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angelaADSN

angelaADSN

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angelaADSN's Latest Activity

  1. angelaADSN

    mississippi

    Unfortantely, I live in mississippi! I am trying to find a assignment in Tupelo which is 2 hours from where I live because I do have 3 kids and a single parent. They will be gone to their dads in North Carolina for some of the summer. So I want a assignment close to home. My specialty is OR. Circulating or PACU. I am having the worst time finding anything in Mississippi. But of course, who would want to work here! haha! Any help or ideas will be appreciated. :balloons:
  2. angelaADSN

    Any new grads start in OR?

    Well you brought back some memories! I graduated in 5/2000. I went straight to the OR/PACU. I had to learn to scrub, circulate, PACU, and also ambulatory care. When I was learning to scrub I know I went home and cried almost every day for about 3 months! I didn't know if I was going to be able to hang because we were not taught all of this in nursing school and it was alot to grasp at once. Now, I am the jack of all trades back in surgery and I am a whole hell of alot at ease than when I first started. I mostly circulate now. I was offered the Team Leader in my dept last week, really do not want it at all! I have come a long way. I get a long with the doctors well and my co-workers. So hang in there! Good luck! :balloons:
  3. angelaADSN

    So what do you keep in your work locker?

    Haha! Really want to know what I keep in mine! haha! Sutures, tape, and more sutures. After having them in my pocket all day. Bandaides, etc...
  4. angelaADSN

    sick days with pay???

    To think I was griping about my 190 hours of sick time I have accumulated and will never get to use! That is pretty tough. I live in Clarksdale. If we call in we have to have a doctors excuse in order to get paid for sick time. If we are sick longer than 3 days we have to take a LOA. Our policy says if we call in more than 3 days a year we will get 3 days suspension at their discretion but it is not in use because we have a guy call in 2 times a week or so. We are so short staff, they can't afford to fire. What hacks me off is if I am sick which is rare I don't get paid for it unles I go pay a doc 40 bucks for an excuse. I accumulate more sick time than vacation time. Know why, because they try not to let you use it.. I heard at some places they pay you your sick time when you leave the hospital. Not at ours.
  5. angelaADSN

    Informed consent

    I thought the same thing. I just need something in black and white that proves it.
  6. angelaADSN

    Cross train?

    When I first started, I cried every night I went home. Now I am alot more stronger and have a lot more come backs. I get a long with the doctors pretty well. The doctors I work with are pretty good about working as a team. Occasionally, especially when times are tough and a case is not going their way, they can be jerks and you learn to ignore them and help as much as you can. You can only do so much and there is only one of you and you just have to remind them that time to time.
  7. angelaADSN

    Cross train?

    I am more like a floater, I guess you could say. I work PACU/surgery/holding and outpatient preop. All of these dept are by the same nurse manager. I only work outpatient when they are in desperate need of help. So once a month for them maybe. As for PACU and surgery I do those two everyday. I relieve for breaks in surgery and recovery, work holding room when need of a patient in there, especially on eye days. I am the concious sedation queen so I always get stuck with those cases. I like doing both, it keeps me on my toes! However, since I do both of these, other nurses get mad because they think I am not giving them relief, when in fact I may be in recovery because it is kids day and they are in more need of help. On top of that I occasionally have to do our payroll. It is starting to get to be more pressure so I have decided to do surgery only as soon as we are staffed enough. I like both areas of recovery and surgery. I chose surgery because it keeps me on my toes. Good luck with your decision! Keep in mind you can do both though! Believe me, I know! LOL
  8. angelaADSN

    Mandatory Overtime

    At our hospital we only have one shift. 6:30am to 3pm. We have had problems with the past year of this mandatory overtime. Around March we put our foot down as a team and said no more!! So administration gave us approval to have a back up crew until scheduled cases are over. We get 200.00 plus 26.47 bonus for a couple of hours overtime until scheduled cases are through. This past 2 weeks I got an extra 600.00 for back up and didn't even get called to help the call crew. I was feeling like you were around Jan and it is not right! There should be some kind of incentive for staying after hours for scheduled cases. Angela, RN
  9. angelaADSN

    PACU Nursing

    I work mon-fri. 6:30am to 3pm regular scheduled days. I take call 1 to 2 times a week and 1 weekend a month. Our call is split between 4 people. When someone is off on vacation we have a extra day of call. or early weekend of call. The days I am on call, I just have to stay in town. I carry a pager and a cell phone. I get paid 2.00/hr for call after 3pm to 6:30a.m. Time and a half if I get called out plus 10.00 per each case I do. Other than that I am free to do what I want after hours if I am not on call.
  10. angelaADSN

