Dear Nurse Beth,
I work on anoutpt site for a large hospital system. It's a ASC
site doing minor outpatient surgery. We have been given a mandate by our manager that we will now have to work one day a week at the main hospital. We were granted one day there to "orient" and then we are expected to be in an operating room functioning like the rest of the staff.
I am concerned about my license and I have never worked at the main hospital before. We are all very concerned that we will be put in situations where we are unable to respond appropriately because we have not been properly oriented. What do you think about this situation? We were told it was volunteer, however, we were told it was going to be mandatory in a few weeks and we may as well start going. It's a large hospital site with 40 operating rooms.
Dear Mandated to Work Surgery,
I would be concerned as well. It also seems this is a risk for the organization if you have not been adequately oriented.
On the other hand, my background is not peri-operative and is it possible that being an experienced ambulatory surgical center nurse plus one day's orientation is sufficient? It seems unlikely.
Without knowing more details, or what cases and/or role they expect you to perform in, it's hard to answer. Will you be scrub, or circulating?
Have you been oriented to specialty cases? Will you have to take call (less support)?
AORN has a Position Statement on Orientation t
hat you need to read. See if you believe you have been provided the orientation AORN recommends.
If you are still concerned, gather your thoughts and speak to your manager about your specific concerns and offer a possible solution. If more orientation is needed, how much more is needed? And what type of experience? Is there an orientation checklist that other nurses complete that you haven't ?
Hope this helps guide the situation.
Author, "Your Last Nursing Class: How to Land Your First Nursing Job"...and your next!