Latest Comments by Scrubby

Scrubby 11,011 Views

Joined: Oct 18, '07; Posts: 1,390 (51% Liked) ; Likes: 2,124
Clinical Nurse; from AU
Specialty: 6 year(s) of experience in Operating Room Nursing

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  • 0

    I scrubbed for a fairly routine lap procedure and both myself and the circulating nurse forgot to do a final count until the patient was out of the theatre. Nothing was missing or anything as it was a lap case but it was pretty embarrassing.

  • 3

    I'm also tired of hearing about kids, grandkids from some people all the time.

    I'm also fed up with one particular person who brings her baby into work and changes them on the tea room table (where we eat!) without disinfecting it and while people are eating! We've told her to stop doing it but she just ignores us or gets affronted. So sorry I don't like the smell of your kids dirty nappy while I'm having my lunch.

  • 1
    talaxandra likes this.

    Quote from miss_vegemite
    I am an EN (med and IV endorsed) and have been since last March. I work in a busy OR alongside lots of EN's and RN's. Guess what? Our job is exactly the same! The only difference is the pay and the level of knowledge needed to get to where we are. Have I run into discrimination, you bet but it's few and far between. Most of the RN's are happy to teach a newbie the role of scrub/scout even if I am an EN, after all they are having enough trouble keeping nurses in theatre......
    I disagree that our roles in the OR is exactly the same. I work alongside EN's and have a huge level of respect for them as I do for all my colleagues.

    But while our physical tasks in theatre are similar (scrubbing and scouting) the RN has a greater level of responsibility and accountability in the OR because it's our role to supervise and delegate to EN's. For example, if the surgical count is wrong then the greater proportion of blame will be given to the senior RN even if the EN was the scrub nurse. This is the same for anything that can go wrong, specimen mishandled, incorrect consent, injury to the patient etc. RN's in the OR also tend to have to take a leadership role by managing the OR list, delegating to staff, ensuring there is enough equipment and stock for each case and basically being the first point of call for any problems.

    I have come across RN's that look down on EN's and treat them like dirt which makes me feel ashamed. I have also worked with EN's that are constantly moaning and complaining about their limited scope of practice, yet won't enrol in the RN course. I don't agree with either attitudes.

  • 0

    The weirdest thing I saw a surgeon do was during a lap incisional hernia repair. He had trouble getting a large mesh down the port so he took the port out and shoved the mesh through the incision and used the lap graspers to pull it through. Not surprisingly, he ripped the mesh in pieces when it got stuck which cost thousands of dollars.

  • 2
    RNJohnny23 and Anisettes like this.

    I know this will probably inflame some people but I'm going to say it anyway.

    It's not about you, it's about the patient. If you can't put aside your personal beliefs and judgements then you probably shouldn't be working in areas where terminations of pregnancy are performed. What if every nurse on that shift refused to assist, do you send the patient home to be rescheduled?

  • 0

    Thanks for the replies.

    I'm going to attempt to speak to her tomorrow because our management expects us to try to resolve issues first.

    I'll say to her that I felt uncomfortable with the way she spoke to me in front of others with regards to the Urology equipment that I felt it was undermining and that it's important that we can work together. If we can't work together then that is a problem that will need to be addressed. If she tries to interrupt like she does whenever I try to show her anything with 'I know, I know' I will tell her to please let me speak uninterrupted. If she tries to make excuses to me like "You weren't clear on what equipment to get because you said I think" I will keep going back to her behaviour and remind her that it wasn't a professional way to speak to me.

    If I get nowhere I will take my complaints to my boss and ask that she is to not always work in that OR because she lacks in clinical skills and is becoming unbearable to work with. I know that I can get other CN's to back me up on this one because they too have noticed she doesn't know how to do things properly and always makes excuses like 'I'm too old for this new stuff' or 'I was just about to do this' when she really wasn't.

    Anyway wish me luck, I hate having these conversations particularly with people who think they are above everyone else.

  • 0

    Carol-I don't want to cause offense but you sound like you're burned out and need some R&R. It doesn't help when you've experienced the high levels of stress and bad behaviour that goes on in the system. I felt like this a few years ago, even started a law degree that didn't work out. One of the hardest things I've had to learn is that I can't fix all the problems, I just have to do the best I can with what I have. Being a bit of a perfectionist I find this difficult to do and often find myself getting wound up. As for bullies well the best method I have with dealing with them is to remain calm and rationale and put on my 'I don't give a sh*t' face.

