ewattsjt replied to nurseaboveboard's topic in Operating Room
sounds like prone to me too. even if the pt is positioned correctly but the case is a real long one like multilevel spine surgery, the duration of being prone for so long can do
ewattsjt replied to nursinadream's topic in Operating Room
I have no suggestions. Ours is about the same, when it gets nasty enough someone will go through it. I typically do not use ours because it is always so nasty. I bring a large lunch box and leave it...
ewattsjt replied to lilla_fjaril's topic in Operating Room
It simply takes practice. I am right handed but pass with either hand depending on where I am standing and the where the doctor/assistant is standing. In fact on many occasion, I will be taking one...
We just underwent changes this past fall. My facility had a group of analysis’s come in and audit us to make sure we were within The Joint Commission’s guidelines. A couple of changes that were...
We do for cases expected to be close to 4 hrs or over. Also on certain procedures we do an in/out to reduce the size of the bladder. We do not do Foley as a routine because of the possibility of
eent is simply eyes, ears, nose, and throat. it is hard to say with certainty but there should be a lot of different things like for eyes; phacoemulsification and other types of iol replacements as...
ewattsjt replied to Guest296136's topic in Operating Room
My facility has 8, 10, and 12 hour shifts. 8 and 10 are typically day and 12 is typically second shift (lunch relief then finish any running rooms). Our rooms are staggered in shutdown
ewattsjt replied to Guest219794's topic in Operating Room
i think it is both not trusting patients, old habits, and lump everyone into one group so nothing gets confused. standard order for my facility is npo after midnight but in cases where the patient...
I would like to start by saying that many facilities have varying takes on flashing. The AORN recommends against flashing unless there is a real need to flash something. Before the patient is in the...
As Linda stated, ask your facility. A part of the RNFA is getting an agreement (MOA) between the school and your facility to do an externship there. Most facilities who allow it will also allow you to...
A gown left tied can lead to pressure sores from impeded circulation just as and unpadded boney prominence so regardless of positioning, the gown should be untied and pulled from underneath because of...
Just playing devil’s advocate---what constitutes a stable patient after surgery. We all know and have seen patients crash in the blink of an eye. How defendable can the tech be if their patient...
ewattsjt replied to Fancy Face's topic in Operating Room
Also if you are thinking of going further with your education and possibly into different areas. The general nursing degree is better for that ASN/ADN or BSN while the surg tech programs are diploma...
It should be disposable or reusable following the manufacturer’s directions as well as facility policies. Also it should be reported to the proper chain of command and followed up. I am sure that...
I have no idea of what the incidence difference between the two departments are. I can say that in at my facility in the OR there is a lot of moving patients, positioning for the procedure (lifting...
ewattsjt replied to MichiganChris's topic in Operating Room
I don’t think techs should be licensed to give them more clout or bigger paychecks. They should be licensed to hold them to a high standard that is enforceable and regulated for the safety of the...
ewattsjt replied to MichiganChris's topic in Operating Room
As coreO stated, the Surgical Assistant and Surgical First Assistant are the same term. It is the position in the field. Surgeons, NPs, PAs, RNs, CSTs and LPN/LVN can all perform this role. There are...
ewattsjt replied to nessajune21's topic in Operating Room
In my area, the word of a CST is carried with the same weight. I guess it goes to different ideas of the level of professionalisms and education standards in different areas of the country. In my area...
ewattsjt replied to nessajune21's topic in Operating Room
This reply is only for the USA as laws and guidelines in other countries vary. With the exception of a few states, during a wrong count the ST or CST is held just a liable as the RN. While there are...
I have to agree that some docs want the same staff because in their minds, the room runs smoother. Because self-fulfilling prophecies will make or break the surgeon; they should get their room....
No offensive taken with me. I only make $2 hr on call too. It doesn’t pay for my gas there and back, let alone meals. We are a small facility so if we do not have any cases (which sometimes happen),...