GHGoonette BSN, RN

PACU, OR

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All Content by GHGoonette

  1. GHGoonette

    What meds would this PACU test cover?

    GHGoonette replied to BluegrassRN's topic in PACU

    Oops, just re-read my post! Not Norcuron, that's another neuro muscular blocker! NALOXONE! Also known as Narcan, opiate reversal agent, but you should know that! Sorry for the
  2. GHGoonette

    PICU to perianesthesia

    GHGoonette replied to adgarner1's topic in PACU

    Perianaesthesia is really the big picture, as opposed to post anaesthesia. The former embraces all aspects of the theatre patient; pre-operative preparation and care, intra-operative monitoring and...
  3. GHGoonette

    What meds would this PACU test cover?

    GHGoonette replied to BluegrassRN's topic in PACU

    Don't forget neostigmine, flumenazil (anexate) and norcuron. Also your anticholinergic substances like Robinul and Atropine. You'll need to know the difference between the different muscle relaxants,...
  4. GHGoonette

    Kudos to OR Nurses!

    GHGoonette replied to Baubo516's topic in Operating Room

    LTC??? How on earth have you been coping? I did my share of LTC, also psych and frail care back in the way back when but you couldn't torture me out of the theater complex
  5. GHGoonette

    Mixing pacu phase 1 & 2 pts

    GHGoonette replied to stella~'s topic in PACU

    Neither is a really bad concept; preop and phase 2 can work together provided the post-op patients are relaxed, pain free and no PONV. Putting phase 1 and 2 together can also work, provided the phase...
  6. GHGoonette

    Post op recovery of regional C-section

    GHGoonette replied to planny's topic in PACU

    Yes, we recover our c-sections in pacu. They VERY rarely need to stay longer than 20
  7. GHGoonette

    Operating room nurse wants to become a Pacu nurse

    GHGoonette replied to Amagoo's topic in PACU

    Can you do a bit of circulating/anaesthetics before you switch? In my experience, nurses accustomed to assisting the anaesthesia provider and who have a good knowledge of the drugs used have a pretty...
  8. GHGoonette

    Mixing pacu phase 1 & 2 pts

    GHGoonette replied to stella~'s topic in PACU

    Smaller hospitals do not have space for a phase 2 area. Ours does not, and is very space restricted, so we have to fast track our patients out. I would LOVE to be able to provide phase 2 level care,...
  9. GHGoonette

    charting meds dur conscious sedation for another rn

    GHGoonette replied to nursecheryler's topic in Patient Medications

    There are times when a second person doing the charting is, if not essential, at least extremely useful in ensuring that correct times of administration are recorded and also in recording events, such...
  10. GHGoonette

    ICU RN in need of less physically demanding unit, PACU?

    GHGoonette replied to SunshineRN32's topic in PACU

    PACU can be very physically demanding on busy days, especially where you have more than one fast-moving theater list. If it's ent with a lot of peds, you can be run off your feet, and you'd be amazed...
  11. GHGoonette

    Saudi Arabia - Good Idea or Not

    GHGoonette replied to 43RN20's topic in General World

    After what happened to Prof Karabus (local pediatrician, retired) in UAE, you wouldn't catch me working in any middle Eastern
  12. GHGoonette

    Win $100! February 2013 Caption Contest

    GHGoonette replied to Joe V's topic in News, Announcements

    Stop PANICKING! It's just a novelty sherbet
  13. GHGoonette

    Role of a PACU nurse?

    GHGoonette replied to born2circulateRN's topic in PACU

    The newer volatile agents are very quickly metabolized so you don't get that "smell" when the patients exhale any more. The older generation gases were said to have an affect on staff in PACU, which I...
  14. GHGoonette

    Role of a PACU nurse?

    GHGoonette replied to born2circulateRN's topic in PACU

    Only if the scavenging system is not functioning properly. This is part of the normal function of all anaesthetic machines, unless they're museum
  15. GHGoonette

    Role of a PACU nurse?

    GHGoonette replied to born2circulateRN's topic in PACU

    This may be dependent on various factors; it may be the facility's policy that patients must be extubated and stable before the anaesthesia provider may hand over to the PACU RN. This may be feasible...
  16. GHGoonette

    How has "nursing" helped you at home?

    GHGoonette replied to Brian's topic in Nurses Rock

    Working with **** in various forms at work never helped me deal with the same at home. They only inspired me to get out of home till the tantrums and associated performances were over and the little...
  17. GHGoonette

    Win CASH! New Year Nursing Caption Contest - $100

    GHGoonette replied to Joe V's topic in News, Announcements

    Yet another practical joke pulled on a new grad - 2013 was sent to respond to a code in the
  18. GHGoonette

    Win CASH! New Year Nursing Caption Contest - $100

    GHGoonette replied to Joe V's topic in News, Announcements

    2013 was a little slow to realise no-one else wanted 2012
  19. GHGoonette

    Policy on length of stay in the PACU

    GHGoonette replied to dantespikiks's topic in PACU

    The spinal issue would depend on whether your PACU has a phase 2 area or not. Small pacus like mine just take phase 1 cases, stabilize them and discharge to the ward/unit. Spinal cases, where there...
  20. GHGoonette

    working in PACU, and your OR team doesn't give a ***** about you

    GHGoonette replied to sonofthunder's topic in PACU

    I feel for you. Sweet wild rose is dead right; 1.5 bays per theater is the optimum, which at least gives you adequate facilities and reduces the pressure on you to discharge your patients. Yes, there...
  21. GHGoonette

    HELP! Elective surgery & malignant hyperthermia

    GHGoonette replied to tram523's topic in Operating Room

    Believe it or not, there have been instances where local anaesthetic has triggered MH. TIVA is definitely the way to go where there is any hint of MH in the family medical history, which is why this...
  22. GHGoonette

    Medicating PONV vs. watchful waiting

    GHGoonette replied to wannabecnl's topic in PACU

    Remember the relationship between opiates and PONV. Good, you've medicated that pain with Morphine or Pethidine, but don't be surprised if they're vomiting 5 minutes later! Granisetron's frequently...
  23. GHGoonette

    HELP! Elective surgery & malignant hyperthermia

    GHGoonette replied to tram523's topic in Operating Room

    You are absolutely right; this should be done in a fully equipped theater. Any surgery which takes 7 hours cannot be regarded as "ambulatory". Do you have the facilities there for full anaesthesia? Is...
  24. GHGoonette

    Check for Bowel Sounds?

    GHGoonette replied to All4Seasons's topic in PACU

    A patient who was NPM for how many hours preop? How far into the GIT does he think it's going to get before being
  25. GHGoonette

    Average recovery times?

    GHGoonette replied to luckynurse_1234's topic in PACU

    Yeah, as MDB said, intractable N&V will respond to Inapsin, but this is where your pre-op preparation of the patient is so important. That question "Have you had previous anaesthetics?" and its...