Pam RN

Pam RN

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All Content by Pam RN

  1. Hostile environment

    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...
  2. Transplant in Elderly

    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...
  3. Transplant in Elderly

    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...
  4. Transplant in Elderly

    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...
  5. devices for home self-testing PT or INR

    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...
  6. 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. Precepting an experienced nurse

    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...
  8. Possible move to Mass

    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. Possible move to Mass

    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...
  10. Dealing with gossips

    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...
  11. Analyze this situation -I'm POed

    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...
  12. 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...
  13. Can you keep up with fast pace?

    "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...
  14. help! Are surgical techs and RNs the same??

    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...
  15. 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...
  16. The best cardiac care

    Where would you send your Mom or Dad for the best cardiac care? I ask because I am a cardiac patient in good health and my PCP is affiliated with Loyola and Elmhurst Hospital. If I needed any cardiac care I'm scared now hearing how disorganized the ...
  17. What is your specialty, and why do you like it?

    I'm going back to my first love--surgery! When I was in school I thought I wanted to work in surgical ICU but I didn't care for being with the same patient for 12 hours. I spent a some time in surgery and knew it was where I wanted to be. I was fa...
  18. New nurse in OR trying to find her place

    I can remember when I started in the OR. I was a new grad and the OR was where I really, really wanted to be. The first three months were an exhausting, exciting, frustrating blur. If you really want the OR don't even think about leaving until you...
  19. Surgicenters

    What do you think about working in a surgicenter. I'm looking into a position at one. I keep hearing the docs are "more relaxed" at the center as opposed to the hospital OR's, "less pressure" they say. Are all the cases short and fast moving? Wha...
  20. New grad To Dekalb, IL--Info wanted

    Hi, I'm origianlly from Rockford and there are three hospitals- two that were mentioned: Rockford Memorial and Swedish-American but there is one more, St. Anthony Medical Center. They have an excellent Neuro/Trauma and Cardiac programs. Rockford is...
  21. Have you worked outside the OR?

    I worked in the OR for 5 years right outta college. I stayed at one place for 4.5 years then made a switch to another hospital and hated it. I felt burned out and wanted to learn some "basic" nursing skills that I felt I lacked in the OR. I now wo...
  22. Maybe return to the OR

    Hi, it's been a while since I've posted on this site. I worked in the OR for five years scrubbing and circulating before burnout got the best of me. I had a nice position right out of college which offered me many opportunites, some of which I didn...
  23. Hello All

    Hi, all. I live in Chicago but was born in KC. I've always considered myself a KC girl even though my family moved to Illinois when I was 8 years old. I lived by the Blue Ridge Mall. I went back to visit last summer with my dad and hubby and show...
  24. Here from just west of the city...
  25. Foley Position

    I was taught in the OR to position the tube under the knee with sufficient slack on the foley cath itself. That was the foley isn't pulled to hard on the bladder wall and is loose enough for flow. Usually, people have some space between their knee ...