resource in OR

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copperkettle

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my hospital recently passed a rule saying "no technology" in the OR. By this they mean, no cell phones, ipads, laptops. What do i do if i wanna look up something? Bags are not allowed either. any suggestions?
 
my hospital recently passed a rule saying "no technology" in the OR. By this they mean, no cell phones, ipads, laptops. What do i do if i wanna look up something? Bags are not allowed either. any suggestions?

Hmm it will be difficult to montor and anesthetize the patient without technology. But that won't really matter, since most surgeries require technology (Bovie, laparoscopy, etc.). Even the OR lights are technology, so I guess they'll be operating by candle light and coldsteel only. And I guess the OR nurses won't have to do their excessive computer charting anymore.
 
Hmm it will be difficult to montor and anesthetize the patient without technology. But that won't really matter, since most surgeries require technology (Bovie, laparoscopy, etc.). Even the OR lights are technology, so I guess they'll be operating by candle light and coldsteel only. And I guess the OR nurses won't have to do their excessive computer charting anymore.

Another well thought out policy. It represents a clear risk to patient safety.
Cell phones and pagers are "technology" that is required for communication. Physicians need to be immediately accessible for communication all of the time that they're working or on call. The end. They probably generated this as they view it as an unnecessary infection risk.
Have your department safety officer handle this as a safety requirement. It's not reasonable for the PACU, floor nurses, ER, etc to try to guess which OR the staff is in. They need to call or page. When YOU need someone NOW, you don't page them, you call them, or call overhead (if they're in the OR complex).
If you don't have a department safety officer use the risk management person. This is why you need one. You need a midcareer/senior staff in that role to fight this kind of BS that clearly introduces barriers and decreases patient safety.
Do you have a computer with Internet access in your workspace (side table, on machine for computer orders/charting, etc)? If not, you should have access to one, and not the one nursing needs to endlessly chart either. We have 3 in every OR and several COWs floating around. Sometimes you need to hit the Internet to look up records, rads studies, etc. Rare diseases, journal articles, etc. It's not optional, it's part of the job.
It's also stupid to try to limit access to technology at a teaching facility. These days you can have lectures, article PDFs, etc right there on your iPad for teaching/education purposes. If you're at a teaching hospital, this poorly thought out policy directly interferes with one of the core missions of the hospital.
 
my hospital recently passed a rule saying "no technology" in the OR. By this they mean, no cell phones, ipads, laptops. What do i do if i wanna look up something? Bags are not allowed either. any suggestions?

Sounds like a lot of BSN's put their heads together up in fairy-tale-committee-land and came up with yet another excellent policy!

I second everything Destriero said. Stupidest thing I've heard in awhile.
 
One more thing. Find out what committee this came from and have an anesthesia representative on it from now on. No committee making policies, etc for the OR should be without a surgeon, OR nurse, and anesthesiologist. Someone needs to be there to represent the interests of your group. This is much harder in PP than academics, but it's necessary. The lunch meetings need to move to 6am or 430PM.
 
that may all b true, but is there something u guys can carry around in ur pocket that has some info useful for anesthesia? i have baby barash but its too big and not really relevant
 
Someone got caught surfin' the net with a hypotensive/hypoxic/ischemic/light/whatever patient and the monitor alarms set to 'cpb' eh?

They attempted to impose the same policy here about a year ago. Everyone ignored it. I'm not going to leave my web-capable cell in my car or office and be unreachable because some '**** was playing Scrabble.
 
my hospital recently passed a rule saying "no technology" in the OR. By this they mean, no cell phones, ipads, laptops. What do i do if i wanna look up something? Bags are not allowed either. any suggestions?

😕

Are you guys on paper for charting? If you do computer charting, is that computer not internet enabled, meaning, this is not a possiblity? At minimum you should have a hospital based website with links to all important and relevant sites, internal or external. If they want to block gmail, facebook, etc. then that's not horrible, but nothing is ridiculous.
 
