mcmike55

mcmike55

surgical, emergency

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All Content by mcmike55

  1. How are your Senior Nurses treated

    I'm a 25+ year vet. of our OR, but thus far, only one other person (an LPN-ST) has hit the magic number. There is one other ST ahead of me in age, but I'm the oldest RN. The magic number for us is 60....
  2. Call during blizzards?

    If you are on call, it's your responsibility to do the job, or arrange coverage. At my hospital, in rural Ohio, we have had a few situations where the snow caused problems. Once, in my 25 plus years,...
  3. Surgical Fires Presentation

    Thanks to you all for your replies!!! Tomorrow is day #2 of a series of 3 days to cover this topic. The first day, I did power point about fire triangle, etc. I also gave out a scavenger hunt list,...
  4. I have a question about evacuation of patients

    I'm currently in the process of giving talks to our staff about surgical fires. In fact we are going to cover evacuations tomorrow morning! Our policy, and based on most research I've done, if you...
  5. Outside Looking In

    This is likely a question asked before, so forgive me, but I need to ask. At age 52, with 30 years in hospital nursing, I've been thinking of jumping ship. I really like to teach, I think so anyway....
  6. Disaster/Pandemic preparedness

    All real good suggestions, good posting as well. With the fires in California, a timely topic as well. I have a suggestion for all you good folks, take CERT training. CERT, Community Emergency...
  7. I've seen negative pressure pulmonary edema once. A pt, with an LMA, breathing on their own, bit down on the LMA, and took a huge deep breath. Sat's, dropped, bloody frothy sputum up the tube into the...
  8. Using BP cuff to access certain veins?

    I've used a BP cuff instead, occasionally, in addition to a regular tourniquet. I had my shift supervisor, who I totally respect, tell me years ago that the wider cuff does a better job of...
  9. Do you always wear eye protection when circulating?

    In a word,,,,no. For the most part, I feel that I'm too far from the field to warrant wearing specs. Not a bad idea, but I don't. I wear glasses, have for years. When I first needed them, I used...
  10. Fracture tables

    Ours is an extention that we fit on our OR tables, made by Steris/Amsco. We like it, it's not too heavy, one person could handle it, but usually two work on it. It has lots of attachments, so lots of...
  11. I know this question has probably been run through the mill before, but I would like to post it once again. There is a debate starting to gather steam at my hospital on testing the balloon on a foley...
  12. you might be from ohio if:

    The longer this post goes, the funnier it gets!!!! "picked up by the cop" it means ARRESTED!! Hello!!!! I am shocked that picked up by the cops is not universal! A lot of my family says "were you...
  13. When did you decide what you wanted to do in nursing?

    RNperdiem, you and I must have come onboard in the same era. I, too, came out of nursing school with no clue which direction I wanted to go. For me, the local hospital was the first best choice....
  14. What are you using for sponge counters

    Currently we are using a semi-funnel shaped wire skeleton type basket, that sits on top of a 4 wheel stand. I kind of like it because it's easy for the tech to hit, and I don't have to bend over to...
  15. OR call compensation>>please help

    I don't have all the numbers off the top of my head currently, guess I should though, huh? Anyway, we have a small rural Ohio hospital, 6 OR's but staff 3, occasionally 4, at a time. Our shift is...
  16. Surgical Fires Presentation

    Guys, thanks for the help. Actually, after posting, I found a really nice presentation on the Valleylab website, got a CEU for my trouble too!!!:yelclap: Anyway, they have a couple of nice short...
  17. Surgeons "go ahead" problem ?

    In our small rural hosptial, we wait till we see "the whites of his(her) eyes". Most of the time, the doc has to see them in holding to mark the site, answer last minute questions, update the H&P,...
  18. you might be from ohio if:

    Hey, I got another one last night!! When it rains real hard, I've heard of cloud bursts, gulley washers, etc, But "toad strangler" !!???? Anyone else heard this one...and where did this one come...
  19. Stupid question....

    The previous posters are right on the mark here! Pooling of fluids, especially highly flamable solutions like alchol are just a disaster waiting to happen! Just look at the triangle. You have fuel,...
  20. Prep

    Currently, at our hospital, total joints get Duraprep. That's a prepackaged, betadine, alcohol mixture. Our doc then covers the exposed skin with an Ioban drape. On open wounds, you can't use...
  21. you might be from ohio if:

    Early on, I mentioned the main "seasons" in Ohio, winter, almost winter, just past winter, construction and football, something like that. Currently,,,for those not here in the Buckeye State right...
  22. Keeping Nursing Textbooks...???

    Yeah, I kept a few of mine too. Mostly general or specialty nursing type ones. The non-nursing, or less used ones like psych, writing courses, A&P, etc are gone. Before you toss 'em, consider...
  23. pixis in OR

    We've got a Pyxis in our OR. It's in our center hall, easy to get to by any of our rooms. It has all of our meds, locals, antibiotics, ointments, etc in it. It's kind of a double edged sword. On...
  24. How will our new grad Male RN work in L &D?

    A male nurse in L & D, and a new grad on a specialty unit. Two interesting topics rolled into one! As far as the male nurse issue, you know, male nurses "invaded" the all female nursing units...