mactheknife

mactheknife

Operating Room

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All Content by mactheknife

  1. OR going Green?

    So our hospital wants to go green. Any helpful ideas for OR Staff. We need all your advice pleasse
  2. What I like about OR nurses...little talk outside the bounderies

    Missed the questions? what were they?
  3. Attitudes in the OR

    Sounds like you have ended up in a real bad one. I agree with Skipbeat learn what you can and get out. They are a perfect example of what not to become. Remember them as that example.
  4. advice needed

    I agree, move on. There is such a shortage of nurses in the world we don't need to waste our time working in places like that. I wish there was a way to name and shame ORs like that.
  5. New OR nurse, what books to get?

    JCI have a book "Safety in the Operating Room" It is well worth the money, easy to read with a wealth of useful information. You can order it online through Amason. I can't remember how much it cost and I paid in pounds. Google it.
  6. frustrations

    We have all been there and like ebear I have been in the OR for 26 years. I am now a unit supervisor and still have things to learn. I now work in Saudi with colleagues from all over the world. You have no idea the things that get said in our unit. W...
  7. "Neutral" sharps passing zone

    We use a kidney dish. My staff were reluctant untill one of the scrubs got stabed and then fainted at the sight of her own blood. Now they all use a kidney dish.
  8. HELP!need advice on situation

    I agree with TakeTwoAsprin however I would keep a detailed report on the unit's practice and send a copy to the recruiter. That way they can warn other persons that they send there.
  9. Underwire bras in surgery

    I would be worried about the electricity aspect and also the possible risk of infection. How do you know the bra is clean? I would definately remove any item of clothing that a patient is wearing in the OR.
  10. Why does everyone need to be ACLS cert?

    I don't think you will get pulled in to ICU you need far more than ACLS to work in ICU. Having said that, you are a nurse and if you did get pulled in to an area like that you will be needed for nursing care and that is all. I have been in OR for 27 ...
  11. Do you count instruments during an infant belly case?

    What we do in our dept is to fill the plates and screws on the trays after every use before it is sent to the sterilizing department. This makes it easy because you can see at a glance if any thing is missing and record it. I have known persons to re...
  12. Do you count instruments during an infant belly case?

    Yes, every time I open a set. In some instances I will count only before cutting skin and just before closing but I count in every case. You work in a country with educated doctors. I don't, so I have to cover my a**s at all times.
  13. Allergic Dermatitis to surgical scrubs - any advice?

    I agree with all of the above. Seriously look into the gloves. That is where I found the solution to my problem. I now only wear "Biogel" gloves and have no problems. Involve your Infection Control Department. Often they can give you valuable back up...
  14. Do you count instruments during an infant belly case?

    Yes, yes, yes. I always count even during minor cases, but especially during Abdominal surgery. It goes to maintaining good habits and being able to know with conviction that nothing from my side has been neglected. It leaves me with no self doubt an...
  15. Critical Incident Stress Debriefing

    I know I will be but that does not mean I can't give you a few ideas. Somewhere in and amongst all the usefull papers I have collected over the years is a list of things to do to help keep perspective. I will find it one day and share it but for now ...
  16. I went through a patch like this, working 2 posts, 2 small children, demanding unemploeyed spouse. Well I started using public transport to work and back. This time on the train was for me. I read a book or just took time out to meditate on good writ...
  17. How My Instructor Affected My Life

    I would think because the said offenders are not from western civilization
  18. Critical Incident Stress Debriefing

    That is a great idea. I will do some research and make contact with Brian and co. At the minute I am just a tad tied up with the setting up of a new Operating room, including an imminent JCI accreditation.
  19. How My Instructor Affected My Life

    I had a head nurse who is like that at a previous hospital where I worked. He returned from vacation and gave us each a key ring. I use that keyring every day as a memento about what I must NOT do to my staff now that I am a head nurse. People like t...
  20. Break room and refrigerators

    The Infection Control Linc Nurses in our unit draw up a monthly schedule and every one gets a day when they have to clean the refrigerator. It gets done dayly so grime never builds up. If some one does not take his/her turn they are given a whole wee...
  21. Nurses, physicians weigh in on new doctoral nurse degree

    As far as I am concerned it is an insult to any RN to be called doctor. I find myself continually having to correct certain doctors on their surgical technique, their surgical scrub is inefective and boy do they get offened when you try to correct th...
  22. Have any of you ever had an anesthetist insist that he does not need to give you a written order to give a patient medication if he is in the department with you? This incident has happened three times in our PACU, post surgery. This one claims that ...
  23. Critical Incident Stress Debriefing

    traumaRUs, We don't need to spend $$$ but we can share ideas for debriefing and coping with nuring related stress with each other. Most of us, if not all, have had a traumatic expierience and if we share how we coped, others could benefit. How about ...
  24. Refusal to give written drug order

    Have any of you ever had an anesthetist insist that he does not need to give you a written order to give a patient medication if he is in the department with you? This one claims that if he is present a verbal order is all that is needed. He is willi...
  25. Critical Incident Stress Debriefing

    As with every thing else if we want it done nurses must take the lead. Let us pool our thoughts and develop this much needed service ourselves. How about a forum on this site where we can pool our ideas?