Jump to content
February 2019 Caption Contest: Win $100! Read more... ×
cdsga

cdsga

Registered User
advertisement

Activity Wall

  • cdsga last visited:
  • 391

    Content

  • 0

    Articles

  • 8,928

    Visitors

  • 0

    Followers

  • 0

    Likes

  • 0

    Points

  1. 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 distant check-in with you during the day. Have them check your work before the end of the day or at scheduled times during the day just to see if you had any issues or unusual things come up.
  2. cdsga

    What Do Operating Room Nurses Do?

    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. Males are usually stoic and many will not show fear until they get ready to go to sleep you can tell by the way they hold their breath frown grit their teeth etc. Talking.g to them holding their hand many times makes things easier. You bring up a point though that everyone should honor wishes and we do try to do what we can.
  3. cdsga

    What Do Operating Room Nurses Do?

    Are you a nurse? Does compassion care empathy allying fears mean anything to you?
  4. cdsga

    Why I am not Surprised by Joy Behar's Ignorant Comments

    Knowing what nurses do is hard to articulate because we do so much that is underappreciated, undesirable or not quantifiable but non less valuable. Just ask anyone on the thread to say what it means to take care of someone it is different for everyone. Beyond that the most intolerant people ironically are those who claim to some thing like a feminist. If you are truly pro wmen,you also embrace and empower any woman who chooses to do things because its what they want to do even if it is typically considered female. A true feminist will fight for the worth of these female roles and seek to improve and quantify that worth to the public. I don't care if it is a pageant contestant, nurse, housewife, or teacher
  5. cdsga

    Question on triple A repair

    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 clamp time, doctor's must move fast. Also anesthesia regulates the blood pressure and fluid replacement during the case. It is not so much the backflow but the obstructive issues with lack of circulation to the periphery dependent on the aortic level of the aneurysm. Open abdominal aneurysm repair continues to have a high morbidity and mortality rate. The key is to have a physical to detect an aneurysm before it becomes the size of an orange.
  6. 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 in the OR you have to stay for a couple of years to coming into your own.
  7. cdsga

    Snow & calling out of work

    It always amazed me that surgeries were never cancelled and the patients were always there on time waiting on us to drag in. Unless the doctor can't get in, work goes on. We've had doctors who open their homes to people and we walked to their houses or others who opened their homes for food/drink etc. We also had day care for children close down, and my sister had to stay in an elementary school with her students because they didn't close the schools. Atlanta was a mess last year. Those who work in a service industry just deal with it, deal with those who can't come in, and deal with the hand that's dealt-and you know the deal when you sign on to work so however you can work it out>>>Everyone pays dues, whatever part of the country you live in.
  8. cdsga

    Snow & calling out of work

    Usually people know in advance when bad weather is coming and have specific emergency codes that are enacted. Most nurses who live far away are asked to stay if the code is implemented. If you choose to go home, you should have made plans to get back-or stay close enough that you would not need to drive yourself. Nurses are considered "essential". In the future, pack a bag and snacks and prepare not to go home if you live that far away. Figure out a plan next time for kids, pets, the elderly etc. People who don't have snow to contend with have hurricanes and the same process is put in place. It is a tough situation for sure, and we all hate the fact that we have to comply with hospital procedures for bad weather, but that's the deal. You usually get compensated very well in these circumstances.
  9. cdsga

    Is OR Nursing always difficult???

    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 want to emulate. There are nurses today that would never be my role models, despite their years of experience-others I would still like to learn from. The key to growing as an OR nurse is the learning. It never stops. It takes a year or more to feel fully confident that you can be put in any case and perform well. Give it a chance.
  10. cdsga

    What Do Operating Room Nurses Do?

    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 patient advocate in the OR is about ensuring that you do your job well. What does that mean? Think about putting on a play. You can't have a good play without a script or props or actors can you? That's what nurses do. They make sure that your properly safely working props are in order, you make sure that the actors in the room are credentialed, assigned correctly, if not you ensure that extra safeguards are there to make it work for the case and the patient, you communicate, collaborate, inspect, safeguard, then do the patient care skills that are required for you to do. You keep a little bit of stage fright for every case, so that you do your best-expecting and anticipating that things can and will go wrong. There is no complacency. When you meet the patient-their loved ones, you allay fears, you explain what's going to happen, what you will be doing, know the case, what's going to happen, quickly study the diagnostic or elective choice reasoning behind the procedure, review the diagnostic results, know the pertinent drugs, what the patient takes, how to mix and administrate them, you defend the rights of the patient that you have come to know in a very short period of time. You monitor aseptic technique. and on and on it goes. I cannot imagine when the conscience of a room goes to solely non-nursing personnel-the respect and care for the patient declines and all goes to saving money, time and disregarding proper guidelines. Fortunately or unfortunately-we are also scribe who document correctly and concisely about the procedure, personnel, supplies, drugs and solutions used. Why? We are the ones legally required to do so--why?? because the document and the patient are the only ones who will recall the outcomes. Anesthesia documentation has it's own set of guidelines. We help them remember too. Nursing is the most trusted profession year after year because nurses care. They care without judgement of the person. They care about their contribution to the surgical outcome of the patient as well as personal pride in their quality of skill-sets. God help us all when the conscience of the care goes away. It takes more than properly putting in an IV or foley-or if a nurse is judged on how quickly they can turn a room over. But only one who embraces the art and science of nursing and works to bring the two together to know how challenging and rewarding that can be. That takes time and commitment to the craft.
  11. cdsga

    Workplace Cowardice

    "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. Poorly performing managers use this type of person to put the ear to the ground for them. That is a dangerous proposition. Once that tattle-tale is exposed to the rest of the group (which most suspect anyway), false rumors get spread and the real issues go underground. The trust is lost and everyone suspects everyone else. Terrible environment.
  12. cdsga

    Workplace Cowardice

    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 management feeds into this, keeps a record of it and then surprises with these comments at a peer evaluation without a forewarning or allowing one to correct behaviors then that is a problem of management for sure. People should know if their behavior is distressing to others and allow them to correct or make amends. You never know what's going on with a person on a given day. Get to the bottom of it, and get involved in order to mediate and allow the parties to air their differences. Managers who take innuendo and gossip as truth should not be managers. "What you permit you promote"-so the wise people say.
  13. cdsga

    OR Coordinator

    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 resources. To be safe, if the patient is stable and not emergent, I would wait until there are qualified rad techs available. Dr. may be mad, but then call your supervisor to back you up on the possible delay.
  14. cdsga

    Don't Call Them Nurses!

    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 patient assessments and meet requirements of job skills and responsibilities set by each individual state. RN's are paid more, have more possibility of career advancement. LPN's also have the capability to advance, but are limited by state statutes. People choose vocations based on their ability to devote time and money to levels of education. Each person has the ability to advance to higher levels of education at any time in their lives as situations allow or if driven by personal motivation. No judgement here.
  15. cdsga

    Don't Call Them Nurses!

    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 there are studies to provide evidence that having RN's bring better patient outcomes...but ask an RN to define the value they bring to the table and you will find task oriented statements rather than the value. If you think about it, the caring part of the nursing role can be accomplished by just about anyone, but the science behind what you do, keeping up with new drugs, treatments, and safety separate the nurses from laypeople or those with less training. Nurses are more than run and fetch it people. We can question orders because we know how to separate what is safe from unsafe, what has an adverse outcome over what is desired. We understand the whole person rather than just the problem so we can plan care that would optimize health for people. I think it is high time that nurses articulate their value and be able to readily answer "What is a nurse?"
×