mcmike55

mcmike55

surgical, emergency

Member
  • Content

    369
  • Visitors

    6,393
  • Followers

    0
  • Likes

    1

All Content by mcmike55

  1. Laser in the OR

    To answer your questions, Yes we use lasers. Mostly CO2 for Gyn cases, and a few different ones for Uro. Holmium for stones, and strictures, bladder tumors, also Green light laser (used to be...
  2. I need advice...

  3. Female Foleys!

    Female catheterization is often a real challenge, especially as we see more and more obese pts. I'm lucky in the OR, as under anesthesia we can position and retract in ways that you often can't on the...
  4. Foley balloon, test or not to test

    I'm not sure where this question originated. My supervisor emailed it to us, I think Bard was associated with it. Haven't checked with the company yet. At first, testing does sound a bit like a...
  5. OK I got one,,,I got one for you. This happened several years ago while I was working medical ICU. The shift going off told us to keep a close eye on the family of a pt that had, earlier that evening,...
  6. Labeling preps???

    Ok,,,,for the record, I do believe in labels. Sort of sounds like the cowardly lion in Wizard of Oz...I do believe in labels, Ido Ido Ido Ido Ido Ido.... Anyway, I feel that just because it's a good...
  7. Instrument Counts

    At the "suggestion'" of our insurance carrier,,,,our hospital is planning to re-institute instrument counts. Ok, I know, we should have always been doing them.....let's not go there!! Moving on....my...
  8. Padding devices to prevent skin breakdown

    A while back, we changed all of our OR table mattresses, to that memory foam type stuff. Amsco/Steris is our company. We did that pressure point CEU books too,,,good stuff, nice especially for our...
  9. Smoking Ban Hurting Us????

    Recently, our small rural hospital layed off just over 20. A mixture of RN's, LPN', aids and others such as ward secretaries, all mostly in nursing dept. Other areas, are going home early, etc, in...
  10. Instrument Counts

    Grimmy,,,I agree, I would like to see an attachment for the back table. Might come in handy at times. Sort of like attaching a Thompson, but to the back table instead of the OR table I guess. We...
  11. Instrument Counts

    Thank you all for your responses!! I knew I could "count" on you! To respond to a couple of things that came up. Our techs are usually busy during closure holding retractors, etc, acting as first...
  12. Time Out Procedures

    We've been doing time outs for some time, a little ahead of the pack I like to think. When we started it, a couple docs got right on board, a few others we drug along for the ride, until they got...
  13. age for not taking call

    Our place is also 60, but, I'm not sure of the 55 mark, I just turned the big 5 zero, so I'll be checking up on that. We started this policy a few years ago. It came about when a couple of our more...
  14. Cast carts-how do you do it?

    In our OR we have a cast cart that normally sits in the back hall near our normal ortho room, but is mobile. What we did is take a wheeled linen cart. It is stainless steel, about 5 foot tall, 2-3...
  15. What would you do...?

    Paper undies??? Pass,,,,sound itchy. I'll stand by what I said earlier. If they are not in my way, I tend to leave them alone. Again, if they are in the way, or even possibly in my way, I'll ask...
  16. What would you do...?

    Ok Ok, once again, it looks like I am going to throw myself in front of the flow of comments. In years gone by, taking off the undies was critical. When we were still working with flamable anes....
  17. skin prep

    We use Dura prep for the most, but still have stock bottles of Betadine Scrub, Solution and Hibiclens. I know stock bottles are a throw back, but we have had little problems. We are getting ready to...
  18. Staffing in Total Joint Cases

    I work in a small rural community hospital. For totals: 1 anes doc 1 circulator 2 scrub techs One ortho doc works alone so that adds work for the techs, the other doc has one of his office nurses,...
  19. Is it wise for a new grad to start in ICU?

    I guess that I would have to ask my daughter,,,,she just got her RN (ADN) and is now orienting in ICU. She seems to have a wonderful preceptor, and a lot of supportive co-workers, which is critical...
  20. Be a Volunteer??

    MT,,,welcom to the wonderful world of CERT and the Citizens Corps!!! I wish more people, nurses or not, would become a part of their local CC. I figure you have noticed, or will soon, see that the...
  21. Topamax

    First off, I'm glad to hear that there is something out there to give you all some relief of your problems!! Thank Goodness!! I find it interesting how a drug is good for several different...
  22. I found this article recently in the July '05 edition of Outpatient Surgery Magazine...and wanted to pass it along for your enjoyment, and participation. A big thanks to Paula Watkins RN,CNOR. Paula,...
  23. A question about labels in OR

    I bring a question to you all, the all-knowing, all-seeing family of allnurses.com. Sort of the internet version of the magic 8 ball!:chuckle Any who.....in line with national pt safety standards,...
  24. you might be from ohio if:

    MLOS, where in West. Pa are you talking about. I spent a lot of my time in the Beaver Falls area. That's were I really noticed some of the things we have been talking about. Hoopies........that is...
  25. Enemas in the OR suite......????

    I responded to this question shortly after it was posted, but some-how didn't make it, so I would like to add my 2 cents. I agree with the others, something is just not right here. One, BM'S in the...