Pam RN

Latest Activity

1. Transplant in Elderly

   Pam RN replied to Pam RN's topic in MICU

   Actually, I do make my opinions known and my husband always talks to me and wants to know what I think. He says he's so happy that I'm around and suppportive. But, with other family members I have to be careful because they don't want my opinion so...

2. Transplant in Elderly

   Pam RN replied to Pam RN's topic in MICU

   Thank you all for your very good replys. Yes, she did have hepatorenal syndrome and was hospitalized for two weeks a month or so prior to her transplant. So, yes that makes sense about the dialysis now post op. I have to get my brain back in ICU m...

3. Transplant in Elderly

   Pam RN posted a topic in MICU

   Hi, first time here since I'm in the OR and usually post there. I have some questions about post-transplant in elderly patients. My MIL had a liver transplant a week ago Monday at the age of 75. She has autoimmune hepatitis and two days before her...

4. devices for home self-testing PT or INR

   Pam RN replied to GingerSue's topic in General Nursing

   I have the Coaguchek machine by Roche. I had a Mitral Valve Replacement 18 years ago this May and have been using the machine for about 8 years. After 10 years of needle sticks my veins were getting pretty scarred and as someone mentioned getting t...

5. Precepting an experienced nurse

   Pam RN replied to Pam RN's topic in Operating Room

   No, that didn't sound mean. You're absolutely right. I'll just let her talk her way into trouble if she seems to know it all. I'm trying to give her our way of doing things, give her hints and shortcuts and the like and if she doesn't care to list...

6. Precepting an experienced nurse

   Pam RN posted a topic in Operating Room

   I work in a small OR and they just hired a couple of nurses that are on orientation. One woman is having diffuculty catching on to the fast pace and just catching on in general. Even doctors comment on her sometimes questionable performance. The o...

7. Possible move to Mass

   Pam RN replied to Pam RN's topic in Massachusetts

   I found out it would be north of Boston near Danvers. My hubby said people in the company live all over--Boston, Salem, New Hampshire. I work in the Operating Room, which hospitals would you recommend? I work in a day surgery center in downtown Ch...

8. Possible move to Mass

   Pam RN posted a topic in Massachusetts

   My husband was just offered a promotion which would require a relocation from Chicago to outside of Boston. What's it like out there besides the seafood? How's the job outlook? What's the housing market like out there? Go Cubbies!

9. Dealing with gossips

   Pam RN posted a topic in General Nursing

   How do you deal with the internal cancer of a gossip/backstabber? I have a woman at work, not an RN, who makes this destructive behavior her life. She's near retirement age, very competent at her job, knowledgeable but spreads her black-cloud of ne...

10. Analyze this situation -I'm POed

    Pam RN replied to cocothemonkey's topic in Operating Room

    That just chaps my a%% that there is no respect for the patient, the surgical process or the job we need to do. Why do we need to threaten them to ensure our safety processes get done? Everything has to turn into an argument. But who's the first t...

11. Hostile environment

    Pam RN posted a topic in Operating Room

    I need to vent and get some opinions about coworker hostility. I'm in a free-standing surgicenter that a friend recruited me. I've been there for almost and year and at times it's great and other times I go home wanting to shed some tears. Gee, th...

12. Can you keep up with fast pace?

    Pam RN replied to Pam RN's topic in Operating Room

    "You need to write faster!" exclaimed the doctor. I was keeping a record during a Discogram and she, the doctor was reading numbers and information to me and shouted at me in a snotty tone of voice, twice, that I need to write faster. Well, I guess...

13. help! Are surgical techs and RNs the same??

    Pam RN replied to BernadetteRNBSN's topic in Operating Room

    Funny you should mention this. I've been working in a surgicenter for a short time and feel the same way you do. A few of the techs have a real attitude towards the RN's and one bad day a went off on two of them after tiring of their comments. The...

14. Can you keep up with fast pace?

    Pam RN posted a topic in Operating Room

    I'm working in a free-standing surgicenter and I feel like the quick turnovers are at times unsafe or more conducive to making mistakes. For instance I got a call tonight from my supervisor asking me about a specimen that was sent out on a patient l...

15. Just started in surgicenter....

    Pam RN posted a topic in Operating Room

    I started at a surgicenter a couple of months ago and I'm getting used to the way things are done there like the really quick turnovers and some of the cases I've not done before like epidural pain injections and eyes. I like it but it seems like no...