Avonlea

sorry, but you asked for input. IF you have to ask that question, you never should have had the TIKTOK account to begin with. GROW-UP.

what OKAMI said......

Dear God, what kind of fresh madness is this?

if I were a patient, and I found out you put the cystoscopy fluids into my veins, I'd probably kill you.

and don't forget the most important participant, THE PATIENT. and the 5 rights.

Indeed, there are surgery tech programs being reinstated by hospitals across the country and its a GREAT THING. BUT, its not OJT. You actually MUST GO TO THEIR ACCREDITED IN-HOUSE PROGRAM, graduate and get certification,,,,altho you may be allowed to apply your learning in the O.R. under the supervision of a PRECEPTOR during your training. BUT ITS NOT OJT. It's ACTUAL S.T. SCHOOL with certification testing at the end.

and I've never worked in a facility that doesnt require an instrument count on all procedures, at the very least, beginning and ending for minor procedures such as lacerations, as long as they are not GAPING . It's just sound practice, and AORN RECOMMENDATIONS are just that. RECOMMENDATIONS. Sloughfulness, laziness and irresponsibility has no place in the O.R., on any level. CHOOSING NOT to think and reason independently within your scope of practice, and just relying on Recommended Practices set down by AORN alone, won't save you in the court room. But perhaps the Culture of Excellence I was raised in, is different from the one you come from. Irrespectively, our patients we have sworn to protect and serve, deserve our best. I certainly give it to them and offer NO EXCUSES. Additionally, I see where your document from AORN shows only an INITIAL Instrument COUNT being done for any of those. what would be the point in counting instruments at all if there wasnt a final count done to reconcile it is correct? ....see, thats where critical independent thinking comes in.....

I'd be asking alot of questions, first one would be "who is my preceptor going to be , because I don't have a clue about how to be a SURGICAL O.R. NURSE. you cant just waltz in and be a "circulating RN". You need training, specifically. O.R. Training. At least 6mo. -1yr. with a Preceptor before being turned loose on patients.

WOW! First, if there are student nurses, scrub techs, medical students,,any of them practicing in an institution, or even just observing procedures, THE PATIENT CONSENT FORMS INCLUDE THIS INFO . IN ALL INSTANCES. If you arent aware of that, read over the consent forms. You will be surprised. LEGALLY, any facility/institution who provides this service connected with teaching institutions ALWAYS HAS THIS LEGAL CONSENT included in the paperwork that the patient signs. NOW, how far that facility lets the teaching progress, how much involvement is allowed, is up to each facility and their own policy and procedure, and dependent upon the experience the facility has agreed to provide for the medical institution they have the agreement with for training. And Marvie, a student is not working "under the license of the RN or Doctor". They are working under the liability of the hospital, and the institution they came from. Because the hospital is the one who is allowing the students to participate, and its under their licensing and accreditation by Joint Commission and others, along with their liability insurance that covers them. I cannot imagine where you got the idea that the RN's and Dr's would be responsible, as they are not the ones who consent to have students in the facility. The institution has made that decision, not them. It is a great thing for students to be exposed in the O.R., howsomever, scrubbing in and getting close is CLOSE ENOUGH. they are not qualified, certified, or licensed to progress past "OBSERVATION". It is not legal, ethical or professional practice to let a student participate in surgical procedures .

taking an x-ray at the end of the case, INSTEAD OF KEEPING UP WITH ALL COUNTS BEFORE, DURING, AND AFTER CLOSURE OF THE LAST CAVITY, IS NOT EVER< NOR HAS IT EVER, BEEN ACCEPTABLE PRACTICE. All counts means: needles, sponges of all sizes, ie: q-tips to laps, implants and instruments. Unnecessary radiation exposure can be dangerous to patients, especially CHILDREN. Only LAZY , UNPROFESSIONAL, UNSCRUPULOUS, INSIDIIOUS scrub techs and nurses would pull such a stunt and should lose their jobs. This practice should be reported to JOINT COMMISSION, MEDICARE and MEDICAID FEDERAL AGENCY and include ALL ACCREDITATION organizations. they would jerk their accreditation and shut down the facility. Licenses and certifications would be taken away. THIS IS NEVER ACCEPTABLE PRACTICE ON ANY LEVEL AT ANY TIME FOR ANY REASON. WE HAVE STANDARDS OF CARE FOR A REASON. END OF STORY. If anyone does not wish to uphold these standards, they are in the medical profession for the wrong reasons and need to leave.

STOP! your supervisor is ignorant , and self serving,,and not following LEGAL facility policy, or doesnt know it at all, or just too damn lazy to do the right and legal thing. DEAR GOD. why is she even in charge? Here is what should have happened. 1. you were not involved. it wasnt your responsibility. It seems as tho your supervisor didn't do her job, and didn't know how to handle it at all when the patients wife complained. THAT WAS NO WAY TO HANDLE THAT SITUATION, LEGALLY, ETHICALLY, OR MORALLY. SHE PUT THE PATIENT AND YOU AND EVERYONE INVOLVED IN THAT FACILITY,,AT RISK>! The facility can be shut down for such an act as that, and you can lose your license, and so can she. 2. the supervisor should have , at that point, CALLED THE Dr. ON CALL, AND HAD HIM/HER CALL THE PRESCRIPTIONS INTO THE PATIENTS PHARMACY. The wife could then go and pick up those meds. And actually, no one was responsible at that point except the patients PHYSICIAN, because he/she should have left orders for refills at the pt pharmacy, or left WRITTEN PRESCRIPTIONS WITH THE DISCHARGE ORDERS TO BE GIVEN TO THE PATIENT AND HIS/HER WIFE/HUSBAND/SIGNIFICANT OTHER. 3. NEVER NEVER NEVER NEVER, did I say NEVER? NEVER ROB ANOTHER PATIENTS MEDICATION DRAWER TO GIVE TO ANOTHER PATIENT!! THAT IS ILLEGAL! NOT TO MENTION THE RISK OF GETTING A WRONG MED FOR A PATIENT AND HAVING DIRE CONSEQUENCES THEREOF. I cannot believe you did that. Are you aware your license is on the line if you gave that discharged patient another patients meds? NEVER DO THAT. REPORT THAT SUPERVISOR TO THE DIRECTOR! or the owner of the facility.

That is incorrect. All counts for ALL procedures ,, especially when a cavity has been entered! WTH? Standards of care. Ever heard of those?