mhy12784

Does your application not appear under your login too at this point? Eitherway that is peculiar

So I had applied for this upcoming year and recently my completed application no longer appears under my account. Has this happened to anyone else? Does this mean anything? That I've been rejected? That my application has been processed? That something was wrong with my application and it's invalid? I just find it odd as I've not experienced something like that applying for grad schools before. Figured I'd check here before giving them a call tomorrow

Thanks I'll try this! I'm trying to picture this in my head, but not sure if I've seen it or not. I'm honestly leaning towards just getting a smart watch and setting up an app with that, as I'm sure it'll be easier!

I recently started a new job which uses EPIC as its MAR. If I wanted to set regular reminders in my MAR (not patient specific, not something I'd have to set everyday) is there a way to do this? IE if I wanted a reminder at 10pm every shift to pop up saying record patient weight. I think something like this would be infinitely useful to a nurse with less experience Ina new specialty, but I have no idea how to do it Also in advance I'm aware that there's some sort of way to add patient specific reminders on the brain. But having to do that every shift seems rather tedious

Well the higher expectations wasn't really because I was a manager, I'm well aware that most are out of touch and clueless. I more anticipated higher expectations because I'm an experienced nurse with 5 + years under his belt who will be a notch above a new graduate

I've worked ONLY as an operating room nurse/coordinator/manager for 5 + years, never having done bedside nursing. Later this month I will be leaving the OR to take a job in a level 1 trauma center high acuity major ICU as a beside ICU nurse. Obviously this is going to be a challenge as I'm effectively going to be the equivalent of a new grad RN, but expectations will be substantially higher for me because I have 5 years nursing experience and was previously a nurse manager. I know I'll have some unique strengths (communication, confidence Er sorta, comfort with patients) but clinically/skills wise and expectations will be working significantly against me. Any suggestions or advice? How can I maximize my chances for success

What's the justification for having surround speakers in a room? Is there anything other than just for staff pleasure?

Basically I have a fairly significant amount of influence in designing two new operating rooms in my OR, which will primarily be doing robotic/laparscopic cases. What are somethings I could ask for that you find as significantly improving your quality of life as a nurse in an OR doing these kinds of cases? Space is at a premium so I'm looking for novel ideas to make these rooms as enjoyable as possible for the staff doing the cases. So far the best thing I was able to get was wall mounted slave monitor TVs. What are some other great products/room design ideas to make life better as a nurse?

Well I didn't mean blotting towels even though I said it. More like towels to shove under the sides of the patient to catch drippage so it doesn't pool under the patient and be an extreme fire hazard

Well we have the sticks as certain specialities use it. I was just wondering if there was any creative products out there for chloraprep not just sticks. Maybe a chloraprep kit similar to the betadine kits. With gloves and blotting towels all included. Or anything else creative and innovative Google didn't give me the results I wanted (was typing this the same time as the post above) All of our betadine kits come with nice nitrile gloves that basically everybody can fit in

My hospital uses mostly betadine still, but we're trying to get everybody to use chloraprep. Other than the regular sticks, does anyone use anything else chloraprep wise for general surgery preps? I figured if we made it as simple as possible it would increase compliance and make the transition smoother. It doesn't make sense to me how none of our chloraprep products include gloves which adds an extra step for the nurse

My hospitals roller boards don't support bariatric patients, but our slider boards do. So I don't think one or the other is preferable for heavier patients. I imagine they likely make both for larger patients

We never tuck at all Do you use eggcrate or foam when positioning any/most surgical cases? Or is that another bizarre habit of my facility, we use foam for everything

In the last few weeks my organization has two arm/ulnar injuries after cases where the patient was in very steep reverse trendelenberd. Our current process involves using velcro and wrapping the arms in kerlix (on top of egg crate on the arm boards) for these cases. Does anyone do anything better or use products / positioning devices designed to avoid these problems?

Ive never seen a circulator leave the room during induction (unless theyre asked to get a glidescope or something for anesthesia) But when a CRNA is inducing there is always an anesthesiologist next to them as well. Sometimes they will not need the circulator as a 3rd set of hands (easy airways etc). But most of the time the circulator is right there with them. I forget that in NY laws are different, as a CRNA always needs to have an anesthesiologist physically in the room with them for induction. Presumably in other cases this isnt the case

I do a ton of robotics and thoracic (just thoracic we don't have open heart ). My personal favorite is thoracic robots though,, they're awesome cases to learn and participate in. My hospital actually uses robotics as a crutch to train new nurses as all our robotic cases have two circulator nurses, so management figures might as well put the new person who doesn't know anything as the second nurse.

