RNiel

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1. Capnography (ETCO2 Monitoring) Do you monitor extubated patients in the PACU w/ it?

   RNiel replied to RNiel's topic in PACU

   GH - No, there wasn't an incident. The one CRNA that requested it on behalf of the others stated that it was soon to be a standard of care, but I've not heard anyone else mention it or seen any articles on it. Thanks for the input everyone.

2. Capnography (ETCO2 Monitoring) Do you monitor extubated patients in the PACU w/ it?

   RNiel posted a topic in PACU

   Does your facility use Capnography (ETCO2 Monitoring) - on extubated patients in the PACU? Our anestheisa providers have requested we purchase End Tital CO2 monitors for our PACU to use on extubated patients. It's quite an expense and we are a smal...

3. Small hospital preparing to gear up for Ortho

   RNiel replied to RNiel's topic in Operating Room

   Canes - Thank you for your reply. Yes, we are upgrading to Stryker 6 (from Command 2). I don't think we have the Gamma nails or ex-files stuff. Which pump would you recommend for arthroscopy?

4. Small hospital preparing to gear up for Ortho

   RNiel replied to RNiel's topic in Operating Room

   Thank you Argo - I think we are on the right track. Our OR is new (two years old). When they built it they were hoping to use is as a drawing card for an orthopod, so it has the proper air exchange. It's also 900 sq ft! You gave me a lot of good ...

5. Small hospital preparing to gear up for Ortho

   RNiel posted a topic in Operating Room

   I work in a 25 bed hospital in a rural area. We have two ORs, but only one anesthesia provider at a time (so essentially one OR). We have just learned that we are going to be getting an orthopedic surgeon with in the next month or two. We have not...

6. Older nurses taking forever to computer chart

   RNiel replied to Giga's topic in General Nursing

   This can be a very sensitive situation. I'm wondering if instead of using the term "older nurses" you might has said "nurse's who lack computer skills". Regardless of the terminology, I know where you are coming from. Many people have suggested he...

7. Why Black Eyes?

   RNiel replied to nurseaboveboard's topic in Operating Room

   I can't remember exactly how it happened, it was a long time ago, but I saw a CRNA's hand slip off of a Laryngoscope during a difficult intubation and hit the patient on the nose. I've never saw it before or since. It was strange. I don't know if...

8. Counting Policy

   RNiel replied to kmh2000's topic in Operating Room

   We use pre printed count sheets that come in the instrument trays on open cases. We also use pre printed count sheets that are kept in the OR on locals that just have sponge and needles on them. Our manager/policy make us count at least twice (three ...

9. Is anyone else's office banning Fleets Phosophosoda??

   RNiel replied to flightnurse2b's topic in Gastroenterology

   Our Doc used to use Fleets Phospho more than anything else until the recent study came out. He now uses GoLytely more than anything else. Previously he reserved the GoLytely for people with history of cardiac, renal or electrolye problems and gave ...

10. NY State may require nurses to obtain 4-year degrees

    RNiel replied to Brian's topic in ADN/BSN

    I agree Bob.

11. Any advice on HESI testing?

    RNiel replied to sensweet's topic in General Nursing

    I agree with Jess's comments on students doing poorly on the HESI yet doing well on the NCLEX. This is exactly how things happened at my school also. Many of the students in my class (Spring 05) did poorly on the HESI causing them much undo stress. A...

12. Who's at fault here?

    RNiel replied to stranger's topic in New Nurse

    This could so easily have happened to me. Every night I end up with 7 pts. I've been a nurse for 6 months. There never seems to be any reasoning to how the assignments are made. I'm told in report that everyone is tucked in and ready for bed. I ...