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  1. Goodyear

    Looking for general insights on a few common drips ...

    Love the info...thanks guys!
  2. Goodyear


    Great job! hope to do the same soon! Ditto on the tips...
  3. Goodyear

    Developing Robots for the ER: What Do You Think?

    In the OR there are already robotic surgeries. It takes twice the manpower to do a robotic surgery and at least triple, if not quadruple the amount of time. Granted, this is a different kind of robotic system, but (at least in its younger years) robotic ER will take manpower.
  4. Goodyear

    Beginning Applying For OR Internships

    The OR I work in is looking for nurses. We do not have the Periop 101 program though... I didn't go through it so I can't tell you the pros or cons. Do you know what they are?
  5. Goodyear

    Can I be a CRNA with Malignant Hyperthermia?

    I too have Malignant Hyperthermia, and it is not a problem. It is a cellular level protein defect and is only a factor when (and not even every time) anesthesia is actually administered to us, and only certain types (potent inhalants, muscle relaxants, and a few others.) You'll be fine as a CRNA so long as the anesthesia is for the patient. I joke, but really, don't worry---you'll be fine!
  6. Goodyear

    Need help interpreting ECG strips.

    Wow. Thanks for the info everyone!
  7. Goodyear

    list of nursing skills

    Great info!
  8. Goodyear

    cute surgical caps

    Kimkaps. VERY well made and ridiculously inexpensive!
  9. Goodyear

    to any/all fellow nurses--please help! :)

    FIRST----- I. am. sooooo. sorry. you are going through this. It is ridiculous. Second----Have you considered trying to get into a position more suited to someone just out of school? There is SO much we do not even dream about in school that is reality in the real world of nursing, that I wonder if this experience may be too much for you to start off with...and that it might change your ideas about nurses/nursing from here on out. In reading your post, I was STUNNED that they gave a new grad a position requiring 5 years experience---Service Line Supervisor or something of that nature? I personally feel that your license and newly earned reputation are at stake here, even before you have a chance to build on them! I would think it'd be a good idea to remove yourself from this situation; it sounds like a ticking bomb, for anyone and everyone involved. I hope I don't come across as harsh or critical.---I am truly NOT trying to be. I was shocked from the 3rd sentence on and had a feeling of panic, which I am sure you feel too. Take care of yourself, your license, and your future; find a position more suited to your newly earned confidence, license, and career. Best of luck to you my friend!!
  10. Goodyear

    How hard is it really, to hire new nurses?

    Thanks for all the input! Our OR census is unusually high for this time of year, and we are having a hard time keeping up. We have an average of 25-30 cases a day. Wow, right? Supervisors who are only supposed to circulate in a dire need are stepping in, leaving things like board running and scheduling hangin'. Surgeons get REALLY mad when they have to wait on a team or can't schedule flip-flops because of low staff. To make up for it, they are scheduling weekends, which are supposedly for emergencies only. Two surgeons have stated they are taking more cases to neighboring hospitals and trying to run between the two to get things in. We cannot "be more productive" if you will, because there HAS to be a circulating nurse for EVERY case (I know most of ya'll probably already know this, but for those who don't I'm explaining some details) and the amount of time we spend on a case depends almost entirely on the surgeon. People are burning out at an alarming rate and rooms are not stocked, supplies not ordered, collateral duties not done, etc. It feels like things are hanging together by strings. We REALLY, REALLY need help, but there is nothing but numbers in their eyes when the subject comes up to mgmt. Sorry for the long-winded post, but I love my job, the people, and the work, but GEEESH---this is gettin' to me!
  11. I work in a 20 room OR as a circulator. When I got hired, I had to wait almost a month for the position I would fill to be approved, etc, by management. Ok. I can live with that. NOW, though, we have had 2 nurses quit, one got let go, one transferred to another area, and one is moving into a supervisory position (open due to one of those that quit) and will not be circulating regularly, unless a need unable to be filled, arises. Soon, another nurse will be leaving for planned reasons. We went from 9-10 actively circulating nurses to 4 plus two new nurses (hired within the last couple months and not fully trained.) My question is, how hard is it for a department manager to justify filling and/or opening positions in such a situation? Call hours----are OVER the top right now, and burn-out is knocking on the door. Management seems to think we'll be ok since we have two new nurses (leaving us in a deficit of 3, then 4 once the last one leaves.) What does it take to open and advertise positions to get nurses to fill the vacancies that we have and really need to fill? Thanks!
  12. Goodyear

    Who can translate consents?

    No, the Drs are explaining the procedure, etc., and obtaining the pt's consent. When the pt comes to pre-op holding or day surgery we have to verify understanding of the consent, signatures, and ask if there are any questions about the procedure (in which case we get the surgeon), etc., before we take them back to the OR. For example: Pt has signed consent for a left simple mastectomy. I would say "hello my name is xxx and I am your nurse for this procedure. Can I get your name and birthdate?" (wait for response) "What is it you are having done today?" (wait for response) Most times the pt does not include which side or full information in their response, so I like to clarify and be sure of the EXACT procedure, site, etc, and the pt's understanding of their signature for it and any related consent for blood/products. These are the types of questions that I wonder who can be a translator for. I am learning the language, but in the meantime am using only RNs or Drs to help out.
  13. Goodyear

    Who can translate consents?

    AAALLLLL of these things are things the area supervisor and I discussed, and she thought it ok to use "whoever" works on the unit. Part of the reason she told me this, I think, is because she is the most fluent of the 3 nurses there and I had to use her at a time she would rather I didn't. Even having said that, though, it isa predominantly Spanish speaking area, and about every 5th patient doesn't or won't use English. The questions, etc I have to ask and get answers for are after the consent has been signed---I have to verify the sig, ask for questions, and give answers coherently, etc (prepare just before I take them to the OR). I still use RNs for it, and will continue to. The docs? Honey, if I were to trouble one of the divas, it'd be a very. big. deal. I am learning Spanish but in the meantime will continue to use licensed coworkers. THANKS for all the input!!
  14. Goodyear

    Who can translate consents?

    Thanks for your reply!! Let me add some information on my problem. When prepping to go to the OR, I have to verify signatures, understanding, ask for questions, etc, some things not on the consent proper. We have the phone in service, but being in such a heavily hispanic area, it isn't used and is very expensive, not to mention that in the 5 to 10 minutes we have to get to the OR from holding, I don't think it'd work. I am one of very few who do not speak Spanish, but I do want to be certain those I'm told to use--OR scheduling secretaries, with access and rights to the info, and the CNA's that assist in getting them and the paperwork ready--when I need them are acceptable.
  15. Goodyear

    Who can translate consents?

    I seem to remember the discussion being along the lines that an unlicensed person may or may not understand the terms and concepts used, and therefore may incorrectly (however slightly) "mis"translate... What holds up in court, I guess?