birdie22

birdie22

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All Content by birdie22

  1. TPN question

    I always got the idea that TPN could only run with lipids and nothing else - maybe I'm wrong. Is it possible to run normal saline into the same lumen as the TPN? What about when you have TPN and...
  2. New Charge Nurse

    At the end of the day, you cant please everyone. You can't be biased towards people you like (dont play favorites) and you cant be biased towards people you arent fond of (dont give someone a bad...
  3. Ohio Atty Gen opinion on non-ACNP working inpatient

    Sorry if this sounds silly, but what does all that legal jargon actually mean? He didnt actually give his opinion and make a decision correct? I'm studying to be an ACNP but dont really see myself in...
  4. OR Scheduling Issues

    We are the worker bees and the queen bee(s) make all the decisions w/o regard to staffing is my motto. That being said, our charge nurses and manager will even go to bat for us, but the chain of...
  5. Sterility

    Totally depends on the case and room layout. Are you turning the HOB 90*? We have some extremely outdated ORs that are super small yet have to accommodate all fancy new devices and technology that our...
  6. Circulator Presence on Induction?

    I was initially trained to always be right at the bedside when the patient is awake - that means when they are being intubated and extubated. That being said, it really depends on the hospitals...
  7. Does your facility teach new grad RN's to scrub?

    Ive worked in a couple different ORs. One of them, none of the nurses scrubbed. ratio of staff was 50/50. Another one ratio was about 80 nurses/20 ST. So during orientation all nurses learned to scrub...
  8. Surgical NPs help

    I cant speak to the billing/insurance questions, but I'm wondering what type of orthopedic group are you going to be working for? I currently work in the OR and will finish my NP degree next year. I...
  9. ANCC exam 2017

    do you all mind answering what speciality you're in?
  10. I need new shoes

    Its trial and error. I think everyone's feet are a different. Personally, Ive used crocs, allegra, and regular old tennis shoes for a bit. I think it helps to rotate your shoes (like every other day...
  11. Of course you're excited and want to get a leg up, but enjoy the time off before you work, no need to pre-stress, there will be plenty of that to come!! That being said, honestly, some advice would be...
  12. In the state of Ohio, you can work as an RN and still hold a NP license. I think the logistics of how to go about it might vary from state to state, but I think its doable in most places. A coworker...
  13. Who Runs Your Operating Room?

    Nursing makes everyday decisions but anesthesia has the final call if there is a
  14. I dont think there is one track that is the "right track". Whichever one you do is the choice for you. Im currently in an ACNP program and self doubting my choice often. Like you mentioned, you can do...
  15. Im currently enrolled in a ACNP program. I actually have no ICU or ED experience so self doubt has become my middle name for the past 2 years. I still dont know if I'm in the right program. All you...
  16. Chloraprep used for facial surgery

    Definitely dont call them at home. If the nurse said the patient was fine before d/c, Id take her word and try and accept that. That being said, we usually use betadine solution for ENT cases just to...
  17. Columbus Area Hospital Pay

    OSU has state benefits, so I think that's why they get away with paying the
  18. Columbus Area Hospital Pay

    Ive heard the same thing regarding pay scale. Ohio Health offers the highest, and OSU offers the
  19. Bair Hugger and Safety Belt

    We use both reusable metal safety belts and the velco one - circulator preference. There are pro and cons to both. Ive never seen a burn or other issue bc of the metal one. Regardless, i usually put...
  20. Long debates at my institution about this topic. General rule, as previously mentioned, scrubs can only sit if the MD is sitting. The debate has recently come up in robotic cases. The MD isnt scrubbed...
  21. Vag prep

    Generally speaking, if you are wearing sterile gloves, you can touch the part you just prepped to move it out of the way to continue prepping another area. If you touch an area with sterile gloves,...
  22. Getting a new Da Vinci XI robot, any advice ?

    You can get specific trays from da Vinci for the scopes which do a good job. We leave ours in a fluid warmer to help with the defog. Most of ours break bc people aren't careful when it's resting in...
  23. Getting a new Da Vinci XI robot, any advice ?

    its a life saver in terms of room functionality. you can dock from any angle and the boom rotates. no more having to make sure the circulator can drive it into the exact location at the exact angle 10...
  24. I know a couple people in the program but dont know specific details on the costs, likes/dislikes. Generally speaking, online is very helpful for work/life balance but be careful because it takes a...
  25. You can work as a RN after you are a CNP in Ohio. Just cant work outside scope of practice...i.e. you are working a shift as an RN, you cant write scripts, pretty