PACURN1818

PACURN1818

PACU, ICU

Member

  • Content

    23

  • Visitors

    3,989

  • Followers

    0

  • Likes

    3

All Content by PACURN1818

  1. Customer Service at any cost and its effect on burn out and safety??

    PACURN1818 posted a topic in Patient, Colleague Relations

    SO... Things are more different every day than when I started nursing over ten years ago. The advances and technology I can flow with. Some other things not so well. I have worked ICU, LTAC, Med/Surg,...

  2. Advice to those looking at home triage jobs...

    PACURN1818 posted a topic in Telephone Triage

    Hello, You may find a lot of us reluctant to talk about these jobs when we have them, its NOT something you want to blab about online and then lose. But here is some info in general YES these...

  3. Phase 1 PACU used as pre-op

    PACURN1818 replied to chickhatz's topic in PACU

    I am in the states, and the PACUs I have worked in for the most part have done preops as well, however, then they have to staff a little better, because they really do have to try and keep them as...

  4. Working Alone

    PACURN1818 replied to Whitesranch's topic in PACU

    A follow up note, though this post is old. I have worked in 4 separate PACUs, 1 medium, 2 very large, and one tiny rural facility. Only 1 person with a recovering patient is NOT acceptable and ASPAN...

  5. Advice to those looking at home triage jobs...

    PACURN1818 replied to PACURN1818's topic in Telephone Triage

    Hello. In response- often a BSN is NOT absolutely needed. I do not have one, and have now been working from home x 3 years. It can help and it depends on the job. Experience is a common obstacle....

  6. BON gateway to ID theft?

    PACURN1818 posted a topic in General Nursing

    So, I found 1 old closed thread about this, but it is SUCH a big concern. I am licensed in nearly every state, and have recently realized at least about HALF of those states list my name, lic number...

  7. Does your OR have to hold til theres a PACU bay??

    PACURN1818 posted a topic in PACU

    Ok.... So nearly ALL our patients scheduled today came out in a three hour time span, like stacks of three at a time, killing us. At one point we are out of PACU bays, putting people on the edges with...

  8. Capnography (ETCO2 Monitoring) Do you monitor extubated patients in the PACU w/ it?

    PACURN1818 replied to RNiel's topic in PACU

    We use the ETCO2 monitors, but not for all patients. Patients who are suspected of retaining CO2, or who had a rough extubation, or have a history of sleep apnea usually end up with them ordered. They...

  9. PACU RN's- what is your visitor policy?

    PACURN1818 replied to RN34TX's topic in PACU

    A few other threads over this issue.... Check them out. I am trying to be better about visitors, because our management is all about it. Officially it is the nurses decision any time before 2 hrs,...

  10. Input on staff frustration from a management standpoint??

    PACURN1818 posted a topic in Nurse Management

    There is a thread running in general forum about patient satisfaction, burn out, HCAPS, and patient safety. Someone commented wisely that a management viewpoint would be insiteful... Anyone have time...

  11. Anti-Intellectualism/Autonomy in nursing

    PACURN1818 replied to felineRN's topic in General Nursing

    This is why I like PACU. With time and experience sliding into PACU is one of the few areas left with autonomy. Because of the way our protocols are worded we can go ahead and do things medically...

  12. HCAP scores - I can live without them

    PACURN1818 replied to FancypantsRN's topic in Nursing Professionalism

    I will second the scores getting crazy attention, esp now that it is a funding thing. As in the other post Was has been up more recently where I was frustrated, I feel it gets to the point where it...

  13. Does your OR have to hold til theres a PACU bay??

    PACURN1818 replied to PACURN1818's topic in PACU

    LOL, THAT would be fantastic! Its been a huge issue lately, and I think the situation is going to be discussed in practice council. We do utilize the extra transport monitors with O2 on the sides to...

  14. PACU RN's- what is your visitor policy?

    PACURN1818 replied to RN34TX's topic in PACU

    We have visitation issues. with HCAHPS starting up our manager is all visitor gun ho, but there are many problems. She feels that privacy isnt an issue since we dont say first and last names, but even...

  15. Aldrete Score

    PACURN1818 replied to coffeegirl7's topic in PACU

    We use the revised one for surgical patients as part of our criteria. A score is done on arrival, after 30 minutes and prior to discharge. A pt cannot leave PACU with a score of less than 10 out of 12...

  16. Does your OR have to hold til theres a PACU bay??

    PACURN1818 replied to PACURN1818's topic in PACU

    wow that sounds nice. For us its pot luck, when the doors open we have no idea which patient it is, or how big a case it was until they slide into a place. Knowing the size and severity would really...

  17. You might be a PACU nurse if...

    PACURN1818 replied to mustanggirl's topic in PACU

    You have been getting all the patients all day because no one else is moving theirs You know by looking at your anesth. doc all your patients will be in PACU two hours because they are slightly overwt...

  18. Customer Service at any cost and its effect on burn out and safety??

    PACURN1818 replied to PACURN1818's topic in Patient, Colleague Relations

    Hmmm, just another good reason to head back to my uk roots! (green with

  19. Customer Service at any cost and its effect on burn out and safety??

    PACURN1818 replied to PACURN1818's topic in Patient, Colleague Relations

    It is SO nice to see that I am not the only one struggling over this. I love the Press ganeys that say things like, "my roommate puked all night" or The nurse wouldnt go down to the lobby and get me a...

  20. Inaccurate story on CNN?

    PACURN1818 replied to amyphee's topic in Burn

    Agree with everyone. Never saw a doc do our burn dressings, nurses and burn techs. They show up to look at the wounds every day or every other day, but that was about

  21. CPAN exam

    PACURN1818 replied to MommyandRN's topic in PACU

    Good info, I am hoping to take it later this

  22. Narcotics at the bedside in t he PACU

    PACURN1818 replied to pinkfloydfreak's topic in PACU

    We use the carpujects so the med is still in its original labed container for anything we can get that way. The meds are labeled with a pt sticker and kept at the bedside, in our immediate...

  23. PACU nurse give Ketamine?

    PACURN1818 replied to kathy3kat's topic in PACU

    We have 2 anesthesiologists in particular that are fond of ketamine if nothing else is working and the patient is kinda going nuts. I have had several people react well, and several have what they...