mercys

Thanks,the situation has been resolved. A allergy to the non latex gloves. A switch to different gloves and a glove liner has taken care of the problem

Well I am 66 and still on the call rotation 1 time a week and about every 8th weekend. I usuall do not have to stay over and occasionally I give up 1 of the weekend days. But I am part time and that makes a difference. I do not know of any hospitals in my area that have no call after a certain age.

We count on open Hernias,some do on lap Hernias.Just the first count incase we open. Basicly I feel it is up to the Tech to make sure nothing is left,know your sets. When we first started Joints years ago,we were told to count the inst. Ha that lasted 10 minutes.Impossible and then there were only a few trays.Of course there is always a post op xray. I understand there is a wand of some kind that can be waved over pt to detect metal. Is this true or is someone messin with me?

How in the heck could anyone leave a lady partsl rectractor in. You could not close the legs with a retractor in,I mean Heaneys,sides etc. Now I Am worried.I just read a article from ARON,some hosp not counting inst. They say it is a waste of time and the surgeons agree. I dont know about that!

In the past policy states not necessary to count inst on lady partsl cases. Now the manager wants counts on d & cs. This is overboard.I am more concerned with the small items on the table. Disposable inst tips,indicators,marker lids,needle caps,ect the list can go on and on. I scrub and am concerned about those things, not losing a vag retractor or a lap inst on a lap hernia.

So a Doc left a cervical cup in pt lady parts after Lap Hyster.We discovered it in Recovery Rm. We did not count all vag inst on these cases. Now Manager want counting on all vag cases. Put up sign Count Inst on all cases where there is a open cavity with tissue around it. So what do you think.Do you count inst on total joints,neuro cases. This has not been addressed yet as she has been in contuinual meetings since. We do not like the wording. A mouth is a open cavity as is a hip or back. What do you think about that wording.

With all the new staplers,Harmonics and Ligasure,I very rarely have to pass a tie anymore. More suture ties or stick ties than anything. Ortho seems to be the only service left where you are moving and busy the whole time.

We all pretty much use Avagard or a alchol based spray. I am interested in the glove liners. Wonder if they have helped anyone. I have a honey based cream I bought at the home show. The maker said it totaly cleared up his daughters exemia.I guess the antibacterial properties of the honey is great. I may take him some to try.

One of out surgeons has breaking out on his palms. Looks like aligator skin. Nothing has helped. Dermotologist recomended glove liners. Any one use these and do they help people with bad skin problems. He has tried creams,different scrub products. Latex free goves of course.

She is right. At our hospital we have minor packs,major packs. total joint packs. We just open gloves suture and any extras pertaining to that case. The saveings on time will make the difference eventually. Oh and we also have neuro packs and laproscopic packs. We are a 7 room OR with cysto,do a lot of totals,and general cases.The outpatient next door has 4 room and have their own style of packs. They can turn over in minutes. They keep the days cases in case cart in room. Tech takes insts to inst room grabs a cleaning cloth,wipes table and bed and is ready to open. They do not mop unless there is spillage. I have adapted this for my ENT service,and can turn over by myself while nurse gets pt.

The inst come in their own trays.I dont think they would fit into genesis. Anyway the hospital couldnt purchase that many trays. I guess theres no way to make it easier. I wish the Docs would decide to use one system,and the hosp would purchase that.The inst are brought in the day before.

The people in CS are processing and wrapping 100 trays most Sundays,and almost as many during the week. Usuall 2 people work on this. It is causing bad shoulders,backs and a lot of heavy work. The trays were very heavy so the Reps broke them down and now even more trays. Any solutions. I took a small table down yesterday and asked the tech to try wrapping on it. Maybe move the table as she wrapped instead of moving the tray. Are their any special wraps that a tray can be put in and sealed without time consumming wrapping. Help. I was glad to give up scrubbing totals due to lifting and positioning heavy trays.

All of our beds have gel pads or the bed itself is gelled. Use extra gels for certain procedures that require odd positioning.

What is the Nurse Manager doing. Hideing things,that should be a reason to get a warning and then out the door. Our Anest techs help with turnovers,at least clean and take out trash. Who is in charge of this OR and what are they doing. Sounds like the big problem is no management.We are fairly small,7 ors and a cysto room. Turnovers are about 20 min depending on the case. I do ENT and turn over while nurse get pt. I only clean bed and table and have all the smaller cases on one case cart. We have most of the time 2 housekeepers to clean.Even when we only had the 4 rooms,before remodling we had 2 housekeepers. They make so much difference.

This Or needs a extra person to help out. Not a nurse or tech even.A person to turn over inst,help clean,move patients,etc. Most small ORs in my area have a inst tech that cleans inst ,and helps with everything else. Your hospital seems to be squeezing every drop out of you.