PACURN1818

PACURN1818

PACU, ICU

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About PACURN1818

PACURN1818 has 13 years experience and specializes in PACU, ICU.


Latest Activity

  1. Phase 1 PACU used as pre-op

    I am in the states, and the PACUs I have worked in for the most part have done preops as well, however, then they have to staff a little better, because they really do have to try and keep them as separate as possible even though you are in the same ...
  2. Working Alone

    A follow up note, though this post is old. I have worked in 4 separate PACUs, 1 medium, 2 very large, and one tiny rural facility. Only 1 person with a recovering patient is NOT acceptable and ASPAN makes that clear. Your coworkers should be ashamed....
  3. Advice to those looking at home triage jobs...

    Hello. In response- often a BSN is NOT absolutely needed. I do not have one, and have now been working from home x 3 years. It can help and it depends on the job. Experience is a common obstacle. Example: you can work from home in medical management/...
  4. Hello, You may find a lot of us reluctant to talk about these jobs when we have them, its NOT something you want to blab about online and then lose. But here is some info in general YES these jobs are real, you can work from home for some of th...
  5. BON gateway to ID theft?

    So, I found 1 old closed thread about this, but it is SUCH a big concern. I am licensed in nearly every state, and have recently realized at least about HALF of those states list my name, lic number and HOME ADDRESS for anyone to see. I get that ther...
  6. We use the ETCO2 monitors, but not for all patients. Patients who are suspected of retaining CO2, or who had a rough extubation, or have a history of sleep apnea usually end up with them ordered. They stay in PACU 2 hrs most of the time, and go with ...
  7. PACU RN's- what is your visitor policy?

    A few other threads over this issue.... Check them out. I am trying to be better about visitors, because our management is all about it. Officially it is the nurses decision any time before 2 hrs, except kids under 16. However if family complains you...
  8. Anti-Intellectualism/Autonomy in nursing

    This is why I like PACU. With time and experience sliding into PACU is one of the few areas left with autonomy. Because of the way our protocols are worded we can go ahead and do things medically needed for the patient which also make sense without w...
  9. HCAP scores - I can live without them

    I will second the scores getting crazy attention, esp now that it is a funding thing. As in the other post Was has been up more recently where I was frustrated, I feel it gets to the point where it doesnt matter if safety is compromised as long as th...
  10. Does your OR have to hold til theres a PACU bay??

    LOL, THAT would be fantastic! Its been a huge issue lately, and I think the situation is going to be discussed in practice council. We do utilize the extra transport monitors with O2 on the sides to take extra folks. I have often wondered why in thes...
  11. PACU RN's- what is your visitor policy?

    We have visitation issues. with HCAHPS starting up our manager is all visitor gun ho, but there are many problems. She feels that privacy isnt an issue since we dont say first and last names, but even if they didnt say my first name, if the staff was...
  12. Aldrete Score

    We use the revised one for surgical patients as part of our criteria. A score is done on arrival, after 30 minutes and prior to discharge. A pt cannot leave PACU with a score of less than 10 out of 12 unless they are going to a critical care unit or ...
  13. Does your OR have to hold til theres a PACU bay??

    wow that sounds nice. For us its pot luck, when the doors open we have no idea which patient it is, or how big a case it was until they slide into a place. Knowing the size and severity would really help us to be better prepared and let the OR know r...
  14. Ok.... So nearly ALL our patients scheduled today came out in a three hour time span, like stacks of three at a time, killing us. At one point we are out of PACU bays, putting people on the edges with transport monitors. THEN we send total joints ove...
  15. You might be a PACU nurse if...

    You have been getting all the patients all day because no one else is moving theirs You know by looking at your anesth. doc all your patients will be in PACU two hours because they are slightly overwt your patient who is vomiting is angry that you wo...