akor

akor

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All Content by akor

  1. Thanks a million...
  2. I work in Italy and a surgical resident doc had asked me this question. I used to work at a University hospital in the states a long time ago and don't remember. What year can they be the first operator? Do they have specific duties year by year? T...
  3. Thanks...you anwered my question. That's right,you call them R1 and so on( over here, we call them "specializzando"...I remember the attending surgeon always being there for the case except for the emergencies in the evening where the eldest resident...
  4. A Good First Impression

    About 20 yrs ago I started my first nursing job in the OR at a large university hospital. It was an orientation of two yrs with 12 specialty areas. I left nursing for 12 yrs and have returned and am back in the operating room in a foreign country a...
  5. Call survival tips for RN new to the OR

    I hear ya! I am three years now in a busy Level 1 trauma center and was scared to take call. It is very nerve racking but with perseverance and time, you get better. I worked in a busy OR from 88 to 93, then took off 12 years. I entered back into nur...
  6. Hi....have another question.....have you ever seen the decision to wake up a patient before the surgery started to do an emergency case? I have seen them wake up an anesthetized scheduled cardiac patient to do an aortic dissection emergency case. tha...
  7. lighting

    Hi everyone, I wanted to know of all you OR nurses who are reading this who have docs demanding that the circulating nurse position the overhead lighting. I worked in the states 20 years ago and don't ever remember doctors asking or YELLING at times...
  8. At my facility, we recently met with the organ procurement manager to go over the new paper work to be filled out and faxed back to them at the end of the procedure. However, a nurse brought up the difficulty of being in the room cleaning the cor...
  9. allowing parents in OR?

    Over here in Florence Italy, they have a great childrens' hospital. I work in the OR but when my son had to have an inguinal hernia operation, I got whoosy watching him go to sleep. I am glad though that i was able to be there with him. It is polic...
  10. lighting

    Thanks for the replies. At first arrival, they had these flimsy plastic stools to stand on to see the surgery and to position the light. However, if you fell off and hurt yourself which i heard had happened, you are not covered for your injury becaus...
  11. enterococco fecalis infection

    I work in cardiac surgery. We operated on a patient last July for double valve replacements (mitral and aortic). He recovered well, went back to work and then in December came down with flu like symptoms. It wasn't until a week ago he was recove...
  12. syndrome tachycardia bradycardia

    Hi everyone, I am curious if any of you have seen the Syndrome Tachycardia Bradycardia in young patients? When I say young I mean around their 40's. If you have, was there a cause or was it idiopathic? Thanks, AKOR:rolleyes:
  13. syndrome tachycardia bradycardia

    Thanks for the reply. It seems in this case as well that it involves mitral valve prolapse with a thickening of one of the mitral valve cusp even though the doc's say that that shouldn't cause the syndrome.... thanks a bunch....anyone else with kno...
  14. New nurse in OR trying to find her place

    I am back in the o.r. after 12 years and I am i na foreign country ....sometimes I have to ask the scrub nurse to repeat what she wants....and when I get really good I will know what she wants....it's a mtter of patience and learning.....I have ...
  15. My english is horrible !!!

    I am an American living in a foreign country and I get made fun of for how I speak their language....It takes much more energy to stick wit hnursing in a foreign language. You have to be very persistent and take the advice of one colleague by ...
  16. video laparoscopy complication

    sorry replying so late....but i think they used a verres needle (they usually use a verres needle in this division) . i heard that when the trocar was going in through her umbilcal, her hand slipped where she was pulling up the skin...sometimes they...
  17. Want to know how many times in your institution has the first inserted trocar nicked the aorta? I would like to know because it happened in our institution today and I heard that it had happened once before....it is a tragic thing when it happens......
  18. Sick leave and on call

    We had a three day wee-end this week-end and the nurse who was on-call called in sick on Friday so the head nurse went around to every nurse to ask them if they wanted the call duty....Everybody said "NO" so he had to write all the names down on piec...
  19. Not too old for OR but out of nursing too long?

    I hear you. The hospital that I work in now is a university trauma hopsital too....I have never heard the attending doc's scream so much before....When I worked in New York at the busy university hospital for 5 years....I NEVER heard a doc raise his...
  20. video laparoscopy complication

    Your great!!! I love explanations.... It has happened that we have had to convert because the patient's CO2 expired ventilation is way to high. I would have never even thought of a ruptured diaphragm. I will not count on the alarms to go off first b...
  21. video laparoscopy complication

    I appreciate your detailed info....I have been out of the O.R. for 12 years and am busting my brain to keep up with all the procedures and materials. There is really no official training program....it is a sink or swim type of thing. We DO do vide...
  22. video laparoscopy complication

    Here in Italy I don't think the surgeon can get kicked out so easily...I believe there will be a big lawsuit and she will be a bit more humblier..... Thanks for your reply.....
  23. video laparoscopy complication

    Thanks for sharing your experience...I will be aware of where the vascular trays are the next time I am in one of those Videolap surgeries....the doc's weren't aware of the intial hemorrhaging because they didn't continue the surgery:after the initia...
  24. Not too old for OR but out of nursing too long?

    I worked in N.Y. hospital in a very busy O.R. for 5 years...I worked a couple years full time, then decided to go back and get my BSN so I went part time and then I worked per diem for a few years....it is very scary returning after so much time off...
  25. video laparoscopy complication

    That's SO nice to hear...it is a real tragedy when it happens...I just kept on thinking throughout the day of that woman's family members and it's effect on them....I work with a nurse who had that happen to her mother....she did not work in the oper...