The NursesPTO crew

Being an on call operating room nurse.

nursing-callTaking call is a standard part of scheduling in the operating room. I was an operating room scrub nurse for 11 years and I served my time a plenty carrying that evil, evil pager. The rules were simple in our hospital, we had the main day shifters 6:45-3:00, the lunch relievers 10:30-7:00, late shifters from 3:00-11:00. After 3:00 there were two additional call teams to pick up the extra cases that were rolling over or to serve any emergencies that came in. The two call teams were on until 7:00am the next morning with 1 person in-house at all times. The weekends were different of course as most surgeons do not opt to do elective cases at 7:00 a.m. on Sundays (notice I say most) so two call teams were available to service these emergent cases with 1 person in house at all times. Confused yet? It gets better.

If you were the lucky winner of weekend call you started at 3:00 pm Friday and had the joy of gladly relinquishing your pager to the front desk at 7:00am Monday. I know, I know sounds like fun right? It gets better, not only did you get to carry this old timey, annoying pager thingy but, WHEN not IF it went off you had 15 minutes to be in the hospital, changed into your O.R. scrubs and ready to rock, or cut, choose the words you prefer. How is this possible? Well you keep it attached to your person at all times, when the damn thing blares you jump in you car, you call the hospital while en route to find out what you are being summoned for. If it was a rodding of a femur you could relax a little and breathe on your way in, your patient has plenty of time on their side. On the other hand, if it happened to be a ruptured aortic aneurysm or a gun shot wound to the chest or head, look out sally, they are going to hit your O.R. the same time you do.

In cases like these obviously the clock is not on your patient’s side, you work together as an ultimate team, everybody in hyper warp speed to save this beautiful life whomever they may be. It really is an amazing system in action, like a movie. The E.R. nurses and docs I’ve seen have always shown an awesome display of knowledge, speed and compassion. They would be running down the hallway trying to maintain stability of the patient until they pushed them through our doors. Then the operating room team would take over, again an amazing display of know how, swiftness and teamwork, a well oiled machine. Prep…drape…cut…stabilize… that is, if you had time to prep and drape. I have seen many instances where it was stabilize…. then prep and drape, the cut had been made for you via trauma.

I’m not going to tell you I liked taking call because that would just be a flat out lie, I would much rather be enjoying well, anything, other than carrying that stupid pager. One thing I can say is that, when I was on call and, after a call case was over, it always felt incredibly great knowing that I was part of a team that actually saved a life that day. I can’t think of anything more rewarding than that. Even though I gave up my pager to flip into sales I have to admit that I love the operating room, always will. What’s your passion?

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CRNA school admission tips

(This is a guest post by Jacob Kelton.)

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There is a lot of advice and input on the internet about what it takes to get into nurse anesthesia school. I would like to add to this advice from personal experience. First of all many people freak out and put too much emphasis on GPA. I am not saying it is not important but this will not solely get you into a nurse anesthesia program. When you apply to a school you have to remember they are interviewing a lot of applicants. The school I attended interviewed around 800 applicants. You have to be well rounded as a student and a nurse.

1) GPA- lets address this. You have to have a 3.0 or higher in your last 60 hours of school. This is usually nursing for most applicants. Your grades are averaged on a points system by the program. You will have a number of points given based on your science GPA, nursing GPA and overall GPA. This means you have to be well rounded. So yes the A&P from freshman year can bite you in the butt. You can also counter this with a strong nursing GPA; it all depends on the points awarded.

2)  Clinical Experience – they want to know if you have the experience and how you think. Most all schools want you to have 2 years of ICU experience at least. Some get in with less but it’s not common. What ICU do you need to work in? Preferably a busy one but emphasis seems to be on Cardiovascular and Surgical. What it is going to boil down to though is when you walk into the room to be interviewed by a group of highly educated nurses and doctors is, do you know your stuff? They want to know how you think. Your clinical experience prepares you for the interview. I attended school with nurses that worked in Medical ICU, Surgical ICU and Cardiovascular ICU, even a couple from a CCU. This told me one thing; they want you to know what you’re doing and be well rounded in your knowledge and are able to critically think during an interview.

