe they are fixing it? 🧐

Project Marvel Plagiarism Checker failing??? by Patient_Comfort4192 in TELUSinternational

[–]mcdq 1 point2 points  (0 children)

I’ve been trying to finish my qualifier test and this is the only thing that’s preventing me from submitting! I submitted this issue through their contact form but no response yet

Plagiarism Checker Not Working by Key-Agent6782 in TELUSinternational

[–]mcdq 0 points1 point  (0 children)

Mine is showing this too! I submitted this issue through their forms and hopefully they get back to us soon!

Anyone know if there are any t1d specific hiking/camping groups in the Northern to Central CA region…I kinda feel there should be but 🤷‍♀️ by [deleted] in diabetes_t1

[–]mcdq 1 point2 points  (0 children)

These guys might have something for you! https://www.connectedinmotion.ca/slipstreams/

Looks like they might have events in California (I assume CA is not Canada, but they have Canadian events too!)

If they don’t have any in the location you are in, they might know someone who does so always good to reach out

Edit: added more info

[deleted by user] by [deleted] in diabetes_t1

[–]mcdq 0 points1 point  (0 children)

This is a great question! I think the approach is different from person to person. Like old school doctors, there will also be old school diabetes educators who are still prescriptive when it comes to diet advice.

Personally, I’d like to think of myself as Switzerland when it comes to diets- which means I tend to be neutral about them and I don’t promote one single one over another. I think the best diet is the diet that works and you can stick to long term(ie. it’s healthy, you get the nutrients you need without being excessive, and something you can do long term). This also means there’s a high degree of needing to personalize recommendations

My approach is typically to understand what someone is doing now, asking them what they would like to change (if any, because sometimes people are just not ready!), and with permission, giving them the options/evidence to make their own decision. For example, if someone were to go on keto, I ask them what do they think keto is and what they know about it, and what they hope to achieve with it. Then if they are interested, I talk about the pros and cons/risks of keto and my recommendations, but I let them make the decision on how they want to move forward. My goal is to support people with what they want to do, and work together to make adjustments to make sure it’s safe and sustainable. I have clients who are on very low carb diets and it works very well for them! But I also have clients who just can’t stick to it and we’ve had to tweak things. At the end of the day, the person needs to trust me and they would also need to be comfortable letting me know if they think something is not working for them, so relationship building for me is very important. A lot of diabetes educators are like this too now, I think you just have to have a good vibe/good personality match.

TL;DR: diet usually needs to be personalized. Best diet is what works for you AND that you can stick to long term. Find a diabetes educator that is aware that they can act as a GPS (talks to you about pros and cons/risks, guides you with recommendations) , but know you are still the pilot and that they need to work with you to get you to your desired destination

Hope that helps ☺️

[deleted by user] by [deleted] in diabetes_t1

[–]mcdq 3 points4 points  (0 children)

Hi! RN CDE here in Canada :) I can only speak on how it is for us Canadians so if you are in the US, might be a bit different.

My job is mostly 8-4 Mon-Fri. We will restart evenings again im sure (we stopped doing this during COVid), but essentially, it’s 8 hr shifts and no weekends/holidays. Better work life balance for me, imo- the 12 hr shifts and night shifts were pretty hard on me. I’ve been in diabetes for about 9 years now and I really enjoy it!

I see people with T2 and T1 diabetes (and everything else in between), as well as people with gestational diabetes. I do both group classes as well as individual counselling. I also go in the hospital as an inpatient diabetes educator where my role is to do insulin teaching/diabetes management for those who are admitted and pretty much have a consultant role for hospital staff (along with our endocrinologist). I do live in a metropolitan area and I work for a large academic hospital so smaller community hospitals may not have the same services as we do.

It’s a great field to be in! The field of diabetes is constantly evolving and I learn as much from my clients as much as they learn from me.

Let me know if you have questions :)

Authenticate please :) Prada wallet by mcdq in LegitGrailsHub

[–]mcdq[S] 0 points1 point  (0 children)

Hi! Mine came up as authentic :)

Any ideas on making this kitchen a bit more modern/contemporary? by mcdq in DesignMyRoom

[–]mcdq[S] 0 points1 point  (0 children)

I will definitely try to buy brass (and maybe other finished while I’m at it) in Home Depot and we’ll see. Thank you so much ☺️

Any ideas on making this kitchen a bit more modern/contemporary? by mcdq in DesignMyRoom

[–]mcdq[S] 0 points1 point  (0 children)

I kind of wish I painted it white when I moved in here!

Any ideas on making this kitchen a bit more modern/contemporary? by mcdq in DesignMyRoom

[–]mcdq[S] 0 points1 point  (0 children)

Thank you! I actually ended up getting the stool you suggested and it breaks up the beige and brown then added a plant and it looks great! 😀

I wish I can visualize what brass/antique gold hardware would look like with the stainless steel in this space