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...
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,...
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...
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...
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...
...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...
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,...
Charity replied to lpnstudentin2010's topic in PACU
"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...
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...
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...
Charity replied to nelligolitely's topic in Nursing Career
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...
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...
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...
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...
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...
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...
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...
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...