I am going to be graduating with an ADN in May and I am currently super confused about which area of nursing I want to go into. I have worked as a nurses aid in resource pool at my local hospital for about a year now & have been trained in and work as everything including an ER tech, the ortho floor, ICU, Tele, and all the other general med/surg floors. My job responsibilities have not allowed me to go into the PACU or OR (with the exception of two or three clinical days throughout my whole 2 year program), however, even though I think I'm interested in this area of nursing. Working as an aid while in school has sufficiently burned me out for wiping butts, taking vitals, giving baths etc. and I honestly do not think I want to be stuck doing that in my career. I know teachers always say get a year of med/surg but I honestly don't want to prolong my misery any more! I am thinking about looking into being an RN in a cosmetic surgeon's office, at a hospital, or wherever. I think it is a very interesting specialty but honestly have not gotten any experience in that field whatsoever. What would I need to do to get into this field? What are the job responsibilities, hours, pay like? What are qualities that make a good nurse in this field in your opinion? I am more interested in assisting with the cosmetic surgical procedures vs. the office job position, but I honestly am open to just about anything at the moment. Any advice or info you could give me would be great! Thanks!
Here is what I've found about that - because I looked into it as well.
Many plastics guys do not use RNs in surgery eg those who have surgical suites in their own facilities as well as at hospital. They use techs for the little stuff - stuff that can be done in an outfitted exam room in office. They use PAs for the most part in the OR for the bigger stuff that includes hospital too. Here is why it's PA. PAs are simply physician's assistants they are trained to assist the MD doing whatever. Often that starts in surgery and then goes on to rounding for the doc and doing post ops in the office. PAs are liked in this role because they can train specifically for surgery. Oh, I don't mean "simple" meaning easy at all. Plastics likes to keep in the OR, they hate rounding and post op. So, an MD can basically dump a heavy load on the PA who has the scope to do the type of grind that the MD wants to be rid of.
If an RN is hired, often it's because a female is wanted in the role of educator etc. specifically if the doc is male and will be doing a lot of breast work (I'm being serious) you will be with him when he is with the patient importantly for patient comfort. You would also be there to do post op drains etc. and ALL calls from patients - often ALL pages are yours too... you to handle and decide if you want to call the surgeon and bother him with "issues" from patients. Cosmetics is a very pamper the customer kind of deal - so you will be the one to run interference with patient calls post op.
So, the best bet for you probably would be to do medsurg/oncology hospital eg breast cancer surgery patients. Plastics deals with a lot of onc patients and you need to know all that surrounds that. There are facial plastics people, but you'd have a more difficult time getting to find that avenue. It would be very much Oral and maxillofacial/plastics surgery. Yup, you need to hook up with a DMD on staff at a trauma center maybe as well. Think head trauma patients and head and neck cancer patients.
I'll edit to add: the fillers and lipo stuff are just chump change on the side. Plastics must get into the bigger procedures to make money... and so will you need to be experienced in some of that in some way.
Last edit by netglow on Feb 21, '13