spineCNOR

spineCNOR

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All Content by spineCNOR

  1. 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...
  2. 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...
  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...
  4. Just curious... How commonly do you OR nurses out there experience verbal abuse and/or disruptive behavior from surgeons? How do you or your facility deal with this issue? In the facility where I work...
  5. 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...
  6. 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...
  7. 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...
  8. 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...
  9. 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
  10. 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...
  11. 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...
  12. 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...
  13. 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...
  14. License risk in the OR

    It is very important to be familiar with your state's boards practice guidelines, i.e. what is in your scope of practice and what is not. It's also important to be familiar with your faciltites...
  15. Good Book?

    I recommend Alexander's Care of the Patient in Surgery by Jane Rothrock. This is a very comprehensive text that covers the basics and well as the various specialties. It's a little pricey, but well...
  16. Need an Article

    you can read and print out Home Study articles here: http://www.aorn.org/journal/homestudy/default.htm even if your aren't a member. I hope you enjoy your OR clinical
  17. Any OR nurses in the Cleveland, OH area?

    First of all, gratulations on your upcoming graduation! I know nothing about Cleveland, but I do know that The Cleveland Clinic is consistently rated as one of the top hospitals in the country. You...
  18. online courses?

    Here is a university hospital web site that offers basic perioperative nurse education, however not for any sort of CE credit. And ditto to the above advice, more hospitals today are willing to train...
  19. Circulating RN ethical question

    Lu Ann, I suggest checking with Employee Health at the hospital where you want to work. I can't imagine that you would put patients or coworkers at rish as a circulator, but that would be a decision...
  20. Exam Preparation

    Ditto to what Imjamie said, and brush up on positioning--when I took the exam there were several very specific questions on potential pressure points and so forth, i.e. lateral malleolus NOT ankle....
  21. Site marking

    where I currently work, a university medical center, a physician is required to mark the site in preop. It's usually done by a resident, rarely by the attending. The policy is currently being revised,...
  22. surgical assistant OR surgical housekeeper??

    where I work they are classified as OR Care Techs or ORCTs, a variation of the Patient Care Tech
  23. Steris P & P question

    you might want to check with your Steris rep, but I think the "Just-in-Time" refers to the fact that items sterilized in the Steris cannot be stored for use at a later date, like things sterilized...
  24. Do you use "space suits" for Totals and why?

    In the 2 OR's in town I have worked in some surgeons wear them, some don't. Some that do expect the scrub nurse to wear a spacesuit as well, some don't. Just guessing I would think most don't require...
  25. "THE RIGHT STUFF" for an OR nurse.

    all the above, plus flexibility--it is important to be to "go with the flow" and adjust to changing situations. Being attentive to details is VERY important in the OR (of course it's important in...