gnom

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1. Does anyone know something about rectal surgery like for rectal prolapse?

   gnom replied to onlyj's topic in General Nursing

   hi, sorry about your situation. it's a big surgery. sometimes you can get away with sawing it back in but the worse case scenario is left colectomy. weight carefully all options to make sure that if ends up having a surgery no to have 2 or even 3 tim...

2. 2009 On-Call Pay Scales

   gnom replied to openheartmary's topic in Operating Room

   MrNurse, You are talking about pretty amazing things here... I'm in charge of ortho call in a busy level I trauma center with 25 OR and let me tell you we only have 3 specialty calls - CV, Liver transplant and Ortho. $3 for us with 2 hours min... We ...

3. Murphy's Law Experienced

   gnom replied to luvRNs's topic in General Nursing

   Great story, I like your style in writing too. Have a question for you, what is internal fixator? Do you mean schanz pin broke? I work with well known ortho guy who specializes in pelvic factures and we are aways super concerned about perforating bla...

4. committment vs. growth?

   gnom posted a topic in Operating Room

   Hey everybody, I'm sure most of us know that OR nurses are pretty committed to a particular operating room and a lot of nurses spend entire career in the same OR? But I'm wondering how do you balance commitment and career growth? We are stuck on a m...

5. Surgical reprocessing

   gnom replied to gnom's topic in Operating Room

   hi there, everything you guys mentioned is done...If you ask about signing trays..they do that, but also put label "missing"....and technically they off the hook. We have full time reps there for ortho and neuro but still missing drill bits and wron...

6. Surgical reprocessing

   gnom posted a topic in Operating Room

   Hi there, I have a quick question. We are a large Level 1 Trauma with 22 OR. We are pretty busy with on average 45 cases a day. And I was just wondering for those who work in a similar size hospital - do you guys have surgical reprocessing issues? I ...

7. Frogleg Positioning Ideas???

   gnom replied to fracturenurse's topic in Operating Room

   In my practice frog-leg used only in CV - to harvest veins for CABG. We use blaket rolls of different height. The talest will be under the knees...like a pyramid, plus some tape. Never had any problems....

8. What would you do?

   gnom replied to linda2097's topic in Operating Room

   Interesting surgeon that guy! How about NPO orders? May be a shower before sugery? Was the patient aware about the surgery? Or the guy gave an order to obtain a consent too? I used to be a floor nurse in smal hospital and moved to OR in the same hosp...

9. What is the best "Team" to go on

   gnom replied to spadesgirl's topic in Operating Room

   I assume that you are done with rotations through all the services? I would suggest ortho or cv....anybody can do general or pastics....forget about eye.....CV cases, as you know long as hell....they usually don't play any music and keep the room col...

10. Have you heard about DJ Sullivan?

    gnom replied to gnom's topic in Operating Room

    So what happened? I mean did they achieved their goals? Did they turned around the department? How was the power sharing process implemented with your manager?

11. Correct way of prepping a Leg??

    gnom replied to AussieRNinHI's topic in Operating Room

    we have different prep altogether...it takes 2 people to prep an extremity for an ortho case. so resident or assistant holds the leg and I scrub the foot. then dry and then paint or duraprep depending on the surgeons' preferences. then I would take a...

12. CRNA Hates me

    gnom replied to brookorrn's topic in Operating Room

    things are a bit different in US..at least where I'm working...OR is a closed unit...it doesn't have much exposure from the outside and guys from HR are never seen there.... Surgeons are money making cows so management have their eyes wide closed whe...

13. Never been anywhere else... help

    gnom replied to kcorny's topic in Operating Room

    you'll be fine. I did the same thing...changed 5 OR for 28....good orientation...good staff and you'll be an OR pro very soon. be honest with preceptors and eager to learn new things!!! good luck!

14. Have you heard about DJ Sullivan?

    gnom posted a topic in Operating Room

    Hey! Just wanted to ask if anybody encountered DJ Sullivan consultants in the OR? We are huge Level 1 trauma with 28 ORs. And we hired this guys......... Things are pretty ****** now...first thing they did - slashed bonuses....call and overtime is mi...

15. Should we stay sterile or not?

    gnom posted a topic in Operating Room

    Hey, My scrub tech asked me question the other day which I didn't have an answer for...So we did a tracheostomy on this extremely sick guy. He was superhigh risk - 500 pounds plus, vented..and all that jazz. So finally we were done with surgery...sur...