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Ab2ayleene

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  1. I had a very elderly patient on my neuro stroke unit a few years back who was confused and agitated, she thought she was constipated when she wasn't. I had just helped her to the commode with my CNA and she had a nice big BM, but she kept insisting she needed help with her constipation. First she asked me to dig my gloved hand into her rectum to get the BM out, when I said no she asked for me to give her a glove so she could do it to herself with her own hand, when I said no again she told me at home when she's constipated she: "takes a pair of scissors and just digs it out". At which point she asked to borrow my scissors. I had to leave the room fast and burst out laughing.
  2. Ill check them out. Thanks!
  3. Thanks for the info. Ill keep that in mind
  4. Does anyone know any good crises travel nurse companies to call to get jobs in the houston or florida areas? Ive heard they pay really well but ive never heard which companies have them. I am about to finish my current travel assignment next week and im not under contract after that yet. I currently have a texas license so houston would be best but is it too late to try and get crisis jobs in houston? And does anyone know which companies have the crisis jobs? How long does it take to get the florida nurse license if ur not compact? Thanks.
  5. Does anyone know any good crises travel nurse companies to call to get jobs in the houston or florida areas to help? I dont know where to look.
  6. The operating room is super exciting for me personally, everyday is something new, I love talking and interacting with my patient and their family. I've worked in the Or for 14 months and around the one year mark you start to get really comfortable with your circulating role. Or at least I did. I started out working at a level 1 trauma teaching hospital that had 22 ORs and 7 different specialties of surgery (plastic, neuro etc.) and that was a VERY stressful place with high turnover and a real bad atmosphere/morale. I left that place and joined a 7 OR ortho hospital that is way better, family atmosphere, almost everyone is a pleasure to work with and the doctors actually follow the consent and respect the surgery team more here. My advice to an anyone starting new is remember that your most important role is PATIENT ADVOCATE, not the doctors friend. If sterile field is broken or threatened by ANYONE. Speak up immediately. Even if you get yelled at you know you are in the right protecting your patient from infection. Be the nurse you would want to have, don't be afraid to stand up for what's right. And another thing, don't just go home, research the surgeries you have for tomorrow, think ahead about how they should be positioned and things like that the day before so you can walk in to work and not have to think and pause or run and go get a preference sheet of the surgeon. Another piece of advice is try not to talk much at all during a case(surgery) because it can annoy and distract the surgery team especially an OCD doctor. Help anesthesia as much as they want you to so that things run smoothly. And go the extra mile and try to get things done as quickly as possible. Even tho things shouldn't be rushed surgery turnover is always being pushed to go faster, the charge nurse will push you to do everything faster so that the surgeons aren't at work longer than they want to be. And be careful how fast you walk and where you step bc there is lots of cords and things all over the ground (bones, skin, blood) it's a slip-N-slide and I fell the other day bc I wasn't watching where I stepped. And it's also important to stick up for yourself when a person in your surgery team is rude to you. Either do it immediately after the fact or if you are shy and want more privacy take them aside later and let them know that you were hurt by what they said to and that it's not okay to talk to you that way. After you have been in the OR for about 6 months and you build a bond with your team and everyone helps each other you really start to feel like family, and it's a nice feeling after the case is over when it was all a success and no one got frustrated or angry. If you like staying busy, helping people, learning and seeing new things then the OR is for you. If you get your feelings hurt easily, don't like speaking up, or you don't have much confidence in yourself in general the I t may be harder for you in the beginning but nothing will toughen your skin more than surgery. It's a wonderful place to work. Always something interesting going on.
  7. Hey guys I need advice, I recently got a job in ortho surgery as a circulator, it's not my first job in surgery but it is my first time in a specialty small surgery center. The place where I left I worked at a huge, chaotic, disastrous, poorly-managed teaching hospital where I worked for 6 months in all specialties, a few times in ortho. I've heard nurses say " if you can work in ortho you can work in any surgical specialty, ". So what do I need to know to excel in ortho? And how do I deal with rude coworkers during surgery? Do I call them out immediately in front of everyone or do I wait to do it in private?
  8. I graduated last May with my RN and my first hospital job is in surgery. It is so stressful and the atmosphere is so different than the med surge floors and ICU floors that we worked on in clinicals in nursing school. I've been here for about 2 and a half months now and I'm just wondering if there are any surgery (circulating) RNs out there with advice for me to make this easier.

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