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scrubnurselife's Latest Activity

  1. scrubnurselife

    CST in nursing school

    It might be a facility specific policy. I've seen scrub techs who finished nursing school work as ST's while painfully trying to pass NCLEX. But they were not considered RN's, of course, until they passed NCLEX. That said, if your facility requires the BSN, why not just go for your BSN from the beginning?
  2. scrubnurselife

    What car do you have?

    Oh, and we've already put about 130,000 miles on the Outback. Still runs great, just have to keep up with the maintenance. We also put Michelin Defenders on all of our vehicles. They're rated up to 80,000 miles and great for different types of weather.
  3. scrubnurselife

    What car do you have?

    We have a 2011 Subaru Outback. If you use non-ethanol gasoline, you can get 30+ mpg on the highway. Also has great cargo room. I am personally using our minivan right now though, also with non-ethanol gas as much as possible.
  4. scrubnurselife

    September 2014 Caption Contest: Win $100!

    The Joint Commission's new Robotic Survey Team uses X-Ray vision to ensure employees no longer hide in the bathrooms during surveys. Nurse Bertha learned this the hard way, unfortunately.
  5. scrubnurselife

    Keeping up with your licensure

    I have LA. It's yearly renewal, around 80 dollars. CEU's are based on hours worked. So if you work 0-160 hours during the year, it's 15 CEU's. Now, you don't submit your CEU's to them, but keep your records. They do a random audit every year. It's rather strange, from what I'm used to anyway.
  6. scrubnurselife

    OR nurses don't deal with PCAs

    First, I think it would really benefit your research to understand the roles of the CRNA vs the OR circulator. The CRNA is in charge of managing the patient's meds, IV's, vitals, etc. The role of an OR nurse is very different than other specialties of nursing. Here's how it's done in the facilities I've worked as far as meds and their charting. If a patient has come to the OR with a PCA still attached for some reason, the CRNA or anesthesiologist are the ones who disconnect it and document it. Anesthesia keeps documentation of meds given during the procedure. The OR circulator documents, in the surgical chart, meds on the surgical field that are given, such as local, antibiotic irrigation, hemostatics, topicals, etc, etc. Also an IM injection if given by the circulator. I have never charted on a MAR, so that must vary at different facilities. I have also never programmed or set up a PCA, or a pump for that matter, as I've only ever been in the OR. I had not even started IV's on patients since nursing school, until I recently started doing peds OR. Of course this will vary by facility and policies, but I haven't seen a huge difference in this process between working in a Level 1 in one state, and a small hospital in another state. Anyway, it sounds like you need to talk to your facility's anesthesia staff regarding documentation and process.
  7. scrubnurselife

    Post-Op Pain with PCA

    Have you talked to anyone in the OR there? I agree with above, as far as not seeing PCAs in the OR. That's what we have anesthesia staff for. Most patients are asleep under general anesthesia, so no need for a PCA. Even if you have a patient awake with spinal or regional anesthesia, the CRNA pushes meds IV if needed for pain control, or the surgeon can inject local. I have seen PCAs set up in PACU, so I would focus more in that direction, rather than the OR. If your patients are returning from surgery with PCAs already present, I'd say they were most likely set up in PACU. Not to mention, if they're having pain control issues that soon after surgery, I don't think PCA mismanagement needs to be the only focus. Try to find the common ground. What kinds of procedures are these patients having? Who's the surgeon? Who's the anesthesia provider? Look at the post op orders and protocols. Anyway, I would try the PACU forum, as they would probably offer even more input.
  8. scrubnurselife

    How does it all work?

    Well, you have about 6-8 years to go before you get there. Don't get me wrong, it's great you're looking that far ahead while in high school. First, finish high school. Get into college, take your pre-reqs, and really focus on your math and sciences. From there it's applying and getting into nursing school, passing nursing school, passing NCLEX, and once done, picking a specialty and working in it for at least 2 years before you can look at traveling. Some agencies will say they take at least one year experience, but at least 2 would be a better bet because you have to hit the ground running on a contract and not need much orientation. Good luck! :) We look forward to seeing you here further down the road getting ready for your first contract! Any idea what type of nursing you want to do yet?
  9. scrubnurselife

    Agency work between assmt conflicts?

    Thanks Ned! That is how I have thought of them. The wording of the question could apply to Parallon, which is why I wanted clarification on them specifically. I am currently on assignment at a HCA hospital, so I'm glad not to be restricted in that way!
  10. scrubnurselife

    labor and delivery/ post partum

    I'll admit, curiosity got the best of me and I looked up open positions for L&D RN's in Ohio. I did not see any that required a BSN. Some said BSN preferred, some just said graduate from an accredited school of nursing with an Ohio license, and there was one that said would hire ADN's if commit to get BSN within 5 years. So it must really depend on the area and hospital in Ohio as well.
  11. scrubnurselife

    labor and delivery/ post partum

    This is the Alabama board, therefore I was referencing Alabama. I know nothing about Ohio's requirements.
  12. scrubnurselife

    Agency work between assmt conflicts?

    Ned, on a similar topic, would that be true for Parallon? I'm under the impression if you sign on with Parallon, you cannot work at another HCA facility with a different agency, only with Parallon. I started to sign on with them, but backed out. I would love clarification on that!
  13. scrubnurselife

    New Orleans Travel RNs - Help!

    Hey two4theroad! I PM'd you back. Did you get it?
  14. scrubnurselife

    Am I just clueless here?

    Thanks Ned! That makes sense. It's just another piece of the whole pie.
  15. scrubnurselife

    Am I just clueless here?

    Hey Ned, out of curiosity, if she's doing 4 12's per week in California, would that not equal 16 hours overtime in California? I thought I heard their OT laws were anything after 8 hours. Is this true?
  16. scrubnurselife

    labor and delivery/ post partum

    No you do not. It can depend on the job requirements of the individual hospital. Some may say BSN preferred. But I've known many L&D nurses in Alabama who did not have their BSN.