Hopecascade

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 the protocol you mentioned. Is that from your Anest...

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 USA. 10or 15% shift differentials for off shifts, ...

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 will bode well for you and your patients. Airway is...

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 stay and pull up a chair for a good long chat. Famili...

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 the universities to get our BSN. I just started b...

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 to play catch up in the PACU is rough. I don't see ...

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 to tax your housing stipend? I have an upcoming co...

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 signing a new contract at the same facility. From your ...

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 away in PACU. No wonder you are writhing in pain! ...

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 works :). "Is my surgery all done? Did it go OK?...

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

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 HR. File your own grievance and calmly proceed. You...

Never Fear Dr. WonderDog is here!

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

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 SDS. I hope this helps

We wear hospital issued scrubs and scrub hats.

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 certification with experience to back it up. How a...

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 start at 10 and two at 11. It works well.

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 pre-op caused relaxation and they required less verse...

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

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 be new. I had ED experience and transitioned well....

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 they arrive. We provide a chair at the bedside. ...

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 "Downgraded" to Trauma stepdown or floor while they are bein...

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 Care Unit and they usually go back to TICU for re...

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 pros... Good luck