brewerpaul

brewerpaul

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All Content by brewerpaul

  1. Over time limit call coverage.

    brewerpaul posted a topic in Operating Room

    Here in NY state there's a law that when a nurse's time on the job exceeds 16 hours in a 24 hr period, he/she must be relieved. This may apply to other workers too- I just don't know. Yesterday I was...

  2. Over time limit call coverage.

    brewerpaul replied to brewerpaul's topic in Operating Room

    My feeling is that staffing is a management issue, so they should manage it instead of passing the buck

  3. add on cases for kidney stones

    brewerpaul replied to soccergal14's topic in Operating Room

    An obstructed kidneys, one or two, is always an emergency. Leaving it til the next day could lead to damage, especially if the patient has a history of recurrent obstructions. Luckily, as call cases...

  4. "Expired" warmed solutions for Turp,turbt

    brewerpaul posted a topic in Operating Room

    We use warmed glycine or saline for turp or turbt procedures (depending on the equipment used). Our OR has a policy of leaving the bags of solutions in the warmer for no longer than 14 days. When...

  5. Funny scrub story...

    brewerpaul posted a topic in Operating Room

    One of the things I'm qualified to do in our OR is run the CO2 and Holmium laser. When I have a laser case scheduled, I'll often say "I'm Laser Man" tomorrow, so my kids got me a scrub top with...

  6. Funny scrub story...

    brewerpaul replied to brewerpaul's topic in Operating Room

    Yeah, if you work with a Doc who can take a joke, the battle is half

  7. Shoes?

    brewerpaul replied to Aneroo's topic in Operating Room

    I tried Danskos and found them too heavy for comfort. I usually wear Crocs (without holes on top) which are light and easy to slip off when I sit down. Otherwise I wear running shoes with custom...

  8. New and tired

    brewerpaul replied to FlyOR's topic in Operating Room

    Yes, the OR is VERY intense, especially for a newbie. There is so much to learn that bears practically no relation to any floor nursing you may have done. For months, I felt like I was drinking out...

  9. how you do charting???

    brewerpaul replied to Lasoniamacaroni's topic in Operating Room

    We use Meditech too. It IS ancient, but it has all the stuff we need and it's pretty easy. For some routine cases, we even have it set up so we can load a lot of the default values right up front...

  10. breaking sterility question

    brewerpaul replied to penny77's topic in Operating Room

    I'm late chiming in (congrats on the job!), but I have one question for you, or anyone else in this situation. What would you want the circulator on the case to do if it was your Mother or child on...

  11. Contact precautions in the OR?

    brewerpaul posted a topic in Operating Room

    I'm curious how people out there handle patients in the OR who are on contact precautions. Sometimes we'll have, say, a foot ulcer debridement where the MRSA is actually in the surgical site. On other...

  12. Colonoscopy - sterile water or tap water?

    brewerpaul replied to CDNORRN's topic in Operating Room

    If there was ever a problem and a malpractice case was started, you'd be glad your record said "sterile", even though it might not make any difference medically. Imagine a prosecuting attorney asking...

  13. Counting for organ harvest?

    brewerpaul replied to Rose_Queen's topic in Operating Room

    Jeez... if the possibility of leaving a sponge on the floor is an issue for your OR, whoever turns your rooms over REALLY needs a good talking

  14. Do you check for holes after you open a tray?

    brewerpaul replied to linda2097's topic in Operating Room

    Yes, and especially in cases with

  15. How long are your hospital's sequential stockings?

    brewerpaul replied to linda2097's topic in Operating Room

    Knee high, often with TED's

  16. Do you miss patient contact?

    brewerpaul replied to Irene joy's topic in Operating Room

    Fook'em! I just do it whenever possible. The waiting area is very near the OR and right on the way to where we pick up our next patient anyway. Besides, I'm the nurse who gets the most positive...

  17. What is the best "Team" to go on

    brewerpaul replied to spadesgirl's topic in Operating Room

    I agree that you should try to train in as many areas as you can. We have a small OR, so we all do everything (we don't do open heart,major trauma) If you can only do one, general might give you the...

  18. Do you miss patient contact?

    brewerpaul replied to Irene joy's topic in Operating Room

    Very well said (you others too). I came to OR nursing from a totally different world: I was a practicing Podiatrist for 30 years. Podiatry is ALL ABOUT patient contact since you see many of your...

  19. I dream of the OR...

    brewerpaul posted a topic in Operating Room

    Anyone else here have dreams about the OR? I have them all the time. They're not usually bad dreams, and often they're pretty funny. Mostly, they involve running around like a chicken with it's...

  20. OK who else is dealing with Universal Protocol?

    brewerpaul replied to sbnursing's topic in Operating Room

    Does anyone know where I can download a Universal Protocol compliant timeout form/checklist that incorporates all aspects of the protocol? If it's not downloadable, would anyone be willing to send me...

  21. I dream of the OR...

    brewerpaul replied to brewerpaul's topic in Operating Room

    Hey Tiffany-- don't you just LOVE cases like that? As an aside, you mentioned not being able to read the consent in your dream-- in fact you can't read anything correctly in a dream! If you do and...

  22. Which patients require cardiac clearance prior to surgery?

    brewerpaul replied to linda2097's topic in Operating Room

    Even though a patient doesn't have a cardiac history, it doesn't mean that they don't have cardio issues. There are plenty of first heart attacks out there just waiting to happen. Seems like a...

  23. Gynecologist joke....

    brewerpaul posted a topic in Operating Room

    Here's one that OR staff will appreciate (and it's not even dirty!) After years of working as a successful Gynecologist, a surgeon decides he's burned out and wants to try an entirely new profession....

  24. OK who else is dealing with Universal Protocol?

    brewerpaul replied to sbnursing's topic in Operating Room

    Our OR is starting to make noises about starting this stuff too :-( Don't get me wrong, I'm all in favor of making sure the right patient gets the right operation. It's just that whenever bureaucrats...

  25. Why did you pick OR/Periop nursing?

    brewerpaul replied to Mac06's topic in Operating Room

    This is my midlife crisis job change...After 30 years as a podiatrist, I'd had my fill of running a solo medical practice in the face of ever increasing governmental regulations, dwindling insurance...