sharann

sharann BSN, RN

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All Content by sharann

  1. My 1st colonoscopy - draping & pain questions

    I just had a Colonoscopy and EGD last week and the doctor told my husband that I had a poor prep. Husband told the doc, no way, my wife followed your prep to the LETTER. I did, and it upset me that I...
  2. 5 pounds per year

    Since I have been a nurse that is what I gained in weight (over 7 years as a RN). I finally just told myself, NO MORE. I have to take better care of myself. I was at the ideal weight for my height...
  3. Help please!!

    I am sure it was just a typo. First semester students do not have any knowledge base yet to know this stuff. Gigi, you can come up with this yourself I promise. Just look up the clinical and...
  4. 5 pounds per year

    I aslo blame myself. I do have Crohns Disease which required courses of high dose steroids periodically which helped me eat everything not nailed down for months at a time each year. The ironic thing...
  5. Northridge hospital medical center

    Heard good and bad about every hospital, but I think that Northridge is medium. I don't remember but I think the are union. I also think a lot depends on your particular area and the manager there....
  6. Do you use any opioids intraoperatively and toward the end of a case when the procedure is obviously going to result in severe pain when the patient awakens? I would like to know if it is routine to...
  7. Anesthesiologist, board certified in both anesthesia and pain specialist if you can believe that
  8. I agree 1000% which is why I couldn't just sit by and watch it happen. I heard that they are looking for a replacement for him
  9. Thank you everyone. I talked to everyone I was supposed to and well see from
  10. My colleages will stand with me because I am right and they have been traumatized by watching patients cry in pain until we can catch them up. I am not going down, and if they tried then I would be...
  11. Thank you for your reply and explanation zrmorgan. I am not by any means advocating a cookie cutter ,one size fits all approach. I am not an anesthesiologist, but I am an expert in pain(having it and...
  12. Thank you for your answers to this question. Skipaway, I asked because my co-workers and I have been fighting for months to end this practice of general aneshtetic only and NO supplemental narcotic...
  13. Report from Recovery Room

    Hi, Do you receive report in person or by phone when getting post-op patients from recovery room?
  14. DISCHARGE from PACU? Who does this?

    As far as I was aware, discharging from a designated Phase I PACU to home is a type 1 Joint Commission infraction. It is also unsafe and not right. The patient needs to be stepped down to a phase 2...
  15. Should I report this CRNA?

    It is the patients airway, not HIS or your airway to protect. If the patient was gagging and sitting up then they should have been extubated and had the airway out. Once they cross into the PACU the...
  16. Do you all send your supracervial laparosopic hysts home the same day or are they generally overnight? We have had some disussion lately. Our Lap Choles often go home same day but not all. Is it...
  17. Is this outpatient or inpatient surgery at yours

    Well, I had mine on March 1st and fortunately was home 6 hours post op. I would have gone nuts staying in the hospital overnight! I know some patients need to stay for medical or psych or pain or care...
  18. Not following ASPAN guidelines

    Exactly correct. The first thing the prosecuting lawyer will look for is standards of practice for a specialty. In my state(CA) I believe the PACU is considered a critical care unit and we are...
  19. Pulse Ox alternative sites

    Thank
  20. Amiodarone IV: needs an inline filter??

    I have not ever pushed Amiodarone or hung it ONCE in my 6 years in PACU. It never came up or was ordered. I don't really like that your preceptor is so snappy. What is the problem? Does she not like...
  21. Ultram

    Is Ultram an addictive medication? I don't take it but have some patients who have been on it and I
  22. NOT asking for any medical advice here, I already have been to my doctor and derm, just asking for Personal experinces here. I caught scabies from a nursing home patient from the OR and I am the only...
  23. PCA's in PACU

    We start them in the PACU immediately upon arrival if the patient is stable and in pain(or even a hint of pain), then we use the normal anesthesia post op orders to augment and get them comfortable....
  24. Caught something yucky at work

    I feel so much better now, finally. I also found out that I am allergic to my down comforter(dang!). Now I know why the itching kept on! Just wanted to give an
  25. Caught something yucky at work

    Thanks guys. It is such a lonely feeling to have something that is common enough that the medical field is kind of clueless about. I just keep hoping for some end to it. I think what I now have is a...