New Grad Perioperative Nurse Residency Program - Advice?

  1. 3
    I have received the best Christmas gift ever - a job as a new grad OR RN! I am eager to begin my training and would like any advice on what to expect. The hospital requires a three year commitment and I have heard the on-the-job training is intense. The pros and cons of a day in the life of an operating room nurse will be greatly appreciated! Happy New Year and best of luck to all the new grads searching for employment.
    nandosport, Quendi, and DomLaki like this.
  2. 8 Comments so far...

  3. 1
    I don't really have anything to say but Congratulations! I want to be an OR Nurse just like you! I'm currently starting my Pre-Nursing Courses. I hope to Grad Nursing School in 2017. But Congratulations.
    ILUVFL likes this.
  4. 1
    I am also very interested to hear about the experience of others in this respect. It is definitely a specialty I am considering. If you don't mind my asking, which schools residency program are you doing?
    ILUVFL likes this.
  5. 1
    Congratulations! I can't speak for the experience of a new grad starting an OR program but I went through the program as an RN with 3 years of outside experience. I thought it was excellent since I had no prior experience in the OR. There is so much to learn and it takes a lot of time to become proficient so the longer the program the better. The only advice I can give is to take every opportunity they offer in regards to specialties and cases. If you see a craniotomy/CABG/trauma (etc) scheduled, ask to go observe it. If you aren't sure what is going on in a procedure, ask! (Use your judgement on timing though). No matter what specialty you end up, it helps to have exposure to everything. Good luck!
    ILUVFL likes this.
  6. 2
    We have 12 new graduates in my OR currently. They are all doing quite well ! Each must learn to circulate and scrub in every service (General, Plastics, Neuro, GU, ENT, Ortho). The total orientation will be about 8 months for them. Congratulations to you!

    Pros of being in OR:

    -You have ONE patient to care for at a time.
    -Real lunches and coffee breaks where you get to sit and relax without being harassed by family and or patients like on the floor
    -Gaining knowledge of procedures and instrumentation and sterility
    -Limited patient/family contact
    -You don't need to buy scrubs!

    Cons:
    -Limited clinical experience. We occasionally start IVs (anesthesia resident or attending usually does it), never give medications (anesthesia). So you never really learn about meds as you would with floor nursing. We start foley but clinically that is it! Our focus is patient safety, positioning, maintaining sterile field and documentation and "party planning" making sure everyone shows up and consents are signed/patient is marked.
    - At times long cases can be physically hard. I.e, if you have to wear a lead apron for a 5 hour spinal case (minus your 30 min lunch) you will feel it by the end of the day..
    -Limited patient/family contact
    Last edit by BostonRN13 on Dec 29, '13
    ILUVFL and Quendi like this.
  7. 0
    Thanks for the insight and best wishes. I am beginning my residency program with the University of Miami and am looking forward to a challenging as well as rewarding career as a OR registered nurse.
  8. 0
    Quote from Thirteengirl
    We have 12 new graduates in my OR currently. They are all doing quite well ! Each must learn to circulate and scrub in every service (General, Plastics, Neuro, GU, ENT, Ortho). The total orientation will be about 8 months for them. Congratulations to you!

    Pros of being in OR:

    -You have ONE patient to care for at a time.
    -Real lunches and coffee breaks where you get to sit and relax without being harassed by family and or patients like on the floor
    -Gaining knowledge of procedures and instrumentation and sterility
    -Limited patient/family contact
    -You don't need to buy scrubs!

    Cons:
    -Limited clinical experience. We occasionally start IVs (anesthesia resident or attending usually does it), never give medications (anesthesia). So you never really learn about meds as you would with floor nursing. We start foley but clinically that is it! Our focus is patient safety, positioning, maintaining sterile field and documentation and "party planning" making sure everyone shows up and consents are signed/patient is marked.
    - At times long cases can be physically hard. I.e, if you have to wear a lead apron for a 5 hour spinal case (minus your 30 min lunch) you will feel it by the end of the day..
    -Limited patient/family contact
    I want to be an OR Nurse, my concerns for myself is nervousness how could I control it? I have hand tremors when I get nervous or put on the spot (having no clue what I'm doing) they kick in sometimes it's pretty bad. But if I'm passing something or say I was told to help plug a "leak up" with my finger apply pressure I'm usually okay (85% of the time) i won't tremor.
    Another thing, all these things, as stated I REALLY want to be an OR Nurse, I'm okay with blood and guts, but sometimes it can get to me. I'm focused when I do stuff like working or studying. I was just wondering if you had any tips? Thanks.
  9. 0
    Quote from schmittyyy
    Thanks for the insight and best wishes. I am beginning my residency program with the University of Miami and am looking forward to a challenging as well as rewarding career as a OR registered nurse.
    I had no idea that UM had a periop residency program! I live in South Florida. Congrats! UM is a great program.
  10. 0
    Dear CheesePotato,

    A heartfelt thank you for your insight on what to expect as an OR nurse. The suggestions to make life a bit more comfortable in a very stressful and hectic environment are indelible and forever in my mind. I especially appreciate the advise on mint chewing gum – smells are definitely my weakness. God bless and may the New Year bring you good health and happiness. Thanks again for posting!

    PS - My apologies for not replying to your private message - I am not considered a "seasoned" member yet - I am short a few posts!


Top