mcmike55

mcmike55

surgical, emergency

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All Content by mcmike55

  1. How do you handle "true emergencies"?

    mcmike55 replied to umakemesmile's topic in Operating Room

    I think I can sense your fustration and anger over the situation, but I'm not totally convinced the hospital side of it is the problem. Like you, I'm from a small town where "everyone knows everyone...

  2. Policies for masks in the OR

    mcmike55 replied to maritimegirl's topic in Operating Room

    At my hospital, pretty much the same as all of you. Masks when sterile fields are open, and when the case is going on. After dressings are on, masks can come down. However, I often leave mine up...

  3. When do you count ?

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

    We too count before the pt is brought to the room. We'll try to get a head start by having the tech scrub before the case is totally open. That way he (she) can sort stuff out as it's opened, and...

  4. Do scrub people at your O.R. use an emesis basin to pass sharps?

    mcmike55 replied to linda2097's topic in Operating Room

    Sharps, such as a knife, syringe/needle are passed by using a ScrubSafe at our hospital. It's a small yellow plastic "V" shaped tray made by DeRoyal. It really cut down on the number of sticks in our...

  5. SCD orders

    mcmike55 replied to inspir8tion's topic in Operating Room

    Most of our TED/SCD orders are covered in our pathway orders. Like you all, we pretty much know who wants what, on what cases. If the pt is an In Patient, and the floor gets to it ahead of time and...

  6. 'Scrubbing In' policy at your work

    mcmike55 replied to Scrubby's topic in Operating Room

    I'm not sure of AORN's chapter and verse covering this, but I think there's something in there somewhere. We pretty much do the same, full, official counts are not done unless the scrub is leaving for...

  7. Why OR?

    mcmike55 replied to NiteRocker's topic in Operating Room

    How is the OR different from other specialties? Tough question, guess I never gave it much thought. OR is different from ED for example, because we are in a little more controlled environment. In...

  8. Abdominal Vaginal Preps?

    mcmike55 replied to kpoguern2960's topic in Operating Room

    I'm sure there are dozens of threads on this subject, but it's always interesting. Most of our docs also use Hibiclens. We just don't use it full strength, diluting it with sterile water. Knock on...

  9. advice for a shadow day

    mcmike55 replied to ergito2's topic in Operating Room

    Yep, good advice. You'll be wearing surgical scrubs, so don't worry too much about street clothes. However, if you are considering employment with them, don't dress down too much, you do want them to...

  10. Policy and Procedure Question

    mcmike55 replied to premiern33's topic in Operating Room

    I think we are all thinking along the same line. I also, don't know of any AORN recommendation about setting up instruments in relation to when the pt is brought into the OR. I would think this is an...

  11. Surgical Fire Question

    mcmike55 posted a topic in Operating Room

    Hi, Me again! After doing a well received fire inservice, fire drill/OR evacuation presentation, I've become the fire guy in our hospital. I'm in the process of re-doing our OR policy on evacuations....

  12. Surgical Fire Question

    mcmike55 replied to mcmike55's topic in Operating Room

    Dave, thanks for the reply and info. I'm thinking along the same lines, good old fashion 2" surgical tape. Readily available, you can write on it, etc. Probably would do the slash, then X on the door...

  13. OR nurse training

    mcmike55 replied to kdmcook's topic in Operating Room

    Throw 'em in the deep end!!! Sink or Swim I say, that's what they did to me!!! No, wait, don't panic!! I was just kidding!!! One problem I see is different preceptors. Several years ago, we went...

  14. image guided FESS

    mcmike55 replied to mikethern's topic in Operating Room

    I've done really only a couple. An ENT doc, who moved on, leaving us, was trained on the system, and we brought it in for a trial run. On the ones I did, it was like this. Pre-op, the pt had a CT of...

  15. Turnover time between cases

    mcmike55 replied to lc4043's topic in Operating Room

    I think we are all pretty much on the same page here. In our small 3 OR rural hospital, we are right around 15 minutes, give or take. We're closer to 30 mins following a total, or a real busy case, if...

  16. Do you mind being shadowed?

    mcmike55 replied to krazy_coconuts's topic in Operating Room

    I really enjoy being shadowed, or having students in the room! I feel that I can learn a few things from them too. Afterall, students are pounded with all the latest info, right. When students are...

  17. Any tips for a new nurse?

    mcmike55 replied to RacheloneRN's topic in Operating Room

    WitchyRN, outstanding advice!! You've done this before, haven't you!!?? Rach, I agree, be yourself, keep your eyes and ears (and mind) open! Surgery can be overwhelming as far as the amount of info...

  18. How long until taking call ?

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

    I feel bad that you feel you've been thrown it the deep end, with a bowling ball around your neck! Sort of seems to be a variation of "eating our young" don't you think? Depending on the newbie's...

  19. A question about experience

    mcmike55 replied to physjenk's topic in Nursing Career

    I agree with Tweety (who wouldn't). What you read on a job description is the ideal. Kind of the price you set when you have a yard sale,,,,then you start dickering. Get a good education, as much...

  20. priming IV tubing tips?

    mcmike55 replied to futurecnm's topic in General Nursing

    My one suggestion is like Daytonite's, take the tubing as it comes out of the drip chamber and fold it up against the drip chamber. Then pinch the drip chamber fillinging it about half full. Many...

  21. the little things make you go uh ok

    mcmike55 replied to celestial1's topic in Nursing Humor

    I had a pt tell me they were allergic to Valium because it made her sleepy! Another, allergic to Aspirn because it made her stomach hurt. Had a long talk about the difference between side effects and...

  22. It's Hard to Live with a Nurse because....

    mcmike55 replied to nurz2be's topic in Nursing Humor

    I'm the second of three generations of nurses, and let me tell you, I (we've) messed up many a meal with other "civilians". My wife gave me an elbow to the ribs one night, pointing out that one of our...

  23. Surgical Fires Presentation

    mcmike55 posted a topic in Operating Room

    I am in the process of preparing an OR fire power point presentation for our sugical staff, and need a little help. A few years ago, I think, there was a news video, ABC I believe, that set up a...

  24. Surgical Fires Presentation

    mcmike55 replied to mcmike55's topic in Operating Room

    Final Update. First and foremost,,,,thank you all for your help and input!!!!! The 3 day inservice went very well!! The mock fire/evacuation went well, everyone was on hand, and they all got a lot out...

  25. Q for the OR nurses??

    mcmike55 replied to Mia33's topic in Operating Room

    There are some individual hospital policy issues to consider, but here's what I think. The surgeon dropping out during closure. Often times in our hospital, there is only a surgeon and tech working,...