PetiteOpRN

PetiteOpRN

PeriOperative

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All Content by PetiteOpRN

  1. Funniest Things Doctors say!

    While dictating a spine case "...it was stuck, so I took a kocher and ripped it out." "The malpractice attorney will love that statement right there!" "...sorry, change that to 'the lamina was...
  2. Hiding and hoarding supplies

    Seriously not cool. Especially when there is one or two of a certain item in the hospital and someone unilaterally decides to *move* it and neglects to tell anyone else in the OR where it is. I'm sure...
  3. Question from left field

    I wear the same scrubs from the start of a shift to the end (including lunch) unless there are copious amounts of bodily fluids or some other foul substance all over them...then I
  4. Plastics RN here. At our practice, RNs can administer topical analgesics (lidocaine) and PO and IV analgesics (percocet, vicodin, valium, fentanyl, versed). Conscious sedation is performed under...
  5. Axillary rolls

    When I have used gel ax rolls, they "burst" and the gel got all over the patient and the surgeon (while he was marking). Since then, no more gel
  6. OK, Y'all...I need some advice

    Do you have a nurse educator in your OR? If there is a group all coming in at once, can she spend a day with them to do an OR refresher course? In the middle of a big case is simply not the time to...
  7. Are you comfortable selling BOTOX?

    If you are hired, it is not unreasonable to request for an injection specialist to train you (Allergan can send someone at no cost to the practice). I have worked in plastics for 4 years and it is...
  8. Ok, what's the real deal with new grads?

    What is the deal with new grads? They are yummy. Almost as yummy as student
  9. OR manager working a room

    I have been a manager (notice past tense) and the skills are not interchangeable. Someone can be a great nurse, but when they're in a leadership position things just do NOT run smoothly. Yes, a...
  10. Hiding and hoarding supplies

    That is exactly what is going on. Do you address it with management? Confront the individual? Stoop to their level? I've always tried to rise above it, but it's gotten really out of hand in the...
  11. Hiding and hoarding supplies

    Canes, you are way too nice! I don't think anyone (in my OR at least) stashes stuff to be helpful. Argo, if I can make enough money selling tickets, I would so do
  12. Donations of Sunscreen--how to get some...

    I second the derm office idea. I work in plastics, and we have more sunblock than we know what to do with. You might be able to get the office to do a "sunblock drive" for the kids and get the...
  13. Compassion or reality for obese patients?

    if you think that anorectics are treated with anything resembling respect, spend a shift on an inpatient eating disorder unit. they are dehumanized just as, if not moreso than, the obese. if...
  14. Compassion or reality for obese patients?

    AN is wildly underdiagnosed. Disordered eating is disordered eating. AN is no different than other forms of eating disorders. The mortality rate for people diagnosed with AN is higher than the...
  15. Compassion or reality for obese patients?

    We DO force feed anorexic patients...in the inpatient setting, they must eat a certain percent of each meal (usually at least 90%). If they fail to meet that, they must drink a meal supplement, if...
  16. Circulating Rn expected to admit and recover patients.

    In my OR, we have to document certain anesthesia information. I document "XXX per anesthesia...not witnessed by
  17. suspension for hostility

    I've been accused of creating a hostile work environment when I've spoken out to advocate on behalf of my patient. I file a complaint of my own, against the parties responsible for inadequate care,...
  18. No handwashing equals fines?

    Not all handwashing is equal. For instance, a surgeon must do a 3-minute wet scrub at least once a day (when operating), but can do a dry scrub afterwards. In neurosurgery wet and dry is required...
  19. Foley Irrigation in the OR

    Hmm... Infant formula is the perfect growth medium for bacteria, sterile or not, which could lead to UTIs if not completely irrigated out. Furthermore, something tells me formula is not altogether...
  20. Torn between Nursing and Medicine

    Have you really looked into the quality of life for each career? My father is a neurosurgeon and he loves his job. He is very successful and can't imagine doing anything else. At the same time, I...
  21. Looking professional all day long . . .

    http://www.kimscaps.com For the OR nurses and anyone else who really doesn't care about doing their
  22. Obstructive nurses

    We have a group of particularly obstructive nurses at my hospital -- the holding nurses. There job description seems to involve maybe taking one set of vitals. Put the patient in a gown? No, I do...
  23. Where to get workers comp taken care of?

    If you were being treated for a work related injury and found to be at MMI, the case is closed. If you were not found to be at MMI, the case is still open. You can contact your nurse case manager for...
  24. Theraputic Privilege: An Ethical Dilemma

    Doc's options are: 1. Do the biopsy. If the patient has cancer he dies, if not he's fine, but for a little scar. 2. Don't do the biopsy. If the patient has cancer he dies, if not he's fine. Since...
  25. You must have a VERY high tolerance for drama. Being very manipulative is a plus-that is how nurses succeed in this industry (and many small facilities, not just plastics). I've done plastics for...