druse

druse

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All Content by druse

  1. Operating room Clutter vs Infection Control?????? I had a question asked about our operating room equipment clutter, does it prevent proper cleaning of the room? General practice includes setting up the rooms for the next days cases, however an envir...
  2. OR nurse managers, let's talk!

    If you're an OR nurse manager, or director I'd like to share some conversation maybe ask questions, let's talk!
  3. Documentation Question?

    I have been asked about ramifications regarding the documentation of a delay being on an intra-op patient record. Our intra-op record has a field for documenting delay of case and reasons for the delay. A nurse has asked if this has any legal ramific...
  4. Does your intra-op record contain a place to document a delay, and delay reasons for starting of a case?
  5. Documentation Question?

    The documentation of delay on the record is primarily used for QI for the surgical department, with the goal to improve efficiency of service. Every surgical department that I have worked at thus far in my career has collected this data to study star...
  6. Documentation Question?

    Usually this occurs during the first case of the day. Say it's a 7:30 case and the delay is related to the surgeon not arriving on time.
  7. Neglect question?

    During the time a patient is waking up from anesthesia and is disoriented, becomes combative. If a nurse goes into the room and initially helps to restrain the patient, and then abandons to assist (because of risk of being hit), is this considered to...
  8. Neglect question?

    Thanks! I hate that this even occurred! The CRNA & I have talked following the event, and all seems fine, however this has occurred before(probably will again), he has threatened me, and others. I don't intend to pursue this further really becaus...
  9. Neglect question?

    Thanks for your replies. Another question? Just curious, I'm not the legal guru, but what right do I have for any legal action against the CRNA for his threats?
  10. Neglect question?

    Male/female doesn't play a role here.
  11. Neglect question?

    There was one RN in the room with the CRNA, and I & two others came in to help (I am an RN, another RN, and one scrub tech), when we noticed the patient waking up disoriented. The safety belt was on and the patient was trying to sit up, following...
  12. Turnover times...

    Sometimes that's the hardest part, getting everyone on the team to be a part of the team all of the time. We will occassionally flip flop rooms to attempt to speed up our day, but it requires everyone to be on the same page of optimism. Some people a...
  13. Are your RN's mopping floors??

    I had no intentions to belittle you or in no way compare an outpatient surgery center to a full blown OR, however your main post was inquiring about mopping, and my answer is YES I mop, and have ever since I started my career in the OR setting. My po...
  14. What do OR nurses do all day?

    Before I graduated I volunteered at an operating room for two weeks, wrote a report and earned one college credit for my time. I did gain some really good insight to what the role of a nurse was in the OR and decided that's what I wanted to do. I am ...
  15. Turnover times...

    I think it really makes a difference depending on the type of cases you're doing, but there are some things that can be done to possibly help you achieve the fastest turnover time you are capable of. These things are (not implying that you are not do...
  16. Surgicenters

    I've worked in an outpatient surgery center, going on year seven. I think it's the best of both worlds, however you loose the experiences of those big cases. I like the amount of time off I have not having to answer call. We have a unique situation w...
  17. Are your RN's mopping floors??

    I'm a supervisor in an outpatient surgery center and I mop the floors (as well as other duties) during room turnover. Our turnover time is an average of 10-15 minutes. Yeah, I joke about it, having my BSN, CNOR, RT, and I spend quite a bit of time mo...
  18. How many times, or how much time is inappropriate for a circulator to step out of the OR during a case for additional supplies or whatever?