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expected arrival time when on call
what is the time that you are expected to make it back to the hospital when on call and called in for a case?
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JCAHO coordinators- need a sounding board
me too
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OR nurse managers, let's talk!
i too would love to chat. maybe we could share information on alot of practices and ideas. i have recently started as director of surgical services for a 4 room OR. and 2 room endo unit. i'm having difficulty with what is accepted practice in an OR. i see LPn's stapling inscions closed for the surgeon, MD's starting IV's without gloves, etc. i'm beginning to think i should of never taken this job. when i question these practices i'm told thats how it's done in the OR.
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Do nurses get paid enough for what they do?
There is something tragically wrong when athletes and actors are paid millions , and nurses, soldiers, firefighters, etc are paid so poorly. What volumes that speaks of how we are valued in society.
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Bronch's
Is anyone doing bronch's in their endo units? if so would you be willing to talk to me about the whole process. presently they are done in our OR, but there is talk of moving them to the Endo suite. thanks
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Do or nurses do pacu after hours?
at our hospital OR nurses do recoveries also. A rural hospital with usually under 100 beds can't usually financially survive with OR, PACU, and ENDO nurses all on call. That is why there is cross training, and competencies. an orientation is not what determines competency alone, it is also expierence and knowledge. it sounds like you were hired with this practice, why did you take the job if you didn't want to recover patients? also the OR use to run and do the Endoscopy cases at our hospital. the OR nurses trained the endo nurses which is why they do call. Did your OR ever do endos? if your practice now is to do recoveries, yet you say you don't feel qualified, isn't it your professional responsibility to either get qualified or quit. i would think saying your not qualified to do something and than continue to do it would be negligent as a nurse. good luck
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penile implants
I need to know a standard of care issue regarding penile implants. Our Urologist is asking RN's to catheterize a patient post op penile implant for not voiding. They have had a catheter intraop, but it was pulled prior to arrival to outpatient area. Are other nurses straight cathing post op implants?
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What would you do in my situation...?
I think you'd make a better MD than a nurse. Your post indicates you have the attitude of most MD's...............nurses are beneath them. please do me a favor and stay out of our wonderful, dedicated, intellegient profession, and become a doctor....................
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When in uniform?!?!?!?!?
I too take issue with the fact being effecient, organized, etc. isn't enough make sure you smile. Nurses are not robots, were people. Some days after dealing with a pediatric code that didn't make it, an elderly abuse case you spent the morning cleaning up, and cheering up..........I don't feel like smiling. If you didn't want to rant on just nurses.............why did ya?
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pediatric iv standards
i was wondering what everyone is practicing in regards to iv therapy on kids. presently we use pediatric iv tubing on all kids under 16 years and all kids under 6 have iv pump also. do you go by weight or age for your iv therpy? and will you share guidelines no matter which ever it is..............thanks
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charge nurse whose a wimp
It sounds like the process does not work, not that the charge nurse is a wimp. It sounds like your charge nurse is advocating for her patients to be pre-medicated, and in doing this, longer preadmit times might be neccessary. My other thought would be why, does a patient, who is receiving pre-op meds, require a history and physical. Couldn't the surgeon who scheduled the surgery write pre-op orders for anxiety medication, that would be given on admission to the child............
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physician abuse
I have been a nurse for over 25 plus years. I am finding physician abuse and inappropriate behavior still being overlooked by administration. Does anyone have a no tolerance or red flag policy on this. My DON says MD abuse is at all hospitals and I'm just wondering if that is true.