cdsga
has 37 years experience and specializes in ICU, PACU, OR.
Diploma nurse 1978 to BSN in 2014. Started in ICU, then progressed to PACU then on to the OR. Have performed all manner of mid level management and have been fortunate to become a nurse educator where I oversee the orientation, ongoing competency development, policy review and revision, and the new perioperative internship (residency) programs at my facility.
No You are exactly where you need to be. You know you are on the right path when you are itching to be on your own. I would express this to your clinician or educator and let preceptors take a more...
Instead of strapping arms or wrists tot the armboards we hold hands to keep the muscle relaxant and fasciculations from causing their arm to flop off and keep them secure until after they are asleep....
cdsga replied to rearviewmirror's topic in Operating Room
Most AAA's are now repaired endoscopically, in hybrid OR's where grafts are placed through the femoral with x-rays-even if ruptured, so back to your question. The backflow is handled by limiting the...
cdsga replied to darthsunshine's topic in Operating Room
Try to get into a residency program. There are many out there and that will train you well. Probably will be a time commitment after the program is completed, but if you want to really feel confident...
cdsga replied to Xaldin4life RN's topic in Operating Room
When you first start you are afraid of everything-experience makes you competent. You are a novice. Open your ears and eyes and learn what you appreciate in nursing practice and what you would not...
OR nursing is about more than skills. Someone asked me one day about patient advocacy in the OR while the patient has no recall of the nurse(s) who cared for them while they were anesthetized. Being a...
"Snitch" means tattle tale. Police use them (usually the snitch gets something in return) to get the skinny on people that they can't get to tell the truth or share the reality of what's going on....
It is tough to confront someone during work when you are dealing with patients and so much to do. These types of issues take focus off and makes life miserable and too stressful-really unnecessary. If...
It may vary from state to state. I would check your state's medical practice act to be sure. This may become more prevalent when staffing issues arise or if in a very rural area with limited...
Well we've gotten off track once again. To set it straight. LPN's have less education but have a similar skill set. The RN has supervisory roles of all those who are not RN's and also do initial...
Doctors will use less expensive help and will design programs to allow others to take over the RN role. Nurses have yet to define effectively what value we bring to the table on a daily basis. Yes...
To get back on track. The number of patients entering health care with untreated/undiagnosed chronic diseases is on the rise and is expected to increase dramatically with the new health care law...
I have done some legal consultation on cases where nurses were calling the doctor for patient problems and the result was that the patient had a bad outcome due to the lack of physician courtesy...
I've worked in many settings and in many different locales and have found paradoxically that appropriate staffing numbers do not always tell the tale. I have seen limited staffing perform better than...