3)  Tests and certifications – A way to help reassure the interviewers is to obtain your CCRN certification. This is required now for most all schools. Also, I would like to talk about the dreaded GRE. Yes, it sucks and they know this too. The GRE is an elimination tool. It will not make you and it will not necessarily break you. If you score well meaning 1000 or above, it will help you by showing you are a well rounded individual. If you score poorly, which in my opinion is anything 850 or below, it is not going to help you. This does not mean you will not get in if you are otherwise well rounded as an applicant. My advice is to prepare by doing a review course or brushing up before taking this test and do your very best. Do not let it beat you down though.

4)  Competition – Finally you have to look at the program you are applying to. Do they except a lot of applicants or not. This is important. If a program only takes 60 applicants but interviews 800 then the competition is fierce and your overall application needs to be strong. If you are applying to a large program who takes 120 or more students, then you make squeak in with a lower GRE or whatever weak point you may have. This is the best advice I can give but there is a lot more to be said whether it be about the interview or the actual program and what to expect. Good luck!!!

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What had happened wuz….Blogworld 09!! Woot!!

This entry is part 5 of 4 in the series BlogWorld 2009

blogworld 2009Well, blogworld has ended and we all made it back to Texas in the same condition in which we departed. Actually, now that I think about it NOPE, we didn’t! @nursewendy came back a married woman, @lipodoc came back with a couple of new bruises due to her stair dive and I have a nice bump on my head (ironically from the same stairs that attacked @lipodoc). I think those stairs might be a LAVO conspiracy (the club at our hotel). Lots of fun was had, my liver is still shaking but, I am so glad to be home! I met so many wonderful people and, learned so many new things about the world of social media that I did not even know existed.

One of the main things that stood out to me from all of the different seminars I attended was stay true to yourself in your writing. Not only did I find this to be the most powerful message, I found it comforting as well. I am by no means a professional journalist or grammar expert. I am a nurse, a crazy one at that! Life is a blast, people are the most entertaining creatures and, laughing is my favorite thing to do. I am blessed, truly blessed with four crazy babies that, I must say are the most beautiful people on earth! A fiancé who takes great pride in his children, treating me like a princess and taking great care of his patients all while maintaining an unbelievable sense of wit, he is the king of the double entendre.

So, the fact that my writing reflects my outlook on life as a nurse may not be the most beautifully written piece doesn’t really matter. It’s just simply, what I feel and how I think. This may be scary to some. Let’s just hope not too many psychiatrist end up reading my posts, as I might be taken away! For those who actually met me at blogworld, I think they would agree with my above statements. I just am who I am. I got one of the biggest compliments at one of the afterpartys. A gentleman walked up to me and said, “You were that girl with your twitter name on your back @nursejennifer right?” I started laughing and said “Yes, I am that nerd.” He smiled and said “I remember you because every time I saw you, you were always smiling.” That was so nice to hear! That’s so much better than you are that girl who is always crying or always frowning, it would so suck to be “that girl”.

Thank you to all of the wonderful people that talked to me, who answered my thousands of questions. A super special thank you to all of the experienced bloggers who took the time to review my post and offer me wonderful advice, trust me, I was hanging on your every word. A big, kiss my ass to those who were rude… thank God there were not many. I have made some new friends, learned a ton and, am already totally stoked about blogworld 2010. Hope to see you there! (unless, you were one of the rude people, you should just stay at home or maybe attend a how not to be a dick convention). Thanks again for your help everyone, cant wait to see you next year!!

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Blogworld hangover prevention

This entry is part 4 of 4 in the series BlogWorld 2009

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Blogworld is upon us come this Wednesday and, I have found myself in quite a dilemma. First off, I’m going to be at a huge conference, to learn as much as I possibly can about something I really know nothing about. This means, I actually have to pay attention to what is being said. This would not be a problem other than the fact the conference is in Las Vegas and, I have a proclivity for partying like a rock star. Now you see my problem. Some people would just say, well that’s an easy fix, just don’t party and pay attention to your courses. To them I say IT’S LAS VEGAS!!! I actually think it might be illegal to be there and not partake in the festivities. I don’t want to be a law breaker because I take pride in being an upstanding citizen, after all nurses are great role models.

So here is my solution to the predicament at hand. I will be drunk as a skunk no doubt. I will attend all of the needed conferences. I will meet as many people as I can that can teach me what in the world I am doing. I will follow the rules listed below to alleviate my hangover. After all I have lots of practice in this field.

