EricG

Read the following clearly and without bias please! You must report to your facilities corporate compliance people/ line if you choose not to follow immediate chain of command for whatever reason. DO THE RIGHT THING FOR all those involved! You will come out on top and more likely to be respected in the end. Just Do The Right Thing!!!!! It's so fundamentally basis it IS beyond the daily interpretation of the word BASIC. Adapt and move on. And keep your head down, eyes wide open. NO SURPRISES!

Oddly enough, Most, if not all of my dating in the recent past has been GYN patients from cases that I circulate. Does this seem like a problem? I've looked at it from all angles and can't find an issue! GOD NO!!!!!!!, lol My wife may just kill me for even jokingly posting this....... I dunno, maybe it's just periop services but I simply cannot imagine conversation even coming remotely close to one of a date (married or not). Sure, I have had my share of flirtatious patients and family members (sorry, I'm not bad on the eyes, lol) but there's no way in hell I would even think of walking that thin line, married or not! Plus, being honest with my fellow nurses, probably less than 1% of the patients that get to have me as a part of their perioperative experience do I even remotely find attractive based on my own interpretations of course.

LOL, YES, we all know it is wrong what she did. It's been stated in every single reply. What nobody is addressing is the fact that papergirl is a STUDENT and should just keep her focus on herself and her own development. Making comments to "jane, Dick and/or Janes hospital administration can do nothing to benefit papergirl. In the end it could cause issues down the road. (If you can, think beyond the HIPPA issue and what the many difficulties papergirl could encounter confronting or reporting) Again, 30 more posts on how wrong it is does not seem necessary as even the OP as a 3rd semester ADN student ALREADY KNOWS it's wrong. What does seem to be important is giving this young lady solid advice on how to handle the situation.

I'm probably going to get chastised for this comment, but my advice would be to continue on with nursing school and let Jane get herself into trouble at her place of employment. If by chance you end up working with her after you finish school and get to witness her violating HIPPA rules, deal with it at that time. Dick doesn't know any better and there is no reason to get in the middle of their relationship. I'm a bit surprised after so many comments saying basically the same thing that nobody has simply stated to chalk this up as a learning experience and worry about this sort of thing with your fellow students and people you actually work with. If you worked with her it would obviously require you to take some type of action. Given the current situation, it would be best for you to just let her employer catch her violating privacy laws.

Absolutely. It can be fatal. I don't recall how long ago, but it was fairly recent that a woman participating in a radio station contest for a video game died from drinking a huge amount of water. Try THIS LINK

We are using ChloraPrep (2% Chlorhexidine and 70% alcohol) which is basically a paint type prep for everything that doesn't involve mucosal membranes (still using betadine and hibiclens on gyn and butt cases). Pretty quick IMO. Its implementation has been interesting since it is a "180" from all our old prep rules! The only 10 minute bscrub/bsol prep I am doing is on penile implants and that 10 minutes feel like an hour, lol.

Probably more like 7% I would guess?

back pocket: mini trauma shears waistline: pen and ID badge That's it..........

I think the above sums up the entire situation. Sure, it makes for a great controversial post, but let's have the whole picture and not what you heard from a few rooms away. There are too many variables and unknowns to even utter the words "criminal activity", IMO.

If you weren't in the room and not a part of the OR team, I would advise against conjuring up any conspiracy theories that could come back to affect you in some regard. It could be as simple as the surgeon didn't want to close the abdomen post-code with open bowel. It's obvious you haven't been given all the facts surrounding the situation. If something was inappropriate, surely the people actually in the room (circ, scrub or anes) would have felt the need to fill out an incident report or speak to their managers/supervisors. What is the preliminary COD?

If neuro is easy for you, anything "south" will be surprisingly simple. Running bowel and looking for bleeders isn't much different than an ex-lap s/p perf aside from a bit of increased urgency. You're going to do a great job....

I'm going to have to disagree to some extent on the PCA. In Jan I had a single level fusion and was on a dilaudid pca post -op. It worked, but sucked. To maintain pain control I was essentially forced to stay awake all night to hit that button every 8 minutes. Fast forward to today and I am relatively pain-free (still alot of tylenol in my daily regime) and back working in the OR (actually went back after 8 weeks to light duty). After my own experience, I will never question a patient regarding pain having been there.

My sentiments exactly..... :)

My first year as a circulator I never scrubbed. Didn't really care to either. The last year I have scrubbed/assisted as many cases as I have circulated! I love assisting and would choose it over circulating now given the opportunity. Guess it's time to take a look at RNFA training.......

psalm 55, If you happen to run across that info I would love to see it. At my past facility, we didn't use scd's and teds nearl as much as the facility I am at now does. For cystos on 35 yr old low risk pts? C'mon..... I am trying to touch base with one of the GYN Attendings at my old place that was very up to date on dvt research and prophylactic use of devices in the perioperative setting. He drew the line at knee high's in high risk pt's. Also, many of our General Attendings gave heparin pre-op if it wasn't contraindicated instead of hose and scd's.