All4Seasons

All4Seasons

PACU,Trauma ICU,CVICU,Med-Surg,EENT

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All Content by All4Seasons

  1. Need career advice please

    All4Seasons replied to Florence NightinFAIL's topic in First Year After Licensure

    Hi, I think kool- aide has given great advice. In addition,because I am a huge proponent of the immense benefit of a solid med-surg background-I would continue absorbing all that great clinical...

  2. Do You Have Computerized Charting?

    All4Seasons posted a topic in General Nursing

    Hi, I work in PACU,and as part of the OR,which has instituted a program through MacKesson,we are working very rapidly toward computerized charting,and are very close now to going 'live'. It has...

  3. Post Op Admissions During Change of Shift

    All4Seasons posted a topic in Orthopedic

    Hi, Pacu nurse here wondering if I can have some feedback on how things work in your unit with respect to post op admissions while the night shift is getting their report. Does PACU hold on to the pts...

  4. Do You Hold Discharges for Change of Shift?

    All4Seasons posted a topic in PACU

    Hi, We're trying to improve our flow of patients through PACU -apparently the average case is in and out of PACU in one hour -don't quite know how they compute this,keeping in mind the mixture of...

  5. Post op Admissions During Shift Change?

    All4Seasons posted a topic in Medical-Surgical

    Hi, Pacu nurse here wondering if I can have some feedback on how things work in your unit with respect to post op admissions while the night shift is getting their report. Does PACU hold on to the pts...

  6. Post op Admissions During Shift Change?

    All4Seasons replied to All4Seasons's topic in Medical-Surgical

    Ellecat said: "What I've seen is that when the time to staff based on number of patients is over, the floor is suddenly overrun with admits that the ED and PACU have held in order to keep their...

  7. PACU vs. Prep and Recovery

    All4Seasons replied to heyRN's topic in PACU

    Hi, Here are the different perioperative stages,which are similar in all hospitals. Perioperative meaning the entire process of having a (usually) surgical procedure to walking out the door to home,...

  8. PACU vs. Prep and Recovery

    All4Seasons replied to heyRN's topic in PACU

    Oops...see

  9. Do You Hold Discharges for Change of Shift?

    All4Seasons replied to All4Seasons's topic in PACU

    This problem,thankfully,only crops up in the evening.50% of the time,like last evening, we were almost fully cleared out by 18:30, though a few cases were still in the OR. The other 50% we are...

  10. Do You Hold Discharges for Change of Shift?

    All4Seasons replied to All4Seasons's topic in PACU

    GHGoonette said: "As for your problem with discharging patients at handover time, I fail to understand why this should be a problem; even if handover is in progress; surely there are still day staff...

  11. postop trach

    All4Seasons replied to PaKuRN's topic in PACU

    We are a major,tertiary care trauma centre associated with a large university. We have 21 bays. All ICU cases go directly back to ICU and to CVICU. The only exception I can think of is a patient (a...

  12. Drug seekers

    All4Seasons replied to inteRN's topic in Emergency

    The lengths some people will go to....I wasted NINE hours on a person the other day who thought he'd come in and fake a CVA. After the first few minutes he seemed to have a very 'studied' way when...

  13. Recommend an Excellent Emergency Nursing Textbook?

    All4Seasons posted a topic in Emergency

    Hi! Just finished my third orientation shift in an ED nearby. So far,I'm feeling that the likelihood that this will be a good fit for me is ~ 70/30 in favour. I currently work in Post Anesthetic...

  14. Aldrete Score

    All4Seasons replied to coffeegirl7's topic in PACU

    When we used paper charting the scoring was on the flow chart with v.s. - which is where I believe it should be,so that all relevant data on a pt's progress through the recovery period can be seen at...

  15. What Are THE Major Pediatric ER Points

    All4Seasons posted a topic in Emergency

    Hi, I am about to begin a new nursing adventure in the ER in my community's Multi Service Centre (ER+clinics of all sorts+ radiology+ labratory,etc). It services a population of about 100,000-150,000...

  16. New Grad dilema

    All4Seasons replied to New2ERNursing's topic in Emergency

    Hi, I've just come across this thread today; it's been very interesting to read all of the great ideas,suggestions,and personal experiences that have been put forth here by people who've taken the...

  17. PACU catch phrase

    All4Seasons replied to TennBSN's topic in PACU

    As Sting's #1 fan, :redlight: I think that's a perfect slogan!!! Roxanne (jest kidding, it's jennifer really)

  18. 1 year ICU...ready for ER?

    All4Seasons replied to jmblair1's topic in Emergency

    "it's like the difference between fine dining and McDonald's" :lol2:we use the same analogy here in PACU as compared to the floor (where we send a good number of our cases) - where they have the pt...

  19. Phase II Question

    All4Seasons replied to Phase2Pro's topic in PACU

    In NO way were you being "overly cautious" to be concerned that a pt was being discharged in that condition - however your colleague was being way too dismissive,complacent,and,in plain English -...

  20. PACU catch phrase

    All4Seasons replied to TennBSN's topic in PACU

    We PAC-U in warm blankets and Wrap -U with Nursing

  21. Back-up call policy on weekends

    All4Seasons replied to nursecoffee's topic in PACU

    The Nursing Supervisors in our facility have been renamed Administrative Coordinators -and one is not even an RN - in fact,he's never been a healthcare deliverer of any kind! That's a trend we hope...

  22. Back-up call policy on weekends

    All4Seasons replied to nursecoffee's topic in PACU

    Like Siss,we always have two RNs on call -years ago,the PACU veteran nurses tell me,there would only be one of them on call at a time. There are people here,though,who have mentioned working alone as...

  23. Anterior cervical spine recovery

    All4Seasons replied to nurseJudy56's topic in PACU

    Hi, A little update: I had a C5-6 cordotomy,allograft, and fusion with plates just yesterday,a 44yr old man with history of anxiety (medicated)- Dr B. said the pt had been very anxious preop,healthy...

  24. Where Do You Dispose of Narcotics?

    All4Seasons posted a topic in PACU

    What is your hospital policy for this? Apparently,our pharmacy is drafting a new policy for disposal of narcotics. I'm specifically speaking of the syringes of injectables that your patient doesn't...

  25. Questions About Your PACU

    All4Seasons posted a topic in PACU

    There are some ongoing issues in our PACU about pt flow into and out of the unit due to that perpetual bottle neck that PACU is. We are caught between the surgeon's need to do her/his work on pts who...