buck70

buck70 specializes in OR.

Latest Activity

1. Tying gowns after the spin card has dropped

   buck70 replied to linda2097's topic in Operating Room

   I tried to edit my post. I agree with Linda 2097 (the poster). The gowns were not designed for the circulator to tie them. There is still a potential that exists, for contamination, even if the circulator ties it "in the back." Scrubs sometimes move ...

2. Tying gowns after the spin card has dropped

   buck70 replied to linda2097's topic in Operating Room

   I totally agree. I ask the tech to cut the strings close to their gown, and then I tape the gown closed by taping it really low in the back. Like really low.................................

3. Something I've noticed about OR nurses...

   buck70 replied to keira30's topic in Operating Room

   I agree with everyone that mentioned the plus of 1 patient at a time. You feel more in control being able to devote 100% of your time to your patient. The environment is much more controlled, and usually the docs treat you better because you can make...

4. Documenting Implants

   buck70 posted a topic in Operating Room

   We are having a debate in our OR: Can you "trace/track" Synthes plates and screws from a small frag set? If we have an implant that comes with a sticker, we put the sticker in an "implant log book," and on the permanent OR record on the chart. I writ...

5. Sterile Field Question

   buck70 replied to walt7878's topic in Safety

   By the way, shodobe, if you are out there. We know you would use it, and say "F" it..........................Ha Ha. All in good fun.

6. Sterile Field Question

   buck70 replied to walt7878's topic in Safety

   I agree with Itshamrtym. If you can use some or most of the set-up for another case, that is okay. I know sometimes this isn't possible. 21/2 hours is too long to try to monitor a field. It is not recommended to cover a sterile field. The risk of con...

7. Is an unmonitored sterile field considered sterile?

   buck70 replied to buck70's topic in Operating Room

   Thanks for the responses. I appreciate the different opinions. It almost sounds like a "personal" choice; however, recommended practices are proposed for a reason. I guess we can, personally, do the best we can, and hope that we are a good influence ...

8. Is an unmonitored sterile field considered sterile?

   buck70 posted a topic in Operating Room

   I know what the recommended practice (AORN) is. I also know what I was taught in tech school. Most textbooks say to keep the sterile field under constant surveillance. My question: how many of you guys follow this practice to the letter? We are havin...

9. Call/Post Call Situation - Need Your Advice!

   buck70 replied to heather2084's topic in Operating Room

   Also, heather admitted to only 1.5 years experience, and I was simply trying to set a good example. However poor the communication was, her name being on the board, and her being assigned a room, was telling her, possibly in a passive way, that she w...

10. Call/Post Call Situation - Need Your Advice!

    buck70 replied to heather2084's topic in Operating Room

    Well, shodobe, with your many years of experience, I shouldn't have to mention what comes to mind when someone "assumes." I've experienced my fair share of **** poor management, in my humble 15 years, working in the OR; however, I never used "calling...

11. Call/Post Call Situation - Need Your Advice!

    buck70 replied to heather2084's topic in Operating Room

    First, I do not agree with the post calling your situation a "sick call." That is not what sick days are for, and behavior like that is what forces some facilities to make staff use 2 personal days before they can use a sick day. Second, sounds like ...

12. Periop101 vs. OR Residency

    buck70 replied to Elizabeth Hanes's topic in Operating Room

    If Hospital A is concerned enough about providing an effective orientation program as to offer AORN'S periop course, I would go with that. I would trust a facility that followed AORN'S standards over any other. Plus, a 10 month orientation will more ...

13. As on O.R. nurse, how often do you start IV's?

    buck70 replied to mikethern's topic in Operating Room

    I'm not sure why, but in my OR, the anesthesiologist/anesthetist traditionally starts the IV if there isn't one, already. If we want to start one, however, they usually never object. I think a lot of us OR nurses are simply out of practice, and so we...

14. SCD orders

    buck70 replied to inspir8tion's topic in Operating Room

    In my OR, we have standing written orders (a check list). The surgeon signs and dates these orders, and we sign and date them. We check what we have done, and write N/A by the ones that do not apply (or draw a line through the ones that do not apply)...