ewattsjt

ewattsjt

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All Content by ewattsjt

  1. Why Black Eyes?

    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
  2. Break room and refrigerators

    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...
  3. Left-handed scrub nurse?

    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...
  4. warm saline/water

    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...
  5. Foley caths and surgery

    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
  6. OR - EENT position

    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...
  7. 12 hour Shifts?

    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
  8. NPO before surgery is nonsense

    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...
  9. Flashing policy... confused

    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...
  10. removing gowns

    My facility is great and rarely sends pts. with jewelry or undies. If they do, there is a good
  11. never scrubbed but want to be an RNFA

    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...
  12. removing gowns

    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...
  13. scrubs leaving the room before the patient

    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...
  14. scrubs leaving the room before the patient

    At my facility it is a big deal. The scrub is supposed to assist in the transfer of the patient. The patient always is the first
  15. What the?

    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...
  16. OR Lasers, Info Please

    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...
  17. back problems in the OR

    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...
  18. 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...
  19. 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...
  20. Do most OR's use scrub tech's?

    My facility uses surgical technologists to scrub and assist. Only when there is a staffing issue does an RN get to scrub except for a CRNFA who
  21. Surg.Tech VS Scrub Nurse

    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...
  22. Surg.Tech VS Scrub Nurse

    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...
  23. "MY doctor/service"

    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....
  24. OR Pet peeves

    hate that line and would love using that response just
  25. Poll: Do you like taking call?

    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),...