circulating nurse = "go-fer" with no use for "real" nursing skills?
- 0Aug 23, '13 by RunnerRN2b2014After 20 years of teaching, I'm back in school pursuing what I've always wanted to do: to be a nurse. I've always been interested in the OR and I am amazed at the number of RNs and fellow students who are trying to talk me out of it. Everyone tells me I'll be nothing but a "go-fer"....I will lose all my nursing skills.....I'll be stuck there because floors won't hire me since I'll have lost my skills. I don't know "for sure" that I want the OR but as of now it's high on my list of potential preceptor sites. The hospital system that I will be hired into is a large teaching hospital so 1) they use surg techs for scrubbing and 2) they use residents for first assists (which is a bummer because I would love to do that!). They offer a 6 month "periop 101" paid training program with a 2 year commitment. Nurses are taught to scrub in case techs aren't available or need to be relieved for breaks but it's mainly circulating duties.
Circulating nurses -- please share with me what types of things you do! I get to shadow in the OR in a few weeks so I'm looking forward to that but I know I won't see everything.
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- 2Aug 23, '13 by Rose_Queen GuideRead this article:
There is so much more to OR nursing than playing gofer. My guess would be that those RNs who are telling you this never worked in the OR. The same with the students. Generally, when people focus on observing the surgery, they miss the actual work of nursing that is done. Usually observers aren't even in the preop area to see that work.
As for losing nursing skills, yes, you will probably lose some that are not used frequently in the OR (I've only given one IM injection in the OR- a tetanus shot on a peds trauma patient so he at least was spared a jab while awake). However, you will also learn many more skills. Each nursing specialty will have a set of skills that are specific to the work in the specialty, and some of the so-called basic nursing skills may not be used.
- 17Aug 24, '13 by Fleur-di-les-RNYou will be putting in foleys, putting in IV's occasionally, assessing skin for color, temperature and skin breakdown, assessing pulses, use your critical thinking skills for positioning, if needed assessing breath sounds while you assist the CRNA's during intubation, using therapeutic communication skills while communicating with the patients and their families, occasionally drawing blood, on occasion changing out vents, and the great OR nurses that have been doing it a long time can anticipate exactly what instrument trays will be needed based on what the surgery is and what the surgeon needs to do.....I think ALL of this requires excellent nursing skills. You WILL be multi tasking and you will be part of a team that relies on you to make the surgery a success, not to mention you will be witness to some amazing interventions and see up close and personal the inner workings of the human body. You WON'T be juggling 8 patients at a time and stressing out over how behind you are.
BTW, some of the best ICU nurses I have worked with while I was in nursing school started out in the OR, they are very meticulous and are excellent nurses, you won't lose your skills if you go to floor or ICU later on in your career, your skills are part of you as a nurse and it will come back to you when you need it.
I love surgery, it's fascinating and I'm proud to be an OR nurse. Go for it!!
- 0Sep 2, '13 by srandall1492I'm so glad I came across this thread. I have an interview for neuro OR this Wednesday, but with no OR experience I really have no idea if that's what I want to do. I really want a job, but all through school and my final preceptorship my goal was to be a critical care nurse. I could always switch later, right?
- 2Sep 3, '13 by badgerRNI teched in an OR during nursing school. I loved first assisting and scrubbing.
My advice is to look at the 2 sides of the coin.
1. Doing your practicum in the OR will give you a chance to see if it is what you want to do and may get your foot in the door there.
2. It can limit your job options. Unit Directors outside of the OR may be reluctant to hire you. Think about the skills you will develop in the few shifts you have for practicum. Can you get enough experience to have any degree of proficiency? In my experience it is tough to get an OR job. What skills from the OR can you market to a med/surg unit director if the OR does not hire?
I always suggest ICU or Med Surg for practicum, those skills go anywhere. Especially ICU for OR, those patients go for surgery too and having that works. PACU could be a good way to go too. A good set of universal skills and you would be in close interaction with the OR people.
Just my 2 cents