mcmike55

mcmike55

surgical, emergency

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All Content by mcmike55

  1. Do any of you have 2nd jobs?

    After a little over a quarter century in nursing, the past 20 in the OR, I felt a little burned out, and picked up a part time job at our local radio station. Started out just running the "board" for...
  2. Ohio RNFA

    What is the status of becoming an RNFA in the State of Ohio? I was told that it changed, but I've not really seen anything like from the OBN about it. I suspect it's there, but I'm not computer savy...
  3. question

    Sorry I'm a little out of the loop, education wise, but here's my In days gone by, not so much, then, BSN seemed to be the minimum, but it seems any more BSN is not good enough, and most of the...
  4. Basic question about counting

    When we "got back into" counting instruments, one of our Scrub Techs really did a nice job getting us on the right track. Over the years, our baskets grew way too large, many instruments in there...
  5. OR Pet peeves

    I hear you about the beeper!! I call them "table proximity alarms". The closer the surgeon gets to the OR table, the more likely they'll go off. Unless it's STAT, I have this pt to take care of...
  6. OR Pet peeves

    I agree with Shadobe, I'm not sure they're Pet Peeves, but what you all have posted, are things that get me going! I find it funny how, large OR or small, California to N.Y. we all have similar...
  7. Steris...

    Steris' s logo, or saying is JIT. Just in Time. JIT for the procedure that is. In our hosptial, we look towards about 60 minutes, preferrably less, from the time the cycle is done, and it's...
  8. Revising Our Periop Countpolicy

    Over the past couple of years, we have re-introduced instrument counts back into our OR. We had dropped them for several years, but risk management/insurance people said we needed to start them...
  9. Count Sheet Questions...

    Yup,,,,we go along with most of you. Our OR counts, sponges, suture needle, hypos, blades scratch pads and FRED's. I figure if the manufacturer put an xray detectable strip on 'em, they could be drug...
  10. you might be from ohio if:

    YOU MIGHT BE FROM OHIO IF...... You've had to switch from AC to heat, in the same day. You end your sentences with unnecessary prepositions, such as: "Where's my coat at?" You install security lights...
  11. Typical OR RN schedule?

    No one real easy answer for you WW. It depends on where you are, big hospital, rural hospital (like me) surgical center, etc. For me, in rural Ohio, we have 6 OR's but normally only run 3 rooms at a...
  12. Best shoes for OR??

    I just recently got a pair of Dansko's and really like them. This is after almost 30 years in tennis/running shoes. They're nice because I can pull my foot out and cool off my feet once in a while....
  13. Circulating role

    At our hospital, we normally stand at the pt's side (usually their right), and help hold the anesthesia mask if needed, hold the E Tube, cricoid pressure, pull the cheek away,pull the stylet out, etc,...
  14. do u really need a foley?

    For us, it's pretty much the same, about 3 hours. But there's no hard fast rule. It could be a short procedure, but medically, the pt needs a lot of fluids/blood, and the urine output needs watched....
  15. Written scenarios for OR Fire Safety drill

    We did a fire drill/evacuation of our OR early this year, which went quite well actually. Sorry, we pretty much winged it. We had already had two classes on what to do with a surgical field fire,...
  16. Synchronized clocks

    Several years ago, we got a hard wired type of clock that are all connected together. Can't remember the brand name, I'll remember to look this week. Before we had battery clocks. On paper seemed...
  17. As on O.R. nurse, how often do you start IV's?

    In the past, at our hospital, IV's were anesthesia's domain. Never did them during my first few years in the OR. Those docs/crna's are long gone, and now, for the past 10/15 years or so, the RN or LPN...
  18. Call: how often?

    Hey, In my rural Ohio hospital (Level III Trauma), all Surgery RN's take call. At one time there were 7 of us! That translates out to 1 in 7 weekend, and a rotation during the week. Right now, due to...
  19. Male OR Nurse

    In over 25 years in a small rural hospital, I've run into very few problems. Once in a while, there has been requests for all females in the room, we've got only male Anes. Docs, and almost all the...
  20. Child Restraint During Induction ?

    The PO Versed is really nice, unless you get a doc that's too pushy and won't give it time to work!! Frankly, my favorite, is I guess what you are calling a smother technique, I would rather consider...
  21. Foley Balloon Test

  22. Should we stay sterile or not?

    Staying sterile or not at the end of a case comes up at our hosptial every once in a while. Our biggest concern is on major vascular cases, where things can happen fast, and, if contaminated, we...
  23. Limit to the Number of People in the OR??

    We don't have a set number either, like your brewerp.,,,,,we're a small hospital, but get a lot of students. Nursing students (RN&LPN), scrub tech students, paramedic students, physical therapy...
  24. Failed CNOR

    Hang in there dstr, the CNOR is worth it! From what you said, studying for a year, it sounds like you already feel it's worth it, so I say, keep at it. The first time I took mine, I was afraid that I...
  25. Foley Balloon Test

    This is a subject that has been covered over and over here for some time. I guess I can see some catheters not going back to original shape after inflation. When you DC one, ever look at the balloon?...