I find a lot of disagreements take place on this forum on the roles and responsibilities of non Registered Nurses who work in the O.R.. Just about everyone knows my opinion on the subject but I'm curious on who has a solution for this. I work in a facility where we are all R.N.s but am aware that this could change at any point. I'm sure many of you work successfully in a mixed environment of personnel but how do you do it?. Are there OR's out there where all is in harmony or is friction a part of mixing nursing and non nursing personnel?. I was always taught that the Registered Nurse is the nurse in charge of the O.R. I'm curious if a RNFA, is in the room does he/she take a nursing role, or just act under the direction of the surgeon?. Is there a magic formula which could be printed to direct those of us who have never worked in such environments ?. Just a thought for the new year.