    Is it worth it? I think that's entirely up to the individual. I think you have to go into nursing with an open mind and realize that it's not all rainbows and lollypops and some days are worse than others.

  • 1
    lindarn likes this.

    Hi guys this is a bit of a contuination from an old thread I posted called 'I know I know'.

    I'm the CN in charge of a clinical specialty in the OR. Recently I've been out of my OR having to do the floor co-ordinators role (not by choice) but I'm still in charge of Gen Surgery. This nurse who I've worked alongside for a few years has had to run the OR for a while but when I have days where I go back she's been constantly undermining me to the point where I'm ready to have her removed from my specialty area. If I'm asked a question by another nurse or a surgeon on something she always has to get in first even though they are directing their questions at me. Half she time she's completely wrong.

    Yesterday we get an additional Urology case. This isn't' my specialty area but I know my basics. I said 'I think we'll need to order a cystoscopy tray, TURP pack etc'. Her reply to me was 'Well I'm not going to go by what you THINK we need' in front of my colleagues. She must have seen smoke coming out of my ears because she said that she wasn't trying to be rude. I was too angry to reply and being scrubbed at the time didn't want to escalate this to an argument during patient care.

    She constantly boasts at every opportunity how she's been a DON at this hospital, charge nurse at that hospital, knows every surgeon blah blah blah. She walked up to an intern in the OR an said 'I'll have you know that I've known Dr so and so since 1976'. It's not only me who is fed up with this sort of odd behaviour and to be honest we really don't care anyway. Her clinical skills are really not that fantastic, she doesnt' practice bowel technique during colo-rectal procedures and when this was pointed out to her she said 'I'm too old for this new practice'.

    If she was actually an expert at Gen Surg I might be happy letting her take charge. But she's not. Her teaching skills are atrocious, she just teaches tasks not the WHY we do things. Despite being in one area for almost two years she still doesn't know the difference between surgical staplers. She puts heavy instruments on top of delicate equipment because her scrub set up is disorganised. When people start at my work they usually rotate through all specialties but she didnt' do them all because she just wanted to do Gen Surg. So if there was a vascular or airway emergency she really woudln't know where the right equipment is, she'd just expect other people to do it all for her.

    Should I sit her down and tell her she needs to stop the behaviour or take it up the chain and speak to my direct line manager? I'm considering telling them that she needs to rotate through other specialties because her clinical skills need updating.

    Any advice would be appreciated because I've been really angry and upset about all of this. Thankyou.

  • 0

    I don't know about Melbourne but in Adelaide you paid about 1$ less an hour working in private.

  • 0

    Quote from CompleteUnknown
    Not attacking anyone here because I'm hearing this in other places too, but to me the idea that it's a woman's 'right' to have a c-section without medical indication is just bizarre. It really is, and I can't understand it.

    For those who think this, can you explain why?
    I've never had children but have recently married and am starting to think about the idea of having a child. I personally would prefer a c-section because I don't want to have to ensure going through labour, the crapping, the epistotomies and feeling completely helpless.

    In Australia you can elect to have a caesarean and to me if this option is available to women I'm going with the easier options thanks! To answer your question I would take this option simply because I can. If it's sooooo bad then it wouldn't be allowed as an elective procedure. I know heaps of people who for whatever reasons (breech, twins, age and by choice) have undergone caesareans and mother and baby have come out with no problems at all. I also believe women should have the right to make informed choices on how they wish to deliver their babies.

  • 3

    Quote from CrazierThanYou
    Can't handle childbirth? Don't get pregnant. Simple.
    That's a little judgmental don't you think? There's a lot of women out there who are scared of childbirth (I'm one of them) and education is the key, not making silly blanket statements.

    I don't really have a strong opinion on the subject because my knowledge of childbirth etc is very limited. I guess as long as it's not done before the baby has developed why does it matter whether it's vaginal or through an incision? I can see why some women would chose it as an option, I personally would consider it if I choose to have children. I mean who wants to push something the size of a melon through your vagina (ouch!) , be in labor for hours, crap yourself in front of strangers and end up with an incision anyway? (epistotomy) Sounds pretty medieval, I think I'd rather go with a c-section.

