bren3299

bren3299 has 13 years experience and specializes in Internal Medicine.

Latest Activity

1. Can Anyone Tell Me WHY.......

   bren3299 replied to AngelfireRN's topic in General Nursing

   Not to put a damper on the mood BUT regarding the not changing IV sites on the prescribed "expiration date"- Actually, more and more research is supporting leaving healthy IV sites in longer...no standard change date but rather using a validated phle...

2. things you wish you could tell the doctor

   bren3299 replied to celery's topic in General Nursing

   Had to reply when I saw the term "little man". We have the most amazingly annoying doc who is all of 5'2" who has been dubbed by one of our ward clerks as "the little man" for code. His tantrums are viewed as just that and not taken too seriously but...

3. Overhaul of health care system needed to address nursing understaffing?

   bren3299 replied to marie-francoise's topic in General Nursing

   HI, We have the same issues here in Canada. We have 12 vacancies for nurses on our general internal medicine teaching unit that only has a total of 32 positions (full and part-time combined). Our ratios look good on paper (4-6 pts per nurse on days, ...

4. ATTN:Anyone who does CAPD, especially Cycler.

   bren3299 posted a topic in General Nursing

   Hi, Our unit does CAPD and we had a nurse injure her back the other day as she had 3 pts on Cylcer and the large bags are so heavy. I was wondering if anyone out there has a system for dumping these bags to prevent injury. We end up dragging them to ...

5. Nursing "General" Orientation

   bren3299 replied to Bwick's topic in General Nursing

   HI, We have something called Core orientation and it lasts 2 days. Has classroom presentations for things that are hospital-wide policy, such as documentation, discharge and admission guidelines, etc. There are also skills reviews for central line c...

6. Central Lines???

   bren3299 replied to lisa41rn's topic in General Nursing

   HI, I am from Canada so can't speak to the rules in the US, but I would be surprised if there wasn't a strict policy at your facility as to how to do this. You mention a chart and this is what I would go with as long as it is from your procedure/poli...

7. Charting systems question (fighting with management)

   bren3299 replied to bren3299's topic in General Nursing

   The reasonable approach is my plan. I have surveys drafted to gather actual data to show just how the change is affecting the nurses (I also have surveys for the MDs and other staff) The surveys allow for positive or neutral responses to the change a...

8. Charting systems question (fighting with management)

   bren3299 replied to bren3299's topic in General Nursing

   We are guilty of not claiming the overtime we have on this unit. With so many junior staff there are many times when people are there up to an hour after the end of their shift- saw 3 of them still there 45 minutes after day shift ended today. No on...

9. Charting systems question (fighting with management)

   bren3299 replied to bren3299's topic in General Nursing

   Regarding privacy, there is no info about diagnosis, etc kept near the room (the bedside charts are just binders with a cover stating the info is confidential and the only stuff in there are vital signs and glucose results and things like the pt has ...

10. Can you believe this???

    bren3299 replied to rachelaleanRN2B's topic in General Nursing

    Sometimes when I read this kind of stuff here...the cold of Canada doesn't feel so bad. We seem to have far more rights when it comes to stuff like this. It would be considered wrongful termination...and our Union would hear none of that I can tell y...

11. Charting systems question (fighting with management)

    bren3299 replied to bren3299's topic in General Nursing

    I originally discussed this matter at the following link-https://allnurses.com/forums/f8/charting-systems-question-fighting-management-215122.html#post2130185 Since posting this information, I have finally found out why the changes to our charting sy...

12. Charting systems question (fighting with management)

    bren3299 replied to bren3299's topic in General Nursing

    Hi, You are sounding a little like me now. I am forever convincing the staff about the benefits of change and trying to calm the naysayers when we have a change in procedure or a new system implemented. I have been a "super-user" (their term- not min...

13. Charting systems question (fighting with management)

    bren3299 replied to bren3299's topic in General Nursing

    Thanks for your reply, I figured the only real argument for this method would be that of privacy. Unfortunately, the staff were never told if this was, in deed, the reason for this. I should let you know more about the situation. This is an acute in...

14. **nurses Who Eat Their Young Should Be Kicked To The Curb***

    bren3299 replied to suziesunshine's topic in General Nursing

    Just wanted to let you know that there are still diploma (RN) programs in Canada. I teach at a Community College in Manitoba that offers an "Accelerated Diploma" as well as a degree (BN) jointly with the University of Manitoba. So there are still new...

15. Charting systems question (fighting with management)

    bren3299 replied to bren3299's topic in General Nursing

    Thanks, Yes I am looking for this type of info. I bet most feel the way you do. I am hoping the vast majority of wards have a bedside charting system for the components that make sense like VS, etc. I plan to bring this to the attention of the direct...