OR Pet peeves

Specialties Operating Room

Published

Having worked in the OR for years, have you developed any pet peeve? Stuff co-workers do that bugs you...daily situations that irritate you? I'm really easy going most of the time but on a looong busy day, there are things that bugs me.

* anesthesiologist on your tail, "Can we come to the OR with the next patient now? , knowing that you literally just came from PACU dropping your last patient, you haven't even been back to the room yet, people are still cleaning. We are a teaching hospital so they work in tandem, resident or fellow goes to PACU with the last patient, attending goes to see the next patient.

*variation on the first one, they actually brought the patient back to the OR and you haven't seen them yet, haven't checked the paperworks or they brought the patient, you've seen them BUT you are just about to open the OR pack with the tech.

* another variation, you are in an ENT room cruising along with BMT's and T&A's with like 5-10 min turnovers and then you have a FESS or a Tympanomastoidectomy next and the anesthesiologist don't seem to understand why you need more time to set up!

Okay ,enough with the Anesthesiology bashing :), I do love 'em and those that work with me enough knows not to do these type of nonsense.

* a surprise not indicated on the schedule, you go see the patient after you've set up the room for an open case and the consent says Laparoscopic. Then you run back to the room, call for the laparoscopy cart and grab the video monitor etc.

* a multi specialty procedure with about 4-6 surgeons and the pagers are going off non stop. :banghead:

* a surgeon, the moment the pager goes off---what is it? who is paging me? then you relay the info from the floor nurse paging and the surgeon goes into a tirade about why he was paged in the first place for something so trivial.... lol...

* a tech who asks for sutures one at a time...sometimes this is from inexperience so I try not to be grumpy. I'm not a lazy circulator by any means but it would help if you look how big your incision is and you know you are gonna need more than 1 suture so I can go on with the rest of my circulating tasks.

* a break person who immediately writes their time in when they see you while you are still giving them report. Do you ever have Break Nazis in your OR? Not a minute late or you get a page or a lecture.

* a charge nurse who forgets to assign another nurse to relieve you at the end of your shift or who just expects you to finish your case and does not tell you that there was no one else available. (happened in some traveling assignments I had).

That's all I can think of now. Please share yours.

Specializes in OR.

people nurses or techs who try to skate passed the rules. for example "we don't count instruments on open appys here."

techs or nurses who flirt almost to the point of offering themselves to the docs or docs who due the same. please, this is a place of work not a singles bar

finding out that even though the case cart has been "checked" twice and the tech in room checks everything as he/she is opening, there is still stuff missing.

being called in 45 minutes before the surgeon wants to start the case when the tech in house has known for 3 hours about the case.

hearing 2 co-workers bash others. if you need to vent, be discrete. griping and complaining loudly in the core is not a good idea

Specializes in MedSurg (Ortho), OR.

I have less than a yr under my belt. But, as a scrub, the biggest peeve that I have encountered so far is when management decides to your next case in another room, the scrub will only do just THAT! Open up your stuff, so you're cleaning up and packing etc. you run into the room and BOOM your mayo/back table isn't set up, ***?! I mean come on, I'm new and even I know that it's common curtesy to set up the table/mayo.

I am an experienced OR RN and I work with amazing team members... If I hear "CAN YOU PLEASE GET SOMEBODY IN HERE THAT KNOWS WHAT THEY ARE DOING!" from another surgeon who is upset because of something he did... I am going to reply, "LIKE WHO SIR? YOUR PARTNER?" LOL

My peeve would be working hard every single day, every single case only to be told, "IT'S NOT HARD PEOPLE. A MONKEY COULD DO YOUR JOB.". Really, because you had to wait for your unexpected need while I run down the hall and retrieve your request?

OR Pet Peeves...

GYN surgeons who ask for my opinion....(im a surg tech with 11 yrs experience..going to nursing schoool.) Really I dont get paid enough to offer my opinions.

Surg. tech who actually give doctors their opinion...without the doctors asking for it. YIKES!

Nurses who string the bear hugger cord across the room..so that every time I move my back table my NACL spill all over.

Nurses who put the kick bucket between me and my back table...so I trip over it.

I have more ..but I will post later. Hope this made you laugh.

PS...I work with one of the best circulators who on most days can answer the phone...the doctors phone and grabs a pager..all with a smile on her face...

Oh my favorite....

Being a new circulator after scrubbing for the last 8 years my new pet peeve is other nurses treating me like a retard because I am a new RN when they were just content on asking my advice on stuff 6 months ago when I was a tech! Sorry to say but... I am hating being a circulator so far. My only other nursing pet peeve is trying to work and train in a room with another nurse because I can never get my own pattern going because either they have already done it, moved it, charted it, put it up, never got it, or don't want to let me do it! I am so ready to fly solo.

