PetiteOpRN

PetiteOpRN

PeriOperative

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All Content by PetiteOpRN

  1. RN & CPA credentials - What can I do with Both

    OR management. OR, pathology, and radiology are the only revenue-producing departments in any given hospital and have to keep the rest of the hospital afloat. Of the three, the OR is most likely to...
  2. Any aesthetic nurses?

    I work in a plastic surgery center that offer both surgical and spa services. What exactly are your goals? Nursing may or may not be the best way to meet them. In my practice, nursing and aesthetics...
  3. To dilute or not to dilute

    I've been wondering about this for ages. Every surgeon where I work has his or her own "signature" prep. Many use chlorhexidine gluconate at some point during the prep. Some insist that it must be...
  4. At the end of my orientation, my preceptor told me, "it is always better to ask for forgiveness, not for permission." I know this is true in my hospital/department. As far as the "circle of trust"...
  5. Need to ask a few questions for a project...

    1) Explain who determined the basis for the practice (of using urinary catheters perioperatively) This is determined on a case-by-case basis. The surgeon ultimately makes the call. Anesthesia and...
  6. can infants drink water?

    Infants should not be given water. Even watered-down breastmilk or formula can cause massive electrolyte imbalances and has resulted in death. Babies can start drinking small amounts of water when...
  7. Music in the NICU- need your opinions

    I'm not a NICU nurse, but I had a child in the NICU for a few weeks. I was told not to touch her because she got overstimulated (RR up to 130s) when I did. If some of the babies in the NICU can't...
  8. to go or not go to pinning ceremony?

    I decided (the morning of pinning, no less) that I would be happier going to a yoga class than to pinning, so that's what I did to celebrate my accomplishment. Not everyone celebrates the same way....
  9. Disposable safety straps on the OR table

    If they are single use items, can't you charge the patient for them? If the patient is charged, the cost should not be an issue for the hospital,
  10. Level 1 trauma?

    The OR will be open and (during trauma season at least) running 24/7. If you get off at 5 and you hear a helicopter landing at 4:45, chances are you'll have an opportunity for overtime. You will...
  11. How long does it take to love your OR job????

    1-2 years before things really click. It helps if you're on a team/have a specialty so that you're working with the same scrub/circ/surgeons every day and have a better understanding of the anatomy...
  12. Why do nurses eat their young?

    i would be very careful about this. these kind of comments can sound know-it-all-ish and even condescending when coming from a new grad to an experienced nurse. i have seen new grads (and even...
  13. how do you become a plastic surgery nurse

    Plastic surgeons are the last "general" surgeons. They take care of fractures, burns, wounds, they do vascular surgery, microsurgery, and are the experts on peripheral nerve surgery. Within the...
  14. L&D nurse at my wit's end....

    I'm confused as to how this patient was considered asymptomatic. Shock is defined as inadequate tissue perfusion, and hypotension and tachycardia are late symptoms. Change in temperature from...
  15. Are all L&D/Post-Partum units like this?

    I've had two children in two different hospitals, and two horrible L&D/post-partum experiences. When my first baby was born, I was 20 and didn't know how to advocate for myself. The nurses were...
  16. Preoperative antibiotics & medication safety

    -Who is responsible to get them or how do they get to your unit for each case? MD writes the order. Sometimes the preop nurse gets/hangs them, sometimes anesthesia does it. If all else fails, the...
  17. Do you address the residents by title or first name?

    Always Dr. I'm one of the few in my OR who does. Most other nurses call them by their last names, but drop the "doctor" part. A couple of the doctors have taken to calling me Nurse K because of
  18. chloaprep & open fractures??

    It is my understanding that chlorahexidine (chloraprep, duraprep, hibiclens, exidine) is toxic to CSF and contraindicated for use on mucous membranes. In the OR where I work (large teaching hospital)...
  19. Modesty Issues

    I work in a surgery center where the vast majority of our procedures are done under conscious sedation, so my patients are awake when I prep them. The key for me is patient comfort. I meet my...
  20. Are all L&D/Post-Partum units like this?

    With two NICU babies, I don't think home birth is in the cards. It seems like the hospitals are "baby-friendly," just not mother-friendly. I saw the attitude when I was doing my OB clinicals in...
  21. time out boards

    We have dry-erase boards hanging in each OR that we must fill out prior to the patient coming in and then read from during the time out. They are just standard dry-erase boards that you can find at...
  22. Tips on getting into OR nursing from OB

    Most nurses who come from floors feel like GNs in the OR. It is a very different environment, and the only way to learn is to get in the OR. ACLS is always a plus, especially if the facility is...