One more thing. Find out what committee this came from and have an anesthesia representative on it from now on. No committee making policies, etc for the OR should be without a surgeon, OR nurse, and anesthesiologist. Someone needs to be there to represent the interests of your group. This is much harder in PP than academics, but it's necessary. The lunch meetings need to move to 6am or 430PM.

Spot on - this is probably a "nurse" rule. I don't follow nursing policies, and I'm not a hospital employee. Unless this comes through the medical staff executive committee, we would ignore it. We see this crap every day. As I've indicated numerous times - when the surgeons follow all these stupid rules (no cellphones, no bags, no X-Ray portfolios, no neuro-monitoring equipment, freshly changed scrubs, whatever) then we'll think about going along with it. Until then, "talk to the hand, the face ain't listening".
 
Are you a resident? We have a similar "policy" at my hospital, no one pays attention to it.

No matter how old and poor your hospital is, there will be at least one computer with internet in the room. it might be the nurse's computer but if you need to look something up or put in orders they'll let you use it. If the pt is stable and all i've been doing is charting vitals for the last 45min without having to touch anything or give the pt anything I would turn the anesthesia machine monitor so that i could see it and go use a computer if i needed to put in pacu orders or look up the next pt. I am not relaxed enough yet to surf the web for fun or trade stocks while providing anesthesia.

but i doubt anyone will care if you check your phone's epocrates. Otherwise I heard good things about Pocket Anesthesia http://www.amazon.com/Pocket-Anesth...HU/ref=sr_1_15?ie=UTF8&qid=1322859060&sr=8-15

I plan on making note cards for myself with whatever I don't know, if I want to try something knew.
 
scrabble helps me stay more alert during the long, boring cases when the surgeon is muttering unintelligibly to his PA. nothing wrong with a little scrabble, email, WSJonline, etc at the proper time. but at the wrong time it will get you fired. also, i like to txt my colleagues with clinical questions or scenarios.
 
scrabble helps me stay more alert during the long, boring cases when the surgeon is muttering unintelligibly to his PA. nothing wrong with a little scrabble, email, WSJonline, etc at the proper time. but at the wrong time it will get you fired. also, i like to txt my colleagues with clinical questions or scenarios.

Clinical scenario and question: "Dude, the new scrub tech in 8 is SO HAWWWTTT! Should I ask her out?"
 
Clinical scenario and question: "Dude, the new scrub tech in 8 is SO HAWWWTTT! Should I ask her out?"

A while ago, someone here had a story about a guy who called into a radio station contest and got on the air while doing a case, then explained that the beeping in the background was the monitor and that he was doin' anesthesia at XYZ med center ... A couple ORs down they were listening to the same station and, well, you can guess the rest. 😀 Wish I could find the thread.

But they didn't take phones and radios away from everyone.
 
A while ago, someone here had a story about a guy who called into a radio station contest and got on the air while doing a case, then explained that the beeping in the background was the monitor and that he was doin' anesthesia at XYZ med center ... A couple ORs down they were listening to the same station and, well, you can guess the rest. 😀 Wish I could find the thread.

But they didn't take phones and radios away from everyone.

Ohh, I remember that one. Maybe some high-dollar SDN donor can Boolean search that.
 
that may all b true, but is there something u guys can carry around in ur pocket that has some info useful for anesthesia? i have baby barash but its too big and not really relevant

In short, No. I carry my Droid.

Back in residency, I would sometimes carry the MGH handbook around... that would be my only recommendation, but i think it is far from ideal when compared to internet access.

Personally, I would flat out ignore the rule until forced to comply.
 
In short, No. I carry my Droid.

Back in residency, I would sometimes carry the MGH handbook around... that would be my only recommendation, but i think it is far from ideal when compared to internet access.

Personally, I would flat out ignore the rule until forced to comply.

Agree.
 
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