zerby1470

Exactly.

Had a pt's spouse who was making fun of the pt's parts during our pre-op interview, pre op TKA. She and SO talked about how if the girls wearing the pretty hats started laughing, that meant the blankets were off. When we said that he would be getting...

I am sorry that you work in such a teamwork unfriendly environment. At my facility, nurses and techs are assigned to assist the surgeon during the procedure and scrub in with the doc. The assistant, regardless of title will help with all of the above...

Western Iowa - non profit 6 OR's, Level 2 trauma $1.50 per hour weekdays, $2.00 weekend. Four hour guaranteed call back at time and a half. No specialty pay.

"My" doc is back on thursday and I will ask if it is a specific technique, or just how he learned it in school.

We have two Uro's that will do this. Incision, exposure, finger, voila. As a matter of fact, one will warn the assistant not to get anywhere near the urethra because they might "take the fun part away" from him. Both are rather old school in techniqu...

My two faves are very dissimilar on the surface, like Ed's. Spines and urology. Spines for me are very technically challenging for me, lots of stuff, and both delicate and brutal at the same time...going from saws and drills to gently moving a nerve ...

If you are doing anything solely because you are paid well, you will likely be unhappy. Find what you love, and find a way to be comfortable with it. Will you live for money, or use money to live? Also, in my experience, the CRNA's ARE nurses at the...

At my facility we do not allow parents into the OR. We do pre op Versed, and start IV's in the older kids. The little ones get their IV's after induction. We seldom have issues with needing to restrain the little ones, but in the case that we do, we...

I second what ewattsjt said. I am glad that you got some answers from your EGD ( I spend time on the GI forum) but there are too many variables here to give an answer. Best of luck to you!

Thank you. It is not comparing apples to apples. Both have skills that are brought for the operating room, some can to both, some cannot. But a good, well working and well trained team is in the best interest of the patient, regardless of the name th...

That is disgusting. At my facility the OR scrubs C-sections. I work in the OR, FWIW. I was called in for a full term IUFD placental abruption, 3 prior sections, mom contracting. Doctor handled baby same as all of our other sections, baby was cleaned ...

If the patient is going to wind up with a hamburger looking urethra, the ribs on the foley aren't the issue. I work with a reasonable group of Uro's, and while they agree that there is an issue of ribs on the silicone, it is less essential than the p...

I have seen the flip side as well. I wanted a non medicated, limited interventional birth. And no C-section. Period. My doc was aware of my intentions, and supported me. I was induced after 8 weeks of bedrest at 37 weeks for pre-eclampsia. My time on...

The Schlein is similar to the beach chair positioner that you were describing, WitchyRN. We have not used the McConnell positioner, but love their arm holder!

The Schlein shoulder positioner? Frees up the shoulder for rotator cuff surgery, but has a cradle for the head to be secured.

Thank you Shari. It is far to easy to forget the patient in the silly power struggles on both sides of the coin. If we are not there for the patient, the team suffers. My job is no more or less important than the housekeeper that properly cleans the ...

God forbid that you expect that standard of care for your patients (sarcasm, here). It sounds like you are trying to put patient safety first, and if they are not able to see that, I would feel the need to leave there, as you have stated. I would b...

We mask for opening rooms, and also prior to opening a total joint room (surgeon request). We are not required to wear masks on clean cases, but most do anyway. There are some things that can hit you in the face in those too, and it's good to have th...

Not only do I have a very clean umbilicus, but I also am very particular about my toilet tissue,, so I don't have lint build up in the areas that I don't normally see. Who would have thunk it, entering school!

At my facility, we use the term STAT sections for sections that need to be done now - intubate mom, no count, get the baby out ASAP. Urgent for sections that need to be done, but the docs will allow for a little wiggle room - some late decels, but yo...

We are a local hospital, not peds specific. Outside of ENT day, we do not see a lot of pediatric patients. The adults get their IV's from pre-op nurses, or floor nurses. YMMV.

I would not feel comfortable with that. If things go bad, they can go bad quick. If you are not there, you cannot help. Bad for the patient and bad for your license.

As a general rule or OR nurses place IV's in ped's patients once under the influence of anesthesia. The ones that I work with are skilled in this area. All other IV;s are started in pre op holding prior to entering the OR.

I experienced my first one yesterday, and I am still trying to process it. Mom was laboring fine, got her epid., doing fine. Coded. got her to the section room, baby coded 3 times. Mom in DIC. As of now, mom is still living, but sick, sick, sick. Uns...