mynika

Being in charge I am always concerned about the privacy of our patients. We all know there are those patients that come out rolling around with their behinds shining or saying things they would never think to say if not for anesthesia. They would be mortified if Preacher Johnnie or Neighbor Sam witnessed this event while coming into see someone else. PACU is not the place for visitation. It is the place for rest. Patient privacy and safety has to outweigh visitors need. Of course there are exceptions to any rule but they should be few and based on patient needs. Families should be kept informed. This as much as anything could reduce their anxiety.

I chose all colors including white but I have to say...I was on the floor and saw a nurse in scrubs that were bright and irritating in color. It looked unprofessional. We really need to remember our patients when we dress. IMHO.

Our educator puts jcaho questions slips out each week. We all turn in our answers and then she draws 1 and gives them winner a gift card to starbucks for coffee. It is not necessary to have the correct answer to win but it gives her an idea of what she needs to help the staff with and it encourages staff to look for the correct answers. We all bought into the idea and love it. I for one wish they would come next week. If this consulting firm advising our hospital for the jcaho survey makes one more change that takes away from my ability to care for my patients I am going to need a lawyer!

As a RN ONLY YOU are responsible for your practise. You have people's lives in your hands. By god if you are too tired, overworked, intoxicated on drugs or alcohol, or are in too much of a hurry then you better not be giving medications especially through central lines. The hospital, manager, etc... are not responsible for that life, you are. That is why we are taught the 5 rights and that is why we MUST practise it.

I work in Pacu and we are allowed to program in a bolus on our pumps as dictated by the anesthesiologist. We can also change rates, etc.. But this is not allowed on the floor. As far as the initial bolus... if you assist in epidural insertion you know the initial bolus is done at time of insertion per the anesthesiologist. He assures placement at that time. Our anesthesiologist see all patients with epidurals daily. I don't think you are that interested in what others do about epidurals though. I think your problem is with Vendors dictating hospital policy. Hopefully your hospital takes more care than you think when allowing vendors to do inservicing for not only are you liable, so are they.

I left the ED for PACU 3 years ago and love it. Go to the perianesthesia nursing site http://www.aspan.org/. There is some good info there. Also study the anesthesia drugs. They make the differnece in the care you give your patients now compared to what you did in ICU. The internet is a great resource. Good luck!

i had a gastric bypass in june. I had type 2 diabetes, sleep apnea, and Gerds and since the day of surgery I have not taken any medications but my Vitamins and my Calcium. I have lost over 50 lbs and feel like a new person. Yes it is a dangerous surgery. It is a decision only the person having the surgery can make. This person has to decide that a chance for a longer and better life is worth the risks of the surgery(even dying) and changing eating habits for a lifetime. Go to http://www.obesityhelp.com for more information. and feel free to email me. [email protected] and please post subject as weight loss surgery so I won't think it is spam. :chuckle Tell him I said good luck. I have no regrets and I love my new blue jeans. :roll

If this is a neuritis, imflamation of the nerve supplying the area they might could give you steroids. Can't diagnose , nurses don't do that, but sounds like you need to see a pain specialist since you have seen your family doc and 2 ENT's. Good luck.

Count me in. I am so tired of pressure being placed on us to get better scores but no one addressing the real problems. It is hard to make someone happy that has waited in a crowded waiting room for 3-4 hours while vomiting up their toenails or having the "worst pain" of their life. I do understand their frustration, in fact I share it. I am transferring to the cath lab after working in the ER 17 years.