Ask them. I like to know about family, patient belongings, unusual positions or tubes/drains that anesthesia may not know about, and how they were pre-op. Everything else I pretty much get from...
You have to check your specific policy. In our hospital, it goes by pay period. bi-weekly employees give 2 week notice. Salaried employees give 30 day notice. It is in your employee
He may have known this family and have been visiting with the permission of the pre-op nurse. His own family member/child may have gone through this before. Not to make him an authority, naturally....
Charity replied to umakemesmile's topic in Operating Room
I would look at my official job description. Does it include these other duties, especially first assist (in my state this requires special training and means big bucks)? If it is a generic...
I would get a clarification from my surgeon. He knows how the hospital is. We all know that nurses do heavy lifting no matter what type of equipment we have, but it depends on the type of unit in...
The TPN port should be reserved solely for TPN. BTW, This should not come up on a med/surg floor, but there is a drug, Adenosine, that is given via PIV only. (Not that it hasn't been given via central...
I take refusals on a case by case basis. One must not be too quick to judge someone as incompetent, BTW just because they have had meds or are "acting out" in your opinion. Best to err on the side of...
Charity replied to PollyPutTheKettleOn's topic in PACU
Our PACU is known as "where the ICU nurses go to get pregnant" since so many transfer in and then concieve! Our current charge nurse worked WHILE she was in labor...Came in a 0700, noticed...
From an AORN position statement on Safe Work/On-Call Practices: Lori, You should not have been fired. You should have been sent home to sleep. You were working while impaired...from lack of sleep....
They get paged back to the bedside, overhead in the OR if need be, and are reminded that I did not get report and that I have not accepted care of the patient
Well, if your hospital wants to upset JCAHO, go right ahead... Our nurses have always come with our patients to PACU (mostly), but since the new 2006 "hand off" safety goals, we now get two reports:...
Charity replied to CapeCodMermaid's topic in Geriatric, LTC
How 'bout this... create a CNA float pool. No CNA is assigned to a certain floor or certain group of patients. Every day, assignments are made according to need after callouts (funny, we call them...
The night brace has worked wonders for me. Keeps my foot flexed properly. Reminds me of putting high-top tennis shoes on ICU patients to prevent foot drop back in the day! Am also thinking about...
My suggestions: A book with test questions and rationales is a big help. Don't forget that the CPAN exam covers ALL types of perianesthesia care: OB, peds, day surgery (discharge teaching?...
Why do we keep comparing hospitals to Walmart or the post office? We do have to do things differently. The patient room is THEIR room. They are paying for it (in theory). We are visitors to that room...
Charity replied to NurseyTonyaLPN's topic in Nursing Humor
I have had more than one parent get visibly upset at the site of their baby in the isolette with a scalp IV. Because we had to shave or cut the child's hair. And everyone knows that if you cut a...
BTW, the application of heat and cold is a nursing action, not a medical one. Many think that it requires a doctor's order, and may in the hospital to get the ice pack "paid" for, but you should be...
State right-to-work laws vary. In my state, only the non-union aspect is true. While sometimes we are told that we are "at will" employees, it is in fact very difficult to fire anyone. (we have...
Another firsthand report: initial dose of Cymbalta produced such nausea that I wondered what the he** I had done to my doctor to make him hate me so much to put me through this. But it got better....
We have online "occurance reports" that anyone can file. If a physician wants one completed, he or she can do it themselves. Our docs do it all the time. If I actually saw an order as you describe, I...
In our facility, no transfers or admissions are allowed for one hour around change of shift to any unit. Report cannot even be called. The only exception is PACU, which can send up anytime, so that...