Scrub caps

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Where are some good places to obtain 1) very cute women's scrub caps and 2) good compression stockings?

OH MY GOD. How did I overlook this? In all the craziness of making a rank list, considering clinical training, location, cafeteria food, attending attractiveness, and badge reel quality, I completely forgot to think about which programs let you wear your own scrub caps.

This throws a wrench in everything. Thank you for bringing this to my attention.

Seriously though. I'll be very sad if I can't wear my NYG scrub cap.

Originally Posted by acrolentiginous

Where are some good places to obtain 1) very cute women's scrub caps and 2) good compression stockings?

The best selection I have seen is a seller on eBay who goes by the name Hovihats4U (I think that's right). She makes them all herself and they are pretty well done. A little thinner stock material, but good quality sewing. I think she does female hats as well, but don't recall for sure.

The CMS Nazis just trolled through this place and banned everything except the disposable poofy bouffant caps. People with beards need to wear beard covers. Long sleeves are mandatory, even when doing procedures like spinals and epidurals.

It's insane.

A friend of mine who did a surgery prelim year discovered that VA gift shops are a gold mine for low cost compression stockings.

Originally Posted by pgg

The CMS Nazis just trolled through this place and banned everything except the disposable poofy bouffant caps. People with beards need to wear beard covers. Long sleeves are mandatory, even when doing procedures like spinals and epidurals.

It's insane.

Wait really? You can't wear regular scrub caps, you have to wear those horrible poofy ones? And by long sleeves, are you talking about those scrub jackets?

My god...this $hit has gotten out of control.

Originally Posted by turkeyjerky

Wait really? You can't wear regular scrub caps, you have to wear those horrible poofy ones? And by long sleeves, are you talking about those scrub jackets?

Yep. The regular flat/tie caps are gone because they supposedly didn't cover all exposed hair. Everyone, even the bald guys and people with spiffy military haircuts are required to wear the poofy disposable ones now.

They also have disposable paper scrub jackets. I've seen circ nurses drag a sleeve over the area they're prepping and have to start over. I'm supposed to wear it when doing spinals, but I just push them up past my elbows. They say this is so "skin squames" don't fall off our arms and contaminate things.

Originally Posted by turkeyjerky

My god...this $hit has gotten out of control.

It sure has ...


Our new timeout procedure is "interactive" now.

Anesthesia identifies the patient by name and birthdate.
Surgeon describes the surgery and site.
Circ nurse talks about the periop abx and positioning.
Back to anesthesia for comment on any special precautions.
Over to scrub and surgeon to verify all needed equipment is in the room.

at our joint, personal scrub caps are allowed but only under the disposable one-- its thin, so you can still express your personality. Agree on ebay for good quality scrub caps. they have mens, womens short/long hair.

compression hose-- ebay is great, also google "ames walker" on the internet.

Originally Posted by pgg

Yep. The regular flat/tie caps are gone because they supposedly didn't cover all exposed hair. Everyone, even the bald guys and people with spiffy military haircuts are required to wear the poofy disposable ones now.

They also have disposable paper scrub jackets. I've seen circ nurses drag a sleeve over the area they're prepping and have to start over. I'm supposed to wear it when doing spinals, but I just push them up past my elbows. They say this is so "skin squames" don't fall off our arms and contaminate things.



It sure has ...


Our new timeout procedure is "interactive" now.

Anesthesia identifies the patient by name and birthdate.
Surgeon describes the surgery and site.
Circ nurse talks about the periop abx and positioning.
Back to anesthesia for comment on any special precautions.
Over to scrub and surgeon to verify all needed equipment is in the room.

I suggested to our L&D charge nurse that we need to do a time out before we cut the umbilical cord after a delivery........She actually thought it was a good idea.

We've gone too far.

I wonder when the tipping point will come, and we can go back to doing things based on common sense.

Originally Posted by militarymd

I suggested to our L&D charge nurse that we need to do a time out before we cut the umbilical cord after a delivery........She actually thought it was a good idea.

Good to "see" you mmd

Originally Posted by pgg

The CMS Nazis just trolled through this place and banned everything except the disposable poofy bouffant caps. People with beards need to wear beard covers. Long sleeves are mandatory, even when doing procedures like spinals and epidurals.

It's insane.