Dear Courtney1202:

I know it is frustrating to be in training, especially since you have been performing another function in the OR. To challenge yourself and attain a new skill that will assist in your career change, focus on communication. Find an acceptable means of communicating your needs to the colleague charged with helping you. Formulate a list of your strengths and identify areas you feel have not been addressed to your comfort level. Suggest a plan of obtaining the knowledge or experience you have determined is needed. As you well know, some of us are great nurses, but not very good instructors. Remember your experience, and when you get the opportunity to guide a new nurse, tech or whomever, in our wonderful world of surgery, make it better.

Congratulations on your accomplishment of furthering your education! This to shall pass. Take care, MissRN and God Bless you.

Specializes in OR, Nursing Professional Development.

My biggest pet peeve: having the surgeon's pager go off and being expected to answer no matter what's going on in the room. Sorry, my patien'ts the one on the table, not the little beeping piece of plastic, and I WILL finish counting/giving meds/checking implants/etc. before I do anything with that darn thing.

Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.
OR Pet Peeves...

GYN surgeons who ask for my opinion....(im a surg tech with 11 yrs experience..going to nursing schoool.) Really I dont get paid enough to offer my opinions.

Surg. tech who actually give doctors their opinion...without the doctors asking for it. YIKES!

Nurses who string the bear hugger cord across the room..so that every time I move my back table my NACL spill all over.

Nurses who put the kick bucket between me and my back table...so I trip over it.

I have more ..but I will post later. Hope this made you laugh.

PS...I work with one of the best circulators who on most days can answer the phone...the doctors phone and grabs a pager..all with a smile on her face...

That kickbucket got kicked to the other side of my table. Aside from the risk of injury, i don't like someone stepping between me and my table to dig for sponges. I can see the buket just fine from the other side of the table, and keep my feet out of it as well.

Specializes in OR.

I can think of a few that have perterbed me once or twice...How about when you have cases all day and find out in the middle of the day the next patient is severly allergic to any latex? why is this in the middle of the day before and after non-latex allergic cases? And another one...after restocking rooms that have come down for the day having a coworker run in and grab supplies from the stocked room instead of going into the area with all the supplies? This person's answer? "But I can't find it...I didn't know where it was...." blah,blah,blah...if your'e there after the trial period, then one should at least make an effort to go and look to see where things are so you can find it or know we even have something instead of grabbing out of a room (especially if there's a case going on in that room). Arrrggg

Specializes in Med/Surge, Operating Room.

I have a couple of pet peeves. First is when the ST saves all the sponges until the end, then throws them all at once into the kick bucket and announces they are ready to count.

2nd peeve is having the surgeon and all the residents and med students dump their phones and pagers on the desk with nothing to identify who's is who's. How am I suppose to answer their phones? And why should I have to answer their phones anyway?

The surgeons at our OR are really good with our time outs...everyone really stops and one grabs the ID bracelet, one has the consent and the anesthesiologist gets the boarding pass, one checks if the site is marked.

:yeah:

One time, a surgeon appeared pre-occupied so when I said this is so and so, Medical Record, DOB and we are doing an ORIF (it was actually a neurosurgery case and I just tested if he was listening, and of course he jumped and corrected me, laughing.

boarding pass?

You can use music to your advantage especially if you're the circulator. I had a whole case of CDs to choose from and if things were tense I'd put on something calming....all it takes is paying attention to the age and preferance of the surgeon. Folk, jazz or classical might annoy the residents but can work wonders in the appropriate circumstances. There have been many studies on the topic of music in the OR and a calm atmosphere is as important as having the right instruments, supplies and temperature.....all in the realm of the circulator. It's also better for the patient to have a calm team; something I weighed heavily when I was choosing a cardiac surgeon for my husband!!

I once had a vascular surgeon who wanted to play gospel continuously and vetoed it....I put on something quiet and he was fine.....he also never brought religion into the mix again....at least not in my room....

Ohh my god, so nitpicky but I work in CT and the thoracic surgeons are forever pulling tonsil sponges off on my sponge sticks to use them as ring forceps. They don't even tell me. They just drop the sponge on my mayo for me to discover when I turn back around. And I ALWAYS keep both an empty and a loaded sponge stick on the mayo at all times, just so I have both available in case my hands are tied up loading a stapler or something.

And also they like to ask for things not on their DPC, like a harmonic scalpel or ostene or local anesthetic or whatever. But if I can't produce this for them in a nanosecond, they do a work-around while the circulator is getting the item. Then, as soon as she opens it up they don't want it. So. Much. Waste.

And being treated like I'm subhuman when I circulate. We have cardiac surgeons who never say the circulator's name. It's just my job to guess from the slight change in inflection (while I'm charting, fetching, pager managing, phone-answering) that they're talking to me and not the scrub or fellow or anesthesia or perfusionist. The same docs punctuate every request with "and be quick about it." Oh, so it's not okay to get your gortex graft on the way back from a smoke break? Thanks for clearing that up."

I'm only 10 months in the OR but I plan to leave Award-Winning Teaching Hospital as soon as they pay for my CNOR. If I'm going to get treated like absolute scum every day I might as well be a travel nurse and make bank. I've worked a lot of jobs but never experienced abuse like I see it inflicted daily in the OR.

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