Latest Comments by Dela RN

Dela RN 3,014 Views

Joined: Apr 30, '11; Posts: 44 (23% Liked) ; Likes: 28
from CA

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  • 0

    I'm a peds OR nurse and it really depends on the surgery site and length of case but for the most part I'd say they come with their underwear (or diaper) on. If we need to put in a foley, we just remove their underwear and it's usually not an issue. If it's a bigger patient, I have asked them to remove their underwear before they lay on the OR bed, just to make it easier on me later.

  • 0

    So I'm looking into getting a working holiday visa and registering with AHPRA as well. For those of you who have gone through the registration process with AHPRA, I have a question for you.

    In section I: English language skills requirements where it asks for a certified copy of your academic transcripts, did you get your transcripts certified or were you able use the transcript the institution sent you in one of their sealed envelopes. It just seems strange, for them to want a certified copy when they can have the real thing, sealed from the school. Maybe it's just a canadian school thing where you can request your transcripts come that way...

  • 2
    joanna73 and Fiona59 like this.

    I'm not surprised about your working conditions and I bet there are a lot of units that are working in similar situations however that does not mean this is the way it's suppose to be. PRC forms should be filled out if patient safety is in question and being understaffed and nurses missing breaks affects pt safety. Are you getting paid for missed breaks? Have you talked to your union about your concerns?

  • 2
    ruralgirl08 and Fiona59 like this.

    I worked close to full time, lived below/within my means, and directed half of my paychecks towards students loans and any tax refunds towards it and was able to pay off loans with in 2 years

  • 3

    I find that pts can have high/normal oxygen saturation numbers and still have crappy sounding lungs

  • 0

    Quote from coco0106
    Does anyone know the best route to get into the OR after graduation? Should I just apply for the periop course offered by grant macewan? Any advice would be helpful!
    Best route to get into the OR, if not through your final focus, is to look for postings for positions in the OR where they are willing to train you. I'm not too sure if there will be any in a year when you are done school since for the past couple of years they have been training a ton of students in anticipation of the new hospital opening. This is better than going through Grant McEwan since you would be getting paid and you wouldn't have to pay any course fees.

  • 0

    We do this in our OR. Our MH cart has emergency items specific to MH like your Dantrolene and syringes to reconstitute it, however some of the other drugs on the MH cart might overlap with the crash cart. I'm not completely sure. However we would have to bring in the crash cart anyway because our defib is on it.

  • 0

    Quote from yiersan
    I just got accepted by UofC Degree-holder program for 2013 January. I am studying for my first term at the U of Lethbridge in Alberta since September. I wonder whether I should change my school.

    Both are 24 months' programs. UofL is actually not bad, from the second term on, the students will spend 2-3 days/week in practicum. We have small class size. I have spent $3000 for tuition fees and textbooks this term.

    I want to know something about which school will be benefit my school life, education preparation for the nursing job, job opportunities in the future?

    I personally like small cities. but Lethbridge is not convenient in terms of traffic, grocery shopping, and making friends. I'm thinking there are more choices in Calgary.
    I think you should just stick to UofL. I went to the UofC for the accelerated program. They have now changed everything so that it is now no longer a 20 month program and it's the 24 month program that you applied to. I don't really know too much about it however from what I heard, there's a bigger focus on community nursing and putting students in community practicums. Apparently some students will not get practicums in maternity or pediatrics anymore. I don't know how accurate this is is. It's mostly just things I've heard. Also they are doing a lot more problem based learning rather than traditional lecturing. I would stay at UofL for the practicums alone.

  • 1
    lozstar likes this.

    That sounds about right! Reading alone can be confusing especially if you haven't seen it before so it's hard to mentally picture doing it. When I learned to do a surgical hand scrub (a year ago), we went through/read the AORN periop 101 module, then watched my instructor do it and then she had us do it and she watched us.

  • 4
    countrygirl1234, trj524, ams1130, and 1 other like this.

    Not an experience OR nurse but here's some questions they asked me...

    1. Tell me about your past employment and how it's relevant to this position.
    2. Where do you see yourself in 5 years? What were you goals 2 years ago? What are your goals now?
    3. Why are you interested in the operating room? Why do you want to be an OR nurse?
    4. What kind of communicator are you and give an example of it?
    5. Give an example of a confrontation between you and a co-worker, how was the problem solved?
    6. What are the roles of the nurses in the OR?
    7. What are your strengths and weaknesses?
    8. What would your colleagues say about you?
    9, How would you set up for a latex allergy?
    10. What is the safe surgery checklist?
    11. How do you handle stress in your life?
    12. How do you handle emergency situations? And give an example.
    13. What is family centred care? (I work in a peds OR)
    14. Rate how well you are as a scrub and a circulating nurse in these services: eg. Ortho, general, ENT, Neuro, plastics, etc.
    15. How do you maintain your education?
    16. How would you set up for an emergency craniotomy as a scrub nurse and as a circulating nurse?
    17. How do you prepare to scrub/circulate for case you've haven't done?
    18. How do you maintain a good work life balance?

