I'm new in USA, I been working in UK in the OR, I usually work in outpatient surgery where I was doing scrub and circulate in ophthalmic and ENT cases. Now I'm here in USA, they put me in main OR, which is 17 OR suites. I was so overwhelmed with the OR, as if it is my first time to work in OR. They have ortho, neuro, vascular, gen. surgery, cardiac, peds, cases. I am used to UK style where loads of nurses in the room to include also some orderlies. But here in USA, it's one scrub tech and one RN. And if the stuffs you need are not in the room either to call an orderly to get it or page overhead. I'm still on my orientation, could somebody give me advice as new in USA and new to main OR. I was thinking of transfering to ambulatory units but the experiece I'm getting in the main OR makes me a complete OR nurse. Only thing I"m scared
to be alone in OR, my orientation will finish soon. What will I do? Is it all the same setting everywhere in USA?
Is anybody here work from other country like UK then to USA? How would you compare the work?
I'm so familiar with the instruments coz they do call different names from what I learned in UK. I got my book 'Instrumentation for oerating room". Any sugestion?? Especially the ortho cases I'm so confusion with the implants.
Can somebody help me. I can not learn everything in just few months. Any websites about operating room. Your help is so much appreciated. Thanks a lot.
Jun 1, '07
Hmmm, I think Northwestern Memorial Hospital in Chicago has an OB/GYN surgery section for OR... Chicago nurses?? Am I right???
I think their website is www.nmh.org
but I'm not positive.
As far as lami stuff, positioning is absolutely crucial. Do you guys use a Wilson frame or do you have a specialty table, like the Jackson table with a spine top? LOVE that table!!!
Foley, padding, pillows for under knees, covers for the frame or the pads on the Jackson spine top... TEDS, SCD's,
meds: thrombin kit, gel foam, powdered gel foam (our surgeon likes it mixed with thrombin)....
One thing that might help you, is requesting a brief meeting with your surgeons... when you meet with them, have them LOOK at their preference card. Hand it to them & say "I'm trying to make BOTH of our jobs easier & need you to review this to make sure it has your requests correct." This has never failed me, as long as I have updated the requests.
Try it... It just may work, but whatever you do, DON'T ever let the surgeon think you are nervous... Be confident & admit when you don't know something. Most surgeons are more happy to listen to themselves talk by teaching... so take advantage of the lesson & empower yourself by really HEARING what the surgeon is telling you, even if it is only for that surgeon's specific cases...
lami spinal fusion.... had one myself not to long ago. Feeling the best I've felt in 3 years....
Last edit by TracyB,RN on Jun 2, '07
Jun 5, '07
I don’t know in USA, but from are I am from, we used splint and cast for the most synthesis and realignment fractured bones with screws and plates, or only with Ender or Kuncher centromedular sticks or metal wires, for grafts surgeries…I don’t remember now many…they are a lot. Ask who will do the splinting or casting, do you have tech, how do you contact him, be prepared before! Or you will do by your self?
Ask your self…”IF they will let this surgery without cast or splint or immobilization….COULD IT BE DAMAGE?” If the response will be YES, be sure that they can require a cast there.
Oh Yes and ideea to talk with surgeron before the surgery is GREAT, ask about the surgery and what aditional material he need it, don't let him to see that you are scared (some of them could be little jerks) but in the same time be honest with you and with him if you don't know about, be professional, ask him what number of screws he want, if he need them (he can mesure aprox over the Rx) how many he belive that will need it, what other altenative of surgery he will consider if the main one could not be applied (from some resons)..be prepared for other altenatives, if he will use electric coagulation or prefer ligatures (prepare all), think and talk with him before surgery...is good! Be professional!
Belive in your self...you are a good.. a good surgery ortho nurse! Zuzi hugs you!
Last edit by zuzi on Jun 5, '07