One Trick Ponies in OR

  1. Out of curiosity, what is everyones experience with R.N.s/CSTs who work in the same rooms, doing the same surgeries, day after day? I have no problems with people liking a certain specialty more than others, but it goes up my butt sideways when someone says "I don't scrub/circulate those cases" At my hospital, we have people that have been there years and won't scrub an ortho case to save their life. The worst thing is, this is tolerated. I work 3-11 so I pride myself on the fact that I can scrub anything and do a decent job. Last week I came in and had to scrub a corneal transplant. I had never even seen one but it worked out fine in the end. The doctor was kind of a jerk during the case but I took the high road and was so overly nice to him that he apologized afterward(love when that happens) Anyway, what are people's experiences with the "one trick pony" phenomenon?
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  2. 23 Comments

  3. by   Marie_LPN, RN
    but it goes up my butt sideways when someone says "I don't scrub/circulate those cases"
    Goes up mine, too.

    We have one that does the same thing every single day. It seems like it cause a if-you-don't-use-it-you-lose-it skill problem, or at least with her. When she scrubs in other specialties, she struggles, to the point that surgeons have complained.

    I take that as a lesson learned. I LIKE variety, to keep up-to-date on all skills.
  4. by   MissJoRN
    We have a few, too! Some I don't mind, I feel after so many years you've "earned" your right to a specialty you like, as long as that person is helpful to staff that aren't used to that specialty and do their best when they have to help out elsewhere. What goes up my butt sideways is when those specialized nurses stand in "their" rooms with "their" doctors and try to publicly make me look stupid because I don't know all the details they do. (I swear even if I knew every other detail "miss thang" would scream I'm incompetent because I don't know the surgeons underwear size) C'mon, I may not be great at anything, but I'm adequate in every room in that OR! (and I can do med-surg, post-partum/nursery, or pediatrics, too!)

    If you want to be in a specialty because you're good at it, great. If you want to be there because you're bad at everything else, that's another thing.
  5. by   NRSKarenRN
    Quote from MissJoRN
    "miss thang" would scream I'm incompetent because I don't know the surgeons underwear size.


    Lost my morning tea....loved it!
  6. by   grimmy
    [font="book antiqua"]we have a few of these, too. while i prefer not to do ortho cases every day, i don't mind doing one occasionally - in fact, i like variety now and then. most of the rn/cst's that get all huffy when they get pulled out of their cozy environment just wind up doing it with a little coaching. the one's that really annoy me are the folks that just roll their eyes throughout a case, some actually saying how boring it is! how insulting! i chalk it up to one thing: most people hate change.
  7. by   Marie_LPN, RN
    "miss thang" would scream I'm incompetent because I don't know the surgeons underwear size

    Assuming the surgeon wears underwear.:stone

    Found out a couple of months ago one of the surgeons believes in free-ballin', when his pants fell down while he was drying his hands off.

    TMI, TMI, TMI


    The hospital should have to provide the psychotherapy to get rid of that image burned out of out brains.
  8. by   grimmy
    Quote from marie_lpn
    assuming the surgeon wears underwear.:stone

    found out a couple of months ago one of the surgeons believes in free-ballin', when his pants fell down while he was drying his hands off.

    tmi, tmi, tmi


    the hospital should have to provide the psychotherapy to get rid of that image burned out of out brains.


    [font="book antiqua"]
    there's only a few surgeons i can think of that i'd even want consider seeing that. the rest, yuck!! brings to mind the gross surgeon (highest money-maker, too) who seems to have fathered more than a few out-of-wedlock babies with some residents. nevermind picturing the act, just imagining hugging that man gives me the creeps. blech...
  9. by   ortess1971
    Quote from Marie_LPN
    Assuming the surgeon wears underwear.:stone

    Found out a couple of months ago one of the surgeons believes in free-ballin', when his pants fell down while he was drying his hands off.

    TMI, TMI, TMI


    The hospital should have to provide the psychotherapy to get rid of that image burned out of out brains.
    EEEWWWWW! Maybe he just didn't have any clean underwear left that morning. I feel badly that you had to see that though. I would have cracked up!
  10. by   EricG
    Any day I am here and my service has cases scheduled, it's what I circulate and with the same tech. Our attendings demand it. Having set teams may breed a few "one trick ponies" but you also end up with continuity and cohesive teams within each service. We're a teaching hosp/ level one trauma center and our attendings look for stability in the teams.

    Of course, that day or sometimes 2 a week that we don't have cases scheduled, then myself and the same tech will work anything they send our way quite happily and without issue.

    I am not condoning the 'one trick pony' as I don't consider myself one, but 80% of the cases I work are within my service.
  11. by   Marie_LPN, RN
    Two of ours got fired today.
  12. by   ORSmurf
    Wow - what happened?? Sorry if I'm being too nosey

    Quote from Marie_LPN
    Two of ours got fired today.
  13. by   Marie_LPN, RN
    Their skills were limited, supposedly, working in the same field everyday. Only saw that in one of them myself, when she acted like a fish out of water when she had to work in another specialty.
  14. by   EricG
    wow, they were great at what they "knew" and got fired for what they didn't? Interesting.....

    While I have no clue whatsoever what the reason is they were let go for, I doubt it was the "one trick pony" deal, lol. I mean, c'mon, if they were great at what they did, they could learn new tricks right?

    Just to clarify, I hate the OTP's. Truly I do...... but I am not against a TEAM approach that finds the same people working the same service repeatedly. After I took over our Urology service it went from most neglected (administrations words, not mine) to our happiest. Totally based on a team approach, consistency, and a good team that was always a step ahead of the surgeon as opposed to 2 steps behind. Specializing is not a bad thing as long as you have the foundation to do anything. Since we are a level 1 trauma center, anything and everything ~will~ drop in your lap sooner rather than later. Know your chit and no worries.

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