mcmike55

I'm sure this is a topic that has been covered before, but I told my supervisor that I would ask. What do you, "all knowing surgery nurses" use as prep solutions. We use Dura Prep for most things, betadine and alcohol in a ready to go applicator. We...

We have always pulled our meds and put them on that procedure's case cart ahead of time, but I'm hearing that this may need to stop. In the morning, we take our case carts from Sterile Processing into our central hallway, and put them outside the OR...

All meds are kept locked. The majority are in the Pyxis fridge. We keep a small amout of meds (insulin, Pepcid, etc) in an unlocked fridge in our holding area, but the door to the med room is closed and locked when unattended. Our narcs are lock...

When we are closing, and know for a fact we are going straight back up to ICU, I'll give the nurse that was taking care of that pt a heads up type report. I'll give the nurse a thumb nail report, including what we did, lines added or subtracted, vent...

So often something said during surgery can be taken the wrong way, and Ortho seems to be the easiest target!! "that's what she says" it the punch line in our OR. I swear, during one long day in the ortho room, I bet we said that line 90 times!! Some ...

We use a beach chair drape from Kimberly Clark that works very well. It's sort of a split sheet, that starts above the shoulder, then pulls around below. It has some really nice sticky strips that hold it. The fluid pouch is separate, which allows...

First off,,,,,I have got to say,,, sm9796,,I LOVE the terms that you use!! I want to change our lounge into a tea room.......and I am going to try to use the word Quiver for the holster for our bovie. I Love it!!! Anyway, two sponges I can remember,...

The lithotomy position with pus is a close second,,,but fans I think we've got a winner!!!! Pt. that weighed about 900 lbs. with a lg. pannus came in to get a vertical banded gastroplasty. Raised up pannus to begin prep and found rotting chicken sa...

We use Hibiclens (?sp) for the majority of our vaginal preps. One doc still likes Betadine Scrub for vaginal preps. We were told a while back that we were to use Hibiclens full strength. I still can't quite bring myself to that. I still dilute ...

If I remember correctly, long, close exposure to x-ray does put you at risk for early cataract developement. But I've always thought that was for those working in x-ray and cath lab. I've heard of lead glasses, but never seen them, not in the OR an...

Over the years, it always seems the newest RN that comes to the OR from the floor, is fairly routinely called back to help. After a few years, it rarely happens.....guess they are useless up there! For myself, all He-- would have to break loose bef...

We've re-thought our ax rolls. Before, we used an IV bag rolled into a towel. I've always been careful to not have wrinkles or seams before insertion. Recently, we were told that IV bags were not appropriate, despite never having any trouble. So...

1. Do you prep the umbilicus first or last in an abdominal prep? I usually start with dropping a little prep fluid in the umbilicus, sort of letting it soak. Let's face it, some belly buttons need more help than others. I swear...

I also work in a small community hospital. Three OR's, Level III trauma center. We have a MD anesthesia doc, RN circulator, Scrub Tech and PACU RN call team. The RN's average about one night a week on call and about 1 in 6 weekends. We are very goo...

nrsman....if you want, search the prior posts on just this subject in Allnurses.com. I think you'll find..if you are speeding, you are breaking the law. Period. Not many OR nurses I know have the high speed driving skills to handle a high speed run t...

I don't have the actual documents in front of me, but I saw some info coming down the chute on this in early summer I think. The FDA says Steris made modifications to the System 1 after it got approval. As I understand this, the modifications, in t...

I can use some input on this one. Our new Ortho Doc wants to use the Moog Pain Pump on shoulder cases. You know, the kind filled with Marcaine and drips in. We used them years ago, (different type) and had no problems. Doing a brief lit review, I...

My favorite, was the metal Scottie dog from a Monopoly game. A small child swallowed it, and there it was in the AP throat film, just laying there!! Perfect side view!!! Also, I attached (I hope) a photo I found online years ago of a bottle where ...

How many times have you heard someone say "oh, I didn't recognize you with your clothes on !" That's a classic, though not usually from a S.O. My favorite came actually from another nurse. I was teaching CPR classes many years ago, when we used Annie...

A couple of years ago, our pt's arms looked like a rainbow!!! We, as others, had red, blue, yellow, green etc, etc bands for different types of warnings. It was a disaster if we had to cut them off to start an IV!!! We went to colored dots, atta...

What I would do....politely ask for those cloth masks, take, them and put in a surgical archive!!!! I've not seen a cloth mask in over 15 years, let alone see anyone wear them! Do they still wash and sterilize their gloves too!!?? How about their s...

Agree with the others on this, I suggest you look some where else for your fatigue. I would bet you could leave an anes. machine on full blast in a closed OR all night, and not notice the next morning. If your OR has the correct air flow rates, funct...

Have not done a lit review in a while, so, I'm not sure of the latest numbers and findings. I figure this is one of those, one is good, two is better type things. Especially in this case as the mechanism is somewhat different. As I understand.... T...

Great story,,,,, I used to run the CO2 laser in our OR as well. One of our surgeons was vaporizing some skin lesions off a man that I knew, so I stopped by the holding area to say hi. He asked if I was going to be there, and I said I was helping the ...

There is a lot of different sutures and suture companies out their, of course with their own brand names, so it can get confusing. Basicly, sutures come in absorbable, and non absorbable. Absorbable suture is as it sound, is absorbed by the bod...