ShirleyM

ShirleyM

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All Content by ShirleyM

  1. Local Anesthesia Policy

    ShirleyM replied to oreducator's topic in Operating Room

    The only procedure we do strict local on are iliac crest biopsies, which are elective, thus only done mon-fri. During that case an RN monitors the patient's BP, HR and o2 sat levels plus gives support...

  2. Site marking

    ShirleyM replied to sharann's topic in Operating Room

    Where I work, the physician performing the surgery (attendee or resident) marks the site with a 'yes'. Some will write their initials besides the 'yes' but as long as yes is written on the site that's...

  3. Case Scheduling

    ShirleyM replied to shodobe's topic in Operating Room

    I have to add this on...today the Chairman of Vascular Surgery called the weekend on-call anesthesiologist to say he wanted to do an emergency NAIS on Saturday...let me add that this MD does a NAIS...

  4. Staff turnover.....and I need to vent...

    ShirleyM posted a topic in Operating Room

    I'm curious, how is the staff turnover in your ORs? The hospital I work in is the only one I've worked in since coming to the US, but I'm convinced we have the highest turnover over in the city, if...

  5. Staff turnover.....and I need to vent...

    ShirleyM replied to ShirleyM's topic in Operating Room

    I started in Aug 2002. From that point till now we've had 20-25 leave. Of that number, one retired, six were let go and the rest quit. The boss has told us in staff mtg that we're all getting older...

  6. Case Scheduling

    ShirleyM replied to shodobe's topic in Operating Room

    Hi everyone, Where I work we don't have an emergency dept. All of cases are scheduled Mon-Fri as elective. We have an on-call team for 11p-7a Mon-Fri, weekends and holidays. Patients in-house who need...

  7. Who does the prep in your OR?

    ShirleyM posted a topic in Operating Room

    Okay everyone, I have a question.... Who does the prep in your OR? Where I work, the circulator does the prep 99% of the time. We have one surgeon who always does his own prep, plus every now and...

  8. Float Pool for the O.R...

    ShirleyM posted a topic in Operating Room

    Hey all, Does anyone know of any float pools in the O.R? If so, can you tell me about them, how it works and whether or not it's worked out for your workplace and your colleagues? For example, the...

  9. surgical tech question

    ShirleyM replied to pixie-dust37's topic in Operating Room

    Wow, I didn't know wait lists for Scrub Tech school were that long! About El Centro College, I'll try to find out for you. The educator at my work goes there from time to time so I'll try to find out....

  10. Positioning during radical retropubic prostatectomy

    ShirleyM replied to stevierae's topic in Operating Room

    grimmy, thanks for the explanation. i have a better understanding of it

  11. Positioning during radical retropubic prostatectomy

    ShirleyM replied to stevierae's topic in Operating Room

    Why the bean bag? Does the patient go into Trendelenberg or reverse Trendelenberg? And how do you fit the safety strap over the patient in lithotomy and not have the strap interfere with the surgical...

  12. Positioning during radical retropubic prostatectomy

    ShirleyM replied to stevierae's topic in Operating Room

    You should, I didn't know lap prostates were possible either until I started working at my current workplace. I enjoy laparoscopic cases, I used to do them all the time until this year when they...

  13. Positioning during radical retropubic prostatectomy

    ShirleyM replied to stevierae's topic in Operating Room

    For our open prostates, we usually put the strap mid thigh and have the bed flexed. And we do have our patients wear TEDS and SCDs for the OR. We prep the member and scrotum into the field so they can...

  14. Cidex

    ShirleyM replied to tallone's topic in Operating Room

    We use Cidex for our cystoscopes/GU scopes. We put them in for a 20 min cycle and rinse with sterile water for about 10 min before use. I don't know what kind of different Steris machines there are...

  15. CRNAs teach AAs in clinical? Need an OR insider

    ShirleyM replied to NGACRNA's topic in Operating Room

    I'll talk to the CRNA's that I work with (I don't work in Emory) but first I have to know what AA stands for

  16. Time-Out/Surgical site marking....

    ShirleyM posted a topic in Operating Room

    Hey all, I'm curious, has anyone had a hard time instituting the Time'out and Surgical Site marking in their workplace(i.e, has anyone gotten resistance from MDs about doing timeout/surgical site...

  17. shoulder injury

    ShirleyM replied to daisee's topic in Operating Room

    I have to ask, what were they doing at the time of injury? where I work we've haven't had a pattern of certain injuries occur. We had a tech who pulled his back a couple of weeks ago, but it's not...

  18. Turnover times...

    ShirleyM replied to ShirleyM's topic in Operating Room

    Thank you to all those who replied to my thread. I never bothered to ask my co-workers how(or if) they keep their turnovers to 15-20 min, but now I don't feel so alone in not doing turnovers in that...

  19. Are your RN's mopping floors??

    ShirleyM replied to nurselily3's topic in Operating Room

    Nurselily3, you didn't mention how long your turn-over time is at present and the amount of time the consulting firm recommends. Anyway, I had always been told that most hospitals don't have OR...

  20. prep solution question

    ShirleyM replied to mcmike55's topic in Operating Room

    The only docs that use alcohol where I work are the neuro guys. We use ESUs but the alcohol has long dried up by the time they use the bovie. They like using the alcohol after the betadine, so that...

  21. Defibrillators/AICD's

    ShirleyM replied to staceyp413's topic in Operating Room

    Our Anesthesiologists are the ones who handle defibrillators. They're the ones who look into what kind the patient has, plus tracking down the doctor who put it in for settings and...

  22. prep solution question

    ShirleyM replied to mcmike55's topic in Operating Room

    Our plastic surgeons use PCMX for facial surgery diluted with n/s or h2o. Our neurosurgeons use betadine scrub diluted with h2o, then 70% alcohol to let the drapes stick on the skin. A couple then do...

  23. Time-Out/Surgical site marking....

    ShirleyM replied to ShirleyM's topic in Operating Room

    Carcha, The timeout/surgical site marking comes from National Patient Safety Goals established yearly, I believe by JCHAO. One of the goals is to eliminate wrong site...

  24. duties and responsibilities of scrub and circulating nurses

    ShirleyM replied to mariw's topic in Operating Room

    It would be good to check out the thread 'what do OR nurses do all day?' and read the reply by Porsche65 (5th reply). It's a long reply but it accurately describes the duties and responsibilities of...

  25. surgical assistant OR surgical housekeeper??

    ShirleyM replied to Lonman's topic in Operating Room

    At my work, they're called O.R attendants. They clean rooms after procedures, help with extremity holding during prep, take stuff to blood bank/lab, help with patient moving/postioning, help with...