Charity RN, APRN

PACU, PICU, ICU, Peds, Education

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All Content by Charity

  1. Charity

    Singing River hospital in Ocean Springs

    don't work there myself, but am in the general area One
  2. Charity

    Inpatient/Outpatient surgery

    While pain control is always on the top of everyones list, outpatients will need information on activity, wound care (when can they shower? Will there be drainage or bleeding?), diets and follow-up...
  3. Charity

    Removal of Central Venous Line

    When I first started in Peds (has it been 15 years already??!) I had a surgeon ask if I could dc the patient's central line. This was on the floor. Of course, I said. He was so surprised. Apparently,...
  4. Charity

    A question for OR nurses

    We generally have to remind anesthesia to order an x-ray in PACU. Often they don't tell us they started the line. We ask "is this new?" and they say, "Oh yeah, better get an x-ray." Of, course, the...
  5. Charity

    Staying Overnight In Pacu With Icu Pt

    When I first started in PACU over 10 years ago, our head of anesthesia would not allow a surgery to start unless that patient had an ICU bed waiting for them. The surgeons would literally have to...
  6. Charity

    Hi, I have a question please

    There are practicing deaf physicians and blind nurses at present. What is a little low vision? Some fields of nursing may prove to be not feasable, but that is one of the great things about...
  7. Charity

    Advice please

    Bless your heart. You are new at this aren't you? Don't worry. You'll get enough experience. Just make sure you have enough backup and resources with
  8. Charity

    You might be a PACU nurse if...

    ...Every time you hear an alarm or anything similar you call out "Take a deep breath".... ...Your patient arrives in respiratory distress with low sats and Anesthesia says "They were fine in the...
  9. Charity

    PACU Nursing?

    most CRNA programs don't include PACU as ICU experience because we don't give the meds that one in an MICU would. In an ICU, a nurse gives drugs and fluids that manipulate fluid status, BP,...
  10. Charity

    Question for pacu nurses

    "Leave me alone"??? I wouldn't bat an eye at that....IF you let me get my monitors and mask on before you "turn over and go back to sleep." Even with that, one generally has to to a whole lot to...
  11. Charity

    PACU Nursing?

    ICU is an excellent starting point for PACU. I am happy to see that your PACU does not accept new grads. Ours has in the past, and they have had more difficult transitions. Of course, I am one of...
  12. Charity

    Total Knee Surgery

    We do the femoral nerve blocks in our unit all the time. My suggestion is to make sure that it is done: A: preoperatively, so that the infusion can be started immediately post-op in the pacu, B: that...
  13. Charity

    New Grad ready to quit...

    You must really love this place to put your license, your career, and most importantly your patients' safety on the line in order to continue working there! Some nurses need to take things more slowly...
  14. Charity

    Site marking

    Our board of nursing has stated that it is not within a nurses scope of practice to mark the surgical site. Much to the surgeons' dismay. Actually, our docs have adjusted fairly well, but my sister...
  15. Charity

    Serving the doctors?

    Actually, our docs help out with that sort of thing when asked. 'Course they are still young impressionable residents...
  16. Charity

    PACU certification

    A CCRN most certainly covers PACU, even though there is a difference to PACU nursing. Oh well.. The nurses in our unit have found these books to be most helpful: Perianesthesia Nursing: A Critical...
  17. Charity

    Do or nurses do pacu after hours?

    Our main PACU is staffed with 2 RNs (ACLS) after hours. They float to cover the peds PACU after hours. There is an on-call nurse if the main house is too busy to cover peds. As there must be a...
  18. Charity

    Jobs at hospitals and credit checks...

    When I asked my nurse manager why our hospital was running credit checks, (actually it was a private agency that took a month to do a complete background check, and I was a former employee!), she said...
  19. Charity

    Externship or take the summer off?

    Do the externship! It will help you get used to dealing with patients in the "real world," and will help your confidence immeasurably. I work a short distance from your location-- - and the nurses in...
  20. Charity

    STAPLED drape to patient?!?!

    We must not have the sticky drapes in our OR, because I see those tell-tale holes and occasionally leftover staples in patient in the post-op patient all the time in my hospital. I have never seen any...
  21. Charity

    PACU to Floor Transport

    We transport based on ASA Class. If the patient was ASA class 1 or 2, then a CNA can transport. ASA 3--RN discrection. ASA 4 --RN must go. But as you are asking about after hours...in our unit that...