All4Seasons

All4Seasons

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

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All Content by All4Seasons

  1. Narcotics at the bedside in t he PACU

    All4Seasons replied to pinkfloydfreak's topic in PACU

    We've just had a memo from pharmacy which essentially says that you don't give anything from a syringe that you haven't drawn up yourself (even though we always check each others narcotic draws and...

  2. Am I Being Unrealistic?

    All4Seasons replied to pcbnurse's topic in PACU

    To the Original Poster, I have to say that what you describe is so bad,I am (almost) speechless. And I mean off-the-scale bad. If I were in your position,without a doubt,I would under no circumstances...

  3. Spinal level for discharge to the floor?

    All4Seasons posted a topic in PACU

    What is the discharge criteria in your PACU for discharge to the floor (not home)? Currently,our policy is muddied to say the least,with every anesthetist having a different opinion: -some say spinal...

  4. Trensfering patients to floor

    All4Seasons replied to UKPedsRN's topic in PACU

    Here, our patient attendants take stable pts back to the floor.They are trained in CPR. A porter,who usually doesn't have CPR training,can transfer with the attendant,but never alone - unless it's a...

  5. Where Do You Dispose of Narcotics?

    All4Seasons posted a topic in General Nursing

    What is your hospital policy for this? Apparently,our pharmacy is drafting a new policy for disposal of narcotics. Pharmacy,because of potential access by drug seekers, does not want them to go into...

  6. ICU fighting admissions?

    All4Seasons replied to NurseyPoo7's topic in General Nursing

    I work in PACU and fairly often we have pts who deteriorate postop for whatever reason, and in anesthesia's opinion, require ICU care. Now,even though anesthetists routinely take care of critically...

  7. what do you do about phone calls if you could come to work extra on your day off

    All4Seasons replied to olli975's topic in General Nursing

    For 9 of the 10 years I worked in one particular unit I was casual. The unit had self scheduling and all of the shifts I took were scheduled in - our three children were tiny then and it worked the...

  8. Rude Resident Physician!!

    All4Seasons replied to RNbabe's topic in Patient, Colleague Relations

    Just goes to show you that medical school may confer an MD,but not classiness...what a moron. Can you just imagine what he likely has (or will) cuttingly remark to patients throughout his career......

  9. Have You Ever Refused to Come in for Call?

    All4Seasons replied to All4Seasons's topic in PACU

    Update: All is well. I had a meeting with our unit manager. By that time,I'd rehashed this in my head, and told her that I'd not make the same decision again. There was no trouble. I did ask her what...

  10. Have You Ever Refused to Come in for Call?

    All4Seasons replied to All4Seasons's topic in PACU

    Hi Penquin, Do you mean that in your rotation,a day shift may be scheduled to begin just as your call shift is ending?! The only shift allowed here after a call is a 1500-2300. Otherwise,there are...

  11. Have You Ever Refused to Come in for Call?

    All4Seasons replied to All4Seasons's topic in PACU

    The meeting is Monday. It may not sound like it,but I am not a person who has a history of challenging "that's just the way things are". Today has been a total ruin for me,I am so upset about this. I...

  12. Have You Ever Refused to Come in for Call?

    All4Seasons replied to All4Seasons's topic in PACU

    Thanks for your reply,Southern Fried! :) We only do emergencies (or "emergencies") after 2300, so the call staff, as well as the oncoming day staff, don't have any idea what,if anything,is going to...

  13. on call pay for pacu

    All4Seasons replied to pbajil's topic in PACU

    We're paid all of $12. for being 'on call' from 2300-0700. If we're called in it's at Time+1/2/hr for the first 4 hours. Anything over that,we're paid double time for the entire time we've been in....

  14. Anyone Have 10 hour shifts in their PACU?

    All4Seasons posted a topic in PACU

    Some of us are looking at the possibility of including 10 hour shifts in our PACU (we currently have 8 hrs only)....anyone doing them? any thoughts on how it's working??

  15. Weekend Nurse?

    All4Seasons posted a topic in PACU

    One of the things we're discussing in our PACU to improve staffing in the midst of a shortage is a W/E nurse postion (so we could move more nurses from W/E to W/D shifts - currently 6 w/e shifts are...

  16. How about a liasion nurse ?

    All4Seasons replied to anr33's topic in PACU

    " I just want to say "well I can't get her out any faster when you call q15min!!!" " Lol! good one,and so true! We are like this sometimes,aren't we?! lol

  17. Weekend Nurse?

    All4Seasons replied to All4Seasons's topic in PACU

    I get it,I think....you're only on call Sat/Sun days AND nights then...no regular list? (we're in 0700-1900 S & S to do waitlist procedures,then call (for emergencies) from 1900 - 0700. Thanks...

  18. Extubating Dementia or Confused Pt.

    All4Seasons replied to mimi55's topic in PACU

    :) you're very welcome!

  19. Extubating Dementia or Confused Pt.

    All4Seasons replied to mimi55's topic in PACU

    Yes,it certainly is trickier to assess pts for readiness for extubation who have issues such as this, but many of the same criteria can still be used,and,actually,these would all need to be in the...

  20. all PACU RNs Wrote up!

    All4Seasons replied to jrgrad1912's topic in PACU

    OP, Do you mean that in order to discharge a pt from PACU, to either a postop hospital bed,phase 2 recovery or to home,you are required now to have an MD personally write an order for discharge? I...

  21. Nubain Problems in chronic pain pts

    All4Seasons replied to HollymedicRN's topic in Cardiac

    Strange choice of analgesic for this type of procedure - I wouldn't think it'd be a first line analgesic, unless there's something about it of which I'm not aware (quite possible). In our PACU,we...

  22. How about a liasion nurse ?

    All4Seasons replied to anr33's topic in PACU

    Yes,we generally have a liaison nurse on M-F, 9-5 and it works beautifully This position is filled by OR nurses. They regularly make rounds through the OR, PACU,and the day surgery waiting areas...

  23. ? Why are people saying that nursing is tough? i dont understand whats so hard about

    All4Seasons replied to Jelet's topic in General Nursing

    "and i didnt think rn's can be responsible for peoples lives. i thought they just treat little injuries. like broken fingers/burns/take ur pulse and such.." hmmm....are you having us on? you're...

  24. What types of patients do you all recover in your PACU?

    All4Seasons replied to debtor11's topic in PACU

    Pretty shoddy behaviour from the L&D Recovery...a party?!? HaHa you called their bluff! Wanna come and work with us?!... our dept needs some good backbone! I think that there comes a point when...

  25. What types of patients do you all recover in your PACU?

    All4Seasons replied to debtor11's topic in PACU

    Not to my knowledge do we recover cath lab pts,but that's not to say it hasn't been done when I haven't been on -because just about every other service has tried (and usually wins) to have their pts...