mcmike55

mcmike55

surgical, emergency

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All Content by mcmike55

  1. how you do charting???

    mcmike55 replied to Lasoniamacaroni's topic in Operating Room

    About 6 months ago, or so, we switched from paper charting to McKesson. I'm getting faster, but it's still slower than paper charts! I've heard that now that we are getting this system under our...

  2. Anesthesia - induction/ emergence question

    mcmike55 replied to Apollonia's topic in Operating Room

    The previous posters know their stuff alright!!! And we all are on the same page here! When helping with induction, I'm there to pull the stylet, maybe move the cheek out of the way, etc. In a crash...

  3. OR Lasers, Info Please

    mcmike55 replied to mcmike55's topic in Operating Room

    Thanks to you all for your input....I knew I could depend on Allnurses.com!!!!! You've all brought up questions that have gone thru our minds as well. One problem, is this "company" is the only one...

  4. OR Lasers, Info Please

    mcmike55 posted a topic in Operating Room

    I come to you,,,,the great ALLNURSES.COM Community for some info. We bring our laser's in on a per-case basis. CO2, holmium, green light PVP, etc. We've worked with one or two local companies for...

  5. What cases require an internal vaginal prep?

    mcmike55 replied to linda2097's topic in Operating Room

    We'll do vag preps on anything that would involve the lady parts. This would include TAH's, Vag.Hysters, LAVH, and of course D&C, etc. I also do vag preps on Cysto's, but not hemorrhoids, and like...

  6. suction canister

    mcmike55 replied to odos's topic in Operating Room

    Agreed,,,,try not to let them get really full....typically the top measurement marks on the jar allow for accurate measures, and still leave some room at the top. Pull the suction off then go from...

  7. Need information on running a mock cor zero and mock fire drill

    mcmike55 replied to shaomai's topic in Operating Room

    About a year ago,,,my how time flies!!....anyway, we did our first actual mock fire/evacuation of the OR. We had anes. help and did it before cases started. We also video taped the session for those...

  8. trauma alerts

    mcmike55 replied to linda2097's topic in Operating Room

    For the most, we don't go to the ER...primarily, because we would likely be in the way!! We'll send someone over to check things out if we can,,,sort of get a head start on the situation. We also can...

  9. How late do your surgeons do electives?

    mcmike55 replied to linda2097's topic in Operating Room

    2097.....you've got a doc that goes 18 hours at a time??!! That seems crazy!! He must be an iron man, not to mention the surgical team. In our small rural hospital we run only 2 or 3 rooms, with...

  10. Tying gowns after the spin card has dropped

    mcmike55 replied to linda2097's topic in Operating Room

    I'm along the same lines as you all. I typically take the ties and tie them behind the back, typically in an area that won't endanger the field. I try to tug the bottom of the gown, folding over the...

  11. Running a code

    mcmike55 replied to linda2097's topic in Operating Room

    I suspect that it's different for different places, hospital vs surg. center, etc.,,,,also time of day! In our OR the circulators are BLS/ACLS certified, we also have our TNCC, some have PALS as...

  12. Work Opportunities in Ohio at present time?

    mcmike55 replied to barefootlady's topic in Ohio Nursing

    Greetings from E.C/S.E. Ohio. The failing economy appears to be impacting the medical field as well. Here, we are looking at lower hospital census, etc. However Outpt services continue to be a...

  13. Break room and refrigerators

    mcmike55 replied to nursinadream's topic in Operating Room

    Our fridge and break room also seems to get away from us on regular intervals. During the evening, housekeeping comes in and does some basic clean up, such as mopping floors, emptying trash, etc. We...

  14. Do you miss patient contact?

    mcmike55 replied to Irene joy's topic in Operating Room

    I agree with the other two posters,,,,as a surgical nurse, you must get to know your pt and establish rapport very quickly. Thanks to medication, they may not really remember you later, (which...

  15. What would you do?

    mcmike55 replied to linda2097's topic in Operating Room

    7 sound fine to me. In my hospital, I would be surprized that the pt would be NPO! Now you would have a mad doc! Good job calling the floor and trying to get ahead of the curve!

  16. NPO before surgery is nonsense

    mcmike55 replied to Guest219794's topic in Operating Room

    I tried to look around and find an answer to how long it takes fluid to leave the stomach, and couldn't find an exact answer. It depends I guess......just plain water would either be absorbed or empty...

  17. Frogleg Positioning Ideas???

    mcmike55 replied to fracturenurse's topic in Operating Room

    I agree with Shodobe (as usual) I've taken bath blankets and rolled them, and slid them under the knee/thigh area to support the hips. One ortho doc I knew was concerned about that external rotation...

  18. Asked to stay late with call team w/out call team pay

    mcmike55 replied to mooneyes65's topic in Operating Room

    Sound like a very ugly situation!!! We to are a small OR, our surgical supervisor/surgery coordinator is very agressive about getting down to one room by 1530, the end of our "day". We try to head 'em...

  19. What is your OR Time OUT consist of??

    mcmike55 replied to mooneyes65's topic in Operating Room

    Our basic time out consists of the pt name, surgery, and specifically the side if it applies. Typically, the circulator does it, but if for some reason they don't, I've often seen the scub tech ask...

  20. Foley Balloon Test

    mcmike55 replied to OR male nurse's topic in Operating Room

    If you look back in the allnurses archives, I think you'll find plenty of discussion on this topic. Myself I always test balloons first. I've gone one step more by pulling off the syringe with the...

  21. OR Lasers, Info Please

    mcmike55 replied to mcmike55's topic in Operating Room

    OHM,,,I totally agree. We've always relied on the rep from the company that brings in the laser to know what they are doing. My training is strongest in CO2 lasers,,,,I'm less familure with the newer...

  22. OR Lasers, Info Please

    mcmike55 replied to mcmike55's topic in Operating Room

    Thanks for the input!!! I had a feeling "everyone does it this way" wouldn't stand up here!!! Our problem sterilizing them in house is that we must have written sterilization instructions. Just...

  23. scrubs leaving the room before the patient

    mcmike55 replied to tariet's topic in Operating Room

    Looks like it really varies from OR to OR. In ours, the tech often stays until the pt is gone. They typically are finishing up putting the inst. away and picking up trash. If we need to get a head...

  24. Operating room charges

    mcmike55 replied to Lulamom's topic in Operating Room

    We are in the process of changing over from paper to computer. We are using a system from McKession (sp?). A couple of our nurses, OR and PACU primarily, went away to pick the programs, and help...

  25. How many of you work 2 jobs??

    mcmike55 replied to cmawrule's topic in General Nursing

    I'm like a couple of you.....my second job is completely different from my OR nursing job. I'm a part time reporter/news anchorman for a group of local radio stations. I like the completely different...