grimmy

grimmy RN

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All Content by grimmy

  1. Questions about OR for a nursing student

    grimmy replied to mcorrao77's topic in Operating Room

    well, every ounce of my nursing skill and instincts are used - not all of the time, every moment, but when i'm needed, i have them. take yesterday, for example: i was circulating for a posterior...

  2. Would like info on the practice of "Sterile Cockpit" or "Timeout"

    grimmy replied to porsch65's topic in Operating Room

    well, this resident is responsible for emergent chest tube issues. our tcv service does not have nearly enough residents so even the 3rd and 4th year residents do plenty of scut work in addition to...

  3. Would like info on the practice of "Sterile Cockpit" or "Timeout"

    grimmy replied to porsch65's topic in Operating Room

    i agree with all of the above (since i also fly airplanes) - but keeping the residents and surgeons from chatting with each other, or on the phone, or dictating is darn difficult. counts are a major...

  4. Turnover times...

    grimmy replied to ShirleyM's topic in Operating Room

    at our facility, the crna or anesthesia resident take the pt to pacu or icu along with the surgical resident. the nurse rarely goes along, except to help during transport. i give a brief call to...

  5. Medical question on ingrown toenail

    grimmy replied to Curious1alwys's topic in General Nursing

    janice, i hope you will consider attending a meeting of na (narcotics anonymous) http://www.na.org/ i realize 12-step is not for everyone, but your words sound angry and frustrated. i can only...

  6. From Med/surg to OR?

    grimmy replied to moliuchick's topic in Operating Room

    there are a few topic headings that have been posted previously that address your question. yes, it definitely is possible to make the transition from med/surg to the or, but my best advice is to...

  7. Site marking

    grimmy replied to sharann's topic in Operating Room

    our preop/admissions nurses do it, the physician does it, or the floor nurse (if the pt is already inpt) will do site markings. of course, emergent cases are a different world. we have a 3 part form...

  8. Negativity at Nurse's Station is GETTING ON MY NERVES!

    grimmy replied to Mystery5's topic in General Nursing

    i think there's times to blow off steam and complain. venting does some people a world of good. frustration builds up, and feeling ineffectual can be heartbreaking. this is not to say that its ok to...

  9. Got the new nurse blues...

    grimmy replied to mysterybe's topic in General Nursing

    is there any way you can go to a shorter shift, perhaps 10 hours, still have a day off, and work on some stress-reduction techniques? of course, while not every unit is for every nurse, there will...

  10. Case Scheduling

    grimmy replied to shodobe's topic in Operating Room

    we have 24 hour staffing in our or (level i trauma ctr), but our charge nurse walks around to check where our cases are at 1430, and re-arranges the board accordingly. late posts have to be emergent,...

  11. Do any of you work 10 hour shifts?

    grimmy replied to JHUBRAIN's topic in General Nursing

    i adore my 10 hour days and my day off in the middle of the week! no more taking time off from work or racing after work to get to the dentist, doctor, hairdresser, etc. plus, i can get through 10...

  12. Using saftey goggles/shields (body fluid exposure)

    grimmy replied to nurse_1098's topic in General Nursing

    in the or, when scrubbed, we all wear eye protection as a matter of policy, even for the most innocuous, low-invasive procedure. i think that any practitioner should use full (that is, wrap-around)...

  13. What is your specialty, and why do you like it?

    grimmy replied to secondfiddle's topic in General Nursing

    i knew i wanted to be in the or since before i started nursing school. i had a few careers prior to nursing school, and i knew the sort of style my personality had. i was going to school, taking...

  14. Staff turnover.....and I need to vent...

    grimmy replied to ShirleyM's topic in Operating Room

    wow...that is high turnover. we've got a number of travelers, so that explains a little of our turnover lately (when the summer comes, they all vacation), and we've had a few permanent folks leave,...

  15. OR/PACU during pregnancy

    grimmy replied to KimberRN's topic in PACU

    agree with marie about bone cement. other things to be careful of, and i'm sure you're already aware, is fluoro/x-ray or cesium rods. if you're concerned about anesthesia gases, ask a crna or...

  16. Mean/Rude Doctors

    grimmy replied to k_cole21's topic in Patient, Colleague Relations

    since i work 1-on-1 with quite a few doctors (surgeons, no less) every single day, my advice is: you have to speak up for yourself. the mds do not own you. i agree that it is sad to have to expend...

  17. Are Screws Routinely Used In Total Hip Replacement?

    grimmy replied to bahackett's topic in General Nursing

    i haven't done too many of them, but no, they are not necessarily used. depends on how fixation is achieved (cement, or no), whether or not it is for a fracture or cartilage issues. also depends on...

  18. nurses getting involved with patients

    grimmy replied to CLadybug's topic in General Nursing

    if you mean "getting involved," as in having an intimate emotional and/or sexual relationship, then fuhgeddabowdit! if you mean "getting involved" as in becoming overly wrapped up in the patient's...

  19. Advice needed on Personality 'Fit' to Specialty Choice

    grimmy replied to RebaAdams's topic in General Nursing

    [well, i must be doing something right! not only do i work at that hospital (gave the guess away), but i'm working in the or...i checked out in surgery for 5 out of the top ten. no big surprise....

  20. online courses?

    grimmy replied to happylush's topic in Operating Room

    it would be pretty hard to learn perioperative nursing online. so much of what is truly challenging about perioperative nursing is learned hands-on. the hospital where i work has a program for...

  21. Stress in Nursing

    grimmy replied to rmcgrog's topic in General Nursing

    poor (or no) management, unsupportive support staff, residents that are condescending megalomaniacs, attendings that overbook the or, and whine when there isn't enough staff for their second or...but...

  22. What is your work schedule?

    grimmy replied to nicuRN2007's topic in General Nursing

    i work 4 ten-hour days: mon, tues, thurs, fri. while straight 8-hour days was ok, i really needed that day in the week to get some personal things accomplished without having to take a vacation day...

  23. Crucial OR interview questions

    grimmy replied to findingmywayRN's topic in Operating Room

    wonderful! i hope my suggestions helped. some of them were things i only wish i asked the first time around, but when you are prepared, that wows them quite a bit. may even remind them of things...

  24. irrigation during TURP

    grimmy replied to Seelo's topic in Operating Room

    ditto with mike. each urologist does their own thing, but most say sterile water is fine. depends on other issues with the patient,

  25. What Exciting Thing is Your Management Doing For 'Nurses Week'???

    grimmy replied to Mystery5's topic in General Nursing

    so far i got a hand-written note from the president of our professional nurses service organization, thanking me for all i do; there was a plant sale near the cafeteria to benefit the nurses service...