staceyp413

Thank you

Thank you

We are looking to standardize our dressings. We have selected one for the ports, as well as a securement dressing for the others, both with CHG. The question I have for clinicians, what do you use for your non-sutured lines? Initially, we are looking at sticking with the securement dressing only, but now am hearing concerns about requiring a stat lock so they don't get dislodged. Thank you.

Thank you very much

Thank you-we've had (and my former employer had) them in the OR but not a RNFA....yet. Just trying to find out how far their roles and abilities/competencies extend as the scope of practice isn't very detailed and I want them to reach their full potential with the right training while ensuring the patient is safe.

Hi, If you have CSFAs and RNFAs in your OR, would you share with me the type of duties they perform. If you have CV (open hearts), what are some of the primary duties and tasks performed in those cases? We are growing our program and looking to add the RNFA role. Thank you in advance!

Thank you--am told it can work very well (and that is what I want to get to and help make happen). Will definitely check back in and share when I/we get to that point. Stacey

Hi, great question. It is meant to have a place for events to go so that nurses are reviewing cases by fellow nurses of a similar rank/specialty and not so much evaluating as looking at how his/her actions followed policy. In addition, does the facility follow or even have policy that is available for colleagues and does it follow EBP. Before the process even gets off the ground there will be a need for transparency about the process, use of just culture within the process, and clearly defined steps and guideliness that the review team/board/committee will follow. For example: An event happens and is reviewed peer to peer (not in secret, transparent process) and it could be found that the organization has a process but it does not meet the needs of the nurses caring for the patient (ex. unrealistic r/t staffing ratios, not enough computer stations, duplicate charting, etc etc) and then information is shared with the peer and names kept confidential. The process, however, may need to be addressed and looked at which then goes to the education or practice councils. This is much 'in my head' at this time along with the research I've done and books have read. There are other facilities do this type of work so looking to see what does and doesn't work. It isn't meant to be a annual evaluation process or review of their work necessarily as much as did the RN follow policy and then it goes from there. Hope this helps direct you in what I'm looking to find out more of.

Good afternoon, As part of my MSN practicum I am looking to help develop a Nursing Peer Review Board for our division for events that need a review of cares to the EBPs that are present for all areas. This is different than a peer review for evaluations (which the facilities may do later). This is sought out to improve the practice, quality, and safety to our patients and to develop the clinical skills and professional development of our nurses. I would like to interview anyone who has a NPR at their facility and would take 10-15 minutes to talk with me at your convenience. Thank you in advance, Stacey Powell, BSN, RN, CNOR [email protected] 715-717-4493

I am reaching out for any type of examples of the model used at your facility. Centralized or unit based educators How many educators and FTEs allowed in education and how was it determined Do you have a staffing grid for your education department Thank you so much in advance if you have the time to respond!

Same problem here recently. Anesthesia bringing skull caps that we removed from inventory from other facilities in town. Looking to put something into their next contract. It's very difficult to watch them come by even after saying something to the person and their dept leaders. Also it feels awful sometimes being the enforcer for this when there are so many better places to use my time and energy but I keep on it because it's the right thing to do.

Send me your email address or better yet your phone number and I'll share with you the good, bad, and the ugly on where we started and where we are right now.

Hello- I am a OR nurse by trade but moved to an educator role and my service lines include OR, SSCU, PACU, SPD, and Radiology. I am learning so much every day and want to make sure that as I observe and do the education I don't come in blazing but learn about practices that ensure patient safety (sterile technique, attire, etc). One of the things I'd like to hear from you is: What type of set up is done by the scrub RN or Techs getting ready or doing the case? Gloves, mask, cap only or full gloves, mask, cap and gowns I also ask as we are converting one of the interventional suites to a restricted area until a hybrid OR is made so I am working on the guidelines and have done some teaching on attire, technique, traffic and the impact during non-stent/OR type cases for them is pretty big so I want to make sure I/we are doing it based on EBM and not just because the OR does. Thank you so much in advance.

I have new or minimal experienced nurses do the course in the first year of hire. Looking at the ST one too.

Can you request a team walk thru of a mh crisis to see how everyone would react and if you really have the staff, meds, and support? I'd be nervous too but if no other options get prepared and ready for all and hope for nothing.