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Always double glove....it's your life not anyone else's! When doing any laser vaporization cases always use the thick laser masks. I have heard of Hep C cases and there is always the scare of HIV..... treat every patient as if you could get something from them. That way you should not be caught using poor technique and getting ill. Still stuff happens and even with all the protection you just never know. Good luck

Not sure if I have what you want... In time: patient enters operating room. Surgery start time:knife to skin, Surgery end time: dressing on patient out time: when pt leaves operating room and enters PACU (this is the same time, if you have a long distance to go then it is pt out of operating room)Anesthesia start time is when the anesthesia care provider starts talking to pt. their end time is whenever they finish with pt. as for a surgeon who is late or talking to pt. family etc. that is not black and white. We do not take patient into OR without the surgeon in the suite.If they get tied up after induction then I let them know that patient is asleep, prepped, draped and ready. You cannot control "all" do the best with what you've got. If surgeon is habitual then take it to your supervisor or talk to the surgeon.Hope this helped some.

It takes strength and endurance of both character and soul and a love of adrenalin:devil: It takes a lot of common sense and being able to prioritize your work. Yes, standing can make you ache, doing nothing can cause delays in care and death. It is a job that is driven by individuals who are mostly type "A" and love being autonomous. OR nurses think on there feet and those feet are usually moving. in the perfect world (and I have been a part of it some times) you work with people that are on the same page as you and the work flows from one to the next. It is almost as if you can read each others minds. OR nurses do not hesitate to come into a room and if someone is not doing the work, they pick up the slack. It can be the best place on the planet to be or it can be hell. Dr's that yell happen. If people think it is going to be all warm and fuzzy then they should go somewhere else. I have worked with ones that yell and ones that don't. You do not need to be abused verbally or physically by another be that an RN, Tech or Dr. just do not get hung up on that. I believe that when you scrub or circulate for the doctors and show them that you are doing the best you know how, that you are PAYING ATTENTION to the case and are interested that it is usually a win win. Good luck to you it sounds like it just might be the place for you. However on the "poops" issue it does happen but not as frequently as other places!:trout:

Lots of good suggestions I didn't see stretching in there anywhere. It helps so very much! I know a few people who have tried the MBT shoes.... expensive but they swear by them. Good luck

I am not clear on what exactly your asking about. Do you have housekeeping? Aids that help turn rooms? You need everyone to do their jobs like dropping off patient and paper work and specimens. Scrubs clean up back table and take instruments to dirty area for cleaning or send it to a central processing area by dumbwaiter.... then back to room to help with cleaning or getting equipment for next case etc. If you are in an OR where you have the help it goes fast, if you don't it is a bit more of a push. It comes down to hustle and you all apparently need to if they want faster.. Our turnovers are fairly fast... depending on the case that finished and the case that is about to begin.Our housekeeping has been trained to not only clean rooms, but help gather and bring in equipment. Scrubs, circulator's we all help each other. Quality team work is what it takes.

If your patient is not oxygenating well then they are not in a lot of pain or cannot tell you. You always check vitals first. A good PACU nurse will be assessing their patient while hooking up monitors etc. Use your common sense if nothing else. ABC it can be very easy.

Again........... no reason to do the bowel resection..... your obviously still bothered by this (as are a few of us;)) have you talked to anyone else about this? If not, you need to.

You bring up a very good point......do they define "grossly?" I think it is a very sad state of affairs when our patients (possibly) suffer because money is driving the issue. I just remember a tech I worked with who carried in so many dog hairs from her pets that people would actually move their clothing into a different area to avoid getting covered in dog hair so I guess we just do the best we can and move on. Regarding AORN and standards........you make a point.... but the counter point would be that if you ever got taken to court over anything and there was a standard by AORN you better have really good policies in your institution that support your action. I know that I do live in the real world of nursing like you and sometimes those standards do not fit with where I am practicing but I think it is a great resource and we should always try to do the very best when dealing with patients.:balloons:

Still sounds like a big macho trip to me....... what is wrong with their hands...?? the stool may be great now and almost every OR light I have ever seen has the "bar" on it........ don't you have to get really close to the surgeon when doing this? ever touched their gown sleeve and not known it? not a good thing to be doing

As some of the replys have noted, don't use such a "wet" sponge it needs to be wet enough to work from the site of the incision "out" and if it does run, you should be using some sort of towel (impervious or not) at the patients sides or neck or wherever. I learned how to keep my sponges drier by being corrected by an orhopedic surgeon who "hated" seeing the prep run down over the incision site from the "above". It just takes practice you will be doing a great prep in time. Observe others whose preps you admire...... a great way to learn! As far as the alcohol is concerned, it comes and goes...... If you are using it, you have to be very careful about pooling under your drapes......... we did this for an open heart guy and even though it was very distasteful to the "old gaurd" we did it with our little twists......... if it still was wet, we would not begin draping until it was dry.

most of the people I work with including myself wear Dansko either the clog or the type with a back. I have tried crocs..... didn't work for me but some people love them. Good luck ;-)

I have unfortunatly been in on many OR deaths..... I have NEVER seen a surgeon continue on with any operation when the patient has expired! I do not know the legalities of the action, but I think that perhaps the director of your department and the cheif of surgery might want to know about it. Ask them the question and let's see what they say

Hospitals do loose a lot of money on scrubs I do understand this. However....... OSHA would have a lot to say to your hospital if they actually implement this. AORN's standards of practice site that the water temperature has to be hot enough to kill the bacteria that you are caring on your scrubs, (plus a whole lot of other stuff regarding your families and yourself.)it is listed in their standards book. OSHA would (hopefully) not allow you to take that kind of stuff out of the hospital. there are also standards for the condition of your clothing when you are at work. AORN frowns on wearing scrubs to and from home. You contaminate with normal everyday stuff that you NEVER want to expose your patients to. That is WHY the hospital has to provide your scrubs. How can they provide a safe environment for your patients with all that contamination going on?

of course it depends on your facility and what your "rules" are. I have only seen it done once or twice here. the parents need to realize at some point they have to "let go". The issue of control will be with them forever, but like growing up at some point they have to let go! I have been in the operating room when my nephew was going to sleep for a procedure and the kid hated me for a while after because he associated the pain with me....... the Auntie that he trusted:uhoh3: I think it is important for parents to know that you are interested in their child not just in getting the case done. I also have had issues with adults that need more attention than the patient at one of the worse times in the world....... so if your facility does allow it, way cool....... I am glad that mine at this time does not. that way I do not have to split my attention away from my patient (who as most of us know children's airways go to crap FAST.) and I do not want to be trying to pick an adult up off the floor when I should be paying attention to the anesthesiologist...

the only pixis I am aware of is for medication's. I have not used one in the sense of your post. I am also a bit confused by your comments about re-stocking.......From my side we have to re-stock our rooms ourselves and it would be lovely to have an orderly "at all". That means the lifting of patients, moving of equipment etc. all are done by the nurse or tech's. An 8 hour day is long but so is a 10 or 12 hour shift. what about call back hours? ever worked longer than 16 consecutive hours? Know that re-stocking your room after use is in your best interest........... who knows, you may be the next one to depend on it..