umakemesmile

umakemesmile

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About umakemesmile

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  1. Need advice-Lowering your standards?

    Lol Yes I have a problem kepping quiet about important issue's. I feel the pt's deserve good care and by not keeping up with technique, policies, or competencies reflects on the pt's. If new hires don't have a good orientation they learn wrong from t...
  2. Need advice-Lowering your standards?

    Your right about the market. I just feel neglagent by turning the other cheek. It would be tough starting all over, losing vacation time and benefits esp. at 54. I hope this isn't the feelings I'm going to have the rest of my career. Thank you so...
  3. Need advice-Lowering your standards?

    I have worked in the OR for 19 years but I'm lost and don't know the correct direction to go. I have always prided myself in following AORN standards and facility polices. I have my CNOR out of 15 other nurse's there's 1 tech out of 16 certified. It'...
  4. My boss let me know of a mangement position he's thinks I would be good at and I am seriously considering applying. It's for the Amb. Surgery Dept at my hospital. I think he's telling me something. LOL I currently work in the OR, have done many jobs,...
  5. Flashing instrument trays

    We all know that flashing is a no-no. But one that just can't be helped. We try not to run full sets, but pull out the neccesary items and complete the set with peel packed stuff. Lowering the amount of flashing items. Don't know how good that is but...
  6. failing in the OR

    Those feelings are normal. Learning the OR takes time. Do you have a good staff that supports you or are you left to figure things out on your own? I once left a job after 3mos. because the staff was not supportive in helping me learn the ropes of th...
  7. How do you handle "true emergencies"?

    You missed my point. I know we are not "above the law" and after 16 years of doing this I have developed a watch ahead and around attitude when driving in for an emergency. The speed limit was 55, I was doing 62. The reason I said "jerk" is because t...
  8. How do you handle "true emergencies"?

    I just curious to see if anyone has the same problem we do. You get called in for a "true emegency" and get pulled over for speeding. This happened to me awhile ago. Got called in for a leaking Triple A, got pulled over, explained situation and recei...
  9. SCD orders

    Our preference cards are treated as standing orders. If the card says SCD's, then that is like a written order. As are the med's and equipment on the card.
  10. Abdominal Vaginal Preps?

    I too used to do that, had to change. LOL
  11. Mobile phones in theatre

    I wish we could go back to having beepers and cell phones left at front desk. It's a pain trying to do all the things we're supposed to do + answer cells and beepers. Management won't back us tho, so we're stuck. My priority is to the pt. so I ignor...
  12. Abdominal Vaginal Preps?

    We use Hibicleans despite the bottle warning. I have shown our OB-GYN's the bottle and they have decided to still go ahead and use. So I deem it under Physican preference. Last I looked, here is what I found in AORN standards. Please correct if I am ...
  13. Comparing Wages in the OR setting

    WI 16yrs exp. 37.25/hr + beneies 1.5 x call back 3.00/hr call pay weekday 5.00/hr weekends (can't figure that one out) 1.5 after 40 hr worked I guess I'll stop complaining. Except to say that we can't tell a surgeon that elective call case's won't fl...
  14. How many hours can you work ?

    We too have the same problem. Our only help has come from other staff. We look after each other by offering the call team to come and take over to give a break if they get slammed. We have 1 call team per night/weekend, no back up. I, myself, don't b...
  15. Scope of Practice

    Thank you for the info. It clears up alot of questions being raised at our facility.