Surgerygirl

Surgerygirl

L&D, Surgery, Case Management

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All Content by Surgerygirl

  1. I am an RN Circulator. We have a surgeon that does pain injections. I am the anesthesia for the cases. I hook them up to all the monitors at the anesthesia machine and monitor them during the case. I push fentanyl and Versed. So my question is ...
  2. Elective Primary C/S

    The overall c/s rate at my hosp is between 35-40% a month. It is crazy. Last night I had a scheduled pc/s come in for admission and when I asked her why we were sectioning her (G1/P0) she said that the Ob told her that her baby "might" to too big a...
  3. Brand New OR Nurse - Any Advice?

    Also.... Learn where all the supplies are... surgeons do not like to wait for anything. As time goes on you will learn to anticipate the needs for each different case and surgeon.... it takes a long time.
  4. Warm clothes under scrubs

    I use the tiny tees from Old Navy. I wear them year round under my scrubs as I find jackets and sterile fields do not go together very well.
  5. Hospital Requiring BSN or your pay will be Capped?

    I disagree. BSN and ADN graduates all had to pass the same state boards. I would rather have an experienced ADN RN than a new BSN RN care for me. Having a BSN does not automatically make someone a "better" nurse. When graduates from a BSN progra...
  6. How to handle an abusive surgeon?

    I have found that a simple 'I don't appreciate being spoken to in this manner' or a 'your behavior is out of line, do not speak to me like that' to work quite well. It usually shuts them up and they soon realize that I'm not a martyr and can stick up...
  7. Nurses Smoking

  8. Nurses Smoking

    Amen!! It should be illegal for people to smoke anywhere outside their own house!! I have a right to breathe air that is not contaminated with their toxic smoke. ........ I do think less of anyone esp a nurse who smokes.... they know better. ...
  9. How much is your pay?

    IMHO.... Working for $16.05 is a choice. School Nurses should be paid more .... but as long as the school districts can employee nurses for substandard wages..... they will. I do understand that most of the school nurses choose schedule over pay. ...
  10. dumb conscious sedation questions

    Propofol: I would NEVER administrate it. It is against the nurse practice act of many states. We developed a policy against it at my surgery center so if the doc asks we can just refer to the policy. I use versed and fentanyl and I do push them ...
  11. scared about leaving OR

    Do not let one person dictate where you work! If you love the OR ... stay. I know that there is always someone that is hard to deal with but you will run into the same thing in the ER. I would be in the area I loved. Try killing her with kindness...
  12. what are the roles of a BSN

    IMHO it would depend on how much time and money you have. If you are older and have family, bills etc then go for the ADN. The only reason to obtain a BSN is it will open upper management jobs. The BSN and ADN Take the SAME NCLEX exam and do the i...
  13. dumb conscious sedation questions

    The way we do it at my Surgery Center..... Versed 1st followed immediately by Fent. Yes you must use a cardiac monitor. I just hook them up the the anesthesia machine and use all the monitors. These are not dumb questions. I love do moderate se...
  14. Certifications for L&D Nurses

    Obtain your RNC. It validates your competency in obstetrics. Study .....
  15. Doctors are Bullies

    I am an OR Circulator. One weekend we had a "scheduled" emergent ortho case that posted on Friday night. So anesthesia was late getting there and I did not go get the patient until I beeped the surgeon to make sure he had not been delayed (when ane...
  16. Bummed Out- Leaving OR

    I understand how hard it is to " learn " enough and be confident in your skills as a cirulator. I also tried at one hospital but some of the staff were so mean that I never had a chance. I went to another hospital to the OR and I learned to be a g...
  17. Favorite specialty and why?

    There is nothing better than a big, open bowel case. It ususally keeps me busy. I also love to circulate neuro spines....PLIFS etc. They are long but with enough to do just getting started and doing implants. I hate doing short cases like ENT, Ba...
  18. Sex Discrimination or not?

    Get real.... It may be " blatant discrimination " but that is the reality of the situation. Is it right? NO Will it change in the near future? Probably not. They can always " find " a reason not to hire someone. This may not be a " popular " st...
  19. Sex Discrimination or not?

    I spent 9 years working in L&D. I can tell you from experience that not only do the patients NOT want a male labor nurse most would not even let a male student in the room. Husbands in general did not want any males in the room. A...
  20. Nurses are Pathetic!!

    I agree with the previous poster ....... How dare you lump all nurses as pathetic. I know I am a great nurse as are most nurses. You need to support the profession or get out....
  21. L and D Job Concerns

    Well .... that was a broad generaliztion. Point is you can do things to reduce the physical demands associated with this job. BTW, Not that many of my patients pushed over 2 hours as the docs are sometimes too impatient.
  22. How much is your pay?

    $ 32.50 base pay. OR Circulator days, no weekends, no call, no holidays. North Texas. 17 years as RN.
  23. L and D Job Concerns

    I did L&D for 9 years and keep my RNC just in case I want to go back... I made the natural upgrade to OR Circulator. Anyway.... I have a comment on the " hold the legs while pushing " statements. I always had " Dad " hold one leg and the over...
  24. Any bedside nurses making over 100K ?

    Jump to 2008. North Texas. RN 17 years OR Circulator. Outpatient Surgery Center. $32.00 Base pay with additional bonus and raise each year. 40 hours. No call. No weekends. No holidays. Texas has improved.
  25. what constitutes a "real" nurse?

    hi momfirst, this will not be a popular answer but........ you need to develop your skills. you will continue to question if you are " a real nurse " and limit your employment opportunities without becoming a well rounded nurse. that being said, i...