Recent Posts

Pages: [1] 2 3 ... 5
1
General Discussion / Multimodal Pain Management - Summer 2018
« Last post by madebobo on July 10, 2018, 02:05:27 PM »
     The Monitor 2018 Summer edition reference article on ambulatory surgical patients by Jan .G Jakobsson was very informative and interesting. My workplace has recently initiated a similar oral analgesia protocol for our orthopedic major joint surgery patients (of which a few are discharged the same day from surgery). Preoperative analgesia is initiated as well as a IV fluid bolus, followed by a set protocol (barring contraindications) postoperatively. Although still early, our physicians inform us that patient postop pain response is positive. It will be interesting to see the statistics.
     
 This article also addressed ambulatory surgery breast patients and their pain management. With a need for postop analgesia, many of our breast surgery patients experience nausea and vomiting postop impeding their discharge. I was wondering if anyone has such a protocol put in place on their unit for the population and seen the impact of the protocol?
2
General Discussion / preoperative medications
« Last post by rogersk on January 25, 2017, 11:28:49 AM »
I am curious to know how others manage the instructions to patients for which medications to take/hold the morning of surgery  and who provides this information to the patients.  Also, how is this information documented so that the day surgery nurses are aware of the information.
3
General Discussion / Re: PACU work schedule
« Last post by marie.see.ah@gmail.com on April 26, 2016, 03:10:28 PM »
Hello Jennifer.

Currently at TSH our evening PACU is staffed with two nurses, each working the on-call night shift alternatively. the trend has been that approximately every other night the Rn may have to stay until about 3AM the latest. Occasionally the RN may be required to stay all night (16 hr shift). For such cases, the RN (according to union contract) must have 12hrs rest before returning to the next scheduled shift. Some nurse return while others may chose not to. In the latter case, the unit finds the replacement staff in the morning.

Our scheduling looks like this... (EC equals evening with on-call night)
               S     S    M   T      W    Th     F     
RN #1     EC   EC  E    EC    E     EC    E     
RN #2      D    D  EC   E     EC    E     EC

Hope this helps.
Maricia
4
General Discussion / bariatric surgery
« Last post by kmitch on March 07, 2016, 09:57:26 AM »
i work at an ambulatory center in Kingston that has a small (6-10 bed) extended recovery where we keep patients overnight, (18mos - 92yrs). we have a fast track joint program where 4 patients are done on monday, home wednesday. we also keep pediatric t&a's and ortho procedures as well as other ENT, gen surg, sleep apnea pts. we are staffed with 2 RN's monday and tuesday nights and an RN and RPN wednesday and thursday nights. the anesthesiologist sleeps over and that is it for staff in entire building after 10pm. my questions are; does anyone work in a similar setting and what are your thoughts re:RPN coverage. also we are going to start bariatric surgery in july and wondered if anyone has experience with this? length of stay, type of monitoring, type of staff? and is anyone familiar with this being done in an ambulatory setting? any complications we have must be transferred to the hospital across town.
5
General Discussion / National Conference
« Last post by DEapen on February 15, 2016, 09:15:30 AM »
Planning for our National Conference, to be held in Toronto this November, has begun. If you have ideas on speakers or presentation topics you would like to see, here is an opportunity to share your thoughts with us.

(Also note: If you would like to be entered for a chance to win a free registration to the National Conference, please share your PeriAnesthesia Nursing Week Celebration stories with us ...and you could be the lucky winner!!! Winner to be announced on the OPANA website May 1, 2016! Submissions accepted until February 25, 2016 and will be shared on the OPANA website.)
6
Featured articles / National Conference
« Last post by DEapen on February 11, 2016, 11:45:28 AM »
Planning for our National Conference, to be held in Toronto this November, has begun. If you have ideas on speakers or presentation topics you would like to see, here is an opportunity to share your thoughts with us.

(Also note: If you would like to be entered for a chance to win a free registration to the National Conference, please share your PeriAnesthesia Nursing Week Celebration stories with us ...and you could be the lucky winner!!! Winner to be announced on the OPANA website May 1, 2016! Submissions accepted until February 25, 2016 and will be shared on the OPANA website.)
7
General Discussion / Re: Discharge from Phase II
« Last post by ggraci on May 06, 2015, 10:25:46 AM »
Thank-you for posting this topic. I apologize for this late post. We are currently encountering a similar issue at my site. We do not have a policy that supports the this need for patient safety and supervision upon discharge. In addition I have been reviewing several journal article in relation to discharge scoring tools that have indicated the need to assess "street fitness". I have recently received a position statement from CAS on sedation use. This is currently be used in conjunction with the college of nurses practice guidelines and current evidence based research to support the development of a policy that establishes a care pathway for patients who do not have a responsible individual to supervise them upon discharge.
8
General Discussion / Re: Scoring tool for discharge SDS / PACU
« Last post by ggraci on May 06, 2015, 10:18:37 AM »
We are currently using the modified aldrete however I am in the process of developing a new SDS record in which I would like to see the feedback you have received.

Thanks.
9
General Discussion / Re: PACU work schedule
« Last post by deborahb on April 07, 2015, 09:53:59 AM »
At Grand River, the evening staff in PACU cover the night shift for emergencies.  There are times when we have overnight patients in PACU that require at times the staff to stay for a 15 hour shift.  If the overnight patients are surgical patients in pacu just because there are no in patient beds, then the hospital attempts to get surgical float staff to monitor them in PACU
10
General Discussion / staffing
« Last post by deborahb on April 05, 2015, 12:02:28 AM »
Does anyone have RPNs working in their phase 1area?
Pages: [1] 2 3 ... 5