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momathoner09

momathoner09

Pre-op
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  1. momathoner09

    Cath lab prep and recovery

    I was just offered a job in the cath lab of a busy teaching hospital. My experience is in step down and pre op (open heart and vascular) in a smaller but busy hospital. I start in about a month but was wondering if there is anything I should review or look over that would help me. I have never recovered patients so I know all that will be new. I shadowed for a few hours and it seemed similar to pre op in some ways with patient flow. Any input would be helpful- thank you!
  2. momathoner09

    Job offers to get in OR

    I have been job searching for 3 months now. I've tried to get into new OR training programs without any luck. I've done pre op for open hearts & vascular for 3 years. So I've decided to try to get into a hospital (we recently moved) first as a per diem nurse. I currently have 2 offers- one in pre op and the other in pre/post cath lab holding area. Any insight on which would be best to eventually get into the OR? I know in pre op in my old job I could have easily gotten into the OR if I wanted (after working there for awhile) but not sure if that is true in a larger hospital. I like pre op. I'm good at it. But I've always wanted to try circulating.
  3. momathoner09

    Duke new to the OR

    I don't have any actual "in OR" experience and would feel more comfortable being trained as if I know nothing. I know that I know more from a surgical standpoint than a floor nurse but I still have a lot to learn. That's why I was considering the program.
  4. momathoner09

    Duke new to the OR

    Anyone in or completed this program recently? Just interested in general thoughts about it? If you like it or not? Pros/Cons? I would like to work more in the Raleigh area vs Durham but it seems their new OR programs are strictly for new grads. Thanks!
  5. momathoner09

    Floor nurse to OR nurse?

    I am not in the OR but can comment on the scheduling since you mentioned that. The biggest thing I have noticed is the scheduling can vary so much. Add ons and cancellations have us making changes all day. Full time does try to stick to there 4, 10 hour days but they do ask for volunteers a lot to stay (this may be due to we are a smaller hospital with not a large staff). I also would clarify exactly how much call there is. The pace is very much hurry up and wait. If you are the one picking up your child from daycare, make sure to clarify that you have to leave by a certain time latest. I dealt with some issues of having to leave by 545 to pick up my son and sometimes not having the last patient go back until 630 even though we technically close at 5. I can walk into to a full page schedule of 8 patients and then it all go to crap if an emergency comes in or we have a bring back. So it's just really hard to predict.
  6. momathoner09

    Second Degree, Low GPA, Options?

    You can re take courses. Look at the required courses and take them over to raise your grade. I did this and applied and applied before I was finally accepted to a diploma program. Good luck to you!
  7. momathoner09

    Duke New Grad July 2017!

    Wow that's early! I kind of don't want my current job to know I'm leaving that soon. Thanks!
  8. momathoner09

    What else can pre-op do?

    I will be job searching again next year due to a move and am wondering where I can go with my current experience. I love pre op but there doesn't seem to be many jobs available in that area. I really like being part of the OR team and that aspect of nursing vs floor nursing. Plus, I have little experience in floor nursing so even if I wanted to, that would be like starting over as well. Right now I have in mind PACU, OR, and possibly cath lab? Again, I am not sure how hard it will be to get any of these jobs with 3 years (when I apply) pre-op experience. I have worked mainly in hearts but also floated to our main OR. Any ideas or guidance? TIA.
  9. momathoner09

    Duke New Grad July 2017!

    When did everyone apply to start in July? Also does anyone know if they take only new grads for the OR program or can you have some nursing experience? Thanks!
  10. momathoner09