CMS was around while I was on a sub-I at one place (after I'd been through another program) and I literally got reemed because I wore my mask around my neck between cases, you know like most people do. New rules had us swapping caps and masks after each patient.........

I mean I get the don't wear your mask and cap to the cafeteria and back to your next case thing, but between cases while staying in the OR/PACU/Preop area is a little nuts. Especially seeing as how our scrubs are more likely to come into contact with previous patients etc waaaay before our mask/cap will.

Originally Posted by pgg

The CMS Nazis just trolled through this place and banned everything except the disposable poofy bouffant caps. People with beards need to wear beard covers. Long sleeves are mandatory, even when doing procedures like spinals and epidurals.

It's insane.

Ask them to show you the BUMEDINST or DoD instruction requiring this. Why, what's that they reply? Oh yeah, such policy signed by the SG does NOT exist.

I work fulltime at a DoD hospital. We're specifically allowed to wear our personal linen scrub hat (not bouffant) as long as hospital laundry washes them. We're allowed to wear our personal monogrammed warm-up jackets if we wish, again the hospital launders them.
We are NOT required to wear any long-sleeve anything.

Same freedoms at the six DoD hospitals I've been TDY to in the past three years.

Welcome x-MMD !!

Our timeout now includes the nurse asking the surgeon: "Are there any critical or unexpected steps?"

Umm if they were unexpected how the hell would the surgeon answer that?

Originally Posted by pgg

Yep. The regular flat/tie caps are gone because they supposedly didn't cover all exposed hair. Everyone, even the bald guys and people with spiffy military haircuts are required to wear the poofy disposable ones now.

They also have disposable paper scrub jackets. I've seen circ nurses drag a sleeve over the area they're prepping and have to start over. I'm supposed to wear it when doing spinals, but I just push them up past my elbows. They say this is so "skin squames" don't fall off our arms and contaminate things.



It sure has ...


Our new timeout procedure is "interactive" now.

Anesthesia identifies the patient by name and birthdate.
Surgeon describes the surgery and site.
Circ nurse talks about the periop abx and positioning.
Back to anesthesia for comment on any special precautions.
Over to scrub and surgeon to verify all needed equipment is in the room.

That timeout is due to Gawande's work. I don't think it is such a bad thing being it has been shown to reduce M and M (NEJM). At the very least it allows anesthesia to express some concerns that I guarantee the surgeons and ancillary staff are not aware of.

Originally Posted by pgg

They say this is so "skin squames" don't fall off our arms and contaminate things.

Following this to its logical conclusion, all surgeons should be wearing those space suit helmets for all operations, lest skin squames drip off their filthy faces into the surgical field.

Originally Posted by Per4mer8

CMS was around while I was on a sub-I at one place (after I'd been through another program) and I literally got reemed because I wore my mask around my neck between cases, you know like most people do. New rules had us swapping caps and masks after each patient.........

Same thing here - change masks between cases.

Originally Posted by trinityalumnus

Ask them to show you the BUMEDINST or DoD instruction requiring this. Why, what's that they reply? Oh yeah, such policy signed by the SG does NOT exist.

This is at the moonlighting gig. The .mil place is considerably more sane WRT these issues. I can't believe I just said that.

Originally Posted by G0S2

That timeout is due to Gawande's work. I don't think it is such a bad thing being it has been shown to reduce M and M (NEJM). At the very least it allows anesthesia to express some concerns that I guarantee the surgeons and ancillary staff are not aware of.

Prior to the new method, I never felt like I wasn't allowed to speak up and express any concerns I had ...

Originally Posted by militarymd

I wonder when the tipping point will come, and we can go back to doing things based on common sense.

That will only happen when 1) nurses aren't in charge and 2) nobody that sits behind a desk all day and never sees or touches a patient is allowed to make policy (and that's usually a nurse).

Originally Posted by militarymd

I suggested to our L&D charge nurse that we need to do a time out before we cut the umbilical cord after a delivery........She actually thought it was a good idea.

What a great idea! Although, in the current paradigm, it will be impossible. I suggest that as part of fetal monitoring, we institute a new process:
intrauterine placement of a wrist (or ankle-for breech babies) band patient identifier

With this new tool, the baby will emerge already positively identified and fully prepared for the time out procedure. Date of birth information could get tricky with protracted labor or late evening inductions.