  • 1
    Fiona59 likes this.

    Quote from ericleeericlee
    is there any thing positive that can be said about the OR specialty other than witnessing surgical procedures?

    Although seeing surgical procedures is definitely one of the bonuses of the job there are other positives about working in the OR. Obviously some of these bonuses depend on the facility that you work at but most OR nurses I work with will generally say it gives you a great work/life balance and less shift work than floor nursing. This is obviously a generalization because there are exceptions but for the most part scheduled cases do occur through out the week during daytime hours.

    Other things I like about the OR is the unique team environment. It's actually pretty cool when you think about how all the people in the room are completely dedicated to that one patient in the room. The anesthesiologist, surgeon, respiratory therapist, residents and nurses. As a floor nurse I found the interaction with doctors pretty limiting. They didn't seem to know me (except as the nurse) and they were always in and out. It seemed really segregated to me so it's pretty neat to have everyone in the OR be on the same team.

    I still work on a med/surg floor and I found that some of the skills I have obtained from the OR are helpful on the floor. Besides the technical skills that you get a ton of experience in like IV starts, catheters, you also get a better understanding of how things work. Before the OR I always thought that a central line was the answer to all difficult IV starts and long term IV use but now I see that sometimes CVCs can be difficult to place and complications do occur.Basically they weren't as simple as I once thought. You get to use all sorts of drains, learn how to better position patients and actually get real hands on experience holding a bag valve mask that isn't in a code situation or isn't a mannequin in CPR class. It may seem easy but more than one anesthesiologist has said holding a bag-valve masks is a practiced skill. If you continue working goon the floor it's pretty neat to see patients on the floor pre-op, see them in surgery and then see them post op on the floor too!

    Quote from ericleeericlee
    There seem to be expert consensus that OR is one of the most boring and uninspiring fields in nursing, and that I am tempting career-happiness suicide by wanting to join the teams of OR after graduation. If true, I pity the hopefuls who are going into OR come this graduating year. Fortunately for me, I have this forum and the luxury of planning ahead.
    Honestly the OR isn't for everyone just like how LTC isn't for everyone either. One of the posters here said it best when she said that, that's the great thing about nursing, there's many different places a nurse can go. I've had boring days in the OR... eye surgery isn't my favourite but that's why it's nice that I'm on OR nurses and not just an eye surgery nurse. I get to do ortho, general, urology, ENT, plastics, neuro, etc. I guess I can compare it to floor nursing when I get a patient assignment that is "boring" but at least you won't have that same pt assignment forever.

  • 0

    Quote from Fiona59
    A couple of contracts back, AUPE was told that all part time nurses had to lose their slash days that paid OT. AUPE was the first up to negotiate that year and fell for it. It was never raised when UNA negotiated. So the only time part time LPNs can claim their OT is when they work past the end of their shift or on their designated weekends off. It's upset a lot of part time LPNs that they basically work all their picked up shifts at straight time, while the RN next to them who has also picked up a shift will only do so on their slash days for double time.
    So basically LPNs don't have "x" days or designated days off where you would be first on the list to be offered double time to come in if the need for nurses arises on the floor?

    Quote from Fiona59
    UNE's are assigned LPN or RN shifts. It cuts back on the number of available shifts for casual and part time LPNs who can not pick up an RN shift (well officially, we all know that Staffing will sub us in when they can't find an RN on most units).
    So UNE get treated like a staff member who have their own patients and their own shifts even though they can't do everything? Seems like a waste of resources that will increase burn out. They should not be given any LPN or RN shifts. Their shifts should be their own and in addition to the nurses who already have to work... I don't think this is an AUPE issue though.

    Quote from joanna73
    That's very unfair that you aren't paid OT for any picked up shifts. As an RN, if we are requested to work a shift that hasn't been voluntarily picked up, it's OT. The same should apply for LPNs.
    Umm not exactly true?? I know I have been asked to work a shift I haven't picked up for straight time before. Scheduling has a list they are suppose to go through. If everyone says no to straight time and the unit still needs people than it might go to overtime. I'm a RN and I definitely don't always get OT for shifts that I didn't voluntarily pick up. Maybe it depends on where the workplace??

  • 0

    Do LPNs not get paid OT anymore? When did this happen?

    What's the issue with UNE's that you would like fixed?

  • 0

    I haven't worked for them but I found this website which is interesting. It seems more like the PSW thing.

    PayScale Canada - Nurse Next Door Employer Wages, Hourly Wage Rate

  • 10
    Kitiger, Thimbalina, ICUman, and 7 others like this.

    I had a elementary school patient I was admitting. One of the questions we ask is if there were any dietary concerns they wanted the hospital to be aware of like if they were a vegetarian. The kid thought very intently and responded, "Ummm we're omnivores"