1. I will keep myself hydrated with as much water as possible prior to getting my drink on.

2. I will make sure I have a light meal before I start drinking. This will reduce the puking factor.

3. I will slam a 5 hour energy shot before I start drinking because they are loaded with b12 which affects hangover symptoms in a good way.

4. I will stick to the same type of liquor. You go mixing tequila with whiskey and gin you are going to have yourself an exorcist projectile puking scene on your hands.

5. I will substitute water, occasionally in between rounds. The headache the next morning is due to dehydration. Prevention is the key to drink with me.

6. As I prepare to pass out here’s what I do. I eat a very light snack, usually a couple of saltines.

7. Now that I have crackers in my belly I take 3 ibuprofen (it’s better to have something on your stomach with the med). Last but not least, I slam as much water as possible before the pass out.

So there’s my pre pass out routine. Now here is my post OMG I actually have to get up at seven AM advice.

1. a bottle of water before even getting out of bed

2. slam a 5 hour energy

3. lay there for 5 minutes awake and move slowly when getting out of the bed

4. get coffee pot going

5. head to shower, stand under hot water and hold onto shower wall until awake

6. get coffee

7. get dressed (avoid putting on your high heels until walking out the door)

8. place visine in eyes

9. get more coffee

10. do hair and makeup

11. find keys, put on high heels, grab cup of coffee to go and bring on the day!

So what do you guys do? Any advice here? One more thing that I think works better than all of the above. The good ol’ saying chew on the hair of the dog that bit you, holds so true. A bloody mary in the morning works like a charm if you don’t have to go to work. Unless you have a job where you can drink at 8 am I don’t recommend this tactic. All I know is that at blogworld I will be in Vegas, I will be partying like crazy and I will use the above listed rules and the bloody mary recoop!

DISCLAIMER: THIS IS BY NO MEANS, MEDICAL ADVICE OF ANY SORT! I’m just a nurse that is a good drinker! My momma didn’t raise no quitter. Hope to see you in Vegas.

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Blogworld Bad Girls

This entry is part 3 of 4 in the series BlogWorld 2009

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While my buddy @nursewendy is terrified of blogworld I have just the opposite thoughts. I am stoked!!! I am by no means a computer wiz, I get excited if I send an email with an attached picture correctly. All I know is I’m going to be in Vegas with my best friends and, am going gain some awesome knowledge and, meet a ton of intelligent people. My biggest fear will be the hangovers and trying to absorb what is being said while in that state of mind. Here’s what I plan to do while I’m there.

I will order a vodka/redbull for @nursewendy on the flight to vegas. She is scared to fly so I figure I’ll just get her drunk to settle her nerves. Of course being the wonderful friends that we are @lipodoc and I will also have to drink in order to support @nursewendy. I know, I know, we are so selfless.

We will continue to order vodka/redbulls while in flight until @nursewendy is not nervous. Then we shall drink as much water as possible because we will have a long night of power drinking, dancing, laughing, gambling and debauchery ahead. So we must pace ourselves.

Arrive at the hotel, unpack and put on some well…….”hey we are here” clothes!

I have to immediately hit the craps table just to see what happens before we head out for the evening. What can I say, I have all the vices.

Then we will set off for fine dining and entertainment followed by: more adult beverages and more adult beverages. Who knows what time we shall return to the hotel. Seeing as how we will have to get up early in the morning to attend blogworld maybe we will be in by 4 or 5 am. All I can say is thank God for bloody Marys because that’s what I will be drinking to recover.

First thing the next morning blogworld starts, I can’t wait!! There will be so many awesome people there, that are amazing bloggers and computer wizzes. I am looking forward to picking their brains, in hopes that I can learn as much as possible. I am not shy so, I have no problem at all asking someone I don’t know about something I want to learn. I just hope these are nice people because if I run into someone who is rude or mean I will probably cry and then have to punch them in the face. Just kidding about the punching thing, I have never been in a fight in my life. Ohhhhh Wednesday is almost here….I’m sooooo excited!! All this drinking talk got me thinking about writing a super short blog on hangover tips. Make sure you watch for that post because my liver is a trained professional and I have some good advice.

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My most fabulous things to do in Vegas during Blogworld

This entry is part 2 of 4 in the series BlogWorld 2009

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So nurseWendy’s kind’ve scared of the techies and I fear for the hosts of the “unlimited vodka party” (details here) since nurseJennifer’s liver is wired for vodka-sound. But I’ve been to Vegas many times (this year alone) and I’m neither scared of flying nor searching for the ultimate hang-over cure. What’s a cynical Vegas veteran such as myself to do when not attending the admittedly fabulous Blogworld talks?

