grimmy

grimmy RN

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All Content by grimmy

  1. Retention of OR nurses

    i don't mind call all that much, as long as it's evenly distributed. where i work, it works out fairly well. one of my gripes with my workplace is that the management is practically non-existent. there are certain nurses and/or techs that have ...
  2. Bovie Smoke

    i'm with you on that one. i have complained, it seems, without being heard, that most of my patients smoke, so i don't want to smoke the patient! why inhale that crap? i guess i need to press harder on this issue at work. i mean, for cripes sake, ...
  3. Analyze this situation -I'm POed

    i agree - counts are critical items in pt safety, and cannot be fudged for any blowhard. the fact that the surgeon and pa are pompous morons is another story. obviously they've had great nurses around (like you) to make sure that they have never to...
  4. Quick ?s

    i did sort of choose - they were desperate for people on a few teams, and i chose the one where i liked the people. i like most kinds of surgery, so that really wasn't going to be an issue. people that you spend 8-12 hours with, every single day, is...
  5. How often are you called in during on call?

    i, too, live about 30 minutes from work, and it hasn't posed much of a problem for me. i think the only time i really hate it is when i'm called in, sent home, and then called back less than an hour later. it makes a commute in the dark that much l...
  6. Where do you put your used sponges? L&D RN in NJ

    i, too, prefer the hanging bags. the scrub typically drops them in the kick bucket (which i line with the pack plastic bag at the beginning of the case) and during the case i keep track of them by putting them in the hanging bags. i've only been in...
  7. Post-op Vag hyst patient with thigh pains

    i'm hoping that the pt had anti-embolic stockings and kendall boots on, too (or did they use enoxaparin?) lack of blood flow, poor positioning, can all contribute to that sort of pain - what type of lithotomy positioning did they use? candy canes or...
  8. help me choose an area of nursing to enter

    you're not particularly clear about why you find nursing stressful - and yes, you will definitely find psych pts no matter what kind of nursing you do. the or (where i work) does require some moving of pts, but it is fairly minimal. if you like tec...
  9. Instrument Counts

    our stringers change depending on the pan, but most begin with scissors, drivers, and work on down to sponge sticks and cv clamps. we had to go to additional pans when it was just too darn heavy to lift the rib instruments. we rarely use doyens and...
  10. Artificial Nails Anyone

    no fakes, no long nails, ever. even if i could wear nail polish it would be scrubbed off within a day or so, and why bother? i'm so used to having short clean, squared off nails that i clip and file them once a week to keep them healthy. i even ge...
  11. Commuting to work

    i absolutely hate commuting, and i have less of an issue with it than the op - i am 30 minutes from work. even so, i'm looking at buying a home closer to work for many reasons, including the commute. i listen to npr, my ipod, have plenty of java by...
  12. Instrument Counts

    speaking of australian nurses, we have a travel nurse from australia, and she has mentioned the back tables they have with multiple levels and "side pans" that attach to the back table. well, i want one! maybe we have them in the us, but i haven't ...
  13. Lung transplants

    well, go to your local american lung association website or second wind http://www.2ndwind.org/ you could also get a picture of lungs and have the baker shave the cake into that form...or forget about the form of lungs altogether and think of somet...
  14. Doctor/Nurse relationships

    as someone who works with surgeons everyday, its hard to imagine not talking with them. imagine having to deal with residents who think they know everything, too! in reality, of all the surgeons i work with, the vast majority are decent, if not a...
  15. What is it about Med-Surg that you don't like?

    i'm not interested in m/s primarily because of poor staffing issues. i feel like i cannot possibly do a great job because i wouldn't have the time to do it right. there's also a limited technical aspect to the job which i would miss. i crave techn...
  16. Do you need an order for this???

    i would think this would qualify as a verbal order. goodness knows that i run them through the or constantly. yes, eventually that md has to sign off within a certain time for the orders, but a ua seems to be a petty issue.
  17. Please help! New Muslim in OR

    [color=darkslategray]i would wonder what your facility's policy is regarding hats brought from home. where i work, several people wear hats (some home-made) from home, and pledge to wash them between each wearing. of course, they must adhere to the...
  18. Non-Nursing Managers

    [color=darkslategray]i, too, am dealing with this where i work. some folks are content to leave things as they are because this manager is a "known." they're more afraid of the unknown quantity that could be brought in from somewhere else. frankly...
  19. Is Chemistry That Important??

    [color=darkslategray]i think chemistry is extremely important. you cannot fully understand acid/base balance in the body without chemistry. additionally, knowing and appreciating basic med calculations, drip rates is basic chemistry, even if you're...
  20. Hysterectomy and anesthesia

    [color=darkslategray]ok- here it comes from an or nurse... you are hardly alone in your fears. most patients who come to the or in fear are afraid of this very thing. agreed, we do have great meds available for anesthesia, and much of what happen...
  21. African American Care

    [color=darkslategray]you may want to look at the work of one of the professors (where i work) who had done significant research on skin breakdown in the minority geriatric population. his name is courtney lyder and here are some websites of various ...
  22. A question for OR nurses

    [color=darkslategray]its my understanding that in certain places (mayo clinic comes to mind) that all their postop pts go through what looks like a "car wash" of an x-ray machine as they go to pacu - this is how they get away with not counting instru...
  23. A question for OR nurses

    [color=darkslategray]not at my facility, though it can be requested, depending on the case. for my team (we do thoracic surgery) we do require postop cxr - some facilities do xrays on all pts. a lot depends upon facility policy.
  24. Difference Between RNFA and Surg. PA?

    [color=darkslategray]a lot depends on your geographic location, etc. if you're a member of aorn, go to http://www.aorn.org/careers/default.htm and click on salary calculator, and sign in. put in all the pertinent info, and for your location, educat...
  25. Verbal abuse in the OR

    [color=darkslategray]oh, the little things...and they are insidious. they creep into your vulnerable, insecure soul and nag at you. i remember all too well. i was scrubbing a micro/neuro/spine case, something i definitely hadn't done more than a h...