  • 1
    carolmaccas66 likes this.

    Quote from round12tko
    With all your replies and I have given you all kudos, I still fail to see any logic in closing beds, putting patient lives at risk so NURSES can get a pay rise!

    Do not try to convince me that nurses save lives and are saintly when they are closing beds, putting lives at risk so they can get an extra dollar per hour.

    You are not in a unique position to demand higher wages, leave the industry and 10 will replace you. Do the maths. Nurses on strike have poor numeracy skills and give nursing a bad name.

    Do I really want to be in a industry where I risk patients lives so I can get a pay rise? How many strikes do I have to participate during a nursing career? Am I really focusing on the patient or the money?

    Thanks for putting me off a nursing career. No wonder there's a high dropout rate in nursing. You are overworked, over stressed and neurotic.
    Again you're making bold statements without knowing the facts. No patient's life is being put in danger with the closure of beds, the ANF have set a certain criteria which takes into account patient acuity. If someone has a condition that is life threatening they get a bed.

    Do you have some sort of evidence based research to back up your claim that nurses who strike have poor numeracy skills? I would be interested in reading any peer reviewed articles to support this statement.

    I also don't see anyone on this thread claiming to be out there saving lives and being saintly, you must have been watching to much TV. Most nurses I know including myself just try to do the best we can with what little or no resources we have.

    As for EBA if you actually do some research rather than mouthing off over the internet you'll find that we fight for more than just pay rises, we fight for safe working conditions for patients to improve the quality of care like increasing staffing levels.

    With your attitude perhaps you may want to consider hospital administration?

  • 1
    wooh likes this.

    Good luck to you guys over in VIC, you're lucky to have a union that has the guts to go to this level of action, unlike our union in SA.

  • 4

    To the OP I guess if you ever become a nurse you'll refuse a payrise? After all you wouldn't want to be accused of being GREEDY.

    On a serious note there is a world of difference between being money hungry and wanting to earn a decent wage and have some sort of job security. Right now there does seem to be an influx of new grads unable to gain GNP's. However, looking at the average age of the nurse in Australia, 2009 stats show it's 43.7. I doubt this has changed much in 2 years so there is a need to train younger nurses in Australia. If they suddenly cut our wages or our year pay rises are below inflation then what is the incentive to become a nurse with the responsibility for caring for patients?

    As for the whole EN having more responsibility than an RN I might get flamed for this but I'm going to say it anyway. I have a huge level of respect for EN's BUT the day when an EN cops as much responsibility/accountability when the **** hits the fan as an RN is when I'll start believing the gap is narrowing. It's not the tasks we do like starting IV's etc that sets us apart, it's the level of accountability when things go pear shaped.

    You seem to make some pretty bold statements on here like 'money hungry nurses' and 'EN's becoming more like RN's'. I don't know what your background is in healthcare but I strongly advise you keep this attitude to yourself during clinical placements and try and keep an open mind. There's nothing worse than the know it all student who has no idea on what it's like to be a nurse yet thinks they can go around judging us.

  • 1
    carolmaccas66 likes this.

    Quote from carolmaccas66
    Yes, Scrubby is a very knowledgeable wee lassie!
    I worked with a Uni of Adelaide new grad finishing his grad year at one of our major hospitals. This young man was extremely competent and very glad he'd chosen Uni Adel over UNISA. They have 3 days p/week clinical and the other days are for lectures, etc. He told me he learned a lot during his time there. It sounds like a good place.
    UNISA students now - even 3rd year - can't do IVs or anything like that - they aren't allowed (well the ones we had a few weeks ago couldn't). I remember thinking: my God, when they get a patient load, they are going to DROWN.
    When u enquire re course, ask about what u get to do on clinicals and IVs with meds and such, I reckon. Get as much info re clinicals and experience as you can.
    I recently completed a hospital run preceptorship course and we were pretty much told by the people running the course that the expectations from UniSA students had to be lower because of how the nursing program is run. I think it's very unfair to these poor students who are paying good money for a nursing degree and are not getting the hands on experience they need. And yes carol they will be completely overwhelmed when they graduate and will require more support.