(1) Assuming that the talks will be over by about 6pm every day, that leaves between 4-6 hours of shopping to be had. One of the many great things about the LV strip is that the stores within the big casino hotels stay open LATE to capture that I’m-so-drunk-and-just-hit-the-jackpot crowd. So I can actually go to all the medical track lectures and then luxuriate in the heavenly trifecta that is Barney’s NY/ Jimmy Choo/ Christian Louboutin over at the Venetian. Salespeople are also exponentially nicer in Vegas than elsewhere (where they can be asshat snobs, but that’s for a different post) since anybody could have just won big at the tables. Jeans and a gimme cap do not automatically mean you get snubbed at Chanel like you would in NYC.

(2) Get rubbed with aromatic oils. The spas in Vegas are (not to abuse a cliche) world-class. There is a just-remodeled Canyon Ranch Spa branch at the Venetian, a fairly new massive spa complex at Caeser’s (Qua), and the Bellagio and THEHotel (their capital letters, not mine) host stunning hot bath rooms you’ll want to haunt after death.

(3) Get my ass kicked by the machine of death. The last time nurseWendy and I worked out in Vegas, she got on the assisted pull-up machine and promptly went crashing to the ground (she’s a great runner, but at the time had sorta weak lats). We lovingly christened the machine “the machine of death” and she has feared it ever since. At each of the faboo spas, there’s a faboo gym with every machine/cable/weight rack you could ever want. Canyon Ranch even has a rock wall to climb.

(4) Craps. Craps. Craps. My many trips to LV this year ending each day at the craps table is why their local economy has not completely failed despite the recession. I’m a terrible if very enthusiastic player :-(

(5) Eat gobs of stinky cheese. There are an amazing number of divine restaurants on the strip, many of which have cheese plates or cheese boards which is one of my all time favorite indulgences. I gained 10 lbs on my 10 day honeymoon in France from cheese and bread alone. There is also a lot of wonderful wines to go with the cheese as LV is home to more master sommeliers than even LA. Since cheese and adult beverage cover two of the three essential food groups, that leaves…..

(6) Chocolate. On the ground floor of the Forum shops sits Vosges chocolate shop, a company run by a female chocolatier who was one of the first wide-spread artisan chocolate makers to combine unique ingredients to make ambrosia like truffles and bars. NurseWendy likes the milk chocolate/Goji berry/sea-salt combination, I like the Naga bar with coconut milk and curry. There’s everything from dark chocolate + bacon to dark chocolate + ginger + wasabi + black sesame seeds. This is heaven on earth and a great place to sit and rest your tired, aching tootsies that have been strolling around on the 4″ Jimmy Choo heels.

What are your favorites? I’m always looking for new indulgences in Sin City?

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Why BlogWorld scares the !*@ # out of me.

This entry is part 1 of 4 in the series BlogWorld 2009

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I am a bit nervous about my upcoming Blogworld experience….

7. There is a flight involved in getting there. I am so very scared about flying…this will only be my 3rd trip in a plane…I just don’t believe it will ever seem ok to be that high up in the air…

6. It is in Las Vegas. There are so many wonderful things to do in Vegas, so many shopping opportunities, so many bright lights, so much to distract from the Blogworld experience….

5. There will be sooo many people there. I am not one to be comfortable in a packed room with hundreds of people. This will make me incredibly nervous and paranoid….are you looking at me?

4. These super smart people might try to talk to me. You may not believe this, but I am very shy around groups of strange people I do not know, especially really smart computer people that know so much more about the topics of Blogworld than I do.

3. I may be expected to know something about computer stuff… This is very scary to me. I know how to turn on a computer and get to the internet…anything else I need technical support team and a few hours to spend on the phone to get anywhere.

2. Just looked at the online schedule…sooo much information and it starts soooo early for Vegas. There is a lot of information to be covered at Blogworld….how will we get it all in?? And all the big computer words about marketing and such? I am going to be really lost…I see myself sitting in a conference room staring blankly at a pretty floral pattern on the far wall…..just over the speaker’s head…

1. Oh yeah, gotta get back on a plane to get home… Dang!!

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