I have been involved in this type of discussion before, and felt I took one for my hospital. We have not done an instrument count in many years. None of the docs, new or old to us, have not demanded...
Reading your thread was a bit of a "blast from the past" for me. :chuckle We also, in the past, stapled drapes at times. Most of the time it was just a cloth towel or two, and usually only when...
mcmike55 replied to scudmissile's topic in Operating Room
S.M. I can only speak from my observations from my little corner of the world, but, grads just don't have enough time under their belt to just enter straight into surgery. At my hospital, the teams...
Melissa I can't put my hands on the exact name, but there is an infection magazine that we get, that has a website with lots of info. Infection control, or something like that. Hope that
mcmike55 replied to scudmissile's topic in Operating Room
missle man I absolutely agree with shodobe!!! Other than ED, the operating room is the place for me. Other than maybe a medflight helicopter, but that was 20 years about 75 pounds and two ACL's ago,...
Thanks for the input. We still wet mop the rooms after each case. Usually one mop/bucket for two rooms. They get changed at night by housekeeping, and during the day only prn, after MRSA, and so...
We have been recently looking into what we might buy for the next capital purchase phase of the year. Sort of a OR version of a Christmas list :chuckle My question, we have always used wet mops to...
mcmike55 replied to Nurse Alissa's topic in Operating Room
For us, we start almost 100% of the IV's for surgery. We do it in our holding area. Many moons ago, the anes. people (doc and crna's) didn't want us to touch "their IV'S" BUT, over the years that...
At our hospital, we try to get the antibiotics in between 30 to 60 mins before incision, or tourniquet up time. Different of course for Vanco. We have the IVPB hung, ready to go, but turned off until...
I appreciate the efforts of companies to protect us from needle sticks. I find myself all thumbs at times, and those thumbs always seem to be in the area of something sharp! :chuckle That being...
A question for all you knowledgeable OR folk out there. I would like to include those of you that take care of our pt's as well on the floor after surgery. We have been having a difference of opinion...
mcmike55 replied to poopsiebear's topic in Operating Room
In our OR: NO CELLS (except packed cells) :chuckle I try to take pagers away from the docs as they enter my OR, I will gladly answer their pages and take a message, relay messages, etc. WHEN I HAVE...
You didn't think I would start this mess and walk away did you?? Wait, maybe you would......But I won't! Stevie and Shodo....great to hear from ya'. I had a feeling this would get you "rialed" up,...
I haven't got all the info, but there is talk that circulators should not be wearing jewelry in the OR. When (if) I scrub, of course my watch and ring, etc are off. But, on a regular day, the only...
I think our hospital goes along with the majority on this topic. We wear masks setting up, and during the case, removing them after dressings are on, etc. We, as a general rule don't wear them during...
mcmike55 replied to Nytsirk's topic in Ohio Nursing
Ny: I think it's a good idea to "look before you leap", but don't let anyone talk you into something, or on the other hand, try to scare you off. Look things over for yourself, do some research, talk...
To game over. GOOD JOB! It sounds like you made the right moves, filing a report, notification and all. It sound to me like that the other nurse has a little phobia about making reports, if she...
No argument, shodobe, I am sure that most (?) OR's are doing counts. We have gone back and forth on the issue. Currently we (gasp) don't do instrument counts. I hurry to say that we don't do much...
This is a good thread question. This sure has got me thinking. For years, I have cathed females as part of the pre op prep after they were asleep. The reason, this is my room, my pt and my job. Most...
Speaking as a rural Ohio nurse myself I feel your pain, as far as long response times go. The golden hour is often almost gone before the squad can get to the scene. But I tip my hat to you,...
Sorry, I said I wasn't really in my element with this subject!!! She was talking about coding diagnosis vs treatments and tests that were being done in our hospital. I believe we are talking about...
I agree with you all. If you sign that count sheet that it was correct, you better darn well have counted them, yourself!!!! However, in a slightly different tract. Is everyone in the entire world...
ganik and amyliz. Thanks for the info. I'll pass it along to my daughter. I'm sure that will help. I still kinda hope to hear from Medflight Columbus or Cleveland Metro folks. Thanks
First off, I'm new to the site, but boy do I love being here!! Lots of things to read and think about!! Here is one we came up with in our OR. It started out being a top 10 list, but quickly grew....
Getting rid of Laser/ESU plume in our OR seems to be becoming my life's goal. Lunamara, you have good reason to fear inhaling all that smoke. Just go do a lit. search, and you will find all kinds of...