mcmike55

mcmike55

surgical, emergency

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About mcmike55

mcmike55 has 40 years experience and specializes in surgical, emergency.


Latest Activity

  1. Medication refrigerators

    All meds are kept locked. The majority are in the Pyxis fridge. We keep a small amout of meds (insulin, Pepcid, etc) in an unlocked fridge in our holding area, but the door to the med room is closed and locked when unattended. Our narcs are lock...
  2. calling report to ct icu.. to the secretary?

    When we are closing, and know for a fact we are going straight back up to ICU, I'll give the nurse that was taking care of that pt a heads up type report. I'll give the nurse a thumb nail report, including what we did, lines added or subtracted, vent...
  3. Funny things said by ortho surgeons in the OR

    So often something said during surgery can be taken the wrong way, and Ortho seems to be the easiest target!! "that's what she says" it the punch line in our OR. I swear, during one long day in the ortho room, I bet we said that line 90 times!! Some ...
  4. Pulling Meds Early

    We have always pulled our meds and put them on that procedure's case cart ahead of time, but I'm hearing that this may need to stop. In the morning, we take our case carts from Sterile Processing into our central hallway, and put them outside the OR...
  5. Beach chair shoulder arthroscopy and fluid control

    We use a beach chair drape from Kimberly Clark that works very well. It's sort of a split sheet, that starts above the shoulder, then pulls around below. It has some really nice sticky strips that hold it. The fluid pouch is separate, which allows...
  6. Where have you lost a sponge?

    First off,,,,,I have got to say,,, sm9796,,I LOVE the terms that you use!! I want to change our lounge into a tea room.......and I am going to try to use the word Quiver for the holster for our bovie. I Love it!!! Anyway, two sponges I can remember,...
  7. The lithotomy position with pus is a close second,,,but fans I think we've got a winner!!!! Pt. that weighed about 900 lbs. with a lg. pannus came in to get a vertical banded gastroplasty. Raised up pannus to begin prep and found rotting chicken sa...
  8. alternative solutions for a vaginal prep

    We use Hibiclens (?sp) for the majority of our vaginal preps. One doc still likes Betadine Scrub for vaginal preps. We were told a while back that we were to use Hibiclens full strength. I still can't quite bring myself to that. I still dilute ...
  9. X-rays and eyes

    If I remember correctly, long, close exposure to x-ray does put you at risk for early cataract developement. But I've always thought that was for those working in x-ray and cath lab. I've heard of lead glasses, but never seen them, not in the OR an...
  10. Or nurse float to floor?

    Over the years, it always seems the newest RN that comes to the OR from the floor, is fairly routinely called back to help. After a few years, it rarely happens.....guess they are useless up there! For myself, all He-- would have to break loose bef...
  11. Axillary rolls

    We've re-thought our ax rolls. Before, we used an IV bag rolled into a towel. I've always been careful to not have wrinkles or seams before insertion. Recently, we were told that IV bags were not appropriate, despite never having any trouble. So...
  12. Contaminated areas within prepping area

    1. Do you prep the umbilicus first or last in an abdominal prep? I usually start with dropping a little prep fluid in the umbilicus, sort of letting it soak. Let's face it, some belly buttons need more help than others. I swear...
  13. Tell me about CALL

    I also work in a small community hospital. Three OR's, Level III trauma center. We have a MD anesthesia doc, RN circulator, Scrub Tech and PACU RN call team. The RN's average about one night a week on call and about 1 in 6 weekends. We are very goo...
  14. speeding while on call

    nrsman....if you want, search the prior posts on just this subject in Allnurses.com. I think you'll find..if you are speeding, you are breaking the law. Period. Not many OR nurses I know have the high speed driving skills to handle a high speed run t...
  15. Steris Machines Shut Down

    I don't have the actual documents in front of me, but I saw some info coming down the chute on this in early summer I think. The FDA says Steris made modifications to the System 1 after it got approval. As I understand this, the modifications, in t...