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Periop, CNOR
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EricG specializes in Periop, CNOR.

EricG's Latest Activity

  1. I have some staff with beards who we are not able to test fit with standard N95 masks. There are many hood/helmet systems (i.e. Maxair) but nothing that I can find that is approved for use in a sterile environment. Anything out there or am I chasing a unicorn? Thanks, E
  2. EricG

    One Trick Ponies in OR

    debbieuk, You left out a couple very important attributes of a circulator. We are the patients advocate during procedures. We are responsible for the safety of our patient, not just "support" for the rest of the OR team. I just felt the need to add that because many times I see circulators that, to myself, I question whether they practice the above comments. Now, as far as the OTP thing. Due to ~MY WIFE~ getting a huge job promotion and having to leave UF & Shands Jacksonville (My heart is still there), I am now working in a 9 OR "bread and butter" facility circulating and scrubbing on the rare occassion. The almighty dollar sucked me into this small facilty as opposed to Duke wihich is 20 min. away. After spending a year of my life knowing nearly as much about urology as the attendings I worked for due to their never-ending diligence and teaching me everyting I could absorb, I walk into work each day not knowing which service I will be working in. One thing I am thankful for is the one day my service didn't operate, I was working other services and of course trauma call at my former place of employment was always something new and exciting. (tinge of sarcasm, as we all know after a few GSW's, stabbings, MVC's too get pretty repetitive.) I miss my old job and my OTP (I really wasn't I swear ) status, lol. I miss being a part of our organ procurement team, I miss alot. But one thing I will take from this experience is the fact that I now circulate most every service and have had the opportunity to scrub more now that I have left a teaching facility. I now know I will do at least 10 lap chole's a week when I used to do one a month, lol. I look at this facility and my career as a professional another stepping stone. I can easily go to Duke, get hired into their Urology service and be in my comfort zone again, but I think I will stick this current job out just to be certain I will never be an OTP. I have said it before and I will say it again. A circulator should be able to work any service whether they are the best or not is of no consequence. It's the same basic outline we work from day to day, service not included. Interview pre-op and glean any extra info you can that may be pertininent but at the same time establish in 2-3 minutes a level of trust between either your patient or the family, assess, and sign off per your facilties policy. See them back in the room after anes. has already given them some versed and it's actually fun to chat it up with my patient. Typically I could never do that in my previous place of employment. I was alwaysy tracking down a resident for consent , etc, Our pace allowed me to review the chart, check for an h&p and a consent (surgical, blood) A a preceptor I always preached a 3 minute pt interview and assessment. But, there was this one day that based on a certain set of circumstances I spent way too much time with the family and patient in pre-op. His daughter and I were kinda flirting, etc.. (and I apologize if this brings anyone down, but I relive it continuously). Our first case was a Nephrectomy. I was very close with the surgeon (my team of course) and we were about 15 minutes late getting started over a resident not getting consent.As our CRNA and student are rolling into the room, my Urology attending and the Anes attending are openly arguing of the late start. My personal thoughts are that Dr X was pushing a bit and made a mistake. A couple silk ties on the renal artery slipped off. We went from smashing pumpkins to crickets pretty damn quick. The patient was lateral and we coouldn't open his chest. He had only dropped a liter of blood but he had an MI immediately. He had a history of cardiac issues and apperently other local hospitals decline to take the case. The longest 2 minutes of my life was walking downt eh hall to the isolation rooom where wwe had her husband for viewing and she was screaming "you killled my husband" the entire time. My post had gone on too long and I am rambling, for that I apologize. But nothing in my lifetime will ever make me forget the look on my attendings face when he asked me "now what do I do?" 4 grown men bawling their eyes out. I still talk to cj (my attending) as we bonded that day and have remained good friends. There is nothing routine about surgery and I am glad I faced the scenario so early in my career. ok, I am done running my mouth.
  3. Hi! Well, it looks like I am moving to the Raliegh/Durham area in a couple months due to my wife getting a promotion that cannot be passed up. I'm approaching my year anniversary as a circulator, have completed the AORN Periop 101 certificate program, and am currently the charge nurse for our Urology service. Things have gone well here for me so far. We're a level one trauma center and I typically circulate general, ortho trauma, omfs and vascular when my service is not scheduled. My questions are: 1) What hospital system do you recommend in the area and why? 2) What is the average circulator salary I will be looking at considering I have only a year experience but have proven myself and will have the references to back it up? 3) Does anyone know of any private practice surgery centers that pay well? Thanks in advance to anyone who has the time to answer these "sorta" vague questions. I'm just trying to get a feel for what's in store for me up there. I have fit in so well where I am now and it scares the hell out of me that I have to leave it behind.......
  4. EricG

    Last Words before Induction.......

    Our CRNA's will go over the process in its entirety when we pre-op our patient. When they roll in, after getting them on the table, padded, belted, etc.... we all take it down a notch and just hang out with the patient up to induction and intubation. Most of our CRNA's will warn of a "warmth or burning sensation" when they push the propofol (from personal experience warmth is an understatement, it burned like HELL!). Then the standard (for our facility anyway) "think of somewhere nice you would like to be" and they are out. Succ is pushed and they are intubated
  5. EricG

    OB Clinicals

    Holy $#&*, as I read each successive post by Moscow, my blood pressure shot up about 10 pts. I am a nurse. Male, Female, Alien.... I am a nurse. It's the "2000's" and inane beliefs regarding male nurses and HEALTHCARE scenarios that are "not acceptable to the patient" (read "assumed purely based on said gender of the nurse") is archaic and ignorant. If a male resident/fellow/attending can (and will) approach/assess/diagnose and treat a female patient without creating some type of BS "We need to ask for permission, etc", then I, as a healthcare professional just like my female colleagues and male support team members (dr's), should be able to as well. The patient will ALWAYS have the right to defer care to a different nurse or team member (a pt. unhappy with the care they received from a female....err, I won't even go there), but to immediately assume and "offer up" the male nurse as a "compromise" is horrendous for the advancement of our profession. As a relatively new circulator in a 650+ bed/16 surgical suite, level one trauma, teaching hospital I have run into a couple instances where the female pt. had made prior arrangements for no male OR team members to be in her room intraoperatively. Those wishes were respected 100% as they should have been. To ask each pt. during pre-op if they "have a problem with a male nurse" being their advocate would do little more than give the appearance that having a male nurse is a compromise and you are agreeing to a lesser standard of care. This scenario may be applied to most any nursing situation and present the same negative connotations about male nurses. Imagine every female nurse having to get "clearance" before each shift to care for the male patients on their floor or OR room schedule each day. Ugh..... why, why, why???? Why am I not "OK" and Dr. John Doe is? Sorry for the rant, but it sucks sometimes for male nursing students because of this mindset. We all need to do what we can to change this. OH YEAH, the original question....... This huge, bad-a$$ facility I am working at?? I did my OB clinicals here and fell in love with the place because of the way the staff and pts. welcomed me as an individual training to be a professional healthcare provider.
  6. EricG

    What kind of nursing do you do????

    OR and lovin' it!
  7. EricG

    Facial hair?

    I have a goatee that I keep trimmed short (OR nurse). As long as my test fit was ok, no problem. :)
  8. EricG

    new "over 35" thread

    36, 1st semester ADN in FL.
  9. EricG

    Anyone starting classes in FL in the fall ?

    I am in my 4th week of the Summer ADN program at FCCJ (Jacksonville)! Already tired, but loving it!