chartleypj

chartleypj

Member

  • Content

    171

  • Visitors

    3,174

  • Followers

    0

  • Likes

    0

All Content by chartleypj

  1. Help with the life of a surgical consent!

    chartleypj replied to lostpinesornurse's topic in Operating Room

    I have worked in 4 facilities over the past 31 years, including working for the federal government. At each facility, a hospital policy dictated how long a consent was good, and under which...

  2. Where to live in MA?

    chartleypj replied to MikeyJ's topic in Massachusetts Nursing

    Sistermike, The Worcester area has several large teaching facilities as well as a few smaller acute care hospitals. the city is smaller than Boston, yet retains some of the ammenities you might be...

  3. Meditech Surgical Computer System

    chartleypj replied to KRASS's topic in Operating Room

    I have used Meditech and also found it to be user friendly after a learning curve. I like that the program allows for (I think 3 or 4) customer-defined screens so the program can be built to your...

  4. taking away my overtime in the OR

    chartleypj replied to 90021nurse's topic in Operating Room

    I'm connfused; if you were hired for the 10:00 - 6:30 shift, then that is what you should be doing - and you obviously are not agreeing to this last- minute scheduling issue. What is your hospital's...

  5. I posted this in general discussion as well.

    chartleypj replied to sandlewood_nurse's topic in Operating Room

  6. Who is at fault?

    chartleypj replied to KristinWW's topic in Operating Room

    You are right about the control we have over who leads us. We only have control over our own behavior, our moral, ethical and interpersonnal conduct in the workplace, and this is where every nurse...

  7. Who is at fault?

    chartleypj replied to KristinWW's topic in Operating Room

    In my experience, as well as my humble opinion, systems errors negatively impacting perioperative care are inherent in all OR'S. Test driving a new job for a month may not uncover issues pertinent to...

  8. I Will Be On My Own Soon...SCARED

    chartleypj replied to IsseyM's topic in Operating Room

    Issey, I think it is natural to have some anxiety about anticipating new challenges. It is not clear from your post how long your orientation period is, or how much nursing experience you had prior...

  9. Stick it out in the OR or not?

    chartleypj replied to Chloe07's topic in Operating Room

    Chole, I wonder if your preceptor or nurse manager knows how you feel? the OR can feel overwhelming initially because there is so much to learn. Can you orient full time? As to the condescending...

  10. Any good advice for a circulator orientee?!

    chartleypj replied to luckyduck7's topic in Operating Room

    Congratulations! I agree with all previous posters. In addition I would suggest you join AORN, the National association of PeriOperative Nurses. Here you can attend meetings, colloborate with other...

  11. Who is at fault?

    chartleypj replied to KristinWW's topic in Operating Room

    These issues which occur in every OR every day around the world are precisely what creates nurse burnout. I agree, this is a systems issue and until some type of root cause analysis is done with...

  12. At what point are you too old?

    chartleypj replied to cinja's topic in Operating Room

    The average age of a perioperative nurse is slightly higher than the national average of the general nursing population at 47 years. Having said that, I have worked with OR nurses in their mid-sixties...

  13. Positioning for hand & elbow procedures

    chartleypj replied to neveragain123's topic in Operating Room

    Alexander's Care of The Patient In Surgery is a wonderful reference. Surgical positioning is as much a personal surgeon preference as it is dictated by anatomy. Having said this, I will tell you that...

  14. Wrong COUNTS....

    chartleypj replied to RNOTODAY's topic in Operating Room

    Incorrect counts on 5 different cases is real cause for concern. Placing blame, and then disciplining staff for mistakes will not fix the problem. Education, including rewiew and perhaps revision...

  15. Disposable safety straps on the OR table

    chartleypj replied to pstar001's topic in Operating Room

    pstar, If the disposable item says it is for 'single use only', I am not sure the hospital is offering your patient the same standard of care by not offering each patient a 'new' one. For example,...

  16. flexible cystoscope going to urology floor

    chartleypj replied to callbabe's topic in Operating Room

    Callbabe, Our Urologists would come to the OR for a sterile flexible scope when the need arose. It was then returned to the OR for us to send to SPD for reprocessing. On weekends and at night the...

  17. Pacu report????

    chartleypj replied to RNOTODAY's topic in Operating Room

    Appropriate Hand-off communication is one of the 2007 joint commision goals (JCAHO) for all hospitals. Working with your quality assessment department to implement a standardized hand-off...

  18. new CNOR

    chartleypj replied to MoosePond's topic in Operating Room

    Congratulations!

  19. Questions about patients with pacemakers

    chartleypj replied to IsseyM's topic in Operating Room

    IsseyM, AORN has a position statement on care of the patient with implanted cardiac devices. You might be able to view it @ AORN Online I know it is also in their yearly Recommended Practices and...

  20. Anyone really love where they work?

    chartleypj replied to jade-athyst's topic in Massachusetts Nursing

    I agree. Quality leadership in nursing is sadly lacking. Horozontal Violence in the workplace is rampant among nurses who continue to lash out at the very persons they should be collaborating with,...

  21. Worth joining AORN?

    chartleypj replied to ortess1971's topic in Operating Room

    Interesting responses. I think the answer to your question lies in precisely what You hope to gain from membership in YOUR professional organization. If your intent is to network and collaborate with...

  22. Levine Conservation Model

    chartleypj posted a topic in Research

    Hi, I am doing a Nursing Theory presentation on Levine's Conservation Model and I am having trouble locating an actual pictorial model depicting her assumptions/concepts. Anyone have any ideas?...

  23. Guidance Please - Associates vs BSN

    chartleypj replied to lawc2315's topic in Texas Nursing

    . >My plan is to go RN, then once I have that do the BSN if it really makes a difference in pay. My dream is to be a L&D nurse.> Thanks in advance for everyones input.[/quote There has...

  24. Case Scheduling

    chartleypj replied to shodobe's topic in Operating Room

    >I just wanted to get a feel of what other ORs do that try to alleviate this constant problem. Thanks, Mike> Mike, This was the deal at the facility I worked at for 28 years; I resigned a month...

  25. Any RECOMMENDED OR book?

    chartleypj replied to eezee's topic in Operating Room

    Comprehensive Perioperative Nursing by Gruendemann & Fernsebner. Mine is a 1995 edition but I am sure there must be a newer one. It is a wonderful resource for perioperative nurses. Good luck,...