Kingbandit

Recently our OR started pushing our Dr's to use Chloraprep. Last week one of our ortho Dr's demanded the nurse prep an open femur fracture. His reasoning was that he had reformed a pre-scrub with a chlohexidine scrub brush. The nurse refused and he p...

What is the AORN & JAHCO's position on multiple rooms? Our management has allowed a surgeon to have 3 rooms, cause he's fast and had a lot of cases. I requested a different assignment, I didn't want my lisence to be at risk.

You may have seen hundreds of people die before, but when its a patient under your care you feel like screaming. You have so many emotions, I for one kept replaying the code over and over trying to find my mistakes. I didn't nor did anyone else, you ...

I have a unique perspective, twas a scrub tech for 10yrs, then a RN for 6yrs. The education for surgical tech was 1 1/2 years at a community college. I graduated with an associates degree. The core curriculum was all about instruments and how they in...

The OR nurse must be able to recognize the possible/real injuries, and have all instruments ready. You will learn assessment skills, as well as circulating skills. The trauma nurse should get their ACLS certification if they want to transport trauma ...

Which services are new nurses oriented to in your facility? How long is the typical orientation? Does your facility orient to other shifts (evening, nights, weekends)? Are services/teams chosen or do new nurses get to pick. Are your teams picky about...

Our hospital uses the universal protocol time outs. We still have several drs who treat it as staffs delaying cases, others get upset to just turn down the music or anesthesiologist who won't hang up the phone to verify the information from the wrist...

Thanks, I have been there 10 wks and I feel comfortable enough to move to off shift training. Each one of my service preceptor's have signed off, but the manager is making me stay in orientation for 6months. I just want to move on and be productive. ...

I'm sure by now you have heard the old "go do med-surg first" I love the OR because: 1) Drs love teaching for the most part 2) You get to see some pretty cool things 3) Awesome stories 4) usually you get to work with a certain service/team 5) You can...

I started my healthcare career as a nurses assistant. I then graduated as a surgical tech. I held this role for 10 years. I spent 6 years in the ER and was looking for a change. I knew the pace, cases,doctors,staff, & management. If I had gone an...

When I first started, I was quizzes not only about dosage calcs, but also drugs themselves. Like mechanism of action for beta-blockers, nitro. Reversals of opiates-arcane, denzos-flumazicon. Side effects of certain meds like calcium channel blockers-...

Thanks, I wish staff had more support in protecting our pts right/health, but drs say I'll take my cases elsewhere and management backs down. It happens anytime we have staff vs Dr, we lose.

I agree with caliotter I start with Dr then, if they say call me "Pete" I will drop the Dr. I find it difficult when they become staff, to go back to Dr though. But I'm working on it.

usatoday.com/news/health/2010-04-16-nurse-doctors_N.htm Cut and paste the link above. YES Today published a piece about the healthcare reform bill might lead to an expansion of advanced degree nurses role in caring for the millions of soon to be insu...

Our management is making it a requirement to transport its to/from ICU or ER. My take is I'll go to any class that they will pay for.

I work in q 600 bed inner city hospital, our OR has 20 rooms. ACLS is optional, but due to magnet status management is willing to pay for any nurse interested in taking it. Even though we never "code" a pt in the OR, every nurse, CRNA, & Dr shoul...

The most important thing is consistency, always set up the same no matter what the case is. That way it becomes rote memory. Next is to organize by need, if the first thing the Dr needs is Allison clamps don't have retractors ad the first instrument....

Our policy is tape or pre-printed labels only, even iv bags. No one will give me any rational except its policy. I still use my sharpie on the tape.

In my state (Ohio) they are viewed as the same thing licensure wise. The facilities in town have different views, my facility makes the designation that nurse managers must have a minimum of a BSN. We have Magnet status. One of their forces of magnet...

In my state (Ohio) they are viewed as the same thing licensure wise. The facilities in town have different views, my facility makes the designation that nurse managers must have a minimum of a BSN. We have Magnet status. One of their forces of magnet...

1) able to leap tall buildings with a single bound. Seriously, able to visualize the big picture. 2) good customer service (pt, family, Dr, staff, & reps) 3) able to multi-task. 4) does not know everything, but. knows where to get the info. 5) kn...

I was hired as a surgical tech in 1994, straight out if school. After 10 years I got my nursing license. I chose to go elsewhere to learn skills I knew our nurses rarely used like starting/using iv's, ACLS, sedation, cardiac monitoring, & ventila...

This just my opinion. I have an unique perspective on things. I began as a sure tech then got my ADN. I realized I wanted to create a varied set of skills, so I chose to enter critical care. The experience I received really can't be taught. I never ...

I would add, you can clean up any bodily fluid, wash your hands, then go eat. We can gross anyone out with our stories. You have little tragic no matter what the shift

#1 carry scissors & hemostats. #2 know the anatomy, if you know why your doing the case its easier to imagine what you need. #3 Understand the different future types so when they ask for something you can be q step ahead. #4 Relax and enjoy every...