I started in the OR 14 months ago and have been off orientation since July. Since I am not a permanent member of any surgical specialty (I give breaks, then take over a room from someone at the end of the 7-3 shift) I am still trying to find my voice when I am in rooms with people I haven't worked with. Obviously I know all the RN's and surg techs, and I always introduce myself to a surgeon I have never worked with before. BUT, when it comes to surgical residents and PA's (med students too) I am not sure what is proper.
They are supposed to leave their ID badges on the circulator's desk or write their names on the info whiteboard so I can include them in the chart, but they mostly forget or take for granted that since the last nurse knew their name that I do too. Before a case should they come over to me and introduce themselves? I mean, I am usually swamped getting supplies, opening up trays, setting up the room, dealing with the patient, etc and they just waltz in like the surgeon expecting gowns and gloves to be waiting for them too when I have no idea who they are or their size or preference. And then when I am trying to position, they take over from me, grab the foley and put it in, then tell me I can prep and they leave to go scrub! Mind you...I still sometimes at this point have not even gotten their names or titles!
I guess, how can I run the room more without feeling like a slave/gopher to the residents and PA's and gain a little more respect? Seasoned RN's I see have more of a command of the room with the residents and PA's and I'm not sure how to get that. What exactly is the hierarchy in the room? I mean, I know we are supposed to be a "team" but the OR tends to have too many chiefs and not enough Indians. I think the attitude of the residents and PA's is that they believe they are "chief" when then the surgeon is not in the room, yet it is MY license on the line when it comes to patient care!
Would appreciate any advice.