Hopecascade

Hopecascade has 33 years experience and specializes in Post-Anesthesia Care.

Latest Activity

1. Hypoxemia Risk Protocol (HRP)

   Hopecascade replied to HEFFLY's topic in PACU

   Nocturnal hypoxemia in subjects at high risk for OSA is associated with an increased potency of opioid analgesia. We follow ASPAN recommendations for OSA patients as best that we can. We do not have...

2. PACU Pay

   Hopecascade replied to DNURSENSOCAL's topic in PACU

   Uniform throughout the hospital. 50 cents more per hour with certification in your area. Union hospital 30+ years experience $43hr. East Coast pay, is usually higher than down South or Midwest in the...

3. Anyone here work only nights/weekends???

   Hopecascade replied to NursingGirl9's topic in PACU

   Hi Sometimes you have to move them out quickly. If they are a MAC case and meet the discharge criteria you can have them out in 30min. That is a transition for a critical care nurse! Your background...

4. All my PACU RNs

   Hopecascade replied to Whoatemyburger's topic in PACU

   I like the quick thinking and rapid responses you need. I like the turnover of patients. I dislike " holds " waiting for rooms. Some places call them boarders. I don't like when families expect to...

5. Just a rant rn-bsn

   Hopecascade replied to ChipNurse's topic in Diploma, ADN, BSN

   I think employers should offer more tuition reimbursement to RN's. RN-BSN programs are expensive. It is a bit of a racket Magnet hospitals now require BSN's. So we work hard and spend lots of money to...

6. Is this the norm in PACU? Have I been spoiled before????

   Hopecascade replied to MomRNof2's topic in PACU

   It sounds like your anesthesia providers are not providing opioids during their cases. Talk to your manager and the CRNA's.It might be your patient population, are they chronic pain patients? Trying...

7. Completion bonuses are they available? Taxed Housing??

   Hopecascade replied to Hopecascade's topic in Travel

   Thanks for your reply. I do maintain my own home and come home on weekends. This was my first time as a traveler. I am learning as I go along. I appreciate your input. I am still undecided about...

8. Completion bonuses are they available? Taxed Housing??

   Hopecascade posted a topic in Travel

   I have reassigned at the same hospital for a year,with a small 30 day break. I wish I asked for a bonus after each 13 week assignment. Also has anyone worked at one hospital with your agency wanting...

9. Things you really wish you could say to patient/family of pt

   Hopecascade replied to nite_shift_4_life's topic in Nursing Humor

   I wish I could say, " you should have told the anesthesia provider and myself that you take percocets tens around the clock x2 years, if we had known we would have upped your dose of pain meds right...

10. You might be a PACU nurse if...

    Hopecascade replied to mustanggirl's topic in PACU

    This is in reply to the nasal airway in the mouth: I do use this and have seen it done. They are softer and it works with less irritation of the gag reflex. I have had one CRNA that does it and it...

11. 1st Nursing Cartoon caption contest - win $100

    Hopecascade replied to Brian's topic in Nurses Rock

    He Is supposed to be computer literate. But I only saw him use the pound

12. HELP!!! May be asked to resign, but if i quit can GROUP ONE still be trashed? TEXAS

    Hopecascade replied to nurseypoo5's topic in General Nursing

    I am sorry this happened to you. I don't know what group 1 & 2 are. Do you want to leave or fight to stay? Think what recourse you could have to deal with her. Document what happened, take it to...

13. 1st Nursing Cartoon caption contest - win $100

    Hopecascade replied to Brian's topic in Nurses Rock

    Never Fear Dr. WonderDog is

14. 1st Nursing Cartoon caption contest - win $100

    Hopecascade replied to Brian's topic in Nurses Rock

    I saw his stupid pet tricks last night. I laughed more than the patient

15. Spinal level for discharge to the floor?

    Hopecascade replied to All4Seasons's topic in PACU

    Two dermatone levels from initial assessment. They are all ready in a bed and are transferred to the floor. If they are SDS they must be able to stand to get into a wheelchair. They must void in...