mondragon

I joined Show Your Stethoscope, no one added me, lots of my friends added themselves . There may be a few people added by their friends, but most voluntary joined

This is for everyone that supports All Healthcare Profesionals, you can chose not to participate, but please be respectful of the 700,000 + Healthcare Professionals that do support this unification.

This is called " working for Corporate " , and Corporate is soul less !

That is what I did, I showed him the manufacturer contraindications and approved use, but that didn't satisfy him. He is the same scrub that placed a chest tube vac on top of the patient,even though I told him it had to remain below the patient's chest.

I had a scrub tech in the OR today connect a flexible suction tubing to the wall O2,then connected the other end to the patient's nasal cannula, he used the suction tubing as an extension tubing, I told him I was not comfortable with that. Please share your thoughts, knowledge, on this. My thoughts are : 1st issue being unintended use of the suction tubing, and 2nd being the risk of the suction tubing becoming occluded or kinked. I was trying to find any articles about this issue too, I have not found anything yet. thank you

Actually, I feel nurses need to ban together,across the country,on several issues.One issue being pay, being short staffed, and being disrespected, ( especially the disrespect from doctors). As nurses, we have earned our degrees, experience,place in medicine, our profession at the congressional level.Hospitals absolutely can not operate without nurses.Physicians Assistants make more money than RN's,Certified Surgical Assistants make more money than RN's in the operating room.Nurses before us fought for the profession, and we need to continue to battle. We work long hours, continue our education and certifications,we advocate for the public/patient,as patient acuity rises, so does our responsibilities, as new standards are implemented by licensing organizations,we are expected to implement these,which means more work for nurses.We are doing the grunt work,while making doctors and CEO's millionaires.Why are hospitals making expansions when they don't have the funds to operate the size of the current facility. Having the funds to operate also means having the funds (before expansion) to pay nurses what they deserve and have earned,having the funds to adequately staff departments with nurses.I would like nurses to ban together and take a stand across the US,I don't want to be told my pay is going to be cut,that my department is short staffed of nurses,talked to like crap by doctors, told to work harder and faster.I say enough of this,it's time to take back our profession.We need to be heard publicly.

Maricopa Medical Center has great benefits,they do automatically take out for state retirement.Most departments/staff are friendly and great to work with,however,the operating room has bullies,it can be a harsh environment.Management has acknowledged the department has bullying going on,but management does make excuses for the behavior of the bullies.I heard from several other nurses that it also exist in L & D department.The bullies seem to be the favorites of the management.It is a teaching facility,the doctors are great,really nice to work with,really great residents too.The ER is very busy,and the staff work great with other departments.

taketwoaspirin, ok, you shared your experience and I shared mine,I was not attacking your post. you rebutted my comment on possible pay reduction, at the end of your post you commented on pay based on my original post, since the OP never asked about pay. Yes,I took into account it may different in the OP's area,that is why I used "most likely" in my statement.I have worked in the O.R. for 16 years,traveled for almost 8 years,it is very different across the state's and from facility to facility.Hope this clears things up.

taketwoaspirin, I know of several hospitals that have peri-op programs,and I am very familiar with how it works.The hospital has a set pay range for the program,they do take into consideration the nurses experience and the pay will reflect that,however,the nurse is inexperienced in the O.R. and reduction in pay happens.If a nurse has worked in Telemetry for 5 years and is making $ 34 hr,they will see a reduction in pay.The facility is not going to pay that nurse $ 34 hr when they have no experience in the O.R.,and the new nurses will have to be precepted by an experienced O.R. nurse who is making less than $34 hr.Some facilities do not pay additional money to precept,nurses precept on a voluntary basis,so why would they assume the responsibility if mentoring a nurse that makes more money than they are making.Having more experience in another service does not help a new nurse in the O.R.,the O.R. is a totally different environment.You have already seen what paying an inexperienced O.R. nurse more than an experienced O.R. nurse creates,maybe your facility will catch on.

Manila Daisy, nurses in America practice Cultural Competence,we gain employment based on knowledge,skills and abilities,we mentor each other and we mentor foreign nurses without regard to race.It is disheartening to me that nurse's from another country believe being of a particular ethnic group make them a more marketable nurse in America.Many American Nurses work hard everyday,giving the best patient care,take pride in being a nurse in America,and yes at times we complain,it's called being an Advocate for the patient, we advocate for change to improve standards of care,we advocate for evidence based practice,we advocate for research,we advocate for bylaws at the state level,we advocate at the legislative level,we advocate for nursing education,we advocate for nurse staffing retention,and we do so with conviction.We also have a Nurses Code of Ethics,if you plan on being a nurse in America,you should probably read it,it will be your responsibility to follow the Nursing code of ethics.

Unless the O.R. has a perioperative program it is hard to hire a RN without O.R. experience,there is so much to learn,with no experience the new RN will have to precept with an experienced RN circulator for at least 6 months,it is a big investment for the facility,which is the reason facilities request a commitment from the new RN's to remain employed at that facility for a specified time period.Some facilities are bringing back peri-op programs,call HR dept. at facilities in your area and ask if they have a peri-op program & express your interest.Now keep in mind you have 5 years of experience in floor nursing but no experience in the O.R.,so if you decide to enter a peri-op program you most likely will have to take a cut in hourly pay,and this is sometimes hard for an experienced RN to accept,but eventually your pay does catch up.

The best thing you can ever do for yourself is buy a small notebook,make a section for each specialty like ortho,general etc.,once you work with a surgeon make notes :to include position,prep,foley or no foley,meds,settings on bovie or other equipment,type of dressings,leg brace,arm sling,etc.So the next time you circulate that case with that surgeon you have your own preference card for circulating.It is a lot to learn in the O.R.,but take it all in and before you know it everything clicks.For a new RN circulator it takes about a year to feel comfortable in the O.R.

Are you asking what instruments you will need on each mayo stand ? One mayo stand will be for the abdominal part of the case (which will remain sterile throughout the procedure,some use the term 'clean' part of the case,however sterile & clean terms are not the same or interchangeable terms) the 2nd mayo will be set up for the rectal part of the procedure ( this is termed 'dirty',once the instruments are used on the rectum the instruments are contaminated because the rectum area and contents have bacteria) Now for instruments on the 1st mayo:hemostats,mayo clamps,allis,long right angles,babcock's,short & long metz scissors,short & long needledrivers,suture scissors,richardson retractor,bovie tip extender,pool suction tip,long & short debakey forceps,tonsil clamps & have at least 1 loaded with a silk tie,# 10 blade x2 (on short knife handle & 1 on long knife handle),also have surgeon's preference of autosuture device ready to go with reloads such as GIA stapler. Now the 2nd mayo:3-4 hemostats,straight mayo scissors short,7-8 debakey forcep,a couple of lap sponges,EEA stapler (if doing proximal anastomosis) with some ky jelly. Remember everything that comes in contact with the rectum & inside of the bowel is contaminated,you don't want feces inside your abdomen which causes peritonitis which can kill the patient.Also,the surgeon which performs the rectal portion of the case will either change gloves or re-scrub afterwards,so have extra gloves & gowns.Hope this helps.

Thank you Issy and RNotoday,it is very helpful to me.Sometimes I forget to ask about the contacts.I'm trying to establish a routine so I decrease my chances of forgetting something,and I wanted to see if I'm covering the areas that seasoned nurses are covering.Thanks so much.