What is going on in this OR?

[SusanO'donnell]

i am an acute care medicine rn and thinking about taking the OR course and i even know that these practices are unsafe, maybe you can report it to licensing board after you quit, at least your conscience would be clear that you had tried to help

[elle604]

On the floor, antibiotics are hung with an alaris pump but in the OR the anesthesiologist hangs it like if he is giving a bolus or IV push, no pump nothing...everyone doesn't seem to mind...maybe it's just me.

Also we don't give report to pacu, the anesthesiologist goes with the patient and so does the surgical pa...is that like this in other places..I'm in upstate ny

[Rose_Queen, BSN, MSN, RN]

On the floor, antibiotics are hung with an alaris pump but in the OR the anesthesiologist hangs it like if he is giving a bolus or IV push, no pump nothing...everyone doesn't seem to mind...maybe it's just me.

Depends on the antibiotic. Ancef is given IV push. Vanco is given on a dial-a-flow. Those are the two big ones I deal with on a daily basis.

Also we don't give report to pacu, the anesthesiologist goes with the patient and so does the surgical pa...is that like this in other places..I'm in upstate ny

Working in cardiac surgery, my patients usually go directly to ICU. I call report 30 minutes prior to the expected time out of OR. Circulating RN and anesthesia both transport, anesthesia supplements phone report. For patients going to PACU, nurse and anesthesia both transport and give brief report.

[clarkheart]

I work in cardiac surgery and call report to CVICU recovery nurse 30 minutes before we go up. Anesthesia and myself transport patient to unit monitored.

[4100RN]

Wow! Lots of scary info in these post! @elle604, our hospital does the same, if the antibiotic cannot go in safely at a higher rate, we us a dial a flow, but otherwise just piggyback most of our abx in, we very rarely use pumps in the OR.

[elle604]

I realize that the antibiotics and the fluids go in like if they are giving a bolus! The 2gm ancef, cefoxitan goes in less then 15 minutes which usually would take about 30 mins. I don't think they even use the piggy bag hook at all in the OR at all!

[Sacul86]

i love this post. after first i felt like I was the idiot at my new job. Leaving the doors wide open during procedures? check! . its pathetic when i feel like i have to watch my coworkers when they are "helping" me open instruments onto the sterile field. I voice my complaints to the director and manager but nothing really happens. In fact i have earned by nickname as "The Closer" because i walk around closing OR during setup. Are people really that ignorant!!

LADIES WE ARE ALL AWESOME!! KEEP UP THE GOOD WORK!