CuttingEdgeRN

Kidney stones hurt Ruptured appendix can KILL Which would you treat first? You really can't play judge and jury without knowing more facts.

This "rant" started in this thread which was finally locked. https://allnurses.com/forums/f39/rnfa-question-273427.html Not sure why this one hasn't been closed.

Wow, that's an excellent idea. I never thought about that before....like the heparin or locals we put on the table, the antibiotic in the irrigation and the foley insertion without "wriiten "orders or even a nurse written verbal order. I think I will bring this up to our director. I guess since we have always done the same ole, same ole for all these years, we haven't considered doing this.

Our preference cards list if the surgeon wants SCDs on, and that's what we go by. In OP dept, they still only put them on if there's a written order. I usually work the holding area and I know which surgeons want them and I put them on. (Most do) Most surgeons have started just usng SCDs, without TEDs. There is supposed to be new literature stating you should use one or the other, NOT both. I haven't actually seen it but most of the younger docs only want SCDs alone durring surgery. Good or Bad... Us OR nurses seem to not be as worried about the written orders on the chart. We do what we know needs to be done to take care of our patients while in surgery. The doc can write the orders post op.

Click this link and read the purple square on page 12. http://www.americanheart.org/downloadable/heart/1132621842912Winter2005.pdf

My SIL had surgery at MD Anderson Cancer Center in Houston last month. My brother and I traveled with her. They had Patient ordering and it was awesome. She could order anytime between 6am and 10:30pm. A menu was provided for her and a guest menu with prices. We could order our meals together (I would pay for mine and it wasn't very expensive) and it was like we were at a resturant for a bit instead of a hospital. I was very impressed.

Just from reading your other posts, it appears you are seeking opinions about something that personally happen to a family member. You seem to get very upset with any answers you get on the board differing from your own thoughts, and especially if someone trys to explain what really happens in the OR. You seem to think we are "defending" immoral unprofesional health care workers. We do have 1st assists that will close for the surgeon while he/she speaks with the family and maybe even makes rounds. I have never known of any that actually leave the building. 9 times out of 10 it is the circulator that does the prep. That is a part of her/his job. There is usually only one circulator per case. If a patient requested a certain gender for the prep and the staff agreed to this, then YES it should have happened, barring any unforeseen circumstance that might have occured. Maybe the intended prepper was called away on another case or had to be sent to relieve someone else. Lots of reasons for this to happen. I seriously doubt that anyone purposely lied or intended to mislead you. Your surgical consent covers any prep done for the specified surgical procedure including possibly genital prepping for a foley insertion. I hope that you can make peace with whatever occured and that your family member came through their surgery okay.

Thank you both very much and have a Merry Christmas!

Hi everyone, My brother's wife is having a craniotomy (her 2nd, First was here in TN) at MD Anderson on Fri 12/28. I am coming with them to be with my brother. Is anyone here familiar with this hospital? We are staying at the Rotary House. Thanks

When the tech is getting relief... the gown is opened on the back table (near the edge) But I assume you mean when 1st setting up the case, and yes I have seen it but it is considered bad technique.

We have a satelite pharmacy in our OR suite. They have all of our meds pulled and in a baggy ready for pickup between cases.

In the cement sculpting kits there is a bristle brush looking thing with a long handle......Great for cleaning the lint out of the dryer trap.

1. why did you go into nursing? i worked as a candy striper in a hospital durring highschool and truly enjoyed it. i was in awe of the nurses. 2. where did you receive your education? methodst hospital school of nursing in what year did you graduate? 1980 3. what kind of education did you receive? diploma 4. what was taught in nursing school and how were clinical experiences structured? we had a lot more clinical time than class time. we actually worked (unpaid) shifts and quickly began taking patients with preceptors. we even did a few weeks in the or and scrubbed. 5. who were your instructors and what were their level of education? i believe they were all msn's but not positive 6. what were the conditions of the health care system during your education? seemed to be more caring, less paperwork and less political 7. what was nursing practice like at the time you were receiving your education? see above! 8. were nursing care plans utilized? yes and i still remember crying over them, lol 9. what differences do you see in standards of care now versus when you were in school? hard to say.. i want to say thet it is better because of all the "rules and watchdogs" but seems that we as nurses are cramped by those same "rules and watchdogs" 10. what was the role of nursing on the health care team? i don't feel that has changed 11. any other interesting facts, or differences between nursing then and now. just that i do miss the old days! your welcome :)

Removing jewelry before surgery is NOT because the staff might steal it or lose it while patient is under anesthesia. There is the possiblity of swelling and/or a burn from the electrocautery.

Joe, Had you payed attention in orientation or in tech school you would have learned just how important counting is for patient safety and you would have realized that your reaction to a patient safety issue was totally unacceptable. Had you been a more experienced tech you would have found a way to excuse yourself from holding the retractors and counted. Had I been the circulator on this case, I would have demanded another team member for my room to relieve YOU off that case, or relieve ME so that I could relieve you and teach you how to do your job. Have a nice day, An experienced OR RN that circ.'s and scrubs