ewattsjt

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1. Why Black Eyes?

   ewattsjt replied to nurseaboveboard's topic in Operating Room

   sounds like prone to me too. even if the pt is positioned correctly but the case is a real long one like multilevel spine surgery, the duration of being prone for so long can do that.

2. Break room and refrigerators

   ewattsjt replied to nursinadream's topic in Operating Room

   I have no suggestions. Ours is about the same, when it gets nasty enough someone will go through it. I typically do not use ours because it is always so nasty. I bring a large lunch box and leave it sit in the break room. A couple of us do that. Ou...

3. Left-handed scrub nurse?

   ewattsjt replied to lilla_fjaril's topic in Operating Room

   It simply takes practice. I am right handed but pass with either hand depending on where I am standing and the where the doctor/assistant is standing. In fact on many occasion, I will be taking one instrument back with one hand while passing to the s...

4. warm saline/water

   ewattsjt replied to maeyken's topic in Operating Room

   We just underwent changes this past fall. My facility had a group of analysis’s come in and audit us to make sure we were within The Joint Commission’s guidelines. A couple of changes that were made were that all our liquids IV or pour are now locked...

5. Foley caths and surgery

   ewattsjt replied to CT Pixie's topic in Operating Room

   We do for cases expected to be close to 4 hrs or over. Also on certain procedures we do an in/out to reduce the size of the bladder. We do not do Foley as a routine because of the possibility of UTI.

6. OR - EENT position

   ewattsjt replied to InnaL's topic in Operating Room

   eent is simply eyes, ears, nose, and throat. it is hard to say with certainty but there should be a lot of different things like for eyes; phacoemulsification and other types of iol replacements as well as retinal banding to blepharoplasty. ears; my...

7. 12 hour Shifts?

   ewattsjt replied to Guest296136's topic in Operating Room

   My facility has 8, 10, and 12 hour shifts. 8 and 10 are typically day and 12 is typically second shift (lunch relief then finish any running rooms). Our rooms are staggered in shutdown times.

8. NPO before surgery is nonsense

   ewattsjt replied to Guest219794's topic in Operating Room

   i think it is both not trusting patients, old habits, and lump everyone into one group so nothing gets confused. standard order for my facility is npo after midnight but in cases where the patient does ingest food, they fall back to six hours. i have...

9. Flashing policy... confused

   ewattsjt replied to Sammy25's topic in Operating Room

   I would like to start by saying that many facilities have varying takes on flashing. The AORN recommends against flashing unless there is a real need to flash something. Before the patient is in the room the case can be delayed without much consequen...

10. removing gowns

    ewattsjt replied to stephmj's topic in Operating Room

    My facility is great and rarely sends pts. with jewelry or undies. If they do, there is a good reason.

11. never scrubbed but want to be an RNFA

    ewattsjt replied to odos's topic in Operating Room

    As Linda stated, ask your facility. A part of the RNFA is getting an agreement (MOA) between the school and your facility to do an externship there. Most facilities who allow it will also allow you to get the cases while working. That is not a given ...

12. removing gowns

    ewattsjt replied to stephmj's topic in Operating Room

    A gown left tied can lead to pressure sores from impeded circulation just as and unpadded boney prominence so regardless of positioning, the gown should be untied and pulled from underneath because of possible bunching. Typically this is best accommo...

13. scrubs leaving the room before the patient

    ewattsjt replied to tariet's topic in Operating Room

    Just playing devil’s advocate---what constitutes a stable patient after surgery. We all know and have seen patients crash in the blink of an eye. How defendable can the tech be if their patient crashes while they were on an unrelieved break? How defe...

14. scrubs leaving the room before the patient

    ewattsjt replied to tariet's topic in Operating Room

    At my facility it is a big deal. The scrub is supposed to assist in the transfer of the patient. The patient always is the first priority.

15. What the?

    ewattsjt replied to Fancy Face's topic in Operating Room

    Also if you are thinking of going further with your education and possibly into different areas. The general nursing degree is better for that ASN/ADN or BSN while the surg tech programs are diploma and associate. The advancement opportunities are li...