cbreuklander

cbreuklander

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All Content by cbreuklander

  1. Tying Patient Satisfaction to Medicare Reimbursement is Problematic

    cbreuklander replied to TheCommuter's topic in Patient Safety Issues

    Amen to that. What the patient wants is not always what is best. If they had the ability and knowledge to take care of themselves, they wouldn't be in the hospital. Not to say that we should ignore...

  2. Snow- at what point do you call out?

    cbreuklander replied to EMSnut45's topic in General Nursing

    I have worked for a hospital that took into consideration the safety of their nurses during winter weather. They would call me at home to let me know that if I felt the roads were not safe for my car,...

  3. Sometimes you just can't bite your tongue.....

    cbreuklander replied to hiddencatRN's topic in Emergency

    Happens on Med-Surg, too. I had a patient with an unstable heart rhythm. I will admit it took me some time to settle it down, get the Dr. on the phone, IVP meds and calming the patient and family....

  4. Question about BP control in your ICU

    cbreuklander replied to IheartICUnursing's topic in MICU, SICU

    Much the same in our ICU. The treatment protocols haven't changed a lot in the last few years. I think the perfusion issue is what keeps the docs conservative with BP control. Also, once it starts to...

  5. Nursing Diagnosis...the sacred cow that needs to go.

    cbreuklander replied to Idaho4me's topic in General Nursing

    When we enter a care plan into our computer program (which we are required to do on admission) it automatically generates nursing diagnosis that fit the physician's diagnosis (reason for admission)....

  6. Can student administer medication without RN supervision?

    cbreuklander replied to AnneN's topic in General Students

    When I was a student, once the clinical instructor was confident in our ability, we were allowed to take meds in to patients unsupervised. However, we were not allowed to go into the patient's room...

  7. Just for fun; Quotes you use for encourgement

    cbreuklander replied to havehope's topic in General Students

    When you get to the end of your rope, tie a knot and hang

  8. How to explain how hard you have to work in nursing school

    cbreuklander replied to guest10's topic in General Students

    My school sent a letter to my husband shortly before the first semester started. It talked about the commitment nursing school required and the long late hours that would be needed. It also thanked...

  9. For those new grads who are employed, what's your method?

    cbreuklander replied to grateful2010's topic in General Nursing

    Don't know any nurse recruiters. Here's what I did...I applied for a position at every hospital around. I interviewed at 4 of them, passed pre-employment physical fitness tests at 3, and took the job...

  10. To flush or not to flush...advice please.

    cbreuklander replied to lovingtheunloved's topic in General Nursing

    Our policy is to push 1mg or 1ml over 1 minute, but I've also seen nurses push Morphine

  11. To flush or not to flush...advice please.

    cbreuklander replied to lovingtheunloved's topic in General Nursing

    If it were me, I would flush unless my supervisor specifically told me not to. And in that case, I would ask for a policy so that there is no question. The potential for drugs that are not compatible...

  12. Snow- at what point do you call out?

    cbreuklander replied to EMSnut45's topic in General Nursing

    Hard to get to the county seat to get that piece of paper when the roads are closed! Management should take a hard look at how much they value the lives of their staff. It's harder to get to work post...

  13. Snow- at what point do you call out?

    cbreuklander replied to EMSnut45's topic in General Nursing

    By the way, I have been the nurse stuck at work due to someone else not making it in. I still do not go in if the drifts on the road are taller than my car!! Get real. It is different out in the...

  14. Snow- at what point do you call out?

    cbreuklander replied to EMSnut45's topic in General Nursing

    I have to say that I have called off work because of snow more than once. I live in a rural area on a gravel road that is just not a high priority. I do not like to call off because it makes me feel...

  15. Any "50-ish" Pre-Nursing Students?

    cbreuklander replied to Elle16's topic in Pre-Nursing Students

    Yep, physical fitness tests are required here in central Iowa. Sit-ups

  16. Any "50-ish" Pre-Nursing Students?

    cbreuklander replied to Elle16's topic in Pre-Nursing Students

    There is a lot of wisdom to what you have said. I did not have a lot of trouble getting interviews and even job offers, but the physical fitness tests that you have to pass to actually get the job are...

  17. Any "50-ish" Pre-Nursing Students?

    cbreuklander replied to Elle16's topic in Pre-Nursing Students

    Hi. I was nearly 47 when I finished my ADN program. I started a nursing program right out of high school, but failed my classes miserably and didn't get through 1 full semester. Needless to say, I was...

  18. Have a cultural sensitivity question:

    cbreuklander replied to SmilingBluEyes's topic in Ob/Gyn

    I agree with you that a generalized sign may be appropriate if you ask the patient's permission first. I had a patient that was Protestant, but was very modest and nearly checked herself out of the...