gnom

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 times. good luck

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 are super specialized and over 45% of our staff in Certified! But the funny thing is most of our nurses are comfortable in neuro and few in ortho. Our ortho emergencies is multi-trauma with open pelvises and limb re-implantations...so I highly doubt that GYN nurse can handle something like that...If we get called in on the weekend it's usually 10-12 hours and we take 2 weekends on average....I guess it all depends on the surgeons you guys must have some crazy single nuero surgeons working away for early retirement...

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 management rollercoaster - 5th manager in 3 years and nobody quite appreciates the staff here. I feel like all they care about is surviving today without thinking at least 2 weeks ahead. I love people who I work with and I enjoy what I do. I was always making fun of nurses who leave and come back' in 5-6 months cause apparently grass is only seems greener on the other side. I thought this is me being committed but after a while of doing someone else's job I'm starting to look around and there are opportunities are lots of them. Now the question is should you stay focused and wait for things to ease or pursuit your career growth call???? Kinda peculiar but I hope you understand where i'm coming from.....

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 wrong screws... tray tracking system is there too. Still somebody scanned them out and didn't scan them in...or it's unique tray with a hole... I mean we are dealing with it and I guess it's not that bad compare to other Level 1 centers that actually outsourced their SRP departments to instrument companies... I just think that there is a better way and I'm looking for it!

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 mean incomplete trays, lost instruments, lost consignment trays, trays sent unsterile and stuff like that? I'm sure there is a better way to things and I'm looking for one. Also, if anyone works in SRP/SPD departments what % of the instrument is lost/broken every year? Thanks

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....

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 hospital and that was usually the scenario for some BS surgeons. I work in Level I trauma center now Plus what's up with 8 AM on Saturday? We do not allow elective cases for weekends - only emergiencies! You did a good job but that I would never see that surgeon if I had to have surgery.

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 cold....In ortho a lot depends on the surgeon. Our ortho team is consist of 3 teams actualy - joints, spine and trauma. Joints are easy.....the same thing all the time....In trauma you have to think like a surgeon, anticipate needs and be quick and resourceful! Also a lot of heavy trays - sometimes up to 30 in complex trauma cases. In LA they do pelvises so be ready for those 30 trays! Hope it heps

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?

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 sterile cloth towel and hold the leg by the foot. the assistant in the mean time would put on sterile gloves and will take the foot from me. I would then change gloves and prep the rest of the leg starting from incision site. there is one surgeon who would after all that ask for alcohol on the sterile field. then with lap sponge he would wipe all betadine out...then wait until it dries and then reprep with duraprep. so it's super duper prep.....-)))) accourding to some studies the best prep is chloraprep though...it's 8 times more effective as regular betadine wash ans paint....

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 when things like that happen. There is one surgeon who is exceptional SOB got fired a tech who told him to cool down when he vocalized his anger during a change of shift. That tech unscribed the nurse who was scrubed for 16 hours and the surgeon felt that she needs to finish transplant with him...............................................next day that dude (scrub tech) was fired... The biggest thing they can do is to send abusive people to anger management classes....That doesn't work -((((( your nervousness will easy as the experience will come....pursue your dream....even if it'll be different OR. good luck

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!

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 minimal to the point when they send people home even if they are short staffed....God forbid if trauma comes up..I don't want to be there for that -((( Back to the point...If you had them in the OR how did staff handle them and their fiscal measures? How long did they stay? Did you feel like you needed consultants or just a new manager???????? thanks

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...surgeon left, resident left...Anesthesia is all nervous cause they decided to put central line and cardiovert him postoperatively. I was cool with that but then tech asked me if she should stay sterile for Central line and cardioversion...I was like...just keep the back table sterile in case...Tech said that some nurse like scrub to stay sterile and others don't care. Luckily for the patient anesthesia fixed him allright, HR :heartbeat became normal and central line was put like in the books.

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 problem is residents though-)) not students..sometime we have 5 of them that want to scrub a case...waste of gowns and gloves since the most active one usually grabs the spot and does all the work-))) Our joint guys does not practice "closed door" police since it's imposible..everybody gets a lunch relief..

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 wound. So we opened the skin and washed it out...Surgeon decided to reopen. We set the drill and everything. When he got the bone flap out he initially asked us to soak it in betadine - so we did. But then he suddenly told me and other citculator to flash the the flap in starilizer for 3 minutes. It really sounded OFF to me. My partner circulator is well seasoned neuro nurse. She told me that she had done it in the past once. Anyways we page risk manager and infection control got involved. Resume - he put mesh in and they didn't let him sterilize the bone. After the case I asked him if he did do it before and he said yes and his rational for doing it was that the bone was infected and after about 6-8 months it will regain the same strenght. So I just wanted to ask if anyone had experienced that kind of situation before and how did you deal with it??? Andrey

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 floor nurses when they screwed with our pumps.

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, A

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

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 select that apply, no math, almost all of them were priority questions. So confused, I remebered the last question, but not sure in it. 2 nervous days ahead..........

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 view! Andrew

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 to create you password and login you just need know you cgfns ID number).When you reach you page choose - check the status of any current order for products or servise. Then there will be list of services - CP,VS - you need to click on servise you interested in and click - Go. You also can check any correspondence and a lot of things! Here you are,enjoy your information! Andrey

Thanx and good luck to you in you "struggle" :rotfl:

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

Thank you, cause i really can;t find it Gnom