# SFGH OR BULLETIN BOARD

#### HIGHLIGHTS OF WEEKLY IN-SERVICE NOTES: May 1

• Marc Steuer-Orientation to the Difficult Airway Cart
• There is a new smaller difficult airway cart that lives in the OR 1 Ante Room
• This cart has not replaced the other two difficult airway carts that live in the Ante Room between OR 4 and OR 5
• The code for all the carts is 1-3-5
• The fiber scope is not included on the new cart. It is kept in the scope cabinet in the OR 1 Ante Room
• The cart is clearly labeled with all its contents
• If an Airway Emergency <u</u>arises:
• Be sure to grab a difficult air way cart
• Be sure that the CN and the D1 are aware of the airway situation
• Start thinking about what surgeons are available to help with the situation
o Gen surg is staffed 24/7, ENT is only here specific days of the week
• Assist anesthesia as necessary, ask for additional help if needed, and start to gather equipment for an emergency trach (if the situation becomes urgent).

#### ANNOUNCEMENTS

• LEANING OUT!  Many changes have occured and it is difficult to adjust to them so keep on supporting and helping one another locate supplies. Of course there is always room for improvement and it is a working process so continue to voice your thoughts on the suggestion board posted on the Ante RM door (btwn RM 1 & 8). Thank you for being patient as new changes are put into effect!                                                                                                                                                                                                                           --Updated 5S Board will soon be updated to include core 5S responsibilities as well
• Skeleton Rebid Plan:
o The tentative skeleton has been created. It is currently being reviewed by union representatives.
o Once it has been approved, it will be posted for staff to review in an “open comment” period for approximately 2 weeks.
o Then staff will be brought in according to the seniority list posted in the break room to choose shifts.
• Halogen! SFGH online e-learning is due end of May. Please complete by due date.
• New GRADS!! New hires have started their new grad program in April and May! Let us welcome them with our big hearts!
• Do you like to save ! Here is your chance! As city employees, you will recieve 30% off when you purchase See's Candies. Just present your Department ID or Disaster Service Worker ID card. This only applies to specific locations. For more info call (800) 347-7337 or visit www.seescandy.com/QualityDiscountStore/shoplocations

#### FAST FACTS

• Are you interested int earning your CNOR certificate? Here is your chance! Register online at aorn.org/PrepFor CNOR to recieve various study opportunities like test strategies, AORN recommendations and perioperative standards based on lastest evidence-based practices, and test questions.

-- Recieving your CNOR certificate means it is a professional achievement that demonstrates you are competent and

have the knowledge and skills in perioperative nursing

-- "Gain credibility and recognition from colleagues and patients, achieve personal and professional goals"

**financial investment can be reimbursed by SFGH educational fund

• EVIDENCE-BASED PRACTICE: Baed on evidence, 2% chlorhexidine gluconate bath cloths are effective in reducing surgical site infections. Because of our patient population, it extremely important for them to use the wipe on their surgical wound prior to incision. Let's collaborate with pre-operative nurses to ensure our patients have used the chlorhexidine gluconate cloths pre-operatively, whether it occured at home or in surgical center.                                                                                                                                                      -- You can check out the article at: www.aornjournal.org/article/S0001-2092(13)00221-4/fulltext