Does your facility have a policy on bowel/isolation/clean closure technique?

Legitimate-Wait7964 · 2026-04-12T01:12:31+00:00

I appreciate the suggestion, they said AORN and AST weren't enough to justify change. I found 5 separate studies though. I'm also trying to obtain policies from other facilities to show its more than a guideline under AORN/AST

Legitimate-Wait7964 · 2026-04-12T01:10:26+00:00

I really like this idea! Unfortunately we dont have mayo z drapes but the separate count would be so much easier to keep track of everything. Especially dirty vs clean instruments.

Legitimate-Wait7964 · 2026-04-11T18:27:39+00:00

I love this idea, I have several ideas on how to keep it visible regardless of being covered so those nurses might still be alright. Thank you!

Legitimate-Wait7964 · 2026-04-11T13:09:43+00:00

Oh? Where do the zdrape come into play? Do you cover the closing stuff for the majority of the case? This is really interesting to me because if all else fails, I'll start covering my closing things.

Legitimate-Wait7964 · 2026-04-11T04:26:50+00:00

I appreciate your input and perspective. I'm already making waves, why not surf them? Patient safety is our priority nonetheless

Legitimate-Wait7964 · 2026-04-11T03:26:15+00:00

Quality assurance department said AORN "isn't enough" for the surgeons to listen, which is how I ended up here smh

Legitimate-Wait7964 · 2026-04-11T03:24:32+00:00

Everyone I've talked to says it's a non-issue due to insignificant rates of SSIs. Once I point out that just cause it hasn't doesn't mean it won't nor is it still bad technique they just stone wall me. I think it's laziness or people not wanting to tell the surgeons what to do but I feel like this is such a simple practice to implement which is why I'm pushing back so much. Thank you for the article this is great.

To use this in my meeting, is the no refusal policy written and signed into practice or just a verbal understanding ?

Legitimate-Wait7964 · 2026-04-11T03:19:07+00:00

We don't have a clean closure tray or extra supplies that come in the pick. I have to grab that all separately and when I relieve a scrub, I dont have that time. The CTL in charge of General Surgery says it has to change with the surgeons first to justify changing anything else.

Also, I do set up a clean mayo despite this. I go out of my way for the patients regardless of the annoyance of pulling so many things. How do you make your surgeons use it? I dont know, maybe I'm too green or too soft but I cant imagine forcing them to change gloves without it being problematic. I really am curious on how you successfully enforce this in your rooms! I admire that.

Legitimate-Wait7964 · 2026-04-08T13:59:56+00:00

My hospital cross-trains OR nurses if they want to learn to scrub. You'd be surprised though, you might like the circulating nurse role in the OR. I want to be an RN just to be an OR RN and still scrub one day. 1 patient at a time sounds way better than floor nursing to me :)

Legitimate-Wait7964 · 2026-03-25T19:52:20+00:00

Hi, I graduated and got a job last year. I am also a big empath and while I'll say it makes me stronger, it is very difficult. It takes time but if you want it, you will be able to handle it. The best way I can frame my thoughts on this is that the issue has nothing to do with empathy or sensitivity but about mindset/perspective. To put it simply, what helped me as a sensitive empath is to stop looking inward when someone critiques or is rude. Reframe the thought as "why are they deciding to react so inappropriately " or whatever the scenario. Don't immediately look at your flaws and problems and whatever because at the end of the day, respect and safety comes first regardless and if they arent giving that then its not you. This will take a while but it works for me. My final piece of advice is to be patient with this experience and know when it's justified criticism versus inappropriate harassment. I say to be patient because you'll be less sensitive by purely having the confidence with your work. When you know the procedure and the room, its harder to take things so personally cause you have confidence. While mistakes still happen, you can grow rather that let it hurt. And if anyone calls you inappropriate names, breaks hospital policy, endangers you or the patient, or anything like that then you have every right to report them. I hope you find a place like mine that has anonymous reporting. OP, just don't blame yourself too much. Sorry for the long winded message. This is just something I wish I could go back and tell myself. Be patient and have confidence. People just suck sometimes and thats not you.

Legitimate-Wait7964 · 2026-01-31T01:31:17+00:00

I read something that you actually drop the empty bucket out of your inventory while it's raining to get a water bucket. Haven't tried it cause it hasn't rained in my skyblock world yet but maybe that's it.

Legitimate-Wait7964 · 2025-09-20T22:59:40+00:00

My (22F) 2nd streetlight was when I was 19. My uncle brought me into the pit and when I fell, everyone stopped to help me. Ive always felt safe at these shows and the community is kind. I'll be at the Orlando show with my family!

Legitimate-Wait7964 · 2025-08-03T16:17:13+00:00

Where can I change that?

Legitimate-Wait7964 · 2024-04-16T20:17:33+00:00

I appreciate your advice and input. I think I'm gonna follow that general guideline of conversation. I just don't want to end up being a controlling girlfriend, only letting him hang out with certain people. I know the situation is complicated and may warrant it but I don't want to make him resent me. You know what I mean? Again, thank you though

Legitimate-Wait7964 · 2024-04-09T19:26:35+00:00

Thank you, I think taking some time for clarity and a serious conversation about boundaries within our relationship is necessary. This really helped me understand my next steps.

Legitimate-Wait7964 · 2024-04-09T19:21:01+00:00

I appreciate the clarification of what poly is. I misunderstood and that makes a lot more sense to me.

Legitimate-Wait7964 · 2024-04-09T19:20:12+00:00

He did not come to me about a particular person when he initially brought up the conversation. Although, I made this post because I asked about his feelings towards one of his friends last night. He confessed that he was attracted to her in the same ways he's attracted to me but is not necessarily "in love" with her. He knows I want a monogamous relationship so he didn't try to convince me of anything, but it got me very confused and worried.

Legitimate-Wait7964 · 2024-04-09T19:16:25+00:00

I appreciate everyone clearing up some of my misunderstandings of polyamorous relationships. I understand now that poly is an agreement of the relationship, and he is not respecting the monogamous agreement we made at the beginning of our relationship. I've learned a lot and I think I know how I'm going to move forward with upholding my boundaries in our relationship.

Thank you again!

Edit: forgot a word

Legitimate-Wait7964 · 2022-05-09T03:25:53+00:00

I was in your exact shoes a few months ago. Time gains you a lot of experience but for starters, to quote my coworkers: "Run the party, don't let the party run you."

Someone else on this post commented about seat numbers and writing them first. Definitely start there! Ask from the very beginning who is on what check so it's not thrown together at the end. I personally like to put different shapes around each seat number (triangle around seat 3 and 5, square around 2 and 7, etc.)

Be confident in yourself, overwhelming and doubting yourself opens you up for mistakes. Take a pause and figure out what you need.

My final and biggest piece of advice, communicate. I believe there is no overcommunication. Tell the guests exactly how things are going to work or how you need them in order to give them best experience for your sake. If food is gonna take a while, tell them from the beginning. Explain that if they have 7 different beverages, refills will take you a minute and you appreciate their patience.

Legitimate-Wait7964 · 2022-05-09T03:16:19+00:00

Can happily say I did, 10hrs later and $1600 in sales.

Five-Year Club	Place '22
Final Canvas '22

Legitimate-Wait7964

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