nrsbkr1995

Our policy is a 2 hour window. If you are beyond that 1 hour after, the Quick MAR computer system requires you to enter a reason why you are late. If the state were to check my reason I entered they would wonder why everyone was in the shower during every med pass. Sometimes paper charting is much more nurse friendly.

I work in a 4 bed surgical eye dept. in a hospital. We do all surg procedures except Lasik. We use the wonderful parallel process for turning over. We're told at the end of case the circ and crna take pt to recov. On the way back the circ checks next pt then goes back to room alone. Couple minutes later after giving report crna walks back, stops to check pt and brings the pt. The scrub at end of case takes dirty instr to case cart, goes to sink to scrub and then right back into room while others clean and open for next case, (so they say). We went from however long (for years) to 15 minutes (for 2 weeks) to 10 minutes (this week) max turnover alowed "pt out to pt in". It takes the scrub less than 60 sec to pack up, rub with Avaguard and walk back in. In that time we're suposed to wipe the table, empty trash, mop and open next case. We have the next case outside the door, an attendant and one RN to turnover and a charge nurse breathing down our necks to speed up turnovers. How do others do it? I don't think mopping is needed, cataracts might have a drop of blood on a Weck Cell. Thanks for you input, Eye Guy

One thing that really bugs me is calling the people we take care of "clients". We're nurses not attorneys, we take care of patients. We were taught "client" in school but political correctness can go too far.

Ether78, If you're looking for a few extra bucks to get yourself on your feet after school, try calling HR and ask if they have any tuition reimbursement plans. When my wife went to nursing school she signed a contract with the hosp. The hosp. paid 80% of tuition and she agreed to work for 2 years there. They may not advertise the option when posting the job but it never hurts to try. You won't be totally locked in. My wife hated that hospital so she left, broke the contract and we are paying off the 80% loan. Hope you find a few extra CONGRATS, Brett

In our dept. we count needles, blades, hypos, scleral plugs, cannulas for 25G vits, and iris retractors for legal reasons and to be consistent with the rest of surgical services in the hospital. I know we'll never loose a keratome in the eye but we have to follow a count policy. Brett