justjenny

justjenny

NICU- now learning OR!

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All Content by justjenny

  1. Are these books worth the $$$

    justjenny posted a topic in Operating Room

    I love books and I am looking for some good books to learn OR. I will be a circulator starting very soon. Here is what I am looking at...please let me know if you find them valuable: "Pocket Guide to...

  2. NICU VS. Newborn Nursery in your hospital?

    justjenny posted a topic in NICU, Neonatal

    It seems as though the NICU and the "well baby" Newborn Nursery should have a close relationship and work well together, right? Not where I am at. I never know how I will get treated when I am...

  3. Terrified in the OR

    justjenny replied to laneyRN's topic in Operating Room

    i have to disagree with you. simply being human means there is no guarantee of being error free. the issue is more legal and ethical than anything. even with a pharmacology class, that doesn't mean...

  4. makes you think

    justjenny replied to Imafloat's topic in NICU, Neonatal

    During a family trip to Disneyland I saw a similar child at the table next to us during dinner. I was "fixated" on that child and all I could think was how many of the babies that I care for will...

  5. What Do you Like and Dislike About the NICU??

    justjenny replied to Sl1011's topic in NICU, Neonatal

    I worked in the NICU right out of nursing school. It was the most rewarding job I have ever had in my life. I often felt proud when I left for the day, HOWEVER, it was also the HARDEST job that I...

  6. Surgery hats are KILLING my hair!

    justjenny replied to Justme123's topic in Operating Room

    I use cloth hats. For now the circulators can wear them. Anyone scrubbed must wear a disposable elastic one over it. Some sites: http://www.greenscrubs.com http://www.blueskyscrubs.com (pricey) HTH...

  7. What exactly does "First Assist" mean?

    justjenny replied to Jo Dirt's topic in Operating Room

    What I think you should know (and feel comfortable about) is that most First Assists are privately hired (at least at our hospital) which means they work with that surgeon day in and day out (which...

  8. "No self- respecting nurse"

    justjenny replied to RNOTODAY's topic in Operating Room

    I have to think too...because I came from an ICU situation...and compared to THAT job - I barely feel like a nurse anymore (ducking from flying objects!) :chair: We didn't have assistants where I...

  9. Terrified in the OR

    justjenny replied to laneyRN's topic in Operating Room

    I personally don't feel comfortable in that situation. My first response would have been to call for either (1) another CRNA to the room or (2) another MDA I do not care that the MDA was instructing...

  10. Revising Our Periop Countpolicy

    justjenny replied to BAMJAM's topic in Operating Room

    Trying to remember specifics to try and help.... (1) the ST is always responsible for an "inventory count" upon starting and finishing a case - even when a full instrument count is not required. (2)...

  11. My first contamination (I feel bad) LONG

    justjenny replied to Tiffany, RN, BSN's topic in Operating Room

    Just the other day, While circulating a total knee, the PA on the case looked at how much saline was left in the lavage bag and without thinking reached out and touched it! I called her on it and...

  12. Disinfecting cuffs?

    justjenny replied to brewerpaul's topic in Operating Room

    Same for us. CPD cleans them. they don't get gross because they are fully covered with the 1000/1010 or 1015 drapes

  13. Positioning aids used for extreme positions?

    justjenny posted a topic in Operating Room

    Hello! Just wondering what types of things/equipment is used to position patients safetly when they will be in extreme positions. Example: today I circulated colo-rectal cases....pt will be in extreme...

  14. Placement of nerve monitoring electrodes

    justjenny replied to littleds's topic in Operating Room

    anytime a case is boarded with nerve monitoring the hospital contracts an outside company to come in and apply the electrodes and they also monitor the screen, etc. and communicate with the surgeon. I...

  15. prepping solutions

    justjenny replied to reremel's topic in Operating Room

    There are different types of chloraprep. The most common is tinted orange, but there is a clear and also a blue tinted one. The clear makes it too hard to see where you have prepped and the blue...

  16. Advice from circulating nurses...

    justjenny replied to JLKNurse's topic in Operating Room

    I would recommend observing in the OR for at least one day. Sometimes this is possible while still in school - talk with an instructor. There is at least one textbook that is very helpful - but I...

  17. Anesthesia incident on OR Nursing Record?

    justjenny replied to riv_nurse's topic in Operating Room

    It is part of our keystone briefing to have the circulator verify what ABX are given and when...not only is it a safety check, but it is now a reimbursement issue...if meds are not documented within...

  18. do u really need a foley?

    justjenny replied to felixfelix's topic in Operating Room

    DITTO

  19. Morphine Administration of very small doses

    justjenny replied to dance45's topic in NICU, Neonatal

    Not sure if this helps or not. At my old job our management decided that these types of situations were unsafe and therefore (after much arguing and number crunching) came up with the following...

  20. Versed

    justjenny replied to OncallRN's topic in Operating Room

    Someone please correct me if I am wrong but with Versed (vs. propofol) you can have realization of what is happening to you and also what is said in the room. I don't work in endoscopy but the couple...

  21. Spine Surgery so Scary

    justjenny replied to sheisbb's topic in Operating Room

    I don't scrub but I love to circulate spine. We ALWAYS have a rep in the room to assist with instrumentation and implants. We truly have some gifted spinal surgeons that are patient if you are new to...

  22. manners question

    justjenny replied to Imafloat's topic in NICU, Neonatal

    We often had infants transfer to our hospital for surgeries, etc. and I can tell you this: 1) we did things very differently than the other hospitals (appropriate postioning, different meds,...

  23. UAC fluid/antiseptic

    justjenny replied to dbscandy's topic in NICU, Neonatal

    Not sure on prep solution but we run our standard D10 TPN with lipids through ours. (at my old job I should say) our lipids are not seperate from the TPN and of course it is heparinized. jenny Edit:...

  24. Preemie that Only Tolerates Breast Milk.

    justjenny replied to sunny17's topic in NICU, Neonatal

    I think you already answered my suggestion. Our lactation consultant spins down the milk to determine caloric content....but I believe she also spins down hindmilk so to further concentrate it when...

  25. Problem with scrub techs!

    justjenny posted a topic in Operating Room

    I am new to the OR but not a new nurse. I am used to strong personalities, love the OR and find that it could really be a place for me to "settle down" and spend the rest of my career. Sure the...