Mourkoth

Mourkoth

ICU and Perioperative

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All Content by Mourkoth

  1. Patient safety in a down economy?

    Mourkoth posted a topic in Operating Room

    Hey, I've got a question. Do any of you have any safety concerns or have witnessed a compromise in safety since the economy has had a downturn? The reason that I'm asking is that I'm new to the OR...

  2. Patient safety in a down economy?

    Mourkoth replied to Mourkoth's topic in Operating Room

    Hold on there Ms. Critical, Lets cut the "I'm better than you finger pointing stuff". The chart was there in the room and I was the circulator. I just turned a few pages back and saw the old...

  3. Anyone Have 10 hour shifts in their PACU?

    Mourkoth replied to All4Seasons's topic in PACU

    Our hospital is a 24/7 level one trauma center. We have a variety of shifts in our PACU. 8, 10, 12hr and some call shifts. The manager tries to be creative and flexable to accomidate for the OR...

  4. Lose Nursing Skills??

    Mourkoth replied to trepinCT's topic in Operating Room

    I graduated nursing school in 1985. I spent most of my career in the ICU setting, with 8yrs in the PACU. I was burned out and wanting a radical career change. I was looking to exit the medical field...

  5. Limit to the Number of People in the OR??

    Mourkoth replied to EvaJ's topic in Operating Room

    Hi there, We are a huge teaching hospital. Our ORs are really big and we don't limit number of student. We have 22 OR rooms and are building 4 more. I feel that regardless of the teaching aspect, the...

  6. Turnover time between cases

    Mourkoth replied to lc4043's topic in Operating Room

    Our goal is 30 minutes However it rarely happens. Our schedulers seem to be oblivious to the proper flow. For example they will schedule a femur fx with an OSI traction table then to follow they want...

  7. Cloth surgical hats

    Mourkoth posted a topic in Operating Room

    Hey, I have an informal poll, or a question for everyone. We reciently had an incident in sterile processing where there was some hair found in one of our drills (after processing). We were opening...

  8. What would you do ?

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

    Hey, I wouldn't leave the room for anyone, especially if it was a non-emergent case. I'm very new to the OR enviroment, but I've seen night shift call where real emergency cases come in and the nurse...

  9. count sheets

    Mourkoth replied to joeshaf's topic in Operating Room

    Well, I'm saying it!! I won't mention any names, but I work at one of the two level one trauma centers in the state of Oregon. We never count anything from the tray on any extremity case. We, as...

  10. Regarding surgical consents

    Mourkoth replied to sharann's topic in Operating Room

    If it is an Emergency case and the patient is from the ER, then a consent in not absolutely necessary. It is preferable but not necessary. If it is an in-patient and the case is not an emergency and...

  11. count sheets

    Mourkoth replied to joeshaf's topic in Operating Room

    This debate is really not about patient safety. It is really instrument accountability, and cost containment. In a big OR, instruments sometimes get lost. Someone has to be accountable (or to blame)....

  12. y'all ain't going to believe this one!!

    Mourkoth replied to ebear's topic in Operating Room

    Maybe the patient marked the site as a joke. I had a patient who was getting a Left total hip done. He marked on the Right leg, "No not this leg, this is not the one. How about you walk around the...

  13. count sheets

    Mourkoth replied to joeshaf's topic in Operating Room

    Whats a count sheet? I'm new to the OR and we count Laps, Rays needles, TW's loops, hypos, kb's bovie tips, scratch pad, ect. We don't however count

  14. scrub people who throw off all their raytecs?

    Mourkoth replied to mikethern's topic in Operating Room

    I think that sometimes it is ok to throw off your raytecs. If I don't plan to use that many rays in a case. I will count them with the circulator and then roll nine of them up real tight with one...

  15. Hiring a BSN vs. ADN nurse

    Mourkoth replied to Julie4804's topic in General Nursing

    I worked for 6 years as a director of nursing. With experienced nurses there was no difference. If they were both new grads, I'd go with the ADN every time.

  16. Is working night shift expected of new grads?

    Mourkoth replied to LNDRN19's topic in General Nursing

    I work at OHSU in Portland OR. They have a 6 dollar an hour night dif and free parking for night people. That doesn't sound like much but the day and evening shifts have to pay 10 dollars per day for...

  17. I have a severe migraine. Ideas, please?

    Mourkoth replied to Hellllllo Nurse's topic in General Nursing

    The advice about recording your food is the best idea. I had migraines for years. Usually in the summer and probably one a month sometimes two. I watched my diet and recorded everything. I found out...

  18. Needing Info on Neuro Breath

    Mourkoth replied to topkat's topic in Neuro Intensive Care, ICU

    I asked a Neuro Sergeon about this bad breath. This terrible breath seems to even smell similar. I said that it was terrrible even after repeated episodes of oral care. We've tried everything. The...

  19. Guys what made you chooose nursing

    Mourkoth replied to 2bnurseguy_2005's topic in Men in Nursing

    You said that you hate nights? I love it. Where I work, there's less politics and the back stabbing and grumbling then what you typically see on the day shift. No offense intended to the ladies but,...

  20. Guys what made you chooose nursing

    Mourkoth replied to 2bnurseguy_2005's topic in Men in Nursing

    I have worked in many (nursing) jobs in the last 20 yrs. Clinic work Endoscopy, Rad clinic, surgery, Neuro-Trauma ICU, ER,to name a few. I'm now in the PACU on night shift. We're at a level I trauma...

  21. Guys what made you chooose nursing

    Mourkoth replied to 2bnurseguy_2005's topic in Men in Nursing

    I worked in a machine shop back in the 80's when we were stilll realing from the Jimmy Carter years. I suffered a layoff and took the opportunity to go back to school. I saw in the classifieds there...

  22. I have a severe migraine. Ideas, please?

    Mourkoth replied to Hellllllo Nurse's topic in General Nursing

    Yes, I have suffered from migraine headaches. For the short run, try Excedrin extra strength. Then after you get to a doctor, try Imatrex. Seems to work pretty good. For the long run. Do...