All4Seasons

All4Seasons

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

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All Content by All4Seasons

  1. Spinal anesthetics in pre-op

    All4Seasons replied to btrfly76's topic in PACU

    Hi Anesthesia does quite a number of spinals here - but only in the OR. They're not even done in the regional block area. To do them in a preop area seems foolhardy to me,at best. The potential...

  2. Paperless in PACU

    All4Seasons replied to thisismylicense.rn's topic in PACU

    You're welcome,hon -and thanks for the thanks! :)

  3. Do You Want Universal Healthcare?

    All4Seasons replied to DanFNP's topic in Activism, Healthcare

    I am a Canadian citizen and have been an RN in the same system for ~28 years,and while our Universal Healthcare system does have its problems - longer surgical wait lists immediately comes to...

  4. curtains

    All4Seasons replied to Lisarnrrt's topic in PACU

    Just saw this thread...imo,and I've said this,the bedside curtains are the DIRTIEST thing in a hospital,after the floors. If I had $.05 for every used, gloved hand I've seen touch a curtain...:barf01:...

  5. Opinions please re: Phase I

    All4Seasons replied to sharann's topic in PACU

    We never have less than two nurses in PACU - if I was expected to work by myself -and I have to say that I believe this practise to be foolhardy at best and a practise designed by penny-pinching fools...

  6. Paperless in PACU

    All4Seasons replied to thisismylicense.rn's topic in PACU

    This time last summer I was EXACTLY where you are now, thisismylicence.rn. Because the powers-that-be decided that the entire Perioperative portfolio had to be 100% computer-charting,PACU was stuck...

  7. No Beds

    All4Seasons replied to at2726's topic in PACU

    This is a hot topic here as well! This definitely goes on at times,especially with certain prima donna surgeons who want their case done - regardless. And we've heard them say it! It would never...

  8. Family Visitation in the PACU

    All4Seasons replied to smidgen21's topic in PACU

    In our PACU,family visiting is allowed at the bedside nurses' discretion -it's pretty common here. Not every pt or family asks to come in but when they do I usually grant it -I'd know how much I'd...

  9. What do you like about being PACU?

    All4Seasons replied to pinkiepie_RN's topic in PACU

    Gosh,no,I'd not recommend PACU to a new grad either.Being a critical care area,it is really important (as it is in the rest of nursing of course,but even more so here), that you build on your entry...

  10. a rapid response team that responds to the pacu?

    All4Seasons replied to cully24's topic in PACU

    Again, PACU is considered a critical care area here,so we handle our own situations. Then depending on the severity of the problem, either ICU is consulted or the pt is sent to IMCU. Cully24, is this...

  11. Would you take this assignment?

    All4Seasons posted a topic in PACU

    Could you give me your opinion on this scenario? This afternoon,the charge nurse came up to me and asked if I'd "be comfortable taking a pt with a Ventricular Access Device". She said,and I quote,...

  12. PCA's in PACU

    All4Seasons replied to cthorn518's topic in PACU

    If the pt is awake/alert and pain has been brought under control,we give them the PCA teaching and they start administering it. Even if someone is still too sleepy to have it started,it is ALWAYS...

  13. Back up PACU nurse on call

    All4Seasons replied to kabrowni's topic in PACU

    I am curious how other PACU's run... How is staffing during the day and evening? We have a 23 bed PACU (but 3 are being used as a block rm and 3 aren't open -not enough staff) - so 17 beds.) We try...

  14. Back up PACU nurse on call

    All4Seasons replied to kabrowni's topic in PACU

    For at least ten years here there are always two RNs on call - our call is 2300 to 0700 7 days a week. We do wait list surgeries on Sat and Sun and the floor nurses frequently have to come get their...

  15. Airways in PACU

    All4Seasons replied to kezza444's topic in PACU

    The RNs in our PACU remove all tubes,including ETTs and LMAs -once set criteria is met,essentially to make sure their neuromuscular block has been optimally reversed, and that they are responsive...

  16. Dryness of mouth in PACU

    All4Seasons replied to btrfly76's topic in PACU

    I can't see Lemon-Glycerin swabs helping when even sips of cold water don't help - it just takes time - most of our pts are given Atropine in the early intraop phase to reduce oral secretions,leaving...

  17. charting the level of the spinal

    All4Seasons replied to cully24's topic in PACU

    We also use a dermatome chart

  18. ADD and social anxiety need advice

    All4Seasons replied to wannabeeverything's topic in Nurse Disabilities

    Wow. That never even occurred to me. I have never worked in a facility that did employee drug testing - either pre-employment or random screening. I did a little research and it seems to be common in...

  19. ADD and social anxiety need advice

    All4Seasons replied to wannabeeverything's topic in Nurse Disabilities

    Why would it be anyone's concern what medications you are on? It's definitely not a good idea to share personal information like that with coworkers. It's no one's business as well. Information is...

  20. ADD and social anxiety need advice

    All4Seasons replied to wannabeeverything's topic in Nurse Disabilities

    Hi! Hurray for you in your desire to be a nurse!! It will be easier to study for any career,not just nursing,if you have all possible supports in place. If you haven't already done so,I'd get an...

  21. What you get for nurses week

    All4Seasons replied to chevyv's topic in General Nursing

    A very nice basket of fruit/crackers/cookies from the orthopedic service; a cake (to be split between the 12 or so nurses on duty in PACU today, and whatever number were on duty in the afternoon in...

  22. Recovery Room Woes...

    All4Seasons replied to Okami_CCRN's topic in General Nursing

    I can sympathize with you -it does add stress when it's hard to get hold of a resident or an attending. In my PACU,the EKG problems would be handled by the Anesthesia staff before the pt would be...

  23. Computer Charting in PACU Question

    All4Seasons posted a topic in PACU

    -Just wondering how many of you PACU RNs out there have computer charting in your units? -For you,is it or ? Do they fit well into your high paced PACU? -Do your keyboards have skins that you...

  24. My sister is on life support

    All4Seasons replied to realnursealso/LPN's topic in General Nursing

    I am so sorry to hear of your troubles. I wish I could give you a hug! I can not imagine how hard this must be for you. I hope the warm memories you have of your sister will give you comfort and peace...

  25. ICU Nurses with OCD!!!

    All4Seasons replied to nursern20's topic in MICU, SICU

    You are very welcome,my dear! I didn't notice until just now that you wrote this post ~ a year and a half ago. How are things going? Are you in the same ICU, and are things any easier for you now? I...