bren3299

bren3299

Internal Medicine

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All Content by bren3299

  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...

  2. 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...

  3. 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...

  4. 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...

  5. Charting systems question (fighting with management)

    bren3299 posted a topic in General Nursing

    Hi there, I am looking to see if there are acute teaching medical wards (tertiary care)out there that are not using point of care charting. This is, does anyone NOT keep or record data at the bedside....

  6. 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,...

  7. 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...

  8. 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...

  9. 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...

  10. 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...

  11. 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...

  12. 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...

  13. 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...

  14. 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...

  15. **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...

  16. 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...

  17. Chronic COPD'er, 1 lung, 02 @ 6L/min. What would you do?

    bren3299 replied to DutchgirlRN's topic in General Nursing

    Actually, most recent evidenced based research is dispelling the hypoxic drive theory. Not all COPD pts are true CO2 retainers, an even smaller precent are oxygen sensitive CO2 retainers. Even these...

  18. What makes you nervous about or irritated with a new grad or orientee?

    bren3299 replied to GardenDove's topic in General Nursing

    From another perspective (that of nursing clinical instructor) it has been my experience that nurses have unrealistic expectations of students at times. The program I teach with is always struggling...

  19. Some musings about reading posts here...

    bren3299 replied to Lurksalot's topic in General Nursing

    I fail to see how poor grammar and poor clinical knowledge cannot co-exist. From my experience, it is most often the student or nurse who has trouble expressing themselves on paper who also have...

  20. Some musings about reading posts here...

    bren3299 replied to Lurksalot's topic in General Nursing

    I am a nursing instructor and have had students who are borderline illiterate. One was getting extra assistance with exams, etc because she had a "learning disability". I work for a community college...

  21. Myers-Briggs Type

    bren3299 replied to piscesguy's topic in General Nursing

    Extraverted (E) 86% Introverted (I) 14% Intuitive (N) 77% Sensing (S) 23% Feeling (F) 80% Thinking (T) 20% Perceiving (P) 86% Judging (J) 14% Surprised so many introverts in nursing. My numbers...

  22. Nursing without the "yukkies".

    bren3299 replied to skybirdrising's topic in General Nursing

    I must add that as a nurse educator I am not thrilled with students who cannot overcome their "yukkies". I gave one student a below minimum grade for "coping" on her evaluation because she was unable...

  23. Pass-Fail Clinical Grades. Are educators lazy?

    bren3299 replied to 1Tulip's topic in Nursing Educators, Faculty

    Hi, I think I can offer a completely different perspective as I am a clinical instructor from Canada and we use a GPA-based grading system for clinical performance. There are 20 categories of...

  24. Continuity lacking between clincial instructors

    bren3299 posted a topic in Nursing Educators, Faculty

    HI, I am a clinical instructor in Canada. I started this position 1 1/2 years ago and I was immediately struck with the lack of orientation, direction and absence of a curriculum for the clinical...

  25. Looking for answer about syringe pumps

    bren3299 posted a topic in General Nursing

    HI, I posted on the IV nurses thread but traffic is higher here and I am in a time crunch so am asking those of you who have experience in the use of mini-infuser, syringe pumps whatever you want to...