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spineCNOR's Latest Activity

  1. spineCNOR

    Revisit: PA or RNFA

    Hi MeiLana, The reality is that most surgeons in private practice will want an assistant who can "pay for themselves", i.e. they want to be able to bill for the assistant's services and therefore cover the salary costs of the assistant. So your best options would be a surgical PA or NP/RNFA, depending on insurance reimbursement in your state. Being an RNFA only would limit you to the OR (which i fine if that is what you want to do). At least one school that I am aware of (UAB School of Nursing) has a distance assessible acute care NP/RNFA option, there may be others.
  2. spineCNOR

    Should I stay or should I go?

    First of all, I don't think this is a case of "beggars can't be choosers". Even though you are already on the OB floor as a tech(?) being a nurse will be different, with a whole different set of responsibilities and accountability. If you like the unit and staff staying on the unit would make for an easier transition. You already know the staff and unit norms, so learning your new role would be less stressful. Transferring to another unit later would always be an option.The real question is what are your intermediate and long- term goals? Do you want to return to school to prepare for one of the advanced practice roles (NP, CRNAS, etc)? Do you plan to remain at the bedside for the foreseeable future? (and either option is perfectly fine - you have to decide what is best for you and your situation). Every hospital needs good OB nurses but any unit will give you an opportunity to make a positive impact for your patients. Even if you take a job on the postpartum unit you can always ask to cross-train to L&D, nursery, etc.Good luck to you, whatever your decision!So, I do not have any answers, you just have to decide with your head and heart what is the best choice for you.
  3. I currently work in staff development in a large academic medical center OR. Trying to develop a more structured/organized orientation process. If any of your hospitals offer an internship or fellowship for new hires with no operating room experience please share your experiences: 1. How many sessions do you offer on an annual basis? 2. What is the length of your program? of the didactic portion? of the clinical portion? Does your facility offer Periop 101? 3. Is there a limit to your class sizes? 4. Do you have designated classroom space for education/training/labs? 5. Can inexperienced nurses start work at any time or can they only start when a fellowship/internship class starts? Many thanks in advance!
  4. I am currently a student in a DNP program, so I am not unbiased. While I agree that the DNP does not have the academic rigor of a PhD I am not aware of any one-year DNP programs (but I certainly can't say they don't exist. The program I am attending requires 40-ish hours, about the same as the MSN.) I see the DNP as being similar to other healthcare practices doctorates, such as the PharmD and the Physical Therapy doctorate. Some people who have attended those programs have chosen to pursue PhDs due to their interest in research and I imagine that will be the case with some DNPs as well. Given that healthcare is growing more complex by the day I do think there is a place in nursing for a practice doctorate. One of my professors described the DNP role as being a "superuser of evidence-based practice". Does a nurse need a DNP to use EBP? Of course not, but having a broader knowledge base does help. One of my MSN professors used to say that the purpose of graduate education is to enable a person to see things "from the 30,000-foot level". Do you need a graduate degree to see things from the 30,000 foot level? No - but it does help!
  5. spineCNOR

    Do you address the residents by title or first name?

    I work in an academic medical center and it is generally the custom that the nurses and residents are on a first-name basis (except when in front of patients where the nurse would address the resident as "Dr. ____". If it is acceptable for the residents to address nurses by their first name it should be all right for the nurses to address the resident by their first name.
  6. My school project is focused on preventing pressure ulcers in surgical patients and will include education on pressure injury prevention for OR nurses. Please help me to determine what information should be included in the education by taking this brief survey on Survey Monkey: http://www.surveymonkey.com/s/7F8SJDG There are 10 questions and it should not take long at all to complete. This site will not collect any personal information from you (name, e-mail, etc) I sincerely appreciate your help with this! Thank you, Cecile
  7. spineCNOR

    Anyone attended a DNP Program?

    Some people are finishing the part-time track in two years. I got off track when I had to change my project because of a change in advisors. Quite a few of the people who started when I did have graduated but I didn't feel up to working full-time and going to school full-time.
  8. spineCNOR

    Anyone attended a DNP Program?

    Hi! I am currently in a DNP program - started in May 2008 and I will (hopefully) graduate this December. I am only going part-time, 2 courses/semester. I am certainly no expert on this subject but I will be happy to answer your questions if I can. Have you visited the http://www.doctorsofnursingpractice.org/ site? There are abstracts from some student projects and some other resources.
  9. spineCNOR

    Surgical reprocessing

    I'm sorry to say that any place there are intruments there are problems with instruments! I agree with Sandra about the accountability factor, having the CSS techs sign the sheets. Another thing- does your facility using intrument tracking software? There are various systems (my hospital uses SPM) and all the intruments trays are sets are barcoded so that they can be tracked. Now this has not totally eliminated issues, but it does help. Another thing, if you have trays that are esecially problematic (one with a lot of specialty instruments, etc) it was helpful for our OR to have an OR person from that particular service to do a brief inservice for the CSS staff to go over the instruments and stress how important complete trays are to patient care. I think many CSS people don't really realize what an important role they play in patient care, for some people helping them to understand the importance of their role is a motivator.
  10. spineCNOR

    DNP in Nursing Education

    I do know that both the University of South Alabama http://www.southalabama.edu/nursing/dnp.html and Samford University http://www.samford.edu/nursing/academics/dnp.php in Birmingham Alabama have education tracks in their DNP programs.
  11. spineCNOR

    Specializing in Ortho

    Will you be expected to cover other specialties when you are on call? If so, you certainly need at least a brief rotation through those areas.
  12. spineCNOR

    Is it appropriate to visit past patients in the unit?

    Interesting question! "Back in the day" before same day surgery became so common it was not at all unusual or OR managers to expect their nurses to do pre- and post-op visits. I don't consider checking up on a patient post-op a HIPPA violation, but it wouldn't hurt to run it by your manager first. After all, this is one way to evaluate the effectiveness of the patient's intraoperative care. As long as you keep in mind that the patient may be tired and not interested in having a visitor most patients and their family members don't mind a very brief visit.
  13. Can anyone share how EBL is calculated for cardiac cases in your hospitals? Is cell-saver salvaged blood calculated into the EBL? Why or why not? Thanks in advance! Cecile CVOR UAB Hospital Birmingham, AL
  14. spineCNOR

    Management Structure

    Director of Surgical Services (currently vacant) Nurse managers for CVOR, General OR (everything accept CV) and PACU/Same Day Admissions (Endo is not under Periop services) Charge nurses run the board on each shift General OR has team leaders for the different specialities. In CVOR a scrub nurse for each surgeon serves as the team leader.
  15. spineCNOR

    Continuing education???

    Why hello! I am an OR nurse, origianlly a diploma graduate (hospital school of nursing). Went back to school a few years ago for a BSN & MSN so that I would have more career options (I was working as a staff nurse at the time). I now work as an educator in the OR, so there were different career and money advantages for me. It really depends on where you work. Most places in the US prefer or require a bachelors for a managment or educator postion. My impression is that it is basically the larger hospitals and academic medical centers that require a masters. I'm sorry, I don't know anything about education preferences/requirements "Down Under".
  16. spineCNOR

    Book help

    Exactly -- I agree that is is probably best not to worry about learning instruments right now. Honestly, the best way to learn instruments is to see how they are actually used. Alexanders is a great text, and it does have some info on instrumentation-care & handling, and the main categories (grasping, cutting, etc). That will give you plenty of information for right now. Good luck in school!