MereSanity

I'm currently considering an MHA which doesn't require "clinical" hours. It's unfortunate as I would rather earn an MSN. I may not have another choice though. Do you know of any of these online services that are reputable and legitimate? Thank you so much for your input!

I have a ton of experience as an RN, 14 years of college, and numerous certifications. Wanting my Masters degree (yeah, no masters yet). However, finding a preceptor will be almost impossible (long story). Thinking about an MHA instead of an MSN? Anyone try that route instead?

Well, nobody at my place of employment has an MSN. This is gonna be a problem if I have to have a preceptor for any of the MSN programs. So I was thinking maybe I should just get a masters degree in a field that's not nursing related and then I won't have to accrue all of those precepted hours anybody else go that route? Thoughts?

I decided to return to school for my MSN in Leadership/Administration/Quality (one of those). Anyway, much to my dismay, I discovered that nobody where I work has an MSN in any of those areas. And, all of the universities require so many preceptor hours! There's no way that I'm going to be able to find anyone to be my preceptor ☹️ I feel like my goal of earning my MSN is shattered. I have a ton of experience and I'm certified in numerous things (CNOR, RNFA, TNCC, ACLS, etc), I was also always a straight A student in nursing school. I'm not trying to get out of work. I just don't see how this is gonna happen now and I'm heartbroken. I'm looking for an online MSN program with a fast track and very little clinical hours. I've done many searches online, but I'm not finding one. I realize clinical hours are important but after 20 years of being a nurse, and with all my previous experience, it really doesn't seem necessary. Anyone have better luck than me?

So what is your process with instrumentation in the OR? Does every speck of blood need to be off the instruments before sending them to SPD? Or just the majority and then spray before sending them? Our SPD has started requiring us to scrub every speck of blood off the instruments (and in ortho cases that can be difficult). Nurses hunched over a basin in the back of the room scrubbing the blood off instruments, techs and nurses missing their breaks and lunches because they had to scrub all their instruments before they could send them to SPD (and getting written up if they don’t pass inspection). I need to know what other hospitals are doing (especially bigger facilities) and if you have any written information or pictures to back it up that would be very helpful (and the name of your facility if possible). Half of our staff is ready to quit. We got yelled at because we sent blades down for reprocessing that had blood on them (like we are going to scrub blades!?!?). Thanks! MS-BSN, RN, CNOR

Would you give a patient medication someone just handed to you? No? Would you want to check it yourself? I am a certified operating room nurse and I will not put my license or job on the line by placing my trust in doctors, anesthesiologists, nurses, and assistive personnel who may not abide by the Standards and Guidelines. I want to KNOW I am getting the right patient, right procedure, consents are signed, etc. Unwise, unsafe, cutting corners is just dumb.

The teal chloraprep is for people with darker skin tones. Easier to see after applied...not for fair complected people. You cannot see the orange on darker skin, you can however see the teal.

OK I need some input here. So I was always taught not to wipe down tables or spray instruments while the patient is in the room (seems like common sense), but now my hospital has decided that we can't break down the back table, change the trash (if we do we must leave the bag open so as to not spread contaminants (which I always made sure not to push down on the bag anyway), or tidy up because it might spread germs. I like to keep my room clean (no I don't go overboard but I can't leave trash all over the floor either)! And turn overs should really suck now too. After a less than exhaustive search I have not been able to find any supporting documentation regarding this "new and improved practice". I was wondering if someone could provide some literature or guidelines regarding this practice or at least let me know who else is doing this? Thanks in advance.

Ours always say laparoscopic possible open, never just gallbladder removal because laparoscopic and open are such different procedures (same outcome) but definitely different.

Anterior however is supine and on a specialty table whereas a traditional hip replacement is lateral. Completely different positioning and couldn't be changed mid procedure like a chole or valve. And like it or not anterior is a laterality.

OK...I just need input here. We did an Anterior Hip Replacement and the consent only said Total Hip Replacement (no indication of anterior approach). I ticked off the Dr when I asked that "Anterior" be added to the consent. His argument was either way it's a total hip replacement. Was I wrong? Is this a grey area? Did it matter? I'm pretty good at navigating consents but he had all the pre-op nurses mocking me by the end of the day. Input appreciated! Thanks!

I would be interested too in this information!

I love the OR...great place for ADD personalities. Been there for almost 9 years now. I love one patient at a time, asleep patients, no real family interaction (OK, I suck I know). I love the atmosphere and personalities in the OR (and sometimes not). Highly specialized, longest orientation of any specialty. No, I'm not a "go-fer". I could go to the floor (please no) and within a day or two be fine working there...the same cannot be said for the OR. Hundreds and hundreds of instruments, pieces of equipment, standards and guidelines, etc. Not to mention hundreds of different procedures that you need to know how circulate and/or scrub (times hundreds of doctors that all do it differently). Never a dull day. Oh and ortho is my favorite! Loudest, brashest docs are usually in ortho! Love the OR!

If you work in surgery and get your RNFA (RN First Assist) you can indeed do these things. A BSN is suggested for an RNFA.

You gain so much more than you will ever "lose". It's the longest orientation of any specialty for a reason! I could reorient to the floor in a week...however no floor nurse could float to the OR without a ton of orientation! I love the OR!