CIRQL8

RN's routinely staff the air ambulances. Why not one on wheels??? I'd prefer a CCRN working in tandem with a paramedic versus the paramedic alone. Both bring valuable experience and knowledge to the table and I'll bet increase the odds of a meaningful recovery for a trauma victim. Shame on ED staff for looking down upon ambulance staff regardless of credentials.

Had a 3 week rotation in surgery in nursing school. Knew right then and there perioperative nursing was for me. Fortunate enough to get into the OR right out of school! Been there ever since.

Comment is late, sorry.... But.... I'm not an NP but the reason surgeons like PA and NP asissyung is because they can dictate the procedure, write post op orders, and assist with pre and post op clinic visits. For some, assisting in the OR (which may sometimes be more than simply holding retraction) and closing skin is wee worth the education and training.

All i can tell you is that I absolutely love nursing. There are so many different areas of nursing to choose from (and you get a little exposure to lots of the areas in school; but not all). Just look at all the different forums here. The anxiety you mention is not uncommon in university/higher education students. The pressure for success is great no matter your major or chosen profession. I would like to think that shows an inner drive that you have. That being said, if your anxiety is running your life to the point where you begin to feel helpless against it, I would suggest speaking with a professional. A school counselor, a school psychologist, your physician. Someone.

forgive if a repeat: an episode of ER I remember, Goose (Dr Greene but he'll always be goose to me) was intubated nasally during brain surgery and was awake and speaking.

It is much more common today than just 10 years ago that the OR is both able and willing to accept a new grad to the department. As an OR nurse (lifelong) i encourage all student nurses preparing to graduate to apply to the OR if that is where you find your main point of interest. As a matter of fact, from my 18 years in the OR I have noticed that experienced nurses from non-procedural areas that transfer to the OR have a more difficult time in the transition. One main reason is the experienced and expert RN hates to be the newbie and hates to start over feeling like they are new grads yet again. When the experienced RN sticks with the OR and becomes an expert in perioperative nursing they do very well and thrive. But the same can be said for the new Grad. Management journal articles have shown proof that in order to be an expert at one thing, one must work 10,000 hours at that one thing. That's 5 years of full time work to truly be an expert.

MD: "Are we on a 30-degree down scope?" CST: "Ya" MD: "How do you know?" CST: "It says on the console" MD: "Ya, I know but I'm not sure" 😳

Don't personally know of any but some hospitals, especially in large markets, offer a PeriOperative training course. Some charge. Come provide entry level pay. None guarantee that you will find a job in an OR arena. But those that perform the best many times are offered jobs at the place that does that training. Other ORs would be salavating to hire a nurse that's already been through periop training. I've seen threads about it in the operating room nurse specialty section. I'm Trying to introduce a program like that here in my town, in my hospital. But I'm not sure how well it will take off. Expensive to start up and to run.

I am a PeriOperative nurse. While I freely admit that routine c/sects are done in the birthing unit we do the occasional c in the main OR. For high risk mothers. Cardiomyopathy, full blown eclampsia, etc. (Anesthesia wants them near the equipment and materials that we have right at hand). Our L&D dept empoys two full time surgical technologists that have graduated approved programs. They are familiar with aseptic technique and the instruments. But all they do are c's. No way could they come to main OR and do a different case. Our overnight techs cover for emergency c's. They have a couple RNs trained to scrub. It is my belief that running an OR (c-sect or otherwise) takes a trained PeriOperative nurse. It is furthermore my belief that a scrubbing RN needs to be properly trained in aseptic technique for scrubbing, gowning, and gloving not only themselves but the rest of the operative team. Good knowledge of the instruments and how to handle is also a necessity. And how to maintain a sterile field. A section is different from other surgeries. The speed is much quicker. The health the the unborn child is of utmost importance and generally cut to deliver time is only a few minutes. 10 at most. One must be able to hold up under that pressure and be able to handle unplanned things such as hemorrhage. That being said, our dept tends to train each other. I guess that works. In the 18 years I've been at my institution there's been no complications. But one doesn't learn to scrub in a day. Rome wasn't built in a day!! So it is said.

Excellent points.

ABC and D. Temp does not contribute to b/p. Stress can elevate b/p. Heart rate and b/p can be related to compensate for each other. Appetite .... Hmmmm. Maybe not. But hunger can lead to stress can affect b/p. Especially if malnutrition is a factor. And exercise for sure. One that exercises regularly may have a normally lower b/p. Or may be elevated immediately after exercising. Just like very fit athletes have a lower resting heart rate they may tend to run in the lower end of normal for a resting b/p. Come to think of it, body temp can affect b/p. But only to the extreme like with heat stroke or hypothermia. When the body goes into shock the b/p drops and the heart rate increase.

18 years. Same hospital. Same department. Since passing NCLEX. Today's grads are more ME focused. They expect good hours and good position. No one graduates anymore expecting and accepting entry positions. They tend to bounce around looking for that nursing utopia. A lot of it is one's attitude. Not all of it of course. But a lot.

Holy cow Going way back here. But speaking as an OR nurse, why get a lab to see if there's post op infection? I wouldn't worry about an infected wound unless there was heat and redness, maybe accompanied by purulent drainage and/or fever. However, bleeding in the uterus wouldn't be outwardly noticed until perhaps a liter or more were lost unless she was dilated. Bleeding can also occur within the abdominal cavity and not be noticed until she were to become hypotensive, tachycardic, or pale and feel that feeling of impending doom. Is it common to look at the HCG post delivery like they do after a tubal pregnancy? Don't know the answer to that one.

The pin was a part of senior tuition when I went. We all got a pin. Our pins are (were? This was 1997) quality jewelry. 12 karat gold I think. Expensive. And our initials were stamped in the back of the pin. Some of my coworkers place their pins on their badges. Others do not. I do not. But I think I may one of these days. I like having it even though it's in the jewelry box. It's a symbol of my hard work to survive the hell of nursing school. Every program's pin is different so is also a conversation piece. (Where did you go to school?). And although we are explained the meaning of every etching in the pin (it all means something) I couldn't tell you a single iota of my pin's meaning. All that to say: ya! Go for it. Get it. It's a symbol (if nothing else) of your hard work.

I have no citations for you on this, but perhaps some venous blood remains more oxygenated than others. Perhaps it's the lighting. Also, everyone is different and this could certainly include one's blood with color variations. Other factors can include the quantity of usable vs end of life cells at that particular point in time. A larger amount will also absorb more light than a smaller amount in the tube, or in the hub. A larger amount will appear darker due to that fact. And in the case of just a bit of blood in the tube or spilled from the hub - not all RBCs give up their oxygen supply before returning to the heart and lungs. It depends on what percent of the blood at that particular time in that particular place remains oxygenated. So many variables. Just tell them "everyone is different. We're all the same that way"