LJOHRrn

LJOHRrn has 7 years experience.

Latest Activity

1. Preceptor Refusal

   LJOHRrn posted a topic in Operating Room

   Nearing the end of my 12 week orientation as a circulating nurse in the OR for general surgery, and currently my preceptor sits outside the room to let me fly pseudo solo. Today was my first vascular case, a bilateral fem-pop bypass, which I read abo...

2. Why do SCDs need to be on the patient prior to anesthesia induction?

   LJOHRrn replied to Chocolate39's topic in Operating Room

   Gases and meds used for induction drop blood pressure. SCDs work by keeping blood pressure up while legs are neutral, dependent, and not greatly perfused and prevent clots.

3. Circulator Presence on Induction?

   LJOHRrn replied to Dielsh's topic in Operating Room

   As a new OR nurse, when it's time for induction, my job is to hold the mask while oxygenating prior to intubation, holding cricoid pressure when requested, and pulling the stylet when told to. Until breath sounds are confirmed along with end tidal, ...

4. OR Skin Prep

   LJOHRrn posted a topic in Operating Room

   In my hospital, circulating nurses do skin preps after induction unless the surgeon prefers to do them. I have finally gotten down Chloraprepping the abdomen (prepped from xiphoid to pubis and bed to bed) and below preps (pubis to buttocks including...

5. Operating Room Rules

   LJOHRrn replied to Canucknurse18's topic in Operating Room

   We are taught to scrub at the end of orientation as my hospital is a teaching one. But we rely solely on surgical techs to scrub unless the surgeon brings a first assist with him to a case. We can wear cloth hats if they are laundered every day, but ...

6. New OR RN Seeks Starting Point

   LJOHRrn replied to LJOHRrn's topic in Operating Room

   It sure did help! Had I taken this job sooner than I did, I would not have developed the thick skin needed to be successful in this arena. I have definitely leaned that if people yell, or are awful in pointing out your error, I don't take it personal...

7. New OR RN Seeks Starting Point

   LJOHRrn replied to LJOHRrn's topic in Operating Room

   I downloaded this several weeks ago and it has been very useful! Wish it covered more about skin preps. I still struggle with those.

8. New OR RN Seeks Starting Point

   LJOHRrn replied to LJOHRrn's topic in Operating Room

   Thank you for the reassurance. I also feel like a 6-9 month orientation would be right up my alley, but for whatever reason it's not feasible.

9. Newbie OR Nurse

   LJOHRrn posted a topic in Operating Room

   I'm currently in week 9 of 12 of orientation as a new OR nurse in General Surgery (vascular, robotics, gyne, breast, GI, bariatrics). I more than love this new job, and while the friction is unpleasant as hell, I know it's making me a stronger nurse,...

10. New OR RN Seeks Starting Point

    LJOHRrn posted a topic in Operating Room

    I have just landed my dream job as a circulating nurse in the OR at an urban Level 2 Trauma Center. I am in my third week of precepting/orientation in general surgery, but while on-call I will also respond to emergent cases, sometimes of different sp...

11. Poor Understanding of Vitals Amongst CNAs

    LJOHRrn posted a topic in LTAC

    I work 6p-6a in a facility where pretty much everyone gets vitals at least twice a day. We frequently have issues with inaccurate vitals, improper technique while obtaining vitals, and we also have *major* delays in reporting "abnormal vitals." I pu...

12. Discharge Teaching on PICC line/OPAT

    LJOHRrn posted a topic in LTAC

    I have a patient being discharged soon with a PICC line and receiving OPAT. I have done verbal/hands on pt education at the bedside on PICC line care/medication administration, but I think visual resources would be more helpful. I have looked online ...