Charity RN, APRN

PACU, PICU, ICU, Peds, Education

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All Content by Charity

  1. Charity

    MD was angry I questioned him.

    You did the right thing. Just can't take it personally, as some people can never "be wrong." At my teaching hospital, we don't hesitate to follow the chain of command. In the past, it has had to be taken to the doctor's department head, and even to a...
  2. Charity

    Me... Me... Me: A Sense of Entitlement

    "Why, of course, ma'am. If you would please take over performing chest compressions, I'll get right to your mother. Don't worry about that odd feeling as you compress. Those are just his broken ribs."
  3. Charity

    days off- a rant

    Your manager can't require a doctor's excuse just because. That should be in policy under what circumstances, or when. Usually it is after a set number of days calling in. Don't answer texts or calls. My manager and supervisor have their own ringtone...
  4. Charity

    Considering a change to PACU

    We have some folks who work that shift. To be honest, it is a very difficult one to work, because one has no private life with "regular" people, as you will be working every evening. But it is always a good way to get your feet in the door. One of...
  5. Charity

    PACU nurse give Ketamine?

    Until this month, we (PACU nurses) thought we could not give Ketamine as it is classed as an anesthetic. The hospital just okayed Ketamine in PCA pumps, to be ordered by our Pain Service only. So I suppose we can, in low doses. I suppose it is sim...
  6. Charity

    ASPAN certification

    The best resource that I used was Perianesthesia Nursing: A Critical Care Approach, by Cecil B. Drain and Jan Odom-Forren. (I used an earlier edition by Drain alone, but its the same book)
  7. Charity

    Phase II Question

    Short answer: We PACU nurses take care of the entire patient, not just what got operated on!
  8. Charity

    arterial line insertion by OR/PACU nurses

    It depends on your state's Nurse Practice Act. Nurses in my state can start art lines if trained by their hospital. (all policy/procedure written, naturally) I don't know of any that do, however. We have hospitals here (not mine, thank God!) that ...
  9. As a junior in nursing school, I had clinicals on a pediatric surgery floor. I loved it. The last day of clinicals, I knocked on the nurse manager's door and asked for a job. I was working there as an SNA less than a month later. I did my externs...
  10. Charity

    Obama Declares Swine Flu a National Emergency

    Does anybody know how we are differentiating between H1N1 and the "regular" flu? If they have stopping doing confirmatory tests, do they do a prelim that can tell what kind? I seem to remember a friend whose daughter had it. They told her they coul...
  11. Charity

    PACU Dress Code

    Thanks everyone for their replies.
  12. Charity

    PACU Dress Code

    What type of scrubs/uniforms do you wear in PACU? Hospital issued or personal? Are you physically attached to your OR, or separate. What type of PACU is it? We are looking at our dress codes, but can find little in the literature.
  13. As an acute care nurse, I read "residents" as physicians! You know- intern-resident-fellow-staff. Was I confused!
  14. Charity

    PACU slogan

    We are searching for a cute slogan for some tees that we will be ordering for our PACU. Any ideas? A few years ago we had PACU: Wake Up With Someone Who Cares! It went over well. All staff will be ordering this, so it cant be just for the RN's. Than...
  15. Charity

    Finding work in hattiesburg

    With all the nursing schools in the area, I would contact a nurse recruiter at Forrest General as soon as possible.
  16. Charity

    Male OR Nurse

    Well, since we have well over a dozen OR nurses of the male persuasion, it never occurred to me that a guy would have any problem. This is not counting our techs and perfusionists. As far as I know, I doubt a chaperone would be needed as the OR suite...
  17. Charity

    MSN at the bedside

    I had to check to make sure that I hadn't written this post! Except for the years of experience (have a few more on ya there), you could be describing me. I taught for a few years, and enjoyed it. Yet I missed bedside nursing. It has taken years for ...
  18. Charity

    PACU at night?

    We staff 2 RNs past 1900 every night and on weekends. If we need a 3rd (and it happens, one stays late or is pulled from another unit). Our other PACUs keep 1 nurse at night, with the OR nurse as the second nurse. Only our Day Surgery OR closes at 1...
  19. Charity

    Medication Reconcilliation- An ER responsibility?

    our facility uses two forms. er and outpatient services both use a form that a nurse or someone similar will complete. if the patient is later admitted, a separate inpatient form must be complete by the physician. if it is a direct admit, admit day o...
  20. Charity

    What is a code gray?

    It does vary from place to place. At my hospital "Code White" is for a combative person, whereas "Code Gray" goes to our neuro team for someone having a stroke.
  21. Charity

    Does anyone else find themselves doing this...

    If this is "nurse mode" then keep me in it 24/7. I call it being a decent human being.
  22. Charity

    Post clincal conference topic ideas

    I often got my ideas from nursing journals or "current topics." We discussed family presence at codes. New advances in pain management they would be seeing. My clinicals were at a Catholic hospital whose written policy prohibited not only abortions ...
  23. Charity

    wound vac

    No. In our institution hemovacs are use postoperatively to help control/monitor bleeding from the surgical site. Officially I think they are called "closed wound suction devices." Another type we use is the JP drain. Both of these drains are similar...
  24. Charity

    Continuous Bladder Irrigation

    Actually a 3L bag of irrigant weighs 6.6 pounds.
  25. Charity

    Glen Beck's hospital experience

    I just watched his show tonight. I have not read anything he wrote. On his show, he praised the nurses. "With the exception of one," I think the phrase was. One could tell that he was embarrassed about the youtube video (which I did see). He indirect...