Hi, I am an RN, new to the OR, learning to be a circulator, and scrub. What I really want to know is, from an anesthesia point of view, what is is that you guys want from a circulator? What ticks you guys off? What makes or breaks your day (concerning the circulator) in the or? Be honest!!! I just want to be a good, productive member to EVERYBODY on the surgical team, so I would appreciate your honest opinions!!! Thanks!!!
Aug 19, '06
I give you credit for asking the question.
1. Circulating nurses be more concerned about the patient and less concerned about the surgeon and "things" --equipment and supplies/
2. OR warm and QUIET during induction and wake-up.
3. Learn basics of anesthesia machine
4. Be at patient's side and QUIET for induction
5. Don't tell anesthetist that patient is moving. Trust me, we know
6. Understand your role and WHY with rapid sequence inductions and difficult intubations.
7. it is your job to circulate for the PATIENT, which includes the surgeon, the scrub tech and the anesthetist.
8. PLEASE don't bring your personal issues into the OR. When I am giving anesthesia, I can only deal with the patient and am not interested in your menstrual cramps, headache, boyfriend, husband, children or financial problems. It is not that I don't care, it is just not right now.
9. NEVER talk about legal issues (ex. putting you license on the line) unless you know what you are talking about and can give me documentation.
10. READ, READ, READ and keep current with OR practices, surgery and anesthesia.
11. Be cross trained to scrub, circulate, admit and recover patients. You will be more marketable and a better circulator if you know the other jobs.
12. REMEMBER gossip spreads fast in the OR and everyone loves to hear about bad news. Stay professional.
13. Last thing. We make administering anesthesia look very easy. It is NOT. Behind every med we give, every liter flow, every piece of equipment, every parameter being monitored, every induction, maintainece, emergence and technique is years of education, constant studying and keeping current and information in our head that has to be utilized on a moment to moment basis.
REMEMBER RESPECT IS MUTUAL
Last edit by yoga crna on Aug 19, '06
Aug 19, '06
Well - this is refreshing.
In my opinion - the time during the case in which the circulator is a great asset is during set-up and induction. From assisting with getting the patient onto the OR table, putting monitors on and helping keep the mask on their face (if no mask strap is available) while I get my drugs in line. Then, during induction, holding the ETT out to the right of the patient's face and possibly pulling the lip out of the way for intubation.
We know you're busy throughout the case with surgeon requests/charting, so we try not to bother you with too many of our own requests. The only thing we may request is a new bag of warm LR (if your hospital has those) druing the middle of the case.
Just keep that "team member" attitude you already have and your rooms will be the ones the CRNA's love to work in - you get what you give and vice versa. :spin:
Last edit by versatile_kat on Aug 19, '06
: Reason: Typo