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| No. 10 | 
Dec 03, 2006, 11:23 AM
 Re: Circulators Originally Posted by CSTCFA  Can the Pre op nurse do the assessment of the patient? Sounds to me this is more and more of nurses trying to hold on to there jobs in the OR.
Pre-op nurses will assess a patient. However, it is vital that the circulator assess the patient as well. As an example, 2 weeks ago, I had a patient who was going in for a nephrectomy. Supposedly, she was seen in pre-op and assessed. However, when I looked in the chart, this patients consent for transfusion of blood product hadn't been filled out. She had a hemoglobin of 9.3 to start and got blood during the case. If I hadn't picked up on the fact that her consent for transfusion wasn't in order, BAD things would have happened.
I am not slamming techs. I was one for 5 years, and graduated from a 2 year tech college. But my training was procedure centered not patient centered. We didn't learn lab values, EKG's, F&E balance etc etc. What it comes down to is the circulator is the patient's advocate and you cannot do that job properly if you don't assess your patient completely beforehand.
 | | Advertisement Sponsored Links | | | | No. 11 |
Dec 03, 2006, 04:24 PM
Updated
Dec 03, 2006 at 04:27 PM by CSTCFA
Re: Circulators
So what you are saying is only a nurse can check lab values, consents, orders ect. This is a way for nurses to justify there numbers in the OR. I dont want to slam nurses either but come on. Im not saying nurses shouldnt be in the OR. What would a tech do for a conscience sedation case, or a code? Nurses are needed in the OR just not in large numbers. By the way if the Tech school you went to didnt teach basic ekg or labs then shame on that school and the student.
| | No. 12 |
Dec 03, 2006, 04:57 PM
Updated
Dec 03, 2006 at 05:00 PM by Marie_LPN, RN
Re: Circulators Originally Posted by CSTCFA Can the Pre op nurse do the assessment of the patient? Sounds to me this is more and more of nurses trying to hold on to there jobs in the OR. Originally Posted by CSTCFA So what you are saying is only a nurse can check lab values, consents, orders ect. This is a way for nurses to justify there numbers in the OR. I dont want to slam nurses either but come on. Im not saying nurses shouldnt be in the OR. What would a tech do for a conscience sedation case, or a code? Nurses are needed in the OR just not in large numbers. By the way if the Tech school you went to didnt teach basic ekg or labs then shame on that school and the student.
It's posts like these, that start new OR wars, and fuel existing ones.
| | No. 13 |
Dec 03, 2006, 05:03 PM
Updated
Dec 03, 2006 at 05:09 PM by ortess1971
Re: Circulators Originally Posted by CSTCFA So what you are saying is only a nurse can check lab values, consents, orders ect. This is a way for nurses to justify there numbers in the OR. I dont want to slam nurses either but come on. Im not saying nurses shouldnt be in the OR. What would a tech do for a conscience sedation case, or a code? Nurses are needed in the OR just not in large numbers. By the way if the Tech school you went to didnt teach basic ekg or labs then shame on that school and the student.
Yes, at least in my state, that is what I'm saying. The problem with tech training is that it is not consistent. There are still many techs that received OTJ training and wouldn't know a lab value if it walked up and bit them on the fanny. Techs are certified at the most, and that is not mandatory. Why the snippy attitude towards RN's by the way? Most posts on this thread have been more than respectful towards techs. Techs are needed in the OR, but they do not have the proper training to assess patients. End of story. I'm not going to bother arguing with you further-it's kind of a moot point for me to wonder if techs can circulate because it's not going to happen.(at least where I am). I wish you the best of luck though. Just remember, in order to get respect, you have to give it. Trying to pick fights among members of what is supposed to be a team is childish and self centered.Remember, patients are the focus, not your ego. Hate to point the troll finger but you have all of 2 posts on this board, and both have been antagonistic in tone. Done here, because I don't like to engage in troll feeding.
| | No. 14 |
Dec 03, 2006, 06:59 PM
Updated
Dec 03, 2006 at 07:11 PM by CSTCFA
Re: Circulators
I am sorry if i sounded snippy it was not my intention. I dont see why any one would get upset with what i said. Unless it was true. With 4 states already having CFA's to get Licensure or Registration and more to come, I hate to tell you it is not the end of story. As AST is pushing foward with higher education for CST's and CFA's, I see this discussion is just starting. Which by the way no CST within the past 10+ years has been On The Job Trained. With the nursing shortage rising, health care costs also rising, and most states with no laws saying that a RN and ONLY RN Must Circulate. I see why AORN is up in arms about this. Like you said MOST of the post were respectfull. What fuels and starts OR wars is comments, discussion boards, and articles like these. Keep the politics out of the work place. Troll feeding get a life. This is the reason why nurses are fighting to get respect in the OR. People like you who can not have a disscussion with out name calling or being immature. Nothing i said was worng.
| | No. 15 |
Dec 03, 2006, 07:23 PM
Re: Circulators Originally Posted by CSTCFA I am sorry if i sounded snippy it was not my intention. I dont see why any one would get upset with what i said. Unless it was true. With 4 states already having CFA's to get Licensure or Registration and more to come, I hate to tell you it is not the end of story. As AST is pushing foward with higher education for CST's and CFA's, I see this discussion is just starting. Which by the way no CST within the past 10+ years has been On The Job Trained. With the nursing shortage rising, health care costs also rising, and most states with no laws saying that a RN and ONLY RN Must Circulate. I see why AORN is up in arms about this. Like you said MOST of the post were respectfull. What fuels and starts OR wars is comments, discussion boards, and articles like these. Keep the politics out of the work place. Troll feeding get a life. This is the reason why nurses are fighting to get respect in the OR. People like you who can not have a disscussion with out name calling or being immature. Nothing i said was worng.
At least one wrong thing...
The hospital i work at does OTJ training for CSTs (certified, not just techs).
Respect is still a two-way street.
| | No. 16 |
Dec 03, 2006, 07:25 PM
Updated
Dec 03, 2006 at 07:29 PM by CSTCFA
Re: Circulators
OJT or is it part of there Clinicals in school. If it is OJT then they are not CST's. Remember CST's are trained just for the OR. They have 6 months to a year of Clinicals in the OR learning from other CST's and RN's ect.
| | No. 17 |
Dec 03, 2006, 07:40 PM
Re: Circulators Originally Posted by CSTCFA OJT or is it part of there Clinicals in school. If it is OJT then they are not CST's. Remember CST's are trained just for the OR. They have 6 months to a year of Clinicals in the OR learning from other CST's and RN's ect.
The school is through the hospital, the OTJ training is not a part of th eir clinicals where i work.
I'm well aware that CSTs are trained just for OR. The first clue of that came from what the abbreviation CST stands for.
| | No. 19 |
Dec 03, 2006, 07:46 PM
Updated
Dec 03, 2006 at 07:59 PM by CSTCFA
Re: Circulators
Well then we know, someone who is OJT is not A CST!
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I'm just not getting it. What's the problem with RN's in the OR????
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