nursinadream

nursinadream

L&D, OR, travel

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All Content by nursinadream

  1. Break room and refrigerators

    HOW does your OR keep the frig and break room tidy and clean? Has anyone come up with a way to motivate grown-ups to clean up after themselves? We have 2 huge frigs and a small one and they are jammed...
  2. ROM intra-op for long cases

    ROM is recommended during long procedures in the AORN standards of care. I don't have the specific guidelines at hand, but it was addressed in a session I attended at the 2009 Congress. Of course...
  3. Shoes?

    Danskos are better for standing, I agree. They are the choice for many chefs as well. I used them for about 9 months in the OR when circulating. Went back to a good quality run/walk shoe (Asics). They...
  4. CNOR Exam

    I took the exam in October. It is important to have the current standards book from AORN. The OP mentioned a book from 2004. Many standards have been upgraded, and those are the hot topics and will...
  5. Live on a sailboat?

    Babe, No haven't done this dream of mine yet. Still cruise the travel boards and cruise (sail) the Ohio River and Virgin Islands when time allows. Good luck. Love to read about your plans.
  6. Break room and refrigerators

    Kymmi, I think we would all like to be your co-worker. Your staff is lucky to have you. I share your obsession, but don't manage to find the time to exercise it while at work. Our housekeepers on...
  7. AORN Congress - anyone going?

    Are you planning to go? or anyone been before? Its in March in Chicago. I'd like to attend. However 2 barriers are time off and the expense. I'm sure there's a lot to gain from Congress. My director...
  8. AORN Congress - anyone going?

    Hey, The OR director has found money in the budget to send 2 staff and 1 service coordinator to Congress! What a great opportunity. I am getting a grant from the AORN Foundation as well. SBNursing...
  9. Pain pumps

    SB, That really sounds like a pain. You gotta wonder where a pharmacist gets this info. Why is there so much political stuff going around? Our pharmacist is going to block our prefilled cylinders,...
  10. Do you still do timeouts during emergency cases?

    Good job Brian and your OR team. Thanks for sharing that example about the incorrect arm that you may have worked on. Gives us all something to think about.
  11. Which patients require cardiac clearance prior to surgery?

    In the hospitals I have worked in there are clear guidelines for cardiac clearance. We have a group of nurses (PAT, pre admission testing) that do phone screenings on all patients pre-op. A list of...
  12. :typing About 5% of our OR staff RNs and techs live more than 1 hour away from the hospital. They put in their required call after their scheduled shift. Due to some staff fluctuations we all have to...
  13. Need your thoughts about night shift call

    Poet, Looks like you have a few nice ideas working in your OR ie a marker board and ROOMS for staff to spend the night. We could look into a room perhaps. This is an additional call that's been...
  14. AORN Congress - anyone going?

    Hey Knapper, thanks for the encouragement. I will keep trying for funds. Director says budget "is coming", hopefully with education allocations for me! Would love to meet you there.
  15. AORN Congress - anyone going?

    Hey, that sounds like a plan. How are you financing your trip?
  16. Positioning Ideas: Lithotomy

    Any good hints for lithotomy positioning? We do lots of laparoscopic cases; supracervical hysts, LAVH, sacral colpopexy, etc. Both arms are tucked and wrapped with foam. During steep Trendelenburg...
  17. Positioning Ideas: Lithotomy

    jwk, I understand what you are saying, but explain in even more detail if you can. You are using the egg crate (ours is yellow) only, no devices for any body parts to rest on. And up to 45 degrees...
  18. Positioning Ideas: Lithotomy

    Well that sounds concerning, if there's potential for nerve damage. So you suggest just using egg crate foam for making them "stay put"?
  19. Positioning Ideas: Lithotomy

    Good ideas, especially the bean bag. Thanks Issey and Linda. I can picture those helping.
  20. Do you know of any RN's who worked in both O.R. and PACU?

    This type of cross training is common and very useful for smaller ambulatory centers or sattelite campuses. I've done both roles in several facilites. These surgery centers were outpatient so you...
  21. Do any of you have 2nd jobs?

    Paul, cool 2nd "job" for you. What a neat hobby. Thanks for sharing. About second jobs, go for it. If you have the time and energy do what you can to earn money, gain experience and broaden your...
  22. Ever Been Fired or Kicked Out of Surgeon's Room

    OBMDPHD, Thanks for chiming in here on our nurse's discussion forum. It's good to hear from the other side of the table from one with such insight and skill in interpersonal relationships.:redbeathe...
  23. Ever Been Fired or Kicked Out of Surgeon's Room

    Gonzo, Me too! Shall we go visit him in Poland? Maybe we could come back and give a presentation about proper "surgical personality" (AORN, Sept
  24. Basic question about counting

    Hmmm.....that's a good question. I sure don't have an explanation. Looking forward to some good discussion here.
  25. skin prep

    CDS, Thanks for the good information you have told us about preps. Good reminders. In my OR in Louisville, KY we are working hard to choose and use the best preps. We have found that most surgeons...