KayceeCA

KayceeCA

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All Content by KayceeCA

  1. How do I approach doing hearts?

    KayceeCA replied to RNOTODAY's topic in Operating Room

    I don't know the best way to get into the heart rooms, but I can tell you how I did it. From the first time I stepped into a heart room, I knew that was what I wanted to do. And I made that loud and...

  2. What is your OR Time OUT consist of??

    KayceeCA replied to mooneyes65's topic in Operating Room

    I think the time outs at my facility are a happy medium. We cover some pertinent info (pt. name, surgeon, procedure, side if applicable, allergies, antibiotics received) but not too much. We also...

  3. On call drive time

    KayceeCA replied to Brigita's topic in Operating Room

    I've had a couple of different experiences at hospitals where I've worked. Experience #1: 20 minute callback time, and we were expected to be there and ready to go in 20 minutes. It was a level 1...

  4. What's the easiest job in the operating room?

    KayceeCA replied to linda2097's topic in Operating Room

    Exactly. I went to nursing school later in life (graduated at the age of 36) so I had a lot of jobs before that in a variety of fields - waitressing, retail sales, secretarial work (in banks, real...

  5. Anesthesia - induction/ emergence question

    KayceeCA replied to Apollonia's topic in Operating Room

    I agree with everyone else...I listen to the sat level beep, but I don't do anything without direction from the anesthesia provider. I stand by ready to apply cricoid pressure, hand the ET tube, and...

  6. What cases require an internal vaginal prep?

    KayceeCA replied to linda2097's topic in Operating Room

    I ask on all GYN cases...and usually the answer is

  7. Suture help

    KayceeCA replied to Apollonia's topic in Operating Room

    ShariDCST, I just wanted to thank you for taking the time to put together such a helpful post. There's some great info

  8. Opening bypass cannulas

    KayceeCA replied to lilla_fjaril's topic in Operating Room

    I've been on the heart team for almost 10 years, working at 3 different hospitals, and when I circulate I never open cannulas until the scrub is ready for me to had them to him/her. I have scrubbed on...

  9. peds or adults.. what is your preference?

    KayceeCA replied to penny77's topic in Operating Room

    I absolutely, positively, beyond any doubt prefer adults. Peds are scary because they can go bad so fast, and when they go bad they really, really go bad. The two babies who died on the OR table when...

  10. breaking sterility question

    KayceeCA replied to penny77's topic in Operating Room

    I totally agree with fracturenurse. I've pointed out breaks in sterile technique to others (surgeons, scrub techs, circulators) many times and the response has always been something like, "thanks for...

  11. Confused and upset

    KayceeCA replied to bitbuc's topic in Operating Room

    I agree with everyone else - forget this experience and move on as though it never happened. There are obviously other issues going on behind the scenes that have nothing to do with you. No reputable...

  12. R U Serious.Signing Out for lunch...

    KayceeCA replied to TopazChick81's topic in Operating Room

    A facility I am familiar with recently went through a lengthy legal battle and had to settle a class action lawsuit because someone said they were not being given the breaks they were legally entitled...

  13. Pain pumps

    KayceeCA replied to nursinadream's topic in Operating Room

    We are still filling ours in the OR. I guess word that pharmacy has to fill anything over 100mL hasn't spread here yet. It's definitely a "pain" (sorry, couldn't resist) having to open all those...

  14. Counting for organ harvest?

    KayceeCA replied to Rose_Queen's topic in Operating Room

    Amen to

  15. Does this make sense to you?

    KayceeCA replied to linda2097's topic in Operating Room

    It makes me so sad to read about how some ORs are run, and so thankful that the OR where I work doesn't do these things. We have a regular call team which is utilized only for traumas, plus a heart...

  16. Surgeons who scrub early

    KayceeCA replied to linda2097's topic in Operating Room

    We have a couple of surgeons that do this. It used to make me nervous, but not anymore. I just go about the business of getting my patient ready for surgery. If the surgeon wants to sit back and...

  17. Is it appropriate to visit past patients in the unit?

    KayceeCA replied to lilla_fjaril's topic in Operating Room

    I do the same thing, and I totally agree that there isn't any harm in stopping by to check on a previous

  18. Really Wanting To Start Nursing Career In The OR

    KayceeCA replied to techraider77's topic in Operating Room

    I knew when I started nursing school that I wanted to work in the OR. Rather than wait until I graduated from nursing school, I checked area hospitals to see if there were any opportunities for...

  19. How many OR rooms?

    KayceeCA replied to LittleWing21's topic in Operating Room

    We have 11 rooms in our major OR, then 4 more in outpatient surgery. Our typical room breakdown is 3 ortho rooms, 1 trauma room, 1 cardiac room, 1 cysto room, 2 neuro rooms, and 2 general rooms. We...

  20. Patient safety in a down economy?

    KayceeCA replied to Mourkoth's topic in Operating Room

    We do a "retained laps" documentation when the laps were left in intentionally by the surgeon, in a trauma where he/she knows the retained laps will be removed at a later date. Are you sure that's not...

  21. trauma alerts

    KayceeCA replied to linda2097's topic in Operating Room

    Same thing here, although this is the first hospital where I've worked that did this. It's nice to know what may or may not be coming our way. The times I've been sent, I just made sure I stayed out...

  22. Left-handed scrub nurse?

    KayceeCA replied to lilla_fjaril's topic in Operating Room

    I'm left handed, and I agree with the other responses. You will pass with both hands, depending on the situation and the best angle to get the instrument to the surgeon. Passing under versus over will...

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

    KayceeCA replied to linda2097's topic in Operating Room

    We never did at the other facilities where I worked, but we do where I work now. I agree that it's an excellent practice, because it's amazing how many times we find holes. It's especially important...

  24. clamp question...

    KayceeCA replied to jpeg's topic in Operating Room

    Same here. I've seen the openers made specifically for opening meds, and the nurses who have them always say "some rep" gave it to them, but I've never had the good fortune of being around when a rep...

  25. OR Doors

    KayceeCA replied to elcue's topic in Operating Room

    Amen! That's my biggest complaint about our OR doors too. Some of these newer beds are so wide, it's impossible to get them through the doors with the rails up. Then you have to maneuver down the...