justjenny

justjenny specializes in NICU- now learning OR!.

Latest Activity

1. Terrified in the OR

   justjenny replied to laneyRN's topic in Operating Room

   i have to disagree with you. simply being human means there is no guarantee of being error free. the issue is more legal and ethical than anything. even with a pharmacology class, that doesn't mean that an st can pass meds....especially a paralyti...

2. makes you think

   justjenny replied to Imafloat's topic in NICU

   During a family trip to Disneyland I saw a similar child at the table next to us during dinner. I was "fixated" on that child and all I could think was how many of the babies that I care for will turn out like this???

3. What Do you Like and Dislike About the NICU??

   justjenny replied to Sl1011's topic in NICU

   I worked in the NICU right out of nursing school. It was the most rewarding job I have ever had in my life. I often felt proud when I left for the day, HOWEVER, it was also the HARDEST job that I have ever had! (emotionally, spiritually, not physic...

4. Surgery hats are KILLING my hair!

   justjenny replied to Justme123's topic in Operating Room

   I use cloth hats. For now the circulators can wear them. Anyone scrubbed must wear a disposable elastic one over it. Some sites: http://www.greenscrubs.com http://www.blueskyscrubs.com (pricey) HTH Jenny

5. What exactly does "First Assist" mean?

   justjenny replied to Jo Dirt's topic in Operating Room

   What I think you should know (and feel comfortable about) is that most First Assists are privately hired (at least at our hospital) which means they work with that surgeon day in and day out (which means they work very well together!) Is the FA going...

6. "No self- respecting nurse"

   justjenny replied to RNOTODAY's topic in Operating Room

   I have to think too...because I came from an ICU situation...and compared to THAT job - I barely feel like a nurse anymore (ducking from flying objects!) :chair: We didn't have assistants where I worked, we did ALL patient care, of course ALL chartin...

7. Terrified in the OR

   justjenny replied to laneyRN's topic in Operating Room

   I personally don't feel comfortable in that situation. My first response would have been to call for either (1) another CRNA to the room or (2) another MDA I do not care that the MDA was instructing the ST to do this....UNLESS the ST was also an RN...

8. Revising Our Periop Countpolicy

   justjenny replied to BAMJAM's topic in Operating Room

   Trying to remember specifics to try and help.... (1) the ST is always responsible for an "inventory count" upon starting and finishing a case - even when a full instrument count is not required. (2) we always count "the small stuff" (sharps, sponges,...

9. My first contamination (I feel bad) LONG

   justjenny replied to Tiffany, RN, BSN's topic in Operating Room

   Just the other day, While circulating a total knee, the PA on the case looked at how much saline was left in the lavage bag and without thinking reached out and touched it! I called her on it and she changed her gloves - no harm done. Later, she s...

10. Disinfecting cuffs?

    justjenny replied to brewerpaul's topic in Operating Room

    Same for us. CPD cleans them. they don't get gross because they are fully covered with the 1000/1010 or 1015 drapes Jenny

11. Placement of nerve monitoring electrodes

    justjenny replied to littleds's topic in Operating Room

    anytime a case is boarded with nerve monitoring the hospital contracts an outside company to come in and apply the electrodes and they also monitor the screen, etc. and communicate with the surgeon. I believe at other hospitals in the area they have ...

12. Positioning aids used for extreme positions?

    justjenny posted a topic in Operating Room

    Hello! Just wondering what types of things/equipment is used to position patients safetly when they will be in extreme positions. Example: today I circulated colo-rectal cases....pt will be in extreme trendelenburg and up in stirrups. The whole bell...

13. prepping solutions

    justjenny replied to reremel's topic in Operating Room

    There are different types of chloraprep. The most common is tinted orange, but there is a clear and also a blue tinted one. The clear makes it too hard to see where you have prepped and the blue makes post op RNs crazy because they can't always tell...

14. Advice from circulating nurses...

    justjenny replied to JLKNurse's topic in Operating Room

    I would recommend observing in the OR for at least one day. Sometimes this is possible while still in school - talk with an instructor. There is at least one textbook that is very helpful - but I wouldn't recommend it if you aren't actually starting...

15. Anesthesia incident on OR Nursing Record?

    justjenny replied to riv_nurse's topic in Operating Room

    It is part of our keystone briefing to have the circulator verify what ABX are given and when...not only is it a safety check, but it is now a reimbursement issue...if meds are not documented within an hour of incision payment can be withheld.... As ...