shodobe 8,253 Views
Joined: Aug 27, '00;
Posts: 1,295 (16% Liked)
; Likes: 364
Been gone from here for a very long time. Just retired after almost 40 years in the OR. I run my room NOT some Tech. Simple for those out there who allows this to happen.
Stop letting us wear cloth ones even under a bouffant about a year or so ago. The director at that time stated that AORN recommendation was that cloth hats were not a good idea. Even though AORN would not come right out and state this was forbidden my director changed the department policy so she got her way. I keep my hair very short and the bouffant slides all over the place. I was willing to even wear the bouffant over my cloth but was told no.
In California, anyone who is employed by the hospital can obtain and witness a surgical consent. Does not have to be an RN. The witnessing only denotes that the signature is the patient's or their legal representative. The surgeon is supposed to give a Informed Consent to the patient so you do not or can not fully explain the surgery and it's various outcomes to the patient. I get consents all the time and have no problem with that.
Look in AORN Standards and you will find that yp\ou have event related issues here that as long as the package hasn't been dropped or has holes, etc... the item, as long as it doesn't have an expiration date, is sterile forever if need be. Most manufactuerers will have a hidden code to when the item was sterilized but I have never been told by any company how long the shelf life of an item is.There use to be many years ago the five year rule but it doesn't apply anymore because of the high cost of products. You don't want to be throwing out a $500 item just because it was made 5 years ago. Like I said go to the AORN Standards Manual for answers.
Actually his article didn't really say anymore than what was around thirty years ago.
Problem is the call shouldn't be on a "volunter" rotation. It is a disaster in the making unless your hospital makes it mandatory. Administration probably doesn't say anything to avoid paying stand-by pay. Do you get pay for this volunter work?
At my hospital we don't do OJT in the OR but L&D does train their techs to scrub C/S. My director is trying to implement a program for all of the non-cert techs to take weekend classes so they can challenge the cert test.
Not all JWs abide by their beliefs because I have had a few over the years who sign the refusal but also state that if it was the difference between living and dying, give me the blood! So this is an issue that should be resolved BEFORE surgery and yes the surgeon isn't always right.
PS this has only been a few over 37 years in the OR kind of like Holiday Catholics or Jack Mormons
Only need two circs for conscious sedation cases and real complicated ones. No reason any other time.
The last time I checked, according to labor laws it is considered harrasment on your part if you question the person's excuse for calling off. They don't even have to tell you why, only they're not coming. We do have a max amount you can call off until discipline kicks in.
Your not going to get an answer from nurses who have less than 15 years or so because that draping is really old school. I use to work with a hand surgeon who always used this technique. Never, ever had an infection and I don't see a problem with this.
Don't know where you are located but the hospital has no backup plan if you were not able to go home due to severe weather or ?
So far the answers I would expect. keep them coming
I posted a topic like this last mar but got only one response. I was wondering how your hospital treats the on-call crew. Does your facility provide a sleep room or somewhere you could stay when on call and live just a little further away than the rules allow. Is it a big deal if you conk out on the couch in the break room if the weather is to bad to drive? I am trying to get an idea if your staying in the hospital while on-call is a big deal. Thanks
Your right, if there is a problem in sterility, counts and such I blame the circ because that room is their responsibilty. They have to keep and eye not only on the scrub but the surgeon and anesthesia.
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