BridgetJones

BridgetJones

LTAC, OR

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All Content by BridgetJones

  1. Rant: Physician pagers!

    Anyone else feel like they can't get through a case without spending half the time answering pages? Today I did an operative laparoscopy for a ruptured ectopic and I was on the phone for most of the case with the floor and OB triage. The attending ev...
  2. Do you write medication orders?

    Not sure why you would need to when the physician is the one who is actually administering the medication to the patient. We just chart what meds we dispensed to the field. X-ray and specimen orders we put in the computer as verbal orders.
  3. More funny statements by surgeons

    Maybe not totally on topic with this thread but I thought it was funny... Surgeon: Can we have a couple stools over here, please? (Referring to the rolling things you sit on.) ::pause:: I like the soft brown ones. Me: Sorry, all we have are the tarry...
  4. Which specialty in the OR?

    I'm in peds and I love it! I get lots of variety doing neonates up to 18-year-olds, and everything from cranis and spines to ear tubes.
  5. Death in the OR vs. ICU

    I've had one patient code and die in the OR (s/p AAA repair, general surgeon wanted to do a "decompressive laparotomy"). I had only been off orientation a short time and the nurse in charge was not an experienced charge nurse. The next day she told m...
  6. OR Pet peeves

    When anesthesia asks you to get them another bag of LR when you're all the way across the room doing something else. Seriously, if the patient is stable they can get it themselves!
  7. What is the best shoes for the OR?

    I wear MBTs, the Mary Jane kind. They are SO comfortable!
  8. OR Pet peeves

    When a surgeon or resident's pager goes off the second they scrub and they want you to fish it out of their back pocket and answer it before you do anything else. Surgeons who bug me about answering their pager and then sigh and roll their eyes when ...
  9. Statements taken completely out of context...and are FUNNY!

    Oh no Canes, no offense whatsoever! I was wishing I had something funny to post too, but I don't right at the moment. It takes more than a joke about screwing to offend an OR nurse...
  10. I've had it with bedside nursing! What else can I do?

    Have you thought about the OR? One patient at a time, you always have lift help and there are a lot more options for shifts...lots of 8-hour days available. :-) Even better is peds OR where most of the patients are small-ish. I hated floor nursing to...
  11. What's your story? Why did you take up nursing?

    I was seriously obsessed with the show ER when I was in high school and I wanted to be just like Abby Lockhart. Don't know if I thought I would snag Noah Wyle or what, but here I am in nursing (but working in the OR and not about to date a doctor).
  12. Question about desaturation during induction

    It's been a while now, but I'm pretty sure there was no end title CO2. As far as anesthesiologists doing cases by themselves goes, we have a couple "cowboys" but most of them are really good about asking for help when things start to get hairy (usual...
  13. Question about desaturation during induction

    Hi everyone, I'm a ciculator in the OR and I was hoping to run a situation I had recently past some anesthesia professionals. I was doing a case on a 3 or 4 kilo NICU kid with some chronic lung issues with an anesthesiologist who is fresh out of fell...
  14. Question about desaturation during induction

    Makes sense!
  15. Question about desaturation during induction

    Yeah, it was an uncuffed ET and the kid had some lung problems and had come down on bi-pap. I guess I was just uncomfortable because a lot of the other staff aren't confident in this particular provider and I wasn't sure how long a baby could tolerat...
  16. Question about desaturation during induction

    I called into a room I had just been in where I knew there was a peds high risk anesthesiologist and asked if she could please come in and make sure things where ok. I felt bad asking her to leave the patient in there, but they were in the middle of ...
  17. Finally happy!

    I started off on an LTACH unit (sort of a long-term tele/ICU stepdown unit with vent wean, wound, and dialysis patients). After the first six months I was REALLY not enjoying it...all I wanted to do was work in surgery, which I had been wanting to do...
  18. We are supposed to get a 15 min break am and pm (in reality they're more like 20), and for lunches the 8 hour people get 30min and the 12 hour people get 45. When it works that way most people are happy, but lately staffing has been tight, we've had ...
  19. Underwire bras in surgery

    So I had a patient come in today for minor abdominal surgery and she was still wearing her bra. After she was asleep I took it off to be on the safe side (I know metal conducts electricity and we were going to use the Bovie), but I was wondering if a...
  20. Please tell me I am not wrong!

    We have a neurosurgeon that will cover the field with a sterile towel, break scrub, and go downstairs to the cafeteria to eat. Everybody else just stays in the room and waits for him to get back! I don't think he goes to the cafeteria anymore, though...
  21. Underwire bras in surgery

    Thanks, that made a lot of sense! I had forgotten about the "path of least resistance" principle. It's been a while since high school physical science. ;-)
  22. Vent: The one thing I don't like about my job

    Well then, I'd like to see them set up for an emergency crani or do anything helpful during a difficult intubation. I've done both and I think the OR is easier in some ways, but I still have some long days working very hard. Overall, I'm getting paid...
  23. Botched abortion at 20 weeks. The placenta and the baby's head were still in the uterus.
  24. Report from OR: What do you want to know?

    Hi guys, I work as a circulating nurse in the operating room and we have to call report up to SICU when we send patients directly up there intubated. I have a hard time knowing what pertinent information to give, because a.) I don't get report myself...
  25. Actually, leaving this unit might be the best thing that could happen to your nursing career at this point. It sounds like the culture is completely toxic and nobody wants to be a positive mentor to you. These nurses need a reality check: what brand ...