All4Seasons

All4Seasons

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

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All Content by All4Seasons

  1. PACU/OR nurse issues

    WOW! That's
  2. Questions About Your PACU

    Hi again, I just now realized how awfully long my question list is! If you want to answer just one question that's totally fine -I'll be happy to have any and all responses. Thanks!
  3. To flush or not to flush...advice please.

    We flush with saline after all medications.Nothing else makes
  4. Sorry,we still call report to the receiving
  5. PACU/OR nurse issues

    Shhhhh.....at the moment we have no preop responsibilities in our PACU. On weekends,the OR is responsible for getting the pt from the waiting area and escorting them into the theatre. Anesthesia does...
  6. "...Nurses are Doctors SKIVVIES"

    I think you need new friends... this isn't a terribly enlightened fellow,just another blowhard
  7. Had the WORST shadow experience, am shaking

    Beautiful job handling this horrible situation,greenykilt! I am very proud of your determination to be proactive; despite having some extra advantages,it would still have been difficult for anyone...
  8. Leveling of A/L in Side-Lying Pt?

    Hello, In your practise,from where do you level the arterial line when the patient is side lying (let's say at 25-45 degrees with HOB elevated 30-45 degrees)? Do you reposition your patients supine...
  9. working more that 16 hours straight

    Elke, I'm afraid my help is limited -I'm in Canada,but if you are unionized,your union contract would definitely address this. If you are not unionized,calling your Florida State labour department...
  10. Curious... Why would an ICU pt go to PACU?

    The way it works in our hospital is that the surgical ICUs (in this facility that means Med/Surg/Neuro ICU and CVICU) receive their admissions straight from the OR with no stop in PACU; that being...
  11. Hospital Scrubs

    Unfortunately,we wear our own uniforms - but many of us think we should be in OR scrubs. All comes down to the
  12. follow-up phone calls after daystay discharge from PACU

    Our Periop program does not currently call Day Surgery pts -sounds like an excellent idea,but I don't think we'll ever see it here - too many pts,too few nurses. We do,in our teaching though,when we...
  13. Your Policy for S/C Narcotic Discard?

    Occasionally we give narcotic via S/C in our PACU (in those floor pts being held here o/n, or as part of the APS orders (I'm not sure you all call it that,so I'll say Acute Pain Service -they do the...
  14. Changing needles for injections...

    If you're drawing up a med from a glass ampule (the ones you snap the top off) you must draw up with a filter needle then change it so there's no chance of injecting
  15. I'm guilty. It's about the condom catheter

    I think you came up with an ingenious (and harmless) incentive for this manipulative patient to stop the game playing. He,obviously,has no concern for anyone but himself. He needs counseling on a...
  16. Transfer of ABD Sx pts from stretcher to bed?

    I have a personal 'policy' that I don't usually have my postop abdominal sx pts move themselves over from stretcher to bed if I've accompanied them to the floor. I think it's not only cruel,but it can...
  17. How do you feel about this?

    here's the line that got me: "nurses bake the cookies each night in otis spunkmeyer ovens." :icon_roll give me a break. the last thing all the overweight/obese canadians (that's where i'm from) and...
  18. LPN's/LVN's in a Phase II area of PACU.

    Our PACU, just last week, completed its first ever trial of using an LPN in our 'Extended Stay' unit -a separate space across from the main PACU where pts,ready to be discharged from us,went when...
  19. This is such a shame.All of that education (and $$$). Obviously,this has been a very unhappy time for you. All may not be lost however. A few questions for you... I should preface this by saying that...
  20. compuer documentation

    We've been working with an Horizon computer program for ~ 2 years in our PACU. Because the bright minds in charge (and not at the bedside) didn't procure a program which interfaces with our...
  21. Any advice for a nurse new to PACU???

    Congratulations! :yelclap: You're in for an exciting ride,and since you love to learn,you sound up to the challenge,and that's great! The learning curve will be a steep one,but I,and many others have...
  22. In our PACU the statistics show that the most often used delay codes are for 'bed not ready' and 'post recovery lounge (phase 2) full '....we have the same issues: late discharges upstairs in the...
  23. Anterior cervical spine recovery

    I have to say that I've not had any problems with my anterior spine cases -they've all woken up peacefully and remained that way,with pain well controlled - likely due to having an excellent...
  24. Have You Ever Refused to Come in for Call?

    in december,a colleague and i,assigned to be on call 2300-0700 on this particular night, were called in at 2300 and stayed until 0220,then returned to our homes. at 0540 my phone rang - i was called...
  25. Have You Ever Refused to Come in for Call?

    Good question. In the 5 years I've been in this unit,that's not been done - likely because being called in this close to 0700 happens so rarely. Seems a reasonable suggestion to me if they lived close...