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MereSanity

MereSanity

Operating room.
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MereSanity specializes in Operating room..

Love working in the OR...specialties include Open Heart, Ortho, general, and I have management experience! I am currently working in the OR as a traveler and am looking to earn my RNFA.

MereSanity's Latest Activity

  1. MereSanity

    What chloraprep does everyone use?

    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.
  2. 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.
  3. MereSanity

    Informed Consent??? Input needed....

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

    Informed Consent??? Input needed....

    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.
  5. 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!
  6. MereSanity

    RNFA

    I was wondering if there are any hospitals that are open to allow an RN to work toward their RNFA at their facility? I am currently a traveler in the OR and I want to earn my RNFA. Thanks for the info!
  7. MereSanity

    NIFA RNFA program starting

    I would be interested too in this information!
  8. MereSanity

    What's so great about OR?

    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!
  9. MereSanity

    Can an RN do an I&D or place sutures?

    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.
  10. MereSanity

    OR as a new grad

    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!
  11. MereSanity

    OR Nurses

    Pinch the nose. I wear glasses and don't have an issue. Good luck!
  12. MereSanity

    Question about working with multiple agencies

    I have heard you should use more than one agency. When one has nothing good another might. Keep options open. One traveler calls them her "pimps"...working to find her good assignments.
  13. I had 7.5 years (8 now) and am CNOR certified. I have a lot of experience except I don't have neuro experience (I did open heart another team did neuro so I never did it before). That is a drawback for me but I told them straight up I don't do neuro (would love to learn though). I wouldn't expect an OR nurse to travel with only a year under their belt, I'd recommend more.
  14. MereSanity

    Weirdest/most difficult thing swallowed by a patient

    Yeah...the large can of body spray had no "lip" on it...took forever to get a grip on it.
  15. I'm currently a travel nurse in the OR! Love it and get paid really well because it is such a specialized area. MereSanity BSN, RN, CNOR
  16. I love the OR...been there for 8 years now. Call us trained monkeys but the trick is to think three steps ahead of the surgeon and scrub (helps to know how to scrub too). Also, know what all the equipment and instruments are, what they do, how they work, how to troubleshoot, etc. Also, training for the OR is the longest of any specialty (pretty good (and necessary) for a trained monkey). There are also a ton of guidelines, standards, and regulations that the good (CNOR certified) OR nurse knows back and forth. My job is to advocate for the patient during their most vulnerable time (unconscious and alone). I am in charge of the room (think of it like a manager) and have a hundred responsibilities as the manager of the room. Sure the doctor is the doctor but I'm in charge of the room (no ego trips here, we are all there for the patients best interest). My surgeons depend on me and know I can get the job done...there are hundreds of room and equipment set ups for every type of surgery (and every surgeon has different preferences so multiple that by over 100), and a good OR nurse knows them all. I am ACLS and PALS certified so I can push meds during a code (I've had surgeons leave during a code and anesthesia can be so busy that they can't run a code...it's all me). The OR is NOT for everyone. You need thick skin and the ability to work under pressure and with every type of personality. I call report to PACU and could give them their life story but they don't need that, so I give them the basics. I am also trying to do 80 other things at the same time (count, open dressings, call waiting room, move patient, chart, specimens, clean up, etc, etc, etc...just forget it if it's a quick case). I don't know if PACU realizes that sometimes or even has a clue what we do back there. And sometimes I just don't have much info to give (healthy 20 year old, lap appy....fluid, dressings...what else is there to tell if it was a straightforward case?). You love it or you hate it. It's highly specialized and under appreciated. I do know that if you think all an OR nurse can do is be a "go-fer" you haven't got a clue. We need ALL specialties! Why so much bitterness between them? I DO NOT want to work the floor, the ER, ICU, PACU (etc). My highly ADD mind would implode. You work your area, I'll work mine! Vive la difference! MereSanity BSN, RN, CNOR