    RN-BC Cardiac-Vascular

    I currently work pre-op for cardiac & vascular surgery. I have been working for 2 years per diem but do have over 2,000 hours. I was wondering if the RN-BC would be a good certification for me to get? I've just started researching this and would be looking to certify within the year. I've been on the ANCC website but am confused about the process. Do you apply and then set a testing date? Or do you apply after doing your prep work and then have 90 days to take the test? Also how do they check your eligibility? Would another certification be better? I will be in my current position for another year but then will be job hunting again. I do wish to stay with cardiac nursing though. Thank you.
  11. First of all, like others said, 24 is not too late at all. I started nursing school at 25 and graduated at 27 with my diploma in nursing (already had a bachelors in another field). Now I'm 36 but have only worked 2 years because my husband is on active duty. You have to take care of yourself while you are young and before you have kids. I took my NCLEX a month after we got married but since then it's been a mess for me career wise with the military. But- I've been able to get back on track Bc I completed it all before we started moving and before I got pregnant, etc. Now almost 10 years later, my husband is getting off Active duty and I have a solid career and I will have to work full time for us to be able to do this. I wouldn't do LPN. I would do RN or BSN. I would start the process at the beginning of a PCS. That way you would have the most amount of time in one place. You could do pre-reqs if you need them in a different state. I don't know how those transfer but you won't be able to transfer nursing programs. You are going to want to do that all in one place. This will probably require you living apart from your spouse. That's ok. Think about the long term and big picture. I can promise you it's worth it. I turned down a fellowship new nursing position in 2008 Bc of PCS orders and I regret it. Then I got pregnant, the moving started...it all spiraled from there. In the military community, this isn't a popular path. The wife is supposed to stay home, pop out children and go to FRG functions. I hated all of that though. All I wanted to do is find my way back to the hospital and once I finally did it was like I could be myself again. Also- military marriage is hard. If anything ever happens, spouses need a career to fall back on. If this is something you want, pursue it with everything you have. Make it a priority. Don't listen to people who tell you no. Make decisions in line with your goal. Retake classes if you need higher grades. Apply everywhere. You can do this.
  12. momathoner09

    Consents from patients who cannot sign for self

    For an outpatient in our facility (hospital) - ideally- they would go to pre-testing. Surgical consent would be obtained at this time. More often that not, outpatients will not pretest and then it is our job (pre-op) to obtain surgical consent, blood consent, anesthesia consent (although this is covered in the surgical consent), labs, etc as soon as the patients arrives. Registration will cover HIPPA and "general consent." The first thing I check for in a mentally compromised patient would be a driver. They will usually be able to be the one who gave consent (relative) or explain to us who did give consent. We did have a situation with a group home resident in which we had to obtain telephone consent from a relative prior to the procedure. The days I work, I make sure that 0700 cases are taken care of for the next day. You are correct, that is difficult to deal with first thing in the morning. Honestly, the most trouble I have with consents is inpatients that get added on. Floor nurses let them sign consents that they should't or don't get consent, etc. I wouldn't think this should be a problem with scheduled cases. Charts should be obtained prior and consents checked at this time. All that being said, I do not let a patient go to surgery with a consent that they signed if they are not competent at the time. That's actually a question I have started asking the floors because of so many issues we have had. Often times consent may be obtained by different nurses and then not checked or updated if a patient's condition changes after surgical orders were written.
  13. momathoner09

    Sick of floor nursing, what now?

    I pre op patients for heart and vascular surgery. No nights, weekends, call or holidays. Hours can be unpredictable as we start early (0500/0600) and you get off once the last patient goes back (depending what order you came in). So you might leave at 3pm, 6pm, 12pm- who knows?! We work closely with anesthesiologists, surgeons, OR nurses, CRNAs, and the surgeons office (their nurses there, PAs,NPs). Lots of strong personalities. One thing I like is that we are a one way stop. Patients (and their families!) come to us either from home or from the floor. We may take care of them for 15 min or 6 hours and anywhere inbetween. You have to be very detail orientated going thorough charts making sure that patient is able to go to surgery. Things get added on and cancelled everyday so you have to be flexible. We call all around the hospital needing things yesterday (transport, lab, blood bank, etc). Everything is hurry up and wait. Its not a bad gig. I don't think I would be any good at floor nursing since this is all I know. GI, outpatient surgery operates on a similar level if you wanted to look into anything like that.
  14. momathoner09

    Lab values

  15. momathoner09

    Lab values

    I always look at h/h & platelets first to see if they are low. If they are, I ask to order a type and screen and if they want blood and/or platelets ordered or on hold. For renal patients I look at K+, BUN & creatinine. I also look up the last time they went to dialysis. I always report high K+ as that could impact surgery. Diabetics (usually renal too) I look at glucose if it was ordered in a BMP. I report below 70. I don't usually get a lot of high glucose Bc my patients are NPO. What type of patients are you working with? Can you ask co-workers for some guidance regarding specify doctors that you work with?
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