Search Results

LTC??? How on earth have you been coping? I did my share of LTC, also psych and frail care back in the way back when but you couldn't torture me out of the theater complex now!

Neither is a really bad concept; preop and phase 2 can work together provided the post-op patients are relaxed, pain free and no PONV. Putting phase 1 and 2 together can also work, provided the phase...

Yes, we recover our c-sections in pacu. They VERY rarely need to stay longer than 20 minutes.

Can you do a bit of circulating/anaesthetics before you switch? In my experience, nurses accustomed to assisting the anaesthesia provider and who have a good knowledge of the drugs used have a pretty...

Smaller hospitals do not have space for a phase 2 area. Ours does not, and is very space restricted, so we have to fast track our patients out. I would LOVE to be able to provide phase 2 level care,...

There are times when a second person doing the charting is, if not essential, at least extremely useful in ensuring that correct times of administration are recorded and also in recording events,...

PACU can be very physically demanding on busy days, especially where you have more than one fast-moving theater list. If it's ent with a lot of peds, you can be run off your feet, and you'd be amazed...

After what happened to Prof Karabus (local pediatrician, retired) in UAE, you wouldn't catch me working in any middle Eastern country.

Stop PANICKING! It's just a novelty sherbet dispenser!

The newer volatile agents are very quickly metabolized so you don't get that "smell" when the patients exhale any more. The older generation gases were said to have an affect on staff in PACU, which...

Only if the scavenging system is not functioning properly. This is part of the normal function of all anaesthetic machines, unless they're museum pieces!

This may be dependent on various factors; it may be the facility's policy that patients must be extubated and stable before the anaesthesia provider may hand over to the PACU RN. This may be feasible...

Working with **** in various forms at work never helped me deal with the same at home. They only inspired me to get out of home till the tantrums and associated performances were over and the little...

Yet another practical joke pulled on a new grad - 2013 was sent to respond to a code in the morgue.....

2013 was a little slow to realise no-one else wanted 2012 back....

The spinal issue would depend on whether your PACU has a phase 2 area or not. Small pacus like mine just take phase 1 cases, stabilize them and discharge to the ward/unit. Spinal cases, where there...

I feel for you. Sweet wild rose is dead right; 1.5 bays per theater is the optimum, which at least gives you adequate facilities and reduces the pressure on you to discharge your patients. Yes,...

Pray every day - that 2013 is better than 2012.

What the heck were you on - not fentanyl, surely? That read like a Ketamine trip! ALWAYS remember - that which you carry with you in your subconscious pre-operatively is with you when you awake. ...

I haven't read the whole thread, partly because it's become an 8-page slog, but mostly because my DGS is pacing up and down, wondering when Granny will be finished with his PC. Visiting the kids is...

Believe it or not, there have been instances where local anaesthetic has triggered MH. TIVA is definitely the way to go where there is any hint of MH in the family medical history, which is why this...

Remember the relationship between opiates and PONV. Good, you've medicated that pain with Morphine or Pethidine, but don't be surprised if they're vomiting 5 minutes later! Granisetron's...

You are absolutely right; this should be done in a fully equipped theater. Any surgery which takes 7 hours cannot be regarded as "ambulatory". Do you have the facilities there for full anaesthesia?...

This reminds me of a post in a recent AN newsletter;a nurse with cartoon character scrubs, but on a black background, was told by her family member that she should not wear them as the black colour...

A patient who was NPM for how many hours preop? How far into the GIT does he think it's going to get before being absorbed?