gnom

gnom

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All Content by gnom

  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...

  2. 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...

  3. 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...

  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...

  5. 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 -...

  6. 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...

  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...

  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...

  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...

  10. 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...

  11. 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

  12. 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...

  13. 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...

  14. 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

  15. Limit to the Number of People in the OR??

    gnom replied to EvaJ's topic in Operating Room

    Hi there, We are a huge teaching hospital. Our ORs are really big and we don't limit number of student. We have 18 OR and we're opening 12 more so we just put 1 or 2 student in every room. I think our...

  16. Skull bone flap

    gnom posted a topic in Operating Room

    Just want to share pretty unusual surgeon's decision. So we are doing an I&D of skull wound. Patient had a craniotomy in December. Suture looks pretty nasty and there is puss coming out of the...

  17. PCA Pump Settings

    gnom replied to Scoobiedoo's topic in General Nursing

    Well we don't know what are you guys using for ur PCA plus you need a little shorter periods with total knees. From my experience we (surgery) called from the floor every single time to help out...

  18. Green Card

    gnom replied to suzanne4's topic in International Nursing

    OMG.... I was thinking I'm waiting kinda long...no way. You know, I'm so glad I stuck with your advises, cause I had some people telling me some BS... Thank you again,

  19. Took the NCLEX today

    gnom replied to boopchick's topic in NCLEX Exam, Programs

    I passed! :balloons: Get the quick results today ! Still couldn't believe! Believe in yourself! Good luck to all

  20. Took the NCLEX today

    gnom replied to boopchick's topic in NCLEX Exam, Programs

    Finally..... Took NCLEX today. Don't know why but was preparing myself for 75 questions.When I got question #76 I thought ok, I'll get 85, then 95. So I got 265 questions - only 2 questions...

  21. What's it like working as a male nurse?

    gnom replied to Gottago's topic in Men in Nursing

    Well, Mike It's one of the best threats, I've read here ever! I think you should consider to write a book someday about all this PMS, tampons, periouds and specially about defending male point of...

  22. CGFNS Exam

    gnom replied to wmarat's topic in International Nursing

    Hi! I think it's a bit early to check now, but anyway go to cgfns.org, choose check your status (you need to know you password and login - if you gonna use this service first time they will offer you...

  23. visa screen and excelsior exams

    gnom replied to firebird's topic in International Nursing

    Thanx and good luck to you in you "struggle"

  24. visa screen and excelsior exams

    gnom replied to firebird's topic in International Nursing

    Hi! Sorry, i don't get-it seems that you worked for 2 years without Visa Screen??? Is it possible? Thanx,

  25. Help

    gnom posted a topic in NCLEX Exam, Programs

    Hello everyone! I just want to ask a question: i prepare for nclex and i meet this diagnose - AXIS I or II diagnosis! Please tell what does it mean???...