stevierae

i know we've discussed this issue to death, both on this forum and on the gastroenterology forum. as an rn and operating room nurse, i have very, very trong feelings against this practice, which is now allowed in oregon, via our own nurse practice ac...

I looked at the Susie Simon http://www.gaumard.com/viewproducts.asp?idproduct=305&idcategorie=7 It has lots of options--I want the IV access arm, male catheterization adapter, and the injection sites, in addition to the basic model. I'd use this ...

OK, I have wondered about this for many years, and wonder what the current thinking is. Wherever I have worked as an OR nurse, since the early '80s, anesthesia draws up their meds in the a.m.--their succs, their vec, their roc, diprivan, fentanyl, Ve...

As usual, it took a patient death to effect change to a dangerous practice. This is why I, an operating room nurse, am so adament about getting the practice of RNs giving conscious sedation stopped, and the reason for my thread about OR nurses--and ...

I just heard from a friend that, in nursing school nowadays, nurses are no longer taught things like "b.i.d." "q.i.d" "q6h" "h.s" and things like that--that, in fact, it is now required that, in nursing notes and even on the part of the physicians...

I wonder if some kind soul from this discussion area would drop into the operating room nursing area and tune in to the MRSA discussion? This issue comes up all the time, and, especially in the operating room, I am wondering if what we are told to d...

Sigh. Same ol', same ol.' This is deja vu all over again--it's just like the old "Who's better---A.A. RNs or BSN RNs." It never stops. This discussion has been had ad nauseum on this BB, if anyone cares to do a search. (Or just ask shodobe or me.) ...

i was just checking out the "dr. naps" site, which appears to have recently been updated. this (below) is directly off the site. it's ("naps) just so wrong, on so many levels. i hope some anesthesia providers comment on this--i mean, the princip...

Thanks! I did google it, and found some info on Wikipedia as well. Valentino DID die, as I originally thought, from a perf'd duodenal ulcer---I think that some people assumed at the time that he died from a perf'd appendix, since he presented with ...

Re: Valentino's Sign/perforated gastric ulcer Years ago, we were repairing , on an emergency basis, a perforated gastric ulcer. One of the surgeons mentioned at the time that the presence of free air in the abdomen was diagnostic for a perforated ul...

no excuses. this is nursing 101, and spelled out in the ana code of ethics and most states' nurse practice acts---each person is responsible for his or her own actions. also from nursing 101--the 5 (nowadays, i think more than 5 are taught) rights ...

I just got the newest edition of Alexander's as part of a 125 hour CE course (to renew my CNOR.) OK, so I was reading about laser plume . It says that exposure to laser plume during long cases equates to smoking either 2 or4 (can't remember which) ...

I don't believe I have ever seen Ephedrine ordered or utilized for PONV--not currently; not even in the 90s, '80s, or '70s. I was looking at a chart for QA purposes, though, in which PACU staff said that 2 doses of Ephedrine given I.V. were for PON...

per yogacrna: "ekg changes with drop (read black box in package insert") yes--regarding the black box warning of ekg changes---as soon as that occurred, every place i worked at on the west coast pulled their droperidol out of circulation. i haven't ...

Seems to me it was always discussed in ACLS. I've had to give it IM a time or two for peds patients who laryngospasm'd while anesthesia was masking, (pre-intubation, and, therefore, before IV access had been established.) Always worked like a cha...

Well, as others have stated, we do so because we worry about swelling and subsequent impaired circulation. I, too, like to give the ring/rings in question to a family member to wear. Also, I don't want a ring or earrings lost on my watch, so I just...

Yoga, I always read your posts attentively, and learn from them. Never apologize--you are a wealth of info and experience.

I've been thinking for years that this issue is really a non-issue--a sacred cow-- that should be addressed anew by an electrical engineering expert. Personally, I think we are all going on outdated information that goes back to the very early days ...

Try this---it's how I've taught students who happened to be in my O.R. rooms over the years. I think it will help you, too--soon you will be teaching your OWN students this way: Get your Foley tray opened, (on a little prep stand or bedside table, o...

I asked an anesthesiologist colleague today if he's ever used it as his first-line drug of choice for PONV. Here's his response: "Nope. Never, never. Ephedrine is used like water, and I mean water for a host of hypotensive events many of which ar...

LOL!! I haven't been here in quite a while---got kinda caught up on political blogs, and with working. Actually, yes, I do work in SF, occasionally, but not so much clinically anymore--these days, I work as a consultant. However, when I did work th...

Update--I found one study, circa 1991. Somehow I don't think interest in using ephedrine for PONV ever caught on, but I could be wrong: Rothenberg DM, Parnass SM, Litwack K, McCarthy RJ, Newman LM: Efficacy of ephedrine in the prevention of postoper...

OK, I'll post this here, in the hope that somehow, somewhere, there is an O.R. nurse manager or materials co-ordinator who still has possession of a user's manual (instructions) for the old manual Amsco 1080 O.R. table. Remember? It was the one that...

I agree with the "hold them accountable" part. That's why management gets the big bucks. I don't agree with calling management our "leader(s.)" I also don't agree that it's necessary (or even appropriate) to be confronting ANYONE at the scrub sink b...

Just have a question about Army enlisted people who go through Army LPN training. Are they then part of the Army Nurse Corps? Do they remain enlisted, or are they officers? Are they SPCs, or what? I was a corpsman in the Navy, in the '70s. I don'...