SandraFenway

SandraFenway

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All Content by SandraFenway

  1. ADN-BSN/MSN bridge taking non nursing BA degree credits?

    SandraFenway posted a topic in Diploma, ADN, BSN

    Hi, Asking for a friend. Friend has current a ADN, is working as an RN and also has a BA in Biology. Question: Are there bridge programs (preferably online) for working ADN RNs with non nursing...

  2. Staff Ratios Cardiac Surgery Operating Room

    SandraFenway posted a topic in Operating Room

    I have a question/ informal survey request regarding open heart staffing in a community hospital. I work in a hospital that has one open heart room/ one heart surgeon. We currently have 2 RNs/ 1 scrub...

  3. Circulating nurse

    SandraFenway replied to amiss5572's topic in Operating Room

    Take care of the patient first. Set the computer on the back burner until that patient is completely monitored, induced and prepped. Do the time out and THEN, turn to the friggen computer. That's my...

  4. Union gave away random drug testing

    SandraFenway replied to Emergent's topic in General Nursing

    Has no one seen Myth Busters and the poppy seed muffins affecting the drug test? Well, it was no myth - poppy seeds will make you test positive for opiods. The first lesson I learned in Statistics was...

  5. Who checks your patient in?

    SandraFenway posted a topic in Operating Room

    Recently my friend's OR has started having the non OR nurses in admitting check in the patient for surgery. I mean check.in.the.patient. A non OR nurse will be looking at consent, ID, blood band,...

  6. Circulator nurse doesn't leave the room ? How would this work?

    SandraFenway replied to mhy12784's topic in Operating Room

    Sounds like a dream date for a contract effiency expert to add to his/her resume. The actuality of the process is a nightmare for the poor RN who is trying to give safe care. I mean, HONESTLY, how...

  7. Skin Alterations from Positioning

    SandraFenway replied to NurseFrawg's topic in Operating Room

    [quote=NurseFrawg;9077502 Who and how do you chart this? How do you follow up with patients? Do you write an incident report for each case? What have you done to avoid breakdowns? 1. We chart preop...

  8. Who checks your patient in?

    SandraFenway replied to SandraFenway's topic in Operating Room

    The person bringing the pt to the OR will a nurse's aide. This process change has only been announced, not implemented. I have NO idea how short stay is going to know if OR is truly ready for the pt...

  9. Who checks your patient in?

    SandraFenway replied to SandraFenway's topic in Operating Room

    Hi, Allnurses, I found out that WHO has an Implementation Manual for the surgical safety checklist. You'll easily find the checklist itself, it's everywhere and is the basis for many facility's own...

  10. Who checks your patient in?

    SandraFenway replied to SandraFenway's topic in Operating Room

    That's interesting, Rose Queen. How do preop and periop both do one check in? Computer? 2 papers? I did find a WHO document that specified that it is OR personnel that should be doing the safety...

  11. Who checks your patient in?

    SandraFenway replied to SandraFenway's topic in Operating Room

    Hi, Can other circulators tell me who does the OR check in for your facility? Admitting RNs or operating room RNs? I'm talking about the first and second columns of AORN Comprehensive Surgical...

  12. Who checks your patient in?

    SandraFenway replied to SandraFenway's topic in Operating Room

    I knew I could count on you, Rose Queen. I'll try to access the AORN hand-off tool and see if it addresses this

  13. Who checks your patient in?

    SandraFenway replied to SandraFenway's topic in Operating Room

    A surgical check in includes (not in order, not complete): checking the name, allergy and blood bands to the consent and H&P, check for tight rings and cut them off if the surgery warrants it...

  14. Thinking of being a circulator?...Think twice.

    SandraFenway replied to OR Dude's topic in Operating Room

    OR nurses may do all the things you say. It depends on where you work and your commitment level. There's no deeper assessment of the patient than putting your hands inside. Think about

  15. Thinking of being a circulator?...Think twice.

    SandraFenway replied to OR Dude's topic in Operating Room

    The RN carries one of the licenses the surgical tech functions under. There are only a handful of states that require licensure of ORTs. Certification is very different from licensure. Licenses can be...

  16. Switch from the floor to the OR?

    SandraFenway replied to FutureResearchRN's topic in Operating Room

    In our facility, OR nurses are foley experts and some are excellent at IVs. BTW, pet peeve of mine: You'll still do nursing. You will be watching the monitors and listening to the suction and calling...

  17. New Grad in OR struggling

    SandraFenway replied to StringOR's topic in Operating Room

    Also, one of the biggest elements of success in the OR is feeling like you are working well, moving towards a common goal of safe surgery for your patient. This is when attaboys can really help...

  18. New Grad in OR struggling

    SandraFenway replied to StringOR's topic in Operating Room

    Document the changing preceptors and surgery types. Send an email to the surgical director requesting assignation to one or two preceptors that will work with you to get you where you need to go. Send...

  19. I Left Work Sick- Can I be Charged With Patient Abandonment?

    SandraFenway replied to Nurse Beth's topic in Career Advice Column

    Also, could OP turn it on the head and come back with unlawful

  20. I Left Work Sick- Can I be Charged With Patient Abandonment?

    SandraFenway replied to Nurse Beth's topic in Career Advice Column

    OP could have gone directly to ER in her uniform where they would have documented her fever at the very least. Asked for IV hydration and returned with a bag hanging (j/k)? It would help support her...

  21. Dealing with bad outcomes for the patient

    SandraFenway replied to coco0106's topic in Operating Room

    I tried once explaining to my sister what I do and how stressful it was. She told me I needed to find another job - essentially a shut up. It was so painful, I wasn't being overly complaining, I was...

  22. Is working in the or really that stressful?

    SandraFenway replied to Angeleah's topic in Operating Room

    I think the biggest stress is working intimately with a population known to have a high number of sociopaths: surgeons. That's not a diss. It's a fact, look it up. There's more distance from this...

  23. How to handle aggressive episode

    SandraFenway replied to MeiLana's topic in Operating Room

    I'm bothered that your charge nurse is telling you to go the chief. She should interface between her staff and the chief of surgery. There's a reason you're still thinking about this on your day off:...

  24. Need for an strong advice please

    SandraFenway replied to yohanes9's topic in Operating Room

    I like the idea of Cath lab over OR, because you will have more responsibilities for sedation and medicating the patient? In OR, there is already an anesthesia care provider. There are the rare...

  25. Weekends with "on-call rotation"???

    SandraFenway replied to Nurse_Lightning's topic in Operating Room

    Well stated. We all have personal experience; enough to know that different ORs may have different mechanisms of "on call rotation"! The original poster really needs to have the OR recruiter explain...