brewerpaul

Latest Activity

1. Over time limit call coverage.

   brewerpaul replied to brewerpaul's topic in Operating Room

   My feeling is that staffing is a management issue, so they should manage it instead of passing the buck downstream.

2. add on cases for kidney stones

   brewerpaul replied to soccergal14's topic in Operating Room

   An obstructed kidneys, one or two, is always an emergency. Leaving it til the next day could lead to damage, especially if the patient has a history of recurrent obstructions. Luckily, as call cases go, they're pretty short.

3. Over time limit call coverage.

   brewerpaul posted a topic in Operating Room

   Here in NY state there's a law that when a nurse's time on the job exceeds 16 hours in a 24 hr period, he/she must be relieved. This may apply to other workers too- I just don't know. Yesterday I was on call. Worked 7a-3p regular time and then ende...

4. "Expired" warmed solutions for Turp,turbt

   brewerpaul posted a topic in Operating Room

   We use warmed glycine or saline for turp or turbt procedures (depending on the equipment used). Our OR has a policy of leaving the bags of solutions in the warmer for no longer than 14 days. When they're put in to warm, we mark the outer bags with a...

5. Funny scrub story...

   brewerpaul replied to brewerpaul's topic in Operating Room

   Yeah, if you work with a Doc who can take a joke, the battle is half over.

6. Funny scrub story...

   brewerpaul posted a topic in Operating Room

   One of the things I'm qualified to do in our OR is run the CO2 and Holmium laser. When I have a laser case scheduled, I'll often say "I'm Laser Man" tomorrow, so my kids got me a scrub top with "Laser Man" embroidered over the pocket. I wore it toda...

7. Shoes?

   brewerpaul replied to Aneroo's topic in Operating Room

   I tried Danskos and found them too heavy for comfort. I usually wear Crocs (without holes on top) which are light and easy to slip off when I sit down. Otherwise I wear running shoes with custom orthotics and shoe covers.

8. New and tired

   brewerpaul replied to FlyOR's topic in Operating Room

   Yes, the OR is VERY intense, especially for a newbie. There is so much to learn that bears practically no relation to any floor nursing you may have done. For months, I felt like I was drinking out of a fire hose... Hang in there and it WILL get eas...

9. how you do charting???

   brewerpaul replied to Lasoniamacaroni's topic in Operating Room

   We use Meditech too. It IS ancient, but it has all the stuff we need and it's pretty easy. For some routine cases, we even have it set up so we can load a lot of the default values right up front rather than entering them all by hand. Makes it nice...

10. breaking sterility question

    brewerpaul replied to penny77's topic in Operating Room

    I'm late chiming in (congrats on the job!), but I have one question for you, or anyone else in this situation. What would you want the circulator on the case to do if it was your Mother or child on the table? Act accordingly.

11. Contact precautions in the OR?

    brewerpaul posted a topic in Operating Room

    I'm curious how people out there handle patients in the OR who are on contact precautions. Sometimes we'll have, say, a foot ulcer debridement where the MRSA is actually in the surgical site. On other patients they may have tested positive for MRSA s...

12. Colonoscopy - sterile water or tap water?

    brewerpaul replied to CDNORRN's topic in Operating Room

    If there was ever a problem and a malpractice case was started, you'd be glad your record said "sterile", even though it might not make any difference medically. Imagine a prosecuting attorney asking you"Yes or no: did you or did you not use sterile ...

13. Counting for organ harvest?

    brewerpaul replied to Rose_Queen's topic in Operating Room

    Jeez... if the possibility of leaving a sponge on the floor is an issue for your OR, whoever turns your rooms over REALLY needs a good talking to!!

14. Do you check for holes after you open a tray?

    brewerpaul replied to linda2097's topic in Operating Room

    Yes, and especially in cases with implants.

15. How long are your hospital's sequential stockings?

    brewerpaul replied to linda2097's topic in Operating Room

    Knee high, often with TED's underneath