jrgrad1912

Latest Activity

1. all PACU RNs Wrote up!

   jrgrad1912 replied to jrgrad1912's topic in PACU

   one pacu rn took it to the ceo and it is going to be reversed(i am not holding my breath). i do not know whose idea it was, the crnas hate it. they have to sit in pacu with us after hours. the rn who took it to the ceo said the complaints were like...

2. all PACU RNs Wrote up!

   jrgrad1912 replied to jrgrad1912's topic in PACU

   Thanks for your reply. I asked about that. the ACNO said "It does not matter". We have lost so many surgeons on some days we only have 4-5cases!

3. all PACU RNs Wrote up!

   jrgrad1912 replied to jrgrad1912's topic in PACU

   the surgeon still writes a discharge order. this hospital does not have standing orders. we have been doing this for a week now and we have no stress! we call the crna and they come and look at the pt. and writes the order. now if a patient crashe...

4. all PACU RNs Wrote up!

   jrgrad1912 posted a topic in PACU

   This is crazy! I work in a 150 bed hospital and we have 4 PACU RNs. We were all called to HR and given a written verbal warning for discharging Pts with out an order. We have been discharging PTs by our policy, which uses the Aldette scale . We w...

5. PCA Pump Settings

   jrgrad1912 replied to Scoobiedoo's topic in General Nursing

   We use Dose/lockout(in Minutes) / 4 hour limit. I agree to alway have it checked by an RN. I work in a 5 Bed PACU and at night I have had the surgeon check it once. My circulator had gone to do the next case and he wanted it up and running. He wa...

6. Standing Prep

   jrgrad1912 replied to yoga crna's topic in Operating Room

   Maybe you could suggest the Pt have a betadine shower in private before they put on a gown. This was done here for GYN cases, of course they have to prep the patient after positioning. You could check out the AORN standards. AORN my say the patient...

7. Airway management mishap results in tragic outcome

   jrgrad1912 replied to Athlein1's topic in CRNA

   There are lots of options Intubatable LMAs where you slide an ET tube thru an LMA emergency crichothyrotomy kit fiberoptic we have a device called a bullord(sp) that is lighted and once the provider see's the cords they push the tube in. we have a d...

8. Surgicenters

   jrgrad1912 replied to Pam RN's topic in Operating Room

   About four years ago the Gastro Docs and surgeons started a surgicenter here. they took the staff they wanted and increased the wages to cover the call pay the staff would make here at the hospital. After 2 years the stress is high over there, Half...

9. arterial line insertion by OR/PACU nurses

   jrgrad1912 posted a topic in PACU

   Does any other hospitals have staff RNs that start art lines for anest? :) What is your policy? Do you have special training? We had one RN who started art lines and she is leaving. Anesthesia and the surgeons are on the rest of the PACU staff to ...