enk205

Our #1 job is to keep patients safe and to be their advocate! I hate when management doesn't take your safety concerns seriously... you need to find a facility that values your attention to safety and doesn't dismiss it. Secondly, No you shouldn't be handing uncounted items to surgeons and it is best to wait for the HCG test to be back on your female patients unless of course it is an emergent case. And even more than a legal issue, if they actually are pregnant benzodiazapines are contraindicated in first trimester women. I would recommend knowing your AORN standards/getting a copy of the current recommendations. Those will be your best lifeline when going to management with these issues. Even better yet if you are eligible sit for your CNOR exam. You need to be able to finish your work day and go home and sleep at night with out worrying about this kind of crap, and if leadership isn't on board and supportive of their staff then it may be time to move on. Good luck to you, I know it is hard... I just quit after 3 days because of feeling like my employer valued turn over times over patient safety...

Crazy thing is, this place was attached to a main hospital! I think the rules were bent particularly because it was 49% surgeon owned, and only 51% hospital system owned... you live and learn ??‍♀️

@skydancer7 I quit this morning, my gut was telling me it wasn’t right. Thanks for confirming this :) I know my AORN standards and even went to the leadership on my first day on the job to question what I had been seeing... they didn’t seem to care and suggested that “in time I’ll get used to it”. I handed my resignation in the next morning ... only lasted 3 days there but now I’m scared to check out any other ASCs. I guess next time I’ll ask for a shadow day before I accept a position.

Help!! The last 5 years I’ve spent at a 14 OR hospital, gotten my CNOR, and I feel that they almost always tried to adhere to AORN Standards of practice. I recently got a job at a surgery center (switched for better pay, no call, better hours). Im on orientation and am worried about some of the practices I’ve seen here... 1. Allowing surgeons to sign consents after patient is in the OR 2. No SCDs on general cases unless over 2 hours 3. leaving the door to the sterile core open ALL DAY 4. wearing fleece jackets from home in the OR 5. Not floating heels or using gel under heels 6. Not mopping floor between cases 7. NO nurse to nurse hand off in pre-op 8. not charting bovie or tournequet number in chart For those of you who have worked in ASCs before - tell me , is this the norm?? trying to understand if maybe this is just how it’s done everywhere or if these are signs of a bad career move ?

I have been accepted to Marymount University for the 2013 Accelerated BSN program that would start this fall. I have had a great experience with the application process, and everyone at this university has been extremely helpful. This university is also very close to home for me. The program is 4 semesters long, but it is private and expensive. I have also been accepted to VCU's ABSN program that would start this May. This was my reach school and was originally wait listed but got an email today with an acceptance offer. They are much more affordable than Marymount, but I would be moving 2 hours away, and it is 5 semesters long. I am very grateful to be accepted to both but I am torn. I think that if I went to VCU it would be a lot of change very quickly, and to be honest kind of lonely. It's not like this would be a brand new freshman year undergraduate experience. But at the same time it is higher ranked and I would qualify for in-sate tuition. Marymount has been very pleasant to communicate with but I am just not sure about the education quality and the cost of attendance. Any advice?!