stevierae

stevierae

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All Content by stevierae

  1. DVT sleeves and technology

    stevierae replied to bjsmsn's topic in Operating Room

    mcmike, do you remember the old Venodynes? Used them in the '90s? Maybe some hospitals still use them? The sleeves are plastic or some other sort of non-latex material that is waterproof. They are...

  2. video laparoscopy complication

    stevierae replied to akor's topic in Operating Room

    No kidding! What a prima donna and jerk this surgeon sounds like---must be a legend in his own mind. Even the very best, most experienced general surgeons are not afraid to admit they are in over...

  3. video laparoscopy complication

    stevierae replied to akor's topic in Operating Room

    Sure. Anytime you see subcutaneous emphysema, there is generally a pneumothorax. Need to get a chest tube in right away, and hook it to Pleurevac, if taking the patient immediately out of...

  4. DVT sleeves and technology

    stevierae replied to bjsmsn's topic in Operating Room

    Yeah, ours probably should be thrown out---but HMOs try to save a buck wherever they can. Probably costs more to re-process them than it would to start with brand new ones for each and every patient....

  5. video laparoscopy complication

    stevierae replied to akor's topic in Operating Room

    I have never seen a laparoscopic procedure done using laser. Come to think of it, the only procedures I've ever been involved in using laser were vaporization of condyloma accuminata, and various...

  6. Free CMEs for MDs. What's with this?

    stevierae replied to Audreyfay's topic in General Nursing

    There are tons of free nursing CEs. ANA, for one, puts out some. In addition, in most states, CMES can be used in place of nursing CEs. I know that in CA they can---when you renew your license (I...

  7. DVT sleeves and technology

    stevierae replied to bjsmsn's topic in Operating Room

    I think of it as a nursing decision. However, I know some physicians have private pay patients or even insured patients who carefully scrutinize every detail of their bills and question what they...

  8. video laparoscopy complication

    stevierae replied to akor's topic in Operating Room

    NO--NOT the Argon Laser--that's an different device---(unless that's what you call your Argon Beam Coagulator, which is a type of cautery.) It has its own ground pads, hand held cautery units (one of...

  9. video laparoscopy complication

    stevierae replied to akor's topic in Operating Room

    In this day and age, it really SHOULDN'T happen if the surgeons have insufflated properly and put in enough gas, and then watched their landmarks carefully on the video screen while inserting the...

  10. Is there such a thing as a "VIP" patient?

    stevierae replied to ButterflyRN04's topic in Patient Safety Issues

    Wow, that is so cool!!! It's nice to know that you guys were appreciated in that manner. What nice people those

  11. Is there such a thing as a "VIP" patient?

    stevierae replied to ButterflyRN04's topic in Patient Safety Issues

    I agree---I treat ALL my patients like VIPs, pretty much as everyone on this thread has said. I have been approached by management--never the surgeons; always NURSING management--and "forewarned" that...

  12. video laparoscopy complication

    stevierae replied to akor's topic in Operating Room

    I've seen it happen once. It was probably 15 years ago, and it was a quick and routine GYN procedure--I believe a lap tubal. The surgeon was using a technique that some other GYN docs were also...

  13. Portland, OR Good Sam PCU unit

    stevierae replied to s_corder99's topic in CCU, Coronary, Cardiac

    Good Sam is a really cool hospital, and in a really trendy, artsy part of town. They have very, very good equipment---state of the art infusion pumps, monitors, etc. I worked registry there in the...

  14. Who does the prep in your OR?

    stevierae replied to ShirleyM's topic in Operating Room

    Same here. I want it done properly--it's the responsibility of the circulating nurse. If it's a trauma or, say, bilateral legs and groin need to be prepped, (say, for a take-back bleeding fem-pop,...

  15. Pregnant after husbands vasectomy?How common?

    stevierae replied to ham22's topic in General Nursing

    My last child was unplanned, too, (conceived after too many margaritas at a Christmas party!) but he is my favorite. I can't imagine life without him. It seems like everyone I know who had an...

  16. This is the stupidest thing I have ever done.

    stevierae replied to Chad_KY_SRNA's topic in General Nursing

    Oh, Chad----I am so sorry!!! You need a hug, too. (((((((((((((((((Hugs))))))))))))))))) Is your dog OK? Pets are family. I think that you are a perfectionist who just allowed himself to be human...

  17. DVT sleeves and technology

    stevierae replied to bjsmsn's topic in Operating Room

    Huh, I've always heard sequential compression devices are better, but I can't say I've done any particular research on it or seen any studies. I do think that if one is going to put SCDs on a patient...

  18. This is the stupidest thing I have ever done.

    stevierae replied to Chad_KY_SRNA's topic in General Nursing

    Definitely, Chad; stop stressing. I love to work with people who can have fun at work and not take themselves too seriously. You sound like a great guy to work with, and I know from previous posts...

  19. Positioning during radical retropubic prostatectomy

    stevierae posted a topic in Operating Room

    Do you guys usually place the safety strap just above the knees, or at mid-calf? Do you spread (and leave) the legs slightly apart, like a "V", as you might when you do a fem-pop, (so that you can...

  20. Positioning during radical retropubic prostatectomy

    stevierae replied to stevierae's topic in Operating Room

    Here's a cool site if any of you are interested--it's free, although you have to register and choose a screen name and password. Virtually any laparoscopic operation is on there in 3-D, just as if...

  21. "Are you saved?" How do YOU deal with these types of questions

    stevierae replied to porterwoman's topic in General Nursing

    LOL, so true--don't know what it is about the night shift that causes people to open up so much, but I can remember working L&D and post-partum in the Navy and having co-workers spill their guts...

  22. Cpap?

    stevierae replied to VivaLasViejas's topic in General Nursing

    I'm glad you brought up the subject of sleep apnea and CPAPs, mjlrn. In the operating room, we automatically assume that anyone who is grossly overweight (particularly 40ish males) and has a short,...

  23. "Are you saved?" How do YOU deal with these types of questions

    stevierae replied to porterwoman's topic in General Nursing

    I know; the LDS missionaries are always very, very sweet; very polite young men. I hate to turn them away--even when I explain that I am Catholic, they always give me a Book of Mormon (I have...

  24. "Are you saved?" How do YOU deal with these types of questions

    stevierae replied to porterwoman's topic in General Nursing

    Pretty cool! Sounds like a very enlightened PACU, and a great place to

  25. "Are you saved?" How do YOU deal with these types of questions

    stevierae replied to porterwoman's topic in General Nursing

    I've heard that question from patients all over the country, off and on for over 30 years--with one exception: I have never been asked that question in the San Francisco Bay Area. People are too...