Quote from critterlover
to me, the biggest down side of pacu is that some people come out of anesthesia very rough. yelling, screaming, saying inappropriate things, climbing over the side rails.....i can remember a very large post-crani that we had to practically sit on to keep him in bed, and he kept taunting his nurse. after some time, though (maybe 30 min?) he came out of it.
this is something i never even thought about. thanks for the insight.
another problem is when you have to hold patients while waiting on a bed. patients are uncomfortable (we keep ours on stretchers), family members are mad (can't visit due to confidentiality issues with the rest of the patients). finally, there were times when it was so hard to get the floor nurse to come in and accept the patient.... i've worked in hospitals where patients are put on the bed coming off the or table, which meant they took up more room in pacu, and you had to have help to push the bed to the floor. in the facility where i currently work, they are on stretchers coming out of the or. i may be able to push the bed by myself, but then i have to transfer them to the bed when i get there, not always easy with a post op patient who hurts when they move. to me it is much kinder to do the transferring back in the or when they are still "out." they are being transferred to a stretcher, anyway....why not just put them on the bed then?
this is something i actually did
think of, both the bed vs. stretcher, and the time to get the pt. to the floor. my med/surg days were spent on an ortho floor, so we dealth with a lot of post-ops, and the struggles between the nurses regarding accepting the pts. i remember how we tried as hard as we could to avoid taking those post ops back!! and how they would conveniently come back at 6:45, right before shift change, and the oncoming nurse would get stuck with the orders and other stuff :angryfire .
i do appreciate your objective view of your job. that's what i was looking for.
this is not
directed at you, critter: i'm not looking for a 'break' or an easy way out. i'm looking for a change, a different, prferably more controlled environment, where i can build critical care skills. no specialty, in my opinion (or at least anything i would be interested in) is going to be cake. nothing in nursing is these days. so i believe it goes without saying that "pacu is tough". every job has its minuses, so i think it's best to ask these things in advance, as these are things you may not get on the interview.