We have those as well. But the issue with them (according to management) is you have to rip them up and change them out after every case. So if you're in a room with several cases it ends up being a nice sentiment but an infection control issue. And for some reason the system that just took over our hospital has a rule that no wires can be on the floor. So I don't think those orange strips would be in compliance

Does anyone have any creative products or solutions they could recommend for wire/cord/cable management? We had a nurse get injured the other day and I'm trying to improve the sloppy practices at my facility

Basically I love the hospital I work at and would "prefer" to stay there. I am technically an ANM/Coordinator, and got a job offer elsewhere as OR manager. We are entrenched at the position so im thinking about asking them to come up with a new position for me, but I dont know what ? Basically im trying to get more responsibilities than an ANM but the role of Nurse Manager is taken. Any suggestions or ideas for what other specialties/options I have available? Im interested in climbing the ranks so I want to learn as many skills/knowledge as I can and think im valuable enough to my organization that they would listen if I suggested something. Weird question i know, but im all about that growth !

1. I realize the OR is a place of multiple personalities and backgrounds working together, but is it normal for staff to gossip about each other constantly?? I am a no-drama kind of person and in my workplace, it is nearly impossible to avoid the gossip (I witness side conversations of whispering at work constantly). If you see this in your OR, how do you deal!? All drama/gossip all the time. The trick is to avoid being the centerpiece of the gossip. 2. What keeps you in the OR? Well I love the OR. But what keeps me in my OR is having a team of people that I trust and care about that I work with all the time. Turns it from being a job, into a life. 3. What is/are the biggest challenge(s) you face in your daily work life? Having some lazy ****** coworkers (goes against my previous answer, but theres some people youll love and work with and be a part of a team, then theres bottom-feeding leeches who need to GTFO) 4. Do you feel that your OR works as a team (especially nursing) and has your back? I think to enjoy yourself and succeed you need to develop a core team of people you can rely on and trust. I do think this is the case 5. Do you feel there is a difference between union vs. non-union work environments ? I think this is left to being answered by people with many years of experience or who have done travel nursing and been all over. Odds are theres not much of a difference, the bigger difference would be private hospitals (which are more likely to be non union) vs big public hospitals (Which more likely to be union). But the difference will be the whole public vs private thing not the union

AA's are borderline non existent CRNAs are out there though

Oh we are Im just trying to figure out do other hospitals do a full (or mostly full) skin assessment for patients prior to OR arrival ? I mean I know it sounds and must feel awkward for ambulatory patients to get a full body exam prior to entering the operating room, but from a catching everything stance it makes the most sense.

One of the patients was elderly and a mess. The other was actually a middle aged adult who had a stage 2 pressure ulcer (he's been less mobile due to a recent back injury). But yes the OR staff is expected to do a full body skin assessment of every patient, even completely out of the operating area because literally nobody prior to us does anything whatsoever. Zero. PACU does a mediocre job (they always assess the surgical area, but anything else is hit or miss). This just puts press on the OR staff because if everything isn't documented by us, then the assumption is that it happened in the operating room because everybody else's skin assessment is blank. That's kind of why I'm trying to find out what other places are doing

At my hospital we have had recent debate about the process for skin assessment on patients in the periop period. This last month we had 2 AMBULATORY patients come into the OR with undocumented pressure ulcers (which we found in the OR prior to incision). The debate has been that patients are getting absolutely zero skin assessment done in PST and ASU (only self reporting). OR staff clearly wants something done prior to entering the OR (yes OR nurses do a skin assessment in the OR itself, but having additional sets of eyes on the patients only benefits everybody). Do patients get a skin assessment in PST or ASU at your hospital ? ASU seemed to be outraged saying that assessing the skin of patients is too embarrassing and inappropriate. Does anyone have a solid process, or resources on improving something like this ?

I genuinely enjoy what I do, and think I do a good job at it. However there are things I want from life that I quite simply wont be able to afford doing what I do and how I do it, and I am young enough to know that while I enjoy this now, I will NOT enjoy doing this for the next 10-20-30 years. Anyone have any good advice how I could move from doing clinical/managerial nursing work into the private industry, somewhere where there will be many more opportunities to make money and get promoted long term ? I already have an MSN and MBA, as well as both clinical and managerial experience (not much managerial experience, but a very clear progressive pathway where my responsibility and title have increased) I have looked briefly at insurance companies, but wouldnt even know where to start about finding out how to get into one of them. And yes I know its not easy to get more money or else everybody would do it, but I have already begun to make moves to advance my career, and would like to have a plan to take myself even further