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msurgery1

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  1. My sister had a seizure when we were in Prague on vacation. We were sitting outside at a cafe. She had complained that her tongue was "twitching". She suddenly stood up and pointed to her mouth then fell to the ground and turned blue. She was taken to a hospital via EMS. She is 29 years old and has never had a seizure before. Hopefully, this was an isolated incident. It scared the **** out of me and my family. The language barrier certainly was a challenge throughout the experience....and touring the hospital was an unexpected part of the trip.
  2. We've done a standing prep before, and stopped for several reasons: It is humiliating for the patient and puts a negative spin on the experience. Moving onto the table is difficult; patients are unsteady and end up contaminating the prepped area which in turn wastes time due to need for re-prep. Also, the chance for injury increases, especially if preop sedative/anxiolytics were given. Temperature drops several degrees, and it is hard to warm the patient back up. ASPSN is the American Society of Plastic Surgical Nurses. To get in the field, I would recommend getting a job as a circulator in an ambulatory surgery center or the hospital. Request the plastic surgery and ENT cases. Learn to scrub as well, which usually is included as part of the training period for OR nurses. Look at the AORN (Association of Perioperative Nurses) website, as well. You can subscribe to the journal.
  3. I don't have children yet, but my best friend had a baby boy in May of this year. He was circumcised, and afterwards she was told to retract the skin daily for several weeks so it didn't grow/heal back together. Is this true? How do you care for the circ post-op? I started out as an L&D nurse and am now a surgical nurse. I have only passed out one time in my career, during a circumcision. Something got to me about the baby being strapped onto the papoose board. Also, I remembered my nursing professor who told us the story about the boy who had a botched circ and was raised as a girl. I don't know which way I'll go if I have boys. Lots to think about.
  4. I experienced a similar situation as a new nurse in a large hospital (8 years ago). I still turned in a 2 week notice. In order to maintain professionalism and feel good about yourself and your decision, you should work out a 2 week notice. Leaving your co-workers and the patients in the lurch will reflect poorly on you. Poor management and the lack of attention to your concerns is unfortunate but should not cause you, in turn, to reflect such behavior by walking out. I now work in a surgery center, and a nurse recently quit without giving our administrator a notice. She will not be able to get a recommendation from anyone in our center (she is a new graduate). She lost the respect and trust of her peers when she "deserted the ship" in such an inconsiderate manner. Word travels in the healthcare community. Please consider sticking it out for 2 weeks. Good luck.

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