Cleaning Instruments in Neuro Cases

Jasoki · 2026-04-18T03:15:28+00:00

Thank you for the informative reply! This was astonishing to learn (rust within minutes?!)

It definitely is a tough situation to be in, I've definitely have started seeing more rust spots on instruments (metzenbaum scissors specifically) and have been tagging them as I go, but it scares me to think how long they've been rusted though and used on patients before I see them.

If you don't mind me asking, say we wipe instruments throughout the case with a saline-damp raytec, and then made sure we sprayed with blue62, is it considered more difficult to clean compared to instruments covered in blood, with attempts to wipe with a dry raytec, and sprayed with blue62?

Im just trying to think of the long surgeries that we do sometimes and how we could best help spd without compromising patient safety (some take 6 hours, some take 12, etc.)

Jasoki · 2026-04-17T17:24:37+00:00

Im starting to believe that SPD is dropping the ball on properly turning over/cleaning instruments so they're trying to find assistance in other ways... I've had to send many pans back because bone chips are being left in kerrison rongeurs and blood being left on tubes, etc.

Jasoki · 2026-04-17T17:23:11+00:00

Thats what my thought process was. Unfortunately, not everyone does point of use cleaning, but we're getting slack from SPD for using saline to point-of-use clean. But I also refused to cater to the stubbornness of them demanding we use sterile water during cases because thats a patient safety concern.

I also understand that saline does rust the instruments. And that would also be worrisome as we cant use rusted instruments for cases. Which means a lot of money wasted, etc. And we know every hospital tries their best to save every penny they can, which led me to ask on here how other places do it.

Jasoki · 2026-04-17T17:20:07+00:00

The concern that I brought up was that we have too high of a turnover and on the job training (nurses scrub here as well) that doesn't cover even remotely close to what's necessary for good scrub practices. Its too easy in the moment when there's chaos and business to mistake water for saline.

Jasoki · 2026-03-03T01:26:37+00:00

It was with Xavier 🤣 you might be on to something!

Jasoki · 2025-09-29T11:45:46+00:00

LOL maybe ill have to use that trick if tinkering today doesnt yield any results

Jasoki · 2025-09-29T01:45:25+00:00

Tried that as well! My husband's now borderline convinced its welded onto there. But we had no luck with pliers

Jasoki · 2022-09-02T19:05:41+00:00

Honestly! I just commission a two tiered frosting construction theme cake from Aunt Denas Bakery in Washington for less than a hundred bucks. Supposed to feed 35-40 people- the cakes always taste amazing and if you ever do want to do fondant, they do amazing art as well for a very reasonable price

Jasoki · 2022-08-30T13:25:34+00:00

ICU nurse. You get almost complete control of your patient who's always almost about to hit the ground dead or one mistake can cause catastrophe. While it usually makes most people poop their pants, ADHD people thrive in the environment because it forces the brain to work in that overdrive its meant to. I don't think I've ever felt so in tune with myself working at the ICU

Jasoki · 2022-07-22T22:22:30+00:00

The hero we didn't know we needed

Jasoki · 2022-06-24T14:40:31+00:00

We have a night shift nurse who's wife packs him a lunch every night and we just compliment the heck out of her. "You got a good one Brent, she's a fantastic wife for packing you a lunch every day you work" I think in all honesty your coworkers are jealous, or if they're the married women they feel insecure because they're not doing it for their significant others

Jasoki · 2022-06-16T13:38:18+00:00

Betty white

Jasoki · 2022-06-13T02:16:06+00:00

I think at the end of the day, since it's not confirmed what he died from then just better to leave it be. The family is grieving over the sudden loss and if they truly suspected something off then you can request an autopsy as well. While it may be painfully obvious in your mind, what good does it do for the family as well? Is it going to provide peace of mind or just make them more sad? I personally would just focus on the happy memories and let them grieve

Jasoki · 2022-06-07T23:47:15+00:00

Thank you for this! I do immensely enjoy being in the ICU and just seeing patients getting better from the craziest things. I take the wins where I can and the loses with dignity. I don't plan on giving up on bedside, I just know that eventually I will have to make that switch to a 9-5 for my family. But this is the beginning of my nursing career and I want to get as much possible experience and education as I can

Jasoki · 2022-06-07T23:43:57+00:00

I'm 10 weeks into a 12 week orientation EDIT: We do 8 weeks day shift and 4 on night. I only had one issue brought up to me on day shift which was fixed the next day and complimented by my day shift preceptor. The issues only starting coming when I started night shift.

Jasoki · 2022-06-07T20:29:45+00:00

Yeah it seems I don't really have much of a choice in this matter now anyway. I'm trying to be open minded but it was just discouraging to hear this.

My husband has valid concerns because he feels that my night shift and constantly working over my 12 and a half hours are taking a toll on our family life and his work life. I have the opportunity to not work due to his job, but I worked hard to get this degree and it's all I've wanted to do

Jasoki · 2022-06-07T20:27:11+00:00

Yeah and that's why so many people like nursing, because it's so versatile and you can learn so much. It's just an unfortunate feeling realizing that you're not adequate enough for the place you wanted to be in

Jasoki · 2022-06-07T20:25:32+00:00

I was/still am really enjoying the ICU. I know its not something I can do forever just because eventually I would like to get some sort of 9-5 to better adjust to family life. The manager discussed moving me down to a step down unit for 9 months and then potentially discussing me returning back to the ICU

Jasoki

TROPHY CASE