TammyCNOR

TammyCNOR has 21 years experience and specializes in Intensive care, Operating room.

Latest Activity

1. Wasteful practices in the OR?

   TammyCNOR replied to NPs4health's topic in Operating Room

   We pick our cases in baskets lined up on wire racks. We put all the "have available" supplies in a plastic bag. This includes suture, mesh whatever. Some people are really careful, but there are the ones who would open everything in the basket regard...

2. Moisture in rigid containers

   TammyCNOR replied to canesdukegirl's topic in Operating Room

   We use caskets and have documentation from the manufacturer that liquid inside a sterilized casket is in fact sterile. They do not have filters to change. It was necessary to have this paperwork since it goes against the whole "wet pack" mentality.

3. Medication refrigerators

   TammyCNOR replied to cmm0012345's topic in Operating Room

   Our med room has a lock on the door, we just had our survey and that was acceptable. However...our pharmacy consultant put a med cup of water in the freezer and after frozen put a penny on top of the ice. When checking the temp, she said always check...

4. Staff RN's earn more than Nurse Manager?!

   TammyCNOR replied to haitianrn's topic in Management

   I agree with everyone else! I get paid for 8 hours and work 10-12. I am Clinical Manager in the OR at an outpatient surgery center. Problem being no call or 2nd shift. I have 10 hr nurses, but if cases run late or have extra rooms running, I am alway...

5. Delay from ACU to OR.........Versed

   TammyCNOR replied to staceyp413's topic in Operating Room

   We are dealing with the same type of issue, specifically on our record. There is a place to document that the surgical site is verified/marked. Many times this is not documented by the Pre-op staff because when they were finished getting the patient ...

6. Rant: Physician pagers!

   TammyCNOR replied to BridgetJones's topic in Operating Room

   I just love when you are answering a page and then get chewed on for not being attentive to the instrument they just dropped or whatever. That happened to me and the Dr screamed, "get off the ******* phone!!!" Soooo when the ER sent xray's of the hip...

7. Broken cystoscopes...6 in one day

   TammyCNOR replied to TammyCNOR's topic in Operating Room

   All of our cystoscopes are autoclavable. We do have a new person in SPD, new to us, but not new to the job. I am just bummed that it will be a real challenge to get through our surgery schedule until we get repairs back and of course the huge expense...

8. Broken cystoscopes...6 in one day

   TammyCNOR posted a topic in Operating Room

   Two different Urologists went through 6 cystoscopes yesterday. Variety of cases, laser and no laser. We are aware of the heat issue with the laser, but not all of the scopes were on laser cases. We changed out laser fibers on the cases that involved ...

9. Where have you lost a sponge?

   TammyCNOR replied to sm9796's topic in Operating Room

   We had a difficult time locating a raytec in a spinal nerve stimulator case. Lots of wires on the generator portion made it questionable if we were seeing wires or the threads. We had the sales rep bring in an unopened generator, we xray'd it and bin...

10. Plastic surgery office nurses?

    TammyCNOR replied to Stacy in North Texas's topic in Ambulatory

    I worked for a Dermatologist who was a Mohs surgeon. Very cool job for a surgical nurse with small children. It was mostly skin cancer although he did some "lump and bump" type surgeries. He was great about letting the nurses with experience use it. ...

11. Shoes?

    TammyCNOR replied to Aneroo's topic in Operating Room

    Danskos for me too! I am the clinical manager and walk many miles and also circulate and scrub. I have only slighty rolled from stepping on a cord or something, hasn't been a problem. I agree to try on several pairs, they all fit different.

12. Ideas to cut down on patient in the room to incision

    TammyCNOR replied to dottimur's topic in Operating Room

    I page anesthesia the minute I get in the room. Lots of other nurses apply all the monitors, take a set of vitals then call the Anesthesia. That alone can be 10 minutes. Call the surgeon just prior to induction, by the time they wander down the hall,...

13. Have you ever had a pt that you knew in real life?

    TammyCNOR replied to AmericanChai's topic in General Nursing

    My best example of this, scrubbed in for surgery, the circulator wheels in my Dad's Ex-wife. I was already scrubbed in, kinda too late to make changes. She knew I worked there, we greeted each other, surgery proceeded.

14. Name a situation that is not your responsibilty...

    TammyCNOR replied to NurseCallus's topic in General Nursing

    I can remember in a new job orientation each department head got up and gave there two bits, the head of housekeeping actually said that if something spills on the new carpet after housekeeping hours, "get the nurse" I could have killed him!!!

15. would like to share my evaluation by my Head OR nurse

    TammyCNOR replied to Lorodz's topic in Operating Room

    I can remember an evaluation in my early years... I got an "average" score for promptness on call-back cases. I lived closer than anyone and was routinely there before my teammate. When I questioned my evaluator, she said,"to get an exceeds standard ...