maeyken

maeyken

Operating Room (and a bit of med/surg)

Member

  • Content

    174

  • Visitors

    3,783

  • Followers

    0

  • Likes

    2

All Content by maeyken

  1. punishment for not having an H&P

    maeyken replied to linda2097's topic in Operating Room

    We need an H&P before we enter the room as well. If it is missing the doc has to go fill it out before the patient leaves say surgery. We don't have any punishments like that though. I'm not sure...

  2. Specializing in Ortho

    maeyken replied to NurseLumpia's topic in Operating Room

    It's great that they're impressed with your skills. However, I personally would want more experience in a broad range of services before committing to one. I would at very least ask to finish my...

  3. How do you become an OR Nurse

    maeyken replied to dac111's topic in Operating Room

    I think it depends on where you are as to what the requirements are. In Ontario, you need to take a certificate course at a

  4. Holidays and Time Off

    maeyken replied to rn_jr's topic in Operating Room

    We follow our master schedule for all holidays except for Christmas and New Years. For those you work one or the other although some people get both off. Other holidays (most are Mondays) if you're...

  5. New here with a question

    maeyken replied to Brandy0331's topic in Operating Room

    Do your L&D nurses do their own C-Sections or do the OR nurses do them? If the L&D nurses do them then that will definitely be an asset! If not, you might get some exposure (they might let you...

  6. What's your number of operating rooms to nurse manager ratio

    maeyken replied to beanal's topic in Operating Room

    We have "specialty nurses" for gen surg, gyn/ent, H&N/plastics, uro, ortho, and thor/vasc. They routinely work in the rooms- occasionally have a "free day" to do things like updating kardexes,...

  7. Does this make sense to you?

    maeyken replied to linda2097's topic in Operating Room

    yep... they're really taking advantage of their staff. But it's the cheapest for the bottom line which seems to be all that

  8. Basic question about intraop blood transfusions

    maeyken replied to lilla_fjaril's topic in Operating Room

    "type and screen" is just that... they test blood type and screen for antibodies. Some people have different antibodies that make it hard to match their blood (crossmatch takes longer... good to...

  9. Surgeons who don't know what they are doing

    maeyken replied to linda2097's topic in Operating Room

    I'd go to the head of that surgeon's department, or the head of surgery... Is it actually that the doc doesn't know, or that they're thinking out loud and getting opinions from others? We have one...

  10. Allergic Dermatitis to surgical scrubs - any advice?

    maeyken replied to french01's topic in Operating Room

    We have the waterless, the CHG brushes, and Povidone-Iodine brushes. When they first brought in the waterless stuff I tried it, but my arms got all rashy and itchy even when I washed them after every...

  11. How many OR rooms?

    maeyken replied to LittleWing21's topic in Operating Room

    We have 12, plus 2 cysto

  12. Running a code

    maeyken replied to linda2097's topic in Operating Room

    No ACLS required. Our college requires us to have BLS certification. In our code situations, the anesthetists run the show. On shift, our PACU nurses come to assist (and of course they have ACLS)....

  13. How late do your surgeons do electives?

    maeyken replied to linda2097's topic in Operating Room

    Why was he allowed to start his last case so late? In our OR he would have been cancelled! (sorry I know that's off topic... just can't believe it

  14. Running a code

    maeyken replied to linda2097's topic in Operating Room

    Depends on the situation... but usually the circulator takes on the role of delegation. Scrub obviously stays scrubbed, then additional people who come in are directed what to do by the circulator....

  15. How late do your surgeons do electives?

    maeyken replied to linda2097's topic in Operating Room

    Our rooms are generally scheduled to end at 1530, although we have a designated number of "late rooms" each day which are scheduled until 1700. We too have the middle of the night "emergency"...

  16. Tying gowns after the spin card has dropped

    maeyken replied to linda2097's topic in Operating Room

    That's what we do too. The knot is behind your back which is not sterile anyway. I try to tie up the excess in the knot so that it's not flying

  17. Does your OR have an educator?

    maeyken replied to linda2097's topic in Operating Room

    We have one FT educator, who unfortunately is pretty much useless. Plus you'd never know she works full time as she's always going away to "conferences" and such. Too bad the rest of us can't get time...

  18. How long are your hospital's sequential stockings?

    maeyken replied to linda2097's topic in Operating Room

    We're in the process of getting new ones. Previously they were all calf length, but the new ones we're getting sound a lot like the system poetnyouknowit was describing. Generally though I think we'll...

  19. Why Black Eyes?

    maeyken replied to nurseaboveboard's topic in Operating Room

    That varies from anesthetist to anesthetist. It is not mandatory that the patient gag on the tube before removal, although it is often the case. Tubes are always pulled out though- I haven't seen a...

  20. Do you check for holes after you open a tray?

    maeyken replied to linda2097's topic in Operating Room

    Always! :) I don't usually hold it up to the light but I do examine it. Usually scrub and circ both look at it. Holding it up to the light does sound like a good idea though

  21. Gowning others--best place to put hands?

    maeyken replied to lilla_fjaril's topic in Operating Room

    I sort of wrap the corners of the top of the gown back around my gloved hands to "protect" them... (sort of rotating them outwards as I hold up the gown). I kind of shake it out/let it fall to open...

  22. Why Black Eyes?

    maeyken replied to nurseaboveboard's topic in Operating Room

    Our anesthetists do the eye taping (or resident or clerk working with them), and they use the paper tape for eyes. Usually the same tape is used for the ET tube (unless pt has beard... then they use...

  23. Why Black Eyes?

    maeyken replied to nurseaboveboard's topic in Operating Room

    I've not seen another way to close the eyes, other than suturing them shut which is sometimes done when they're in the field but not being worked on (major H&N surgeries). I suppose that if a...

  24. Bair Huggers

    maeyken replied to SandraCVRN's topic in Operating Room

    We must be mean... we don't warm up our beds at all!! I'd never thought of warming the bed with the Bair Hugger hose. Don't think I'll start though- we're having enough issues with "air turbulence"...

  25. warm saline/water

    maeyken posted a topic in Operating Room

    We were recently told that when we warm our saline and water bottles for irrigation, they're only good for 48h because otherwise they will grow things. Also, the saline and water in the fridges (for...