stevierae

stevierae

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All Content by stevierae

  1. Cidex

    I must confess I am not familiar with a Sterad. Is it a washer sanitizer, with racks, like a dishwasher? Is it something that would normally be kept in Central Sterile Processing (that is, the part...
  2. arterial line insertion by OR/PACU nurses

    Exactly. Remember when PICCs first came out---for a while there, only docs were inserting them. Now, the surgical residents who used to be so eager to do them consider it scut work, and RNs routinely...
  3. arterial line insertion by OR/PACU nurses

    jwk--please re-read my post. I am well aware that arterial puncture is a different technique than venipuncture. However, again, if a critical care has been trained (and is skilled, and if one's state...
  4. Positioning during radical retropubic prostatectomy

    Huh, I've never even SEEN a lap prostate! I hate laparoscopic cases--try to avoid those rooms at all costs. Except for laparoscopic duodenal switch procedures and laparoscopic Roux-en-Ys (both for...
  5. Cidex

    Yeah, you really get spoiled once you go to a place that has a Steris and/or those cool washing/disinfecting/sanitizing machines that you coil up your flexible endoscopes (gastroscopes, colonoscopes,...
  6. Cidex

    Man, I have not seen Cidex used in YEARS! Don't you have a
  7. Positioning during radical retropubic prostatectomy

    Thanks, Suzanne, for your excellent input. I agree; using TEDs and SCDs for patients in lithotomy is a
  8. Well, no; actually, the urethra is SOUTH of the privy parts. Think of it this way: Umbilicus at the top (North) Then the privy parts (going further South) Then the Urethra (going even further South)...
  9. And it works especially well if, instead of using your thumb and index finger to retract the labia, you use your index finger and middle finger. Do it like this. Get your Foley tray opened, (on a...
  10. PowerPoint Presentations

    While we are on this subject-- Is there a way to convert a Powerpoint slideshow that has been converted to a pdf. file BACK to a Powerpoint slideshow? In other words, the slideshow has been copied as...
  11. Positioning during radical retropubic prostatectomy

    Yeah, I personally think that TEDs/SCDs should be a nursing decision--I always put them on for any case I anticipate will take more than 2 hours, or any high risk patients, especially those who...
  12. double-checking insulin with cokworker

    One more reason to double check with another nurse. I agree with LPN1974---in situations such as LTC, or MR/DDS, where there ISN'T another nurse to double check with, it's probably much more prudent...
  13. Uterine rupture yesterday...

    You are truly an outstanding nurse and a really outstanding patient advocate, with amazing critical thinking skills. You saved 2 lives--actually, 3, because you sure saved that skeptical OB...
  14. Would you tell the family?

    So sorry, Sadie. A couple of ideas--I am not certain--you are probably more up on this than I am--but isn't the same blood type just a very small part of tissue typing? Aren't there other factors...
  15. Just want to validate something. From my own understanding of what I have learned about proper positioning over the years, a brachial plexus injury to an adult patient (I don't want to get into Erb's...
  16. It does help, very much. Thank you for clearing up my confusion. I have never heard the terms pre-or post-fixed
  17. double-checking insulin with cokworker

    I always double check my insulin and heparin with another RN (or an anesthesiologist.) It's simply safer, and what I was taught that a reasonable and prudent health care provider DOES. That's how I...
  18. Propofol

    Oh, my goodness, do you guys believe this---I was turned down for an OR nurse job yesterday--and I only wanted to work one day a week, mind you--in a little 2 room free standing outpatient surgery...
  19. Circulating During C-sections

    If there is a copy of Alexander's Care of the Patient in Surgery in your medical library or in surgery (there should be,) you can look at the instruments as well as learn the procedure step by step,...
  20. I heard somewhere that flushing pills

    You know, I am concerned about wasting perfectly good pills when patients die in hospice, homecare, or nursing homes. (I know, this is a separate issue than flushing expired or refused pills.) I...
  21. prep solution question

    I like Betadine gel--one step prep; works on contact. No dripping; no pooling. I've been using it for over 25 years, so it always makes me laugh when I go to some new travel assignment OR and they...
  22. Schwartznegger on Hannity and Combs tonight..

    I have nothing against Southerners--my husband is from Georgia. I was not making fun of anyone's accent, either. I was merely pointing out how we were able to recognize the majority of the...
  23. Schwartznegger on Hannity and Combs tonight..

    No, what is SHOWS is greed, greed, GREED. Pure and simple. Let management take care of the patients, since they are not union. Let the greedy strike breakers who cross state lines to cross picket...
  24. Schwartznegger on Hannity and Combs tonight..

    That's why Southern nurses flock here (CA and OR) in DROVES when there is a strike---because their pay in the South is so lousy that they see a chance to reap a whole bunch of $$$$, real fast, and the...
  25. Schwartznegger on Hannity and Combs tonight..

    Huh, every place I have worked in San Francisco or Oakland still has a lift team--but then, they are all CNA facilities. One of the most fun things to do is call certain lift team members into the...