CIRQL8

CIRQL8

Only the O.R. and proud of it!

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All Content by CIRQL8

  1. TURP - emergency surgery

    Cystoscopy, clot evacuation, and cauterization It is not uncommon to have post-op bleedinig after a TUR-P or TUR-BT either. A cystoscope is introduced to the bladder, any clots are evacuated, the...
  2. Great license plate...

    VENTILATE BLK CLD (this on a doc who is notorious for traumas and emergencies being called in when he is on call) ORFXRN (ortho nurse.. fracture RX) FXRFXR (fracture fixer) SLEEPMD ACUTEMI...
  3. Kussmaul's respiration

    OK - I work in the OR and don't see this much - OK I don't see it at all. Last night, my wife and I went to be with her dying uncle (taken off respirator, s/p head injury). This was both an...
  4. I need advice please !!

    I wish that I could give you some good advice. You must decide for yourself if the cost of driving is worth it. How about a move? Are you married/kids? If kids, are they in school? What if you...
  5. How much do you make ON CALL?

    $2.25 per hour on-call, plus time and 1/2 if called in (while working) with a minimum of 2 hours guaranteed OT pay when called in. Example, if I am only here an hour, they will give me another hour...
  6. Short answer, "yes" Truth - you may have one or more forms to fill out. You may be allowed to see the original if you keep it in the office, you may be given a copy (possibly with a charge to you) to...
  7. The worst part about a lung transplant? Coughing up someone else's sputum! :) But, with a trach, I would suppose that a 14 Fr suction catheter would be used for deep lung suctioning. I am now in...
  8. "Confessional?"

    Do what you have to do by law - reporting it to the local health department, or whatnot. Also, keep the confidentiality (as you know that you need to). Say NOTHING to your friend (the wife). I once...
  9. How does your hospital schedule surgeries?

    Routinely surgeries are scheduled VIA the surgeon's office VIA Fax or phone call. Surgeon (most) have block time. If block time is not used, or only partially used, it is released 7 calendar days...
  10. We have a spinal surgeon that insists on having a Systolic pressure of at or below 100 mmHg. The drug/method used to maintain a low BP is up to anesthesia. Also, some vascular procedures (esp w/ high...
  11. foley irrigation

    Follow the policy and procedure as outlined in your institution's manual. There are some differences from place to place. Speaking generally.... Clean the connection site(s) with some type of...
  12. My biggest mistake, EVER

    Just the other day I took over operating the cell saver from another employee. After running my final bowl of RBC's, I was just sitting there, monitoring the blood loss, when I suddenly noticed that...
  13. My biggest mistake, EVER

    Thanks, passionate!! I apprecite the words... Apparently, my error should only change the oxygen-carrying capacity of the RBC's in that last re-infused unit (at worst). At best, nothing. As LR is...
  14. Unrealisitic expectations...

    People do not realize that medicine is NOT an exact science. We cannot wave a tricorder over them and know what is wrong. Things need to be ruled out before a presumption can be made. The problem...
  15. What do you say when pts ask your opinion of docs??

    I must agree with all the above statements!! I've done them all! Sometimes I also tell a person that it would be unprofessional of me to judge and/or recommend one doc over another. I must repeat...
  16. OR Nursing

    I haven't been on in several days, or I certainly would have responded to you query!! I always (well, almost always) would recommend the O.R. to anyone. I came to the O.R. right out of school, and...
  17. Nursing, not as rewarding as I thought...

    My wife and I moved back "home" after we were in a different city for 1 1/2 years. I took a job in the OR there (I am and was an OR nurse here, too) so we could be closer to family. Sometimes it IS...
  18. New opportunity

    Here's what I think... The interview w/ management will be like any othe that you've had, but they will ask you questions more pertinant to management.. how would you hand staff-staff conflict,...
  19. Surg Tech Assistant Entry?

    P.S. - What's an LNA? Licensed Nursing Assistant? Is that like a
  20. Surg Tech Assistant Entry?

    When I hear the term "Surg Tech Assistant," the first thing that comes to mind is ancillary personnel, with on-the-job-training. This means that you would not be scrubbing in or circulating, you...
  21. Changing Nursing License to Different State

    If my memeory is not failing me - Currently IL does not require CEU's, but will in the near future (2010 renewals??) IL has NO CHARGE to place your licence in an inactive state. You cannot practice...
  22. A follow up question to the discussion of this thread in the operating room nurses' forum: https://allnurses.com/forums/f39/do-you-chart-226553.html How many of you who care for post-operative...
  23. I will probably get these terms wrong, but here it goes - everyone feel free to correct me where I am mistaken!! There are a handful of states that have a program that recognizes each other's licenses...
  24. Do yuo review the intra-operative notes?

    Please excuse the typo in my thread name!! (should be YOU, not
  25. Need help with abbreviations!

    RNFA usually assistes the surgeon in the OR in many ways. Retraction, coagulation, assist w/ closure, maybe even close skin by themselves. Sometimes does pre and post op