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  1. canesdukegirl

    surgical count

    OP, are you working in the States? Can you give a little more info about not counting instruments, i.e., is this for every case, for particular cases; does EVERY tech refuse to count instruments, or just one?
  2. canesdukegirl

    Have you ever puked/fainted/etc at work?

    Before I went to nursing school, I was a unit secretary for L&D, ante/post partum, and gyn-onc. Once enrolled in nursing school, my experience as a unit secretary was very helpful during clinicals. Fast forward to my L&D rotation. I was excited, and looked forward to the clinical rotation. I was observing a doula working with a laboring mother. My instructor pulled me, and told me to come and watch an epidural being placed. She told me to stand behind the patient so I could have a clear view of the anesthesiologist placing the epidural. Five. Four. Three. Two....BAM! I hit the floor! I guess experience is relative!
  3. canesdukegirl

    Do "PTO" systems seem like a scam to you?

    I like the PTO system in general. However, when I have to take PTO for surgical mission trips, it wipes me out for a while. I wish that there was a system that allowed for community time, instead of taking PTO.
  4. canesdukegirl

    ~Likes & Dislikes~

    I love patient care, and all that in entails. I despise the fact that our hands are tied in so many ways.
  5. canesdukegirl

    Sterilize hair

    What do you mean by "outside"? Do you mean that the indicator is on top of the first tray? With trials, oftentimes the trays are multi-tiered. The scrub has to verify that EVERY indicator in EVERY level of the tray is good.
  6. canesdukegirl

    November 2013 Caption Contest: Win $100!

    "No, Bob Marley Wanna Be, I do NOT think that every little thing will be all right. I'm here because my insurance got changed on account of Obamacare. Now, do you want me to Get Up Stand Up, or do you want to Keep on Movin'?"
  7. canesdukegirl

    Evaluate this situation. What did I miss?

  8. canesdukegirl

    Charge nurse

    I've been a permanent charge nurse for 5 years now. It still makes me laugh when one particular staff member argues with me (every. single. time.) about his evening assignment when he is required to stay on call. He says, "OK, sure. Whatever. You're the boss. You make the big bucks". I wish I could tell him that in reality, I only make a buck more an hour being charge. However, he makes $13 more per hour because he has to stay and work. Why IS it that charge nurses only make an additional $1/hr? There is something inherently wrong with this. Thoughts?
  9. canesdukegirl

    Calling in sick on 4th shift

    I agree with Been There. Sounds like you might need to adjust your schedule. Do you work 12s? Was the last shift a 12 hour scheduled shift? I'm assuming it's not or it would put you into OT, depending on the days that you worked. It's really hard to get through the week sometimes; we've all felt extreme exhaustion. Calling out an hour prior to your shift means that your colleagues will have to work harder, because there is little time to call in per diem staff. But you know that. This is a learning experience for you. Talk to your NM about adjusting your schedule so that you can break up the week. Believe me when I tell you that it's worth it! For the last 3 years, I worked 4 10s in a row, and had every Friday off. Seems like a sweet schedule, eh? Not really. I was so exhausted at the end of the day on Thursday that I did nothing but sleep/lounge around on Fridays. I was a total bump on a log. I worried the whole day because I had stuff to do, but simply COULD NOT muster the energy to get anything done. I felt like a complete loser. When I changed my schedule so that I had Thursdays off, I can't even express to you how delicious it felt to leave my alarm clock in the "off" position Wed night. I was actually productive and got a lot of stuff done on Thursdays, and went to bed early so that I could feel refreshed on Fridays. Now, I wake up every Friday with a smile on my face, knowing that I just have to work one more shift till the weekend! A break during the week is refreshing, and will give you more energy. Keep us posted.
  10. canesdukegirl

    Do you have 30 minutes for lunch?

    Pfft! I am lucky if I get to go to the bathroom!
  11. canesdukegirl

    Do Mean Girls make Mean Nurses

    OP, I admire you for your strength and resilience while deployed. My hubby was a medic in the 82nd, and I can understand (only peripherally) what you are describing. He jumped into some pretty heinous territory during his time in the Army. I think it would be helpful for all of us to understand what your definition of "bullying" entails. Were you sabotaged in some way? Were you wrongly accused of a mistake? What experiences did you have that you considered "deceitful"? What course of action did you take prior to throwing in the towel? You mentioned that "men try and men fail in nursing due to factors beyond our control and ability to adapt". What factors did you target as beyond your control? Why do you think that you couldn't adapt? Did you talk to some of your colleagues? What kind of support did your nurse manager give you?
  12. canesdukegirl

    Need some insight from experienced nurses...

    The key to success is organization. If you are organized, you spend less time searching for something and more time thinking about what you are doing.
  13. canesdukegirl

    How NOT To Be An Annoying Nursing Student

    I've not had any trouble with nursing students. Med students, on the other hand... Normally, I love having med students in the OR with me. They are SO EAGER to learn. But sometimes I get ones that aren't so eager. After 15 minutes of holding retractors, the neck rolling starts, the constant shifting from one foot to the other starts, and the sighs begin. I am confident that those med students don't fare well during evaluations!
  14. canesdukegirl

    Lunch breaks/assignments

    All, I need your brains...in a totally non I-am-a-zombie-and-I-am-starving kind of way! How does your facility assign lunches and breaks? How do you track who has had lunch and who still needs to be relieved for lunch? I work in a large L1 TC, and have at 60+ people to relieve for lunches and breaks. Tell me what your experiences have been in both the staff or charge nurse role regarding lunch breaks. What was the most effective way to track lunches? How do you handle accountability for lunches and breaks? Do you have staff check off which lunches they have done? Do you have a log sheet? Do you use a magnet board? Thanks for any ideas/input!
  15. canesdukegirl

    New grad starting in OR...shoe help!

    If my house was burning, I would save my Danskos first. When I first started in nursing, I wore running shoes. Big mistake. My feet were absolutely throbbing at the end of the day. I changed to Danskos once I saved enough money, and now that's ALL I wear. Dansko clogs, Dansko boots, sandals, dress shoes. There really is no comparison. Some people report that Danskos will "turn their ankle", and in fact, a good friend of mine suffered a distal tibial fx when she stepped off the curb to cross the street, and her ankle went sideways. I haven't experienced this. When I was deployed at Katrina, I played soccer in my Danskos!