Hopecascade

Hopecascade

Post-Anesthesia Care

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About Hopecascade

Hopecascade has 33 years experience and specializes in Post-Anesthesia Care.


Emergency nursing, travel nursing, transport and now recovery/PACU.

Latest Activity

  1. Hypoxemia Risk Protocol (HRP)

    Nocturnal hypoxemia in subjects at high risk for OSA is associated with an increased potency of opioid analgesia. We follow ASPAN recommendations for OSA patients as best that we can. We do not have the protocol you mentioned. Is that from your Anest...
  2. PACU Pay

    Uniform throughout the hospital. 50 cents more per hour with certification in your area. Union hospital 30+ years experience $43hr. East Coast pay, is usually higher than down South or Midwest in the USA. 10or 15% shift differentials for off shifts, ...
  3. Anyone here work only nights/weekends???

    Hi Sometimes you have to move them out quickly. If they are a MAC case and meet the discharge criteria you can have them out in 30min. That is a transition for a critical care nurse! Your background will bode well for you and your patients. Airway is...
  4. All my PACU RNs

    I like the quick thinking and rapid responses you need. I like the turnover of patients. I dislike " holds " waiting for rooms. Some places call them boarders. I don't like when families expect to stay and pull up a chair for a good long chat. Famili...
  5. Just a rant rn-bsn

    I think employers should offer more tuition reimbursement to RN's. RN-BSN programs are expensive. It is a bit of a racket Magnet hospitals now require BSN's. So we work hard and spend lots of money to the universities to get our BSN. I just started b...
  6. Is this the norm in PACU? Have I been spoiled before????

    It sounds like your anesthesia providers are not providing opioids during their cases. Talk to your manager and the CRNA's.It might be your patient population, are they chronic pain patients? Trying to play catch up in the PACU is rough. I don't see ...
  7. Completion bonuses are they available? Taxed Housing??

    Thanks for your reply. I do maintain my own home and come home on weekends. This was my first time as a traveler. I am learning as I go along. I appreciate your input. I am still undecided about signing a new contract at the same facility. From your ...
  8. I have reassigned at the same hospital for a year,with a small 30 day break. I wish I asked for a bonus after each 13 week assignment. Also has anyone worked at one hospital with your agency wanting to tax your housing stipend? I have an upcoming co...
  9. Things you really wish you could say to patient/family of pt

    I wish I could say, " you should have told the anesthesia provider and myself that you take percocets tens around the clock x2 years, if we had known we would have upped your dose of pain meds right away in PACU. No wonder you are writhing in pain! ...
  10. You might be a PACU nurse if...

    This is in reply to the nasal airway in the mouth: I do use this and have seen it done. They are softer and it works with less irritation of the gag reflex. I have had one CRNA that does it and it works :). "Is my surgery all done? Did it go OK?...
  11. 1st Nursing Cartoon caption contest - win $100

    He Is supposed to be computer literate. But I only saw him use the pound key!
  12. I am sorry this happened to you. I don't know what group 1 & 2 are. Do you want to leave or fight to stay? Think what recourse you could have to deal with her. Document what happened, take it to HR. File your own grievance and calmly proceed. You...
  13. 1st Nursing Cartoon caption contest - win $100

    Never Fear Dr. WonderDog is here!
  14. 1st Nursing Cartoon caption contest - win $100

    I saw his stupid pet tricks last night. I laughed more than the patient did!
  15. Spinal level for discharge to the floor?

    Two dermatone levels from initial assessment. They are all ready in a bed and are transferred to the floor. If they are SDS they must be able to stand to get into a wheelchair. They must void in SDS. I hope this helps