Karis

I work in the OR at an ambulatory surgery center. I have noticed in the past that the pre-op nurses document that they've encouraged some sort of health promotion, for example - routine gyne exams, stop smoking, handwashing, etc. For my part, after setting up for my case, I meet the pt in preop. I do a quick chart review and interview to verify the usual things such as pt, consents, procedure, site markings, etc. I then get a brief rept from pre-op nurse and the CRNA and I take the pt to the OR and follow the usual routine. The other day, my boss (who has no OR experience) came into my room and asked me if I had encouraged the pt to follow some sort of health promotion such as the examples listed above. I told her that the pre-op nurse has always done that. My manager then told me that JCAHO requires ALL nurses who come in contact with a patient to discuss health promotion. She wanted me to do so after the procedure on the way to PACU. When I mentioned that my pt was heavily sedated and would not be fully alert to such teaching from me, I was told that I need to start doing health promotion in the pre-op area. When I come out to pre-op and tell the pt I'm here to take them into surgery does not seem like an appropriate time for this either. I find this very aggravating. I also find it hard to believe that this is an actual JCAHO requirement for ME as the OR nurse. I've tried looking on JCAHO's website and can't seem to find any info at all related to this. Could someone PLEASE direct me to a resource that will help me either prove or disprove what my manager is telling me? Thank you so much in advance.

A saline bottle for irrigation cannot be used IV. I used to know why, but I can't remember. However, you can take a liter IV bag of NS and drawn up some flushes from there because that is not only the same concentration but is also meant for IV use.

There are a lot of different aspects of the research to consider. I do believe it's cruel if the purpose is for make-up. Testing products on animals prior to testing on humans is a necessary evil that can at times benefit animals as well as humans. Veternarians are treating animals with chemotherapy. The initial research with chemotherapy and dogs was probably done prior to clinical trials with humans participants, now it is being used to treat the animals. Also, due to information gathered during research, the poison control center was able to assist me when my dog ate my son's prescriptions.

At my last hospital, I hated these forms because they were very long and redundant. At my current job, they are short, to the point and don't take forever to complete. Needless to say, I complete more now than I used to. It also helps that my manager really does believe they are to be used for process improvement and not to penalize anyone. I really haven't completed a lot of incident reports, but it just so happens that I had two of them waiting for my manager this morning. Last night, the ER sent up a pt with the wrong antibiotic hanging. This happened to be right about the time that another pt pulled out his udall catheter and gave himself a blood bath.

Respondeat Superior : "Let the master answer." The legal doctrine which holds the employer responsible for the negligent acts of his servants or employees while acting within the scope of employment. Suing a nurse can open the door to get to the employer's money.