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RickyRescueRN BSN, RN

ICU, Trauma, CCT,Emergency, Flight, OR Nursing
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RickyRescueRN has 25 years experience as a BSN, RN and specializes in ICU, Trauma, CCT,Emergency, Flight, OR Nursing.

South African trained RN, American Citizen & proud of it! Ambitious, driven, believe in old fashioned nursing Ethos & Professional Practice/ values. Stickler for High standards.Believe caring is the basis for being a nurse.  Past-President of Air and Surface Transport Nurses Association (ASTNA.org). Enjoying my new specialty as a Neurosurgery OR scrub RN & circulator.

RickyRescueRN's Latest Activity

  1. RickyRescueRN

    What to charge for chart review/opinion?

    Be sure to have a retained contract / agreement drawn up and signed by yourself and the attorney you will be working for. I charge a retainer of $1000 before I start any work or offer any thoughts/ opinions. Reading this thread I was startled to see how much people are charging for their hourly work . I only charge $130/hr and have been doing legal nurse consulting on the side for 7 years. Guess I might have to up my rates.
  2. RickyRescueRN

    OR electrical outlets

    I have seen them in some of the older Ors where I work as well. I would post it on The OR Life facebook group page and ask the question as I know there are many long serving and retired OR nurses and techs on that group page who would know.
  3. RickyRescueRN


    I have friends in Italy that work as nurse anesthetists, but it is nothing like the scope that CRNA's have here in the USA. Nurses also function in Switzerland (bordering Italy) as anesthetists , and I have a friend working in a hospital there presently. It is possible, however the scope and the salaries are not what they are here in the US.
  4. I wonder who was telling you all these "horror stories". Clearly someone who has no clue. You have good experience and a solid foundation in nursing . You will be an asset to any operating room team. Hearing of surgeons yelling and other personnel behaving unprofessionally ; I say this. They do that because they have been enabled by those who work with them to behave badly. You do not have to accept that. Call someone out for being rude and unprofessional and disrespectful. In this day and age, it is highly inappropriate to behave in such a way in the work place. Be the change and DO NOT enable such bad behavior by remaining silent. I've been a nurse for 24yrs and been in the OR for just 2 years and am loving it, but will not tolerate rudeness, bullying or other unprofessional behaviors . Stand your ground , knowing you are the better person. Learn lots, and fosters strong team relationships. Best of luck.
  5. RickyRescueRN

    Call pay?

    California Bay Area Academic hospital. We get 1/2 our base pay per hour on call (roughly $45-$50/hr) then time and a half when called in. We are union represented nurses.
  6. RickyRescueRN

    What to do if home is too far for ‘on call’?

    I live an hour away from my hospital , so I try an do my call following my shifts (usually 2-4hrs of call following shift). When I do overnight call, its from 11pm until 7am and I usually stay at a Hilton Garden Inn near my hospital . Our Call pay is 1/2 our regular rate so being on call pays for the hotel room ( which is discounted for healthcare workers) and then some. When I am on call on the weekend 7-15:00 or 15:00-23:00, I usually visit friends who live near the hospital who I don't see that often and kill time that way.
  7. RickyRescueRN

    Student nurse questions...

    Hey there, Whether you plan to do FW flight nursing one day or RW, the requirements in terms of education and experience are the same. I'd highly recommend you read through all the other threads here in this specialty page as the answers to your questions posed, are all there and have been answered in previous posts ( I answered these questions several times myself). On FW transports, these patients are not always stable. Many are critical care transfers so having extensive and varied experience in the critical care specialty is essential as you draw upon that when you are taking care of patients on your own , outside of the hospital environment. You shoulder the legal responsibility for care of these patients entirely as well, so remember that. Most FW services that I know , expect their RN's to be on call and available for several days in a row with the ability to depart on a flight at a moments notice, so reliable childcare which you trust is essential. You have a long way to go though so , don't worry about those issues as you have years ahead of you before you will need to even think about those matters. You need to get your BSN, then get into an ICU for at least 5 years , complete your CCRN as well as ACLS, PALS, NRP, TNATC courses before you will be eligible to apply for any flight nurse position. Enjoy the Now and being a nursing student; soak up all the experiences that you are exposed to and keep your mind open to the many areas of nursing that are out there and don't box yourself in to one specific super specialty at this stage of your life. Best of luck on your journey!
  8. RickyRescueRN

    Advice to a student nurse.

    Hey there, I'd strongly recommend that you read the other threads in this specialty section as everything you want to know is there and has already been posted and asked by others in the same situation as yourself. Best of luck
  9. RickyRescueRN

    CVICU to OR?

