[Pam RN]

I started at a surgicenter a couple of months ago and I'm getting used to the way things are done there like the really quick turnovers and some of the cases I've not done before like epidural pain injections and eyes. I like it but it seems like no matter how hard I try I can't seem to have smooth turnovers in those really quick cases like the pain room. Either the patients IV bag is bone dry when I'm ready to take them or I take the patient back and their is some issue or the doc still needs to talk to them. The communication is horrible and I feel that people will let you sink and take the fall rather than working as a team for a smooth outcome. Any tips on how to cover my backside? There is no facilitator in the preop/PACU combo unit to oversee the turnovers and it seems haphazard. Any ideas on what to do about that as well?

[sirI]

Originally Posted by Pam RN

I started at a surgicenter a couple of months ago and I'm getting used to the way things are done there like the really quick turnovers and some of the cases I've not done before like epidural pain injections and eyes. I like it but it seems like no matter how hard I try I can't seem to have smooth turnovers in those really quick cases like the pain room. Either the patients IV bag is bone dry when I'm ready to take them or I take the patient back and their is some issue or the doc still needs to talk to them. The communication is horrible and I feel that people will let you sink and take the fall rather than working as a team for a smooth outcome. Any tips on how to cover my backside? There is no facilitator in the preop/PACU combo unit to oversee the turnovers and it seems haphazard. Any ideas on what to do about that as well?

Welcome

My solution to your problem is easy.....secure another position in another facility.

Siri, CRNP, CLNC, RLNC

[hollyster]

Originally Posted by siri

Welcome

My solution to your problem is easy.....secure another position in another facility.

Siri, CRNP, CLNC, RLNC

I agree with Siri. Surgicenters tend to divide themselves along pre-op, intra-op and PACU. The different areas tend to look at the other areas as competitors instead of team mates. I have even seen Phase 1 and Phase 2 PACU nurses complaining about each other and they are doing the same job.
I worked in the OR when I first started nursing and understand the pressure for quick turnovers and everything being perfect. That is enough stress in itself, you should not have to tolerate staff that does not work as a team.
Good Luck to you.
Holly

[Jessy_RN]

Originally Posted by siri

Welcome

My solution to your problem is easy.....secure another position in another facility.

Siri, CRNP, CLNC, RLNC

Seems like an easy and great solution. Best wishes to you.