    PACU Nursing

    I have worked surgery/holding/ PACU for a little over 2 years now. I take call for PACU only. I love PACU! At our hospital it is patient care 1:1 for kids and critical patients. Every once in a while we can have up to 3 to take care of in an hour. It is never that way on call though. I usually take care of one at a time and occasionally 2. The great thing about PACU is you get a variety of patients with different problems and usually have them for an hour or a little over an hour and you send them to their room. Spinal patients I send them up when they start wiggling their legs. You learn alot about pain management. Hypertension is a problem here where I live so when they finally get to recovery their blood pressure is back up and we treat that with the 2 main drugs we use in recovery labatelol and apresoline. The only thing I dislike is the call. Don't get me wrong, I make alot of money with the call, I just don't like not knowing when I will be getting called. I have 3 kids and its hard having to take care of them and call. I do make more money then the rest of the nurses in the hospital, mainly because of the call. Good luck to you with your decision! Angela, RN
  11. angelaADSN

    Informed consent

    As far as our management and administration go, right now they have their ass up a crack. They have to make us the OR staff happy and the surgeons happy. First they try the remark of well, we have to make our doctors happy until OR staff turns in resigations and then it is, "we have to make everyone happy". The DON said it was ok to proceed with this case with a verbal consent from family. What I don't like about the whole situation is, mine and the other nurse that was involved license was on the line. Something we worked hard for. I have no problem standing my ground to administration and telling them "Not with my license!" Chances are there will be no law suit with this case. But if this ever comes up again I want to know if it is actually legal for a sister to sign this consent for an elective surgery. One problem with our OR is our surgeons think if one surgeon did it so can he! So it has to be stopped before it begins. Thanks for your responses. I'm glad there are others who feel this surgeon was in the wrong. You would think he would be grateful for saving his ass. Instead he thought we were doing this to punish him. Thanks again for your replies! Angela, RN
  12. angelaADSN

    Informed consent

    I have been working in the OR for a little over 2 years now. From time to time we have arguments with surgeons who are hard headed about their informed consents. For example, yesterday, we had a patient who was given 2mg versed IV and 50mg Demerol IM. Then we noticed on the consent she had signed for a Right breast bx when in fact the patient was to have a left breast bx. Now, it is very rarely we let a patient back to the or before the mistake was caught. So the CRNA gave the versed and then realize the consent was wrong. So the surgeon was told we could not do the case because the consent was wrong. Well of course he had to argue and say his R was an L, when it was pretty clear it was a R. Well then he wrote Left on the consent and had her initial it. Well our policy at our hospital states it is not legal if she had mind altering drugs and of course she did and it was versed and her pre-op of demerol IM. He through such a hissy about it that we ended up calling a sister to say it was OK with the procedure. Now, my question to you is, Do you think it is legal for that sister to OK an elective surgery legally. How do you handle situations like this? Most of the doctors order Pre-ops of demerol and sometimes versed before they even come to Surgery and then when they get to surgery their consent is wrong. I would like some input or sites that issue this kind of information out. Thanks! Angela, RN :)
  13. angelaADSN

    Eye Blocks: How draws the medicine up?

    For our eye blocks, the circulating nurse mixes up the block in the OR and hands it off to the holding room nurse. The holding room nurse then hands it off to the doctor. The holding room nurse sedates the patient with 1-2 mg versed before the block is given. The block is also done in holding area and the patient is then sent to the OR to get the cataract out. When we had our joint commision walk through they were aware of how we did this and they didn't seem to have a problem with it as long as it was labeled.
  14. Hi! My name is Angela. I graduated last may and now work in the surgery dept at our local hospital. I am part of the department health fair committe. Our department has to do a booth on the 5 rights to drug administration, or anything with medication. We have to be creative with our booth and teach medication administration. Our ER is doing their booth on management, so they are going to make a go fish booth. They will have a fishing pole and fish for questions, and if the employee gets the right answer they get a prize. Any idea on a creative booth and game on medications? I thought about making a booth into a syringe but I don't know how we can do that! Any idea's will be appreciated! Thanks, Angela
  15. Hi! My name is Angela. I graduated last may and now work in the surgery dept at our local hospital. I am part of the department health fair committe. Our department has to do a booth on the 5 rights to drug administration, or anything with medication. We have to be creative with our booth and teach medication administration. Our ER is doing their booth on management, so they are going to make a go fish booth. They will have a fishing pole and fish for questions, and if the employee gets the right answer they get a prize. Any idea on a creative booth and game on medications? I thought about making a booth into a syringe but I don't know how we can do that! Any idea's will be appreciated! Thanks, Angela
  16. angelaADSN

    Anyone working as a nurse tech/student nurse?

    Hi Cheryl! I was a nurse tech last year after I completed my first year of nursing school. I worked in a small hospital, so I made 6.68 hr. Which really stinks compared to the 15/hr. Memphis, which is an hour away from me pays their nurse tech's 14/hr. At the hospital I worked at, it was basic CNA care, with just a little more. Things like accu checks, foleys, dsg changes. I graduated this past may and work in surgery/recovery now. I think working as a tech did benifit me in nursing school that last year. I knew what to expect a little more, and was more comfortable. It also helped me with my skills. When I would learn something at school, for example NG tubes, I would go to the hospital and beg the Rn to let me take one out or put it in. Good luck to you! Angela