How many of you both circulate AND scrub? - page 2

by Nolander 9,244 Views | 28 Comments

Is it very often that RN's get to scrub in on surgeries, or are the RN's more exclusively becoming circulators while the surg techs take over scrubbing in?... Read More


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    Quote from wkc54
    at that facility, the number of count errors was virtually zero, the number of surgical site infections was 0.3%. i like to think that is attributable to advanced education.
    So you're saying that because scrubs don't have the "advanced education", we get our counts wrong and our infection rates are higher? I find this statement rather demeaning to scrub techs. I've been scrubbing for years and I do EVERYTHING I can to make sure my sterile field and the integrity of my sterile field is not compromised. I've had 1 count error. 1! Too bad I don't have an "advanced education". Maybe that number would be zero.
    Rose_Queen and RunnerRN2b2014 like this.
  2. 0
    Quote from wkc54
    at that facility, the number of count errors was virtually zero, the number of surgical site infections was 0.3%. i like to think that is attributable to advanced education,
    I would say it has much more to do with the adherence to policy and AORN standards as well as the workplace culture of safety than whether the scrub is an RN or ST. Surgical site infections aren't tied just to the OR; post-surgical care of the wound in the post-op floor/home also affects surgical site infection rate.
  3. 0
    I scrub and circulate. They only use nurses for scrub when we are short on scrub tech and for breaks. If you are a new hire they will not likely train you on scrub. However, if you extern at the hospital, they will train you for scrub. That's how I learn to scrub. I personally think it is really helpful if nurses know how to scrub, familiar with field and all.
  4. 0
    I scrub and circulate. Im usually in charge though. We use a lot of nurses for scrubbing. We also do a training program to teach nurses to scrub. Everywhere that I have been in a management position I ask nurses if they wanna scrub and utilize the ones that do. If they are proficient or learn fast I always used them often.
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    Your right, if there is a problem in sterility, counts and such I blame the circ because that room is their responsibilty. They have to keep and eye not only on the scrub but the surgeon and anesthesia.
  6. 0
    In our very large, level 1 trauma center the OR nurse is 50% scrub, 50% circulator. There are some STs but as they leave, they are replaced with RNs for the reasons wkc54 articulated.
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    Canada is not utilizing scrub techs (as far as I understand) in the majority of our operating rooms. I am unsure as to any that do use them in Ontario specifically. In the hospital I work at the RN's are trained equally in both scrubbing and circulating. The belief is that if you can scrub the procedures start to finish then you have a better understanding of it and what the team (and patient) needs during it. That isn't to say that circulating nurses that do not scrub don't understand the needs, that is just the theory behind our training. I actually really enjoy doing both roles as I like the variety in my workday. We have very few RPN's that work in our OR (only 2 out of 30+ nurses) and they are only allowed to do the scrub role.
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    At my hospital RNs scrub and circulate. We do have techs but when 2 RNs are assigned to a room someone has to do it. I personally hate scrubbing (and I used to be a tech) and my manager knows I hate it so I get scrubbed every chance she gets. Lol
  9. 0
    I do agree with a pp that said you are at an advantage if you scrub and circulate. Because you know everything about the case much better. Some days id rather work with a RN as scrub and me as circulator because I find it to be a better day. We are compassionate towards eachother because we know what it's like to be the one running every 5 seconds. No offense to techs. I used to be one too. But I find that nurses are sometimes more prepared and have 100% of what they need for the case so I don't have to run. Although there are a few techs I work with who are amazing and id rather work with them than some nurses. Lol
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    Quote from LandD_RN_chica
    I do agree with a pp that said you are at an advantage if you scrub and circulate. Because you know everything about the case much better. Some days id rather work with a RN as scrub and me as circulator because I find it to be a better day. We are compassionate towards eachother because we know what it's like to be the one running every 5 seconds. No offense to techs. I used to be one too. But I find that nurses are sometimes more prepared and have 100% of what they need for the case so I don't have to run. Although there are a few techs I work with who are amazing and id rather work with them than some nurses. Lol
    I disagree. First of all, I'm a scrub and my circulator runs only on rare occasions. I know my cases inside and out and I am prepared. I think nurses need to scrub to see what it's like: Standing under the hot lights, lifting the heavy trays, holding a leg for 3 hours on a patient who weighs 300 lbs. and we have some nurses who scrub who NEVER have what they need. The circulator is running the whole case. So, just because it's a nurse doesn't make them a better scrub.


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