    I've been in the OR for almost 2 years now after having spent my whole 23yr career as a RN in ER/Trauma, All the ICUs and Flight nursing for the last 10 years. Rose Queen is spot on when she states that as experienced nurses we put so much pressure on ourselves being the novice in the OR. Having worked in the critical care environment for so long, I was used to making decisions and performing interventions etc barely without thinking about it. It essentially is going from being a Proficient (Benner) back to being a novice and trust me that can be really hard sometimes as one wants to prove oneself as being competent and knowledgeable , however that takes time. I can now circulate most run of the mill cases on my own and dare I say, reasonably competently. My specialty is neurosurgery and so have been scrubbing craniotomies and deep brain stimulation and peripheral nerve cases for the past 10 months. I am started to train as a scrub RN in spine now which is another big learning curve, but I am loving it and loving the challenge of learning new skills from my very supportive, knowledgeable and skilled OR colleagues. I think that has been key for me. Being in an accepting , encouraging and positive learning environment with preceptors and colleagues who enjoy teaching (Im also in a large academic hospital so the 'teaching' environment permeates everything ) Best of luck in your journey. I'd encourage you to go for it.
  10. RickyRescueRN

    Scrubs in the OR

    If you are working in the Restricted Zone of the OR Suite (actual operating rooms/ theatres and sterile cores etc) you should be wearing hospital provided and hospital laundered scrubs. That is the accepted standard per AORN and other surgically related organizations.
  11. RickyRescueRN

    Wanting to apply to new flight RN job (newbie)

    That should not be an issue as most program usually give one 6 months to get the NRP and TNATC or equivalent trauma nursing certificate/card. Just by what you mentioned here, sounds like you have the required experience and education for the job. I would strongly advise a visit to the local base to meet the crew and even do a Fly Along, if that is offered, to be sure that is where you want to work. Definitely keep a part-time/ per diem position with your current employer as transport/ flight nursing sadly does not pay nearly as well as Hospital nursing does.
  12. RickyRescueRN

    Call pay?

    CA Bay Area hospital. Get 1/2 our regular pay rate for duration of 'on call' time. If we get called in its time & a half for the entire called in period. It's a pretty good deal all round so everyone actually wants to do call.
  13. RickyRescueRN

    Periop 101 Program Questions!

    I did my PeriOp 101 program 18months ago , though I was a nurse with 23yrs experience in ICU, ED and Flight nursing. Our course was 3 months long as we were all experienced nurses from other specialties. We would spend some weeks just in the classroom and simulation center and in an empty OR with our lecturers learning the foundations and basics of OR nursing. We had ample time as well to work on our modules during classroom time. We had many guest speakers come in an speak on areas such as hemostatic agents/products , suture. wound closure etc and did visits to other areas of the hospital such as blood bank, lab, pathology, sterile processing etc . Other weeks were spent with our preceptors in the OR actually doing what we had been taught in the classroom which was very beneficial . Also spent time with anesthesiologists , OR techs and OR charge nurses learning about their various roles and our role in relation to them. Spent a fair amount of clinical time learning the scrub role and scrubbing for various cases with a preceptor. We did a review every week of what we had covered . We had a month or two in the clinical area (working as circulators and scrubs) before taking our final exam which helped firm up all we had learned in our class. Typically if you are a new nurse, you will have a week of Hospital orientation to get all the basic HR stuff completed as well as various compliance online modules (HIPAA etc)then you will start a residency of sorts with dedicated preceptors . Where I work new grad residency programs usually also include a project (usually research based) for groups of nurses to do related to the specialty that they work in. I know you are excited and what to know what your program will look like, but as happened in my case, nothing really happens or gets announced until a week or two before the course starts. I would definitely recommend getting a copy of Alexanders textbook for preoperative nursing and the other one called Operating Room Technique (Berry & Kohn , I think) as these will help you tremendously during your course and growth as an OR nurse. I also bought "Surgical Technology: Principles and Practice" as where I work RN's do a lot of scrubbing for cases and this book covers things nicely. Best of luck in your new career.
  14. RickyRescueRN

    Periop 101 help!

    Congratulations on passing your periOP 101 exam.
  15. RickyRescueRN

    Career Existential Crisis

    don't pay that miserable person any attention. Probably some burnt out bitter individual who feels better about themself when upsetting others or being negative. Just ignore them and surround yourself with people who are positive and encouraging (yes they do exist in the OR).
  16. RickyRescueRN

    Change specialties? learn more? feel dumb!?

    Have you thought about doing ICU for a year or two , or even having a Per Diem job in the ICU ? That will help you immensely with knowledge on various analgesic, sedative and paralytic agents as well as hemodynamic monitoring and physiology in critical care. I spent the first 23 years of my career working in various ICU settings, Trauma/ED and as a Flight Nurse. Been in the OR over a year now and often find that all that experience benefits me a lot .