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staceyp413

staceyp413

OR RN Circulator, Scrub; Management
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staceyp413 has 22 years experience and specializes in OR RN Circulator, Scrub; Management.

staceyp413's Latest Activity

  1. staceyp413

    Delay from ACU to OR.........Versed

    We do all the required elements and checks......just trying to better coordinate the Versed piece in the event the preop nurse moves on before anesthesia or the circulator arrive.........especially knowing all of the consents and verifications are done before it is given. Also finding it difficult to bring everyone together as we all try to stay on task. ACU is ambulatory/short stay care. It is a staffed unit that preps surgicals and procedural patients. Thank you Everyone!!
  2. Looking for advice and the good ol' how do you do it????? This is a 10 room suite OR. We have ACU prep our pts for surgery, however, many times they admit the pt and then move to the next one. In the mean time the Anesthesiologist and/or MD have been there, sometimes new orders made........specifically an order for versed. The OR RN comes over, sees the order and then goes thru the chart ****there is no 'true handoff'****** My question is, what and how do you do it? Do you see the same delays?
  3. Me too!! I'd like to be a first if my mental health can handle the defeats that will come before any successes
  4. Can all of my Surgical Services colleagues assist in the following questions: May I ask each of you the process of antibiotic administration for patients going to the OR? -Who is responsible to get them or how do they get to your unit for each case? -Where are they kept? -Who connects the ax bag with the tubing? The tubing to the patient? -Generally time they are started? -Who usually starts them Thank you, Stacey
  5. staceyp413

    What Management System Works in Your OR??

    10 rooms almost 70 staff entire realm of surgical services includes SPD, Short Stay/endo, and PACU which is approx 125 staff total
  6. staceyp413

    Sick call policy

    Our policy (new in the past year or so) doesn't focus on the sick call at the time but a yearly evaluation that we do consistently that manages call ins. For example, after the 4th occurrence the manager is responsible to talk to the colleague and bring it to their attention and then it moves thru the corrective action process. It has been quite helpful for my unit and myself as a leader. I even had some staff who were surprised at their own call ins and those were mainly the mom's who took off first or only vs. the dads but now are sharing the duty.
  7. I've worked in 3 surgical settings, 2 of them in management. I am presently in management but am finding that our present management structure is not working well (my opinion only). I am finding it not to be effective for the staff and for the managers. Every day is putting out fires, working incredibly crazy hours, work always coming home and not being able to teach, coach, make improvements, work side by side, etc with my colleagues who are there to get the job done. So, my question is: Is there something that workws well where you work? Thank you!!!
  8. I've worked in 3 surgical settings, 2 of them in management. I am presently in management but am finding that our present management structure is not working well (my opinion only). I am finding it not to be effective for the staff and for the managers. Every day is putting out fires, working incredibly crazy hours, work always coming home and not being able to teach, coach, make improvements, work side by side, etc with my colleagues who are there to get the job done. So, my question is: Is there something that workws well where you work? Thank you!!!
  9. staceyp413

    alternative solutions for a vaginal prep

    Spoke to Technicare Friday and they are close to releasing but doing back orders first so get on the list. Our gyn surgeons are also wanting the Hibiclens. Our facility requested the MD's to sign off and assume the liability of it used in the OR for vag preps. Literature is found for and against it so who is right??? The MD's I work with say that the vaginal mucosa is not a mucous membrane and in actuality has the properties and make up of our skin. I realize this doesn't solve it but does raise the question.
  10. Carrot (and a big one) in the colon. Inserted rectally and removed abdominally. Whenever a colleague says I don't know and doesn't follow it up with "I'll find out"
  11. staceyp413

    pre-nursing student needs help with tattooed nurse survey!!

    In our facility they must be covered and piercings have to be removed (face, nose, brow) and spacers in its place. I do have a tatoo and it is below my neck line and between my shoulder blades. My longer hair normally covers the top if it peeks thru when wearing a shirt that dips below. I am a nurse, have been for almost 15 years and am in management now so rarely in the trenches (sadly). I just got my tatoo 9 months ago and haven't regretted it:-) but I also knew enough not to get it in a location to be seen.
  12. staceyp413

    Steris Machines Shut Down

    FDA halted all use of the Steris units because of some type of failure to pass testing after the modications to the Steris. Anyone else going 'crazy' trying to come up with what to do? We don't use it a lot but on cases with a lot of 'older' scopes in urology or only 2 scopes for lap cases when we have 3 cases~~~eeek!! Thoughts appreciated.
  13. One of our general surgeons has SEVERE problems with gloves, scrubbing, etc. and now is experience cracking/cuts/peeling like I've never seen before......even to the point now where we question to patient safety as well as his own. Presently has been using the Biogel Super Sensitive gloves. Also has tried: mineral oil, bacitracin, cloth gloves under, etc, etc. He is seeing a dermatologist and ?allergist? I believe. Any suggestions or ideas??? Thank you in advance.
  14. staceyp413

    Checking wrapped trays and instruments

    Old employer never Current employer always **Looking to convert to metal trays/sets/etc as much as possible. Also, looking at the weight of those type of instrument trays.
  15. staceyp413

    Scrub tech working out of scope

    Document!!!!!
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