Tiffany, RN, BSN

Tiffany, RN, BSN

Operating Room

Member
  • Content

    60
  • Visitors

    2,449
  • Followers

    0
  • Likes

    0

All Content by Tiffany, RN, BSN

  1. recapping saline bottles?

    Luckily our pharmacy pre-mixes our irrigations and we just use a bag decanter to place the mixture onto the field. However after hours etc we draw 10mL out of the bag, mix it in the vial, draw it back up, put it back in the bag, then use a bag decan...
  2. Where have you found missing countable items?

    I wasn't personally involved in this case but a dacron tape was found in the suction canister after 45 minutes of frantically searching. That's about the oddest thing that I've heard of. A needle was once found behind the drapes with anesthesia afte...
  3. Scope of practice regarding wound closure

    Our hospital's policy is only MDs, PAs and RNFA can do wound closure. STs can operate skin staplers ONLY with the direct supervision of one of the above.
  4. Snow Days....

    Oh boy, its getting heated in here! My If you can't make it, you can't make it. What else can you do? I look at it like this: I have more to live for than my job so if that means I have to wait until daylight when visibility is better to come to...
  5. Incorrect count..

    An incorrect count is an incorrect count. I shall never forget the TAH I was doing when I ended up with 1 too many forceps at the end of the case. One was hiding in the tray and neither the tech nor I saw it during the initial count:banghead:. We ...
  6. Please tell me I am not wrong!

    We're staffed 24/7 so the only ppl who really get overtime are the ppl who scrub with the difficult surgeons. No one likes to go in those rooms so sometimes they'll beg ppl to stay with them. But even when that happens they have to leave early on a...
  7. Please tell me I am not wrong!

    So what do you do if you're scrubbed and its time for you to go home? We can't get overtime so we have to leave or leave early another day:crying2:. But yeah scrubbing out in our hospital isn't frowned upon. They really don't care either way as lon...
  8. Please tell me I am not wrong!

    Nope I wouldn't demand that anybody do anything. I would just tell them that if they want food or drink, they can break scrub and go get it. Its up to them whether they want to keep going or not. I can't make them break scrub just as they can't ma...
  9. I never ever bring it up. Sometimes I'll get asked because of the terms I use or the questions I ask but I never introduce myself as a nurse. I like to see how they usually behave towards patients and visitors and I don't want to make them nervous. W...
  10. Please tell me I am not wrong!

    I would not feed anyone during a case. Its too easy to contaminate something. If I was circulating a case that went so long that the surgeon and tech were both about to fall out from fatigue, I think it would be time for everybody to break scrub, h...
  11. What should I carry in my pocket as an OR nurse intern?

    I carry 2 pens, a sharpie, and scissors in my right pocket. In my left pocket, I carry my cell phone, chewing gum and chapstick:). Gotta have those necessities .
  12. Help for new O R NURSE

    One question, OP. Do you value that brand new shiny nursing license that you just got? If you do, you better hit the highway and don't ever look back. That environment is a disaster waiting to happen. I work in SC as well and none of the stuff yo...
  13. PACU/OR nurse issues

    I'm an OR nurse and we pre-op our own patients on call. Its a good way to brush up on skills. If there's an IV, I usually will try 2 sticks and then wait for the anesthesiologist if I don't get it. I give my own heparin, hang my own fluids, etc. ...
  14. Scrub tech breaking scrub without permission

    I agree with everyone who is saying that you need to focus on the throwing. If I ever IN MY LIFE AND CAREER AS AN OR NURSE have an instrument thrown at me, Security and the Police will be in bunny suits headed to the OR before the jerk could think s...
  15. set up how do i proceed to work with these people

    Little tricks like this have been played on me before and the only thing you can do is CYA. If you must leave the room during a case, make sure you give a FULL AND DETAILED REPORT to the nurse coming in. Document everything that goes on in the case...
  16. Things you've seen in the O.R that made your teeth crinch?

    Well I haven't seen this but the crew tomorrow is in for a doozy. One of the gyn guys called with an add-on Suction D&C and requested that they have something there that can crush bone because the girl is pretty far along.
  17. So here's the scenario. Our anesthesiologists and CRNAs are a bunch of ******** (for lack of a better word). They don't work for the hospital so they don't have to follow the rules and they are known to treat OR staff like crap, especially this one M...
  18. Stood up for myself today, and it felt GREAT!!

    I've been meaning to come back on here and follow up. Scrubby, you bet your behind I wrote an incident report. Also, the anesthesiologist did report me to my director saying that I had a disrespectful attitude towards him during the encounter. Eh, w...
  19. Sharp/Instrument Count Question

    For us, incorrect count=x ray. I once had to do an x-ray for an extra forcep that we found at the end of the case (set had too many and we overlooked it during the initial count.) Its always a good idea to go ahead and do the x-ray so that your bas...
  20. Ideas to cut down on patient in the room to incision

    Agreed! I do everything I possibly can before I go get the patient. I like to count and give all my meds before we come to the back. If we're using stirrups, I already have 1 on the bed and the other not far from it. I keep one armboard on the be...
  21. alternative solutions for a vaginal prep

    We use hibiclens.
  22. What do you love about the OR? & what do you hate?

    Mmmmmhmmmmmm! I also love the hours (7a-3p) Hate some of the attitudes. I had to adopt an "I don't put up with ********" attitude and I hate that cause I'm normally really nice, lol!
  23. Tell me about CALL

    We take one day (3p-7a) of call per week and one holiday (24 hours) every 2 years. We get paid like $1 to carry the beeper. Our call days go in rotation (Monday this week, Tuesday next week and so on). The week after our Saturday call we work 7a-5p...
  24. I dream of the OR...

    Oh yes I liiiive for those cases, lol:bugeyes:. That's interesting about dreams though. I've never tried to read anything before in my dreams that I can remember and I never really remembered that much about my dreams until I got prego, lol. Now I...
  25. I dream of the OR...

    Yes! Just last night I had a dream that I was working with a surgeon that I don't often work with (who happens to be my OB/GYN). I was by myself and already nervous cause I never work with him and he often works so fast. So I was busy hooking ever...