mcmike55

mcmike55

surgical, emergency

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All Content by mcmike55

  1. prep solution question

    I'm sure this is a topic that has been covered before, but I told my supervisor that I would ask. What do you, "all knowing surgery nurses" use as prep solutions. We use Dura Prep for most things,...
  2. Pulling Meds Early

    We have always pulled our meds and put them on that procedure's case cart ahead of time, but I'm hearing that this may need to stop. In the morning, we take our case carts from Sterile Processing...
  3. Medication refrigerators

    All meds are kept locked. The majority are in the Pyxis fridge. We keep a small amout of meds (insulin, Pepcid, etc) in an unlocked fridge in our holding area, but the door to the med room is...
  4. calling report to ct icu.. to the secretary?

    When we are closing, and know for a fact we are going straight back up to ICU, I'll give the nurse that was taking care of that pt a heads up type report. I'll give the nurse a thumb nail report,...
  5. Funny things said by ortho surgeons in the OR

    So often something said during surgery can be taken the wrong way, and Ortho seems to be the easiest target!! "that's what she says" it the punch line in our OR. I swear, during one long day in the...
  6. Beach chair shoulder arthroscopy and fluid control

    We use a beach chair drape from Kimberly Clark that works very well. It's sort of a split sheet, that starts above the shoulder, then pulls around below. It has some really nice sticky strips that...
  7. Where have you lost a sponge?

    First off,,,,,I have got to say,,, sm9796,,I LOVE the terms that you use!! I want to change our lounge into a tea room.......and I am going to try to use the word Quiver for the holster for our bovie....
  8. The lithotomy position with pus is a close second,,,but fans I think we've got a winner!!!! Pt. that weighed about 900 lbs. with a lg. pannus came in to get a vertical banded gastroplasty. Raised up...
  9. alternative solutions for a vaginal prep

    We use Hibiclens (?sp) for the majority of our lady partsl preps. One doc still likes Betadine Scrub for lady partsl preps. We were told a while back that we were to use Hibiclens full strength. I...
  10. X-rays and eyes

    If I remember correctly, long, close exposure to x-ray does put you at risk for early cataract developement. But I've always thought that was for those working in x-ray and cath lab. I've heard of...
  11. Or nurse float to floor?

    Over the years, it always seems the newest RN that comes to the OR from the floor, is fairly routinely called back to help. After a few years, it rarely happens.....guess they are useless up there!...
  12. Axillary rolls

    We've re-thought our ax rolls. Before, we used an IV bag rolled into a towel. I've always been careful to not have wrinkles or seams before insertion. Recently, we were told that IV bags were not...
  13. Contaminated areas within prepping area

    1. Do you prep the umbilicus first or last in an abdominal prep? I usually start with dropping a little prep fluid in the umbilicus, sort of letting it soak. Let's face it, some belly...
  14. Tell me about CALL

    I also work in a small community hospital. Three OR's, Level III trauma center. We have a MD anesthesia doc, RN circulator, Scrub Tech and PACU RN call team. The RN's average about one night a week...
  15. speeding while on call

    nrsman....if you want, search the prior posts on just this subject in Allnurses.com. I think you'll find..if you are speeding, you are breaking the law. Period. Not many OR nurses I know have the high...
  16. Steris Machines Shut Down

    I don't have the actual documents in front of me, but I saw some info coming down the chute on this in early summer I think. The FDA says Steris made modifications to the System 1 after it got...
  17. I can use some input on this one. Our new Ortho Doc wants to use the Moog Pain Pump on shoulder cases. You know, the kind filled with Marcaine and drips in. We used them years ago, (different type)...
  18. The strangest thing you've ever seen on an x-ray?

    My favorite, was the metal Scottie dog from a Monopoly game. A small child swallowed it, and there it was in the AP throat film, just laying there!! Perfect side view!!! Also, I attached (I hope) a...
  19. How many times have you heard someone say "oh, I didn't recognize you with your clothes on !" That's a classic, though not usually from a S.O. My favorite came actually from another nurse. I was...
  20. Site Marking--cysto with stent

    A couple of years ago, our pt's arms looked like a rainbow!!! We, as others, had red, blue, yellow, green etc, etc bands for different types of warnings. It was a disaster if we had to cut them...
  21. Surgical Masks

    What I would do....politely ask for those cloth masks, take, them and put in a surgical archive!!!! I've not seen a cloth mask in over 15 years, let alone see anyone wear them! Do they still wash and...
  22. Anesthesia Gas Making Me Tired in the OR???

    Agree with the others on this, I suggest you look some where else for your fatigue. I would bet you could leave an anes. machine on full blast in a closed OR all night, and not notice the next...
  23. teds and scds

    Have not done a lit review in a while, so, I'm not sure of the latest numbers and findings. I figure this is one of those, one is good, two is better type things. Especially in this case as the...
  24. Funny scrub story...

    Great story,,,,, I used to run the CO2 laser in our OR as well. One of our surgeons was vaporizing some skin lesions off a man that I knew, so I stopped by the holding area to say hi. He asked if I...
  25. Sutures: Types, SIzes and Uses

    There is a lot of different sutures and suture companies out their, of course with their own brand names, so it can get confusing. Basicly, sutures come in absorbable, and non absorbable....