Hopecascade

Hopecascade

Post-Anesthesia Care

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All Content by Hopecascade

  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 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...

  8. 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...

  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...

  16. Hospital Scrubs

    Hopecascade replied to SallyFM's topic in PACU

    We wear hospital issued scrubs and scrub

  17. PACU RN requirements

    Hopecascade replied to smnurse's topic in PACU

    Two years of critical care experience are required, along with BLS, PALS, and ACLS. On the job training is a bit scary if you do not have critical care skills, ekg interpretation and a course...

  18. Anyone Have 10 hour shifts in their PACU?

    Hopecascade replied to All4Seasons's topic in PACU

    We have ten hour shifts in our PACU along with 12's and a few eights. We alternate start times that way we overlap for the busiest flow. Usually 2 start at 7, two start at 8, two start at 9, three...

  19. Video distraction for Pediatric Patients

    Hopecascade replied to Babs0512's topic in PACU

    We have a flat screen TV in the OR holding area for all the patients. It gives them a distraction while waiting for OR. I read that gameboys, handheld video games for school age children...

  20. charting the level of the spinal

    Hopecascade replied to cully24's topic in PACU

    We use dermatone levels to document levels of sensation. I hope this

  21. from ER to PACU

    Hopecascade replied to HAPPYNPROUD's topic in PACU

    You should transition well. ED nursing is a solid background for PACU, theart lines, ventrich's and other things will come with experience. Learning the pain management and types of surgeries will...

  22. Family Visitation in the PACU

    Hopecascade replied to smidgen21's topic in PACU

    Our PACU allows 2 visitors after two hours of recovery or sooner at the nurses discretion. It is supposed to be a quick 15 minute visit. Of course children are allowed their parents almost as soon as...

  23. Trauma Patients in the PACU

    Hopecascade posted a topic in PACU

    Our Level I Trauma centers sends overflow TICU patients to the PACU. Occasionally we get patients directly from TRauma Admitting who do not need OR. TICU patients will go to the OR and be...

  24. Post Anesthesia for SICU or Shock/Trauma

    Hopecascade posted a topic in MICU, SICU

    Do your SICU patients get recovered directly in the SICU or do they go to PACU first? I would be happy to hear what others facilities do. We do not have a SICU where I work, we have a TRauma Intensive...

  25. does anyone work at Cooper University Hospital?

    Hopecascade replied to beba42's topic in New Jersey Nursing

    If you apply online a Human Resources Rep. will email you back and set up an interview. I did it almost 2 years ago and got quick results. I accepted a job there. It has its pros and cons. Mostly...