core0

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All Content by core0

  1. core0

    Skull bone flap

    core0 replied to gnom's topic in Operating Room

    I agree. The only time that we had this happen was when the skull flap fell on the floor. We were going to flash it but then we looked at it under the scope and there were areas that were suspicious...
  2. core0

    Patient Modesty

    core0 replied to creinkent's topic in Operating Room

    You can wonder all you want but without proof to the contrary thats all you are doing. Most patients when presented with the question: "Can we film this for an educational medical film? You will in no...
  3. core0

    Patient Modesty

    core0 replied to creinkent's topic in Operating Room

    Its hard to know what happened without being there. One of the things that you have to realize is that there are usually two consents that you sign in a hospital. One is a consent to treatment. This...
  4. core0

    Patient Modesty

    core0 replied to creinkent's topic in Operating Room

    This is standard CME video (continuing medical education). Neither of your links work as listed. If you add .com after the or-live part they do work (hint use the preview post button and check your...
  5. core0

    What is a protocol drug order?

    core0 replied to RDH-NrsgStudent's topic in General Nursing

    At least where I am a protocol order requires nursing changes in the dose of the drug. It differs from a standing order in that the standing order is an order done for all patients. For example...
  6. core0

    Psych CNS's and NP's, Fee for service pay ranges in the northeast

    core0 replied to MApsychCNS's topic in Clinical Nurse Specialists, CNS

    Sure. There are two PA post grad programs that teach therapy as well as psychopharmacology . The more common route is for someone with a PsyD to go to PA school. This allows them to not only prescribe...
  7. core0

    Patient Modesty

    core0 replied to creinkent's topic in Operating Room

    Most ORs are set up with an outer unsterile hall and an inner sterile core. Think of a donut with the hall around the donut, the donut itself the rooms and the donut hold the core. Sterile and clean...
  8. core0

    What Is An OR Tech?!

    core0 replied to Batman24's topic in Operating Room

    An OR tech is a generic term for an unlicensed assistive personnel (UAP) that works in the OR (usually in the scrub role). In the past most of OR techs were either trained by the surgeon or the...
  9. core0

    Psych CNS's and NP's, Fee for service pay ranges in the northeast

    core0 replied to MApsychCNS's topic in Clinical Nurse Specialists, CNS

    I don't do psych but there are a number of issues that you need to think about here. One is that you mention that the job does not pay benefits. When you speak about insurance I am assuming you are...
  10. core0

    Patient Modesty

    core0 replied to creinkent's topic in Operating Room

    I can't find any reference in the AORN standards and recommended practices (although admittedly my manual is several years old). Just because someone told you does not make it AORN policy. A...
  11. core0

    Patient Modesty

    core0 replied to creinkent's topic in Operating Room

    I would be interested in seeing a reference on this. I really don't see how this is remotely practical. We frequently do cases that go across three shifts. Are we supposed to call in the people that...
  12. core0

    Needlestick last night from +HepC pt

    core0 replied to LogCabinMom's topic in General Nursing

    Risk of infection is defined by a lot of things. It depends on the amount of blood, the amount of virus in the blood. It also depends on your immune system. To put it in perspective with a large bore...
  13. core0

    Retail store NPs: good or bad idea?

    core0 replied to joy09's topic in Nurse Practitioners, NP

    Two problems here. Templates don't always represent the patient. What if the patient has a atypical presentation that exactly mimics an item that is on the template. This is why we practice a lot of...
  14. core0

    Retail store NPs: good or bad idea?

    core0 replied to joy09's topic in Nurse Practitioners, NP

    I would question the limited liability part. I can't comment on NP liability but in the PA world the liability is actually considered fairly high. The most common insurer groups the risk into three...
  15. core0

    When a patient codes

    core0 replied to IsseyM's topic in Operating Room

    You should have a policy and ideally do mock codes so that everyone understands what they are supposed to do. As far as CPR it depends on where the drape is. If the chest is prepped out then the...
  16. core0

    CRNA Hopefuls in Colorado?

    core0 replied to Katie707's topic in Colorado Nursing

    http://www.asahq.org/Newsletters/2003/04_03/stateBeat04_03.html http://www.ama-assn.org/amednews/2003/12/01/prse1201.htm "Colorado Governor Bill Owens has yet to send a...
  17. core0

    CRNA Hopefuls in Colorado?

    core0 replied to Katie707's topic in Colorado Nursing

    Given the current climate - lawsuit over Medicare opt out on hold due to politics its pretty unlikely that this will happen any time soon (if ever). David Carpenter,
  18. core0

    Formulating Healthcare Clinics for the Gay Community

    core0 replied to divokevan's topic in Nurse Practitioners, NP

    I don't think that he was against the GLBT clinic as much as this assumption from the OP (2nd post): " I guess that's what I'm trying to figure out right now :) However, at...
  19. core0

    Is Emory A Good Hospital?

    core0 replied to gerryNYC's topic in Georgia Nursing

    The geri-psych at Emory gets pretty interesting. There is a cognitive and acute inpatient unit at Wesley Woods. There is also an acute psych unit at the institute for rehabilitation medicine. I think...
  20. core0

    Needlestick last night from +HepC pt

    core0 replied to LogCabinMom's topic in General Nursing

    While the chance of acquiring HCV is directly related to the amount of blood exposure, viral load, and exposure method it never approaches zero. It is good practice to get checked out and do regular...
  21. core0

    Needlestick last night from +HepC pt

    core0 replied to LogCabinMom's topic in General Nursing

    Hopefully they also checked for HepB? Also it is helpful to do a HCV RNA on the patient as you can somewhat predict the chances of getting infected by the viral load. This can be good and bad (ie...
  22. core0

    Needlestick last night from +HepC pt

    core0 replied to LogCabinMom's topic in General Nursing

    here is the cdc information on healthcare workers: what is the risk for hcv infection from a needle-stick exposure to hcv contaminated blood?...
  23. core0

    eye protection

    core0 replied to druped's topic in Certified Registered Nurse Anesthetist, CRNA

    You can pay a lot of money for the Oakley type. My solution is to go to the nearest sporting good store. Go to the shooting section and look for clear shooting glasses. Get a pair of Croakeys to keep...
  24. core0

    Surgical Fire Question

    core0 replied to mcmike55's topic in Operating Room

    Tape seems to be pretty readily available in the OR. I can't see not being able to get hold of a couple of rolls somewhere. There was a nice thread on this at SDN:...
  25. core0

    What would you do ?

    core0 replied to OR male nurse's topic in Operating Room

    The discussion on the circulator leaving the room brings up this which was shared with us by ewattsjt http://www.medscape.com/viewarticle/433873_2 In particular: "In French v Fischer,[11] Rebecca was...