justjenny

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 the Operating Room" by Maxine Goldman "Alexanders...

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 bringing a baby to newborn nursery. Sometimes they ar...

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 that an st can pass meds....especially a paralyti...

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 turn out like this???

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 have ever had! (emotionally, spiritually, not physic...

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 Jenny

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 means they work very well together!) Is the FA going...

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 worked, we did ALL patient care, of course ALL chartin...

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 the ST to do this....UNLESS the ST was also an RN...

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) we always count "the small stuff" (sharps, sponges,...

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 she changed her gloves - no harm done. Later, she s...

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

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 trendelenburg and up in stirrups. The whole bell...

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 believe at other hospitals in the area they have ...

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 makes post op RNs crazy because they can't always tell...

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 wouldn't recommend it if you aren't actually starting...

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 an hour of incision payment can be withheld.... As ...

DITTO

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 solution: the example I am using is Fentanyl- we would h...

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 upper GIs that I saw in school the patients somet...

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 it. It can be REALLY tough when you have an ante...

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, different EVERYTHING sometimes) 2) the other hospital "sav...

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: of course they may change to a D5, D12.5 or whateve...

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 feeding to baby (24+ cal ideally) You didn't answer...

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 surgeons get needy and grumpy but I really have not ha...