OR Pet peeves - page 7

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... Read More

  1. Visit  canesdukegirl} profile page
    1
    Quote from wmdln07
    "CRNAs who are very anal and give inservices on everything as if you are a retard. "Hold cricoid until I say let go" but then another one says "Look, when I inflate the cuff you need to let go!" The patient tries to tell you something while you are holding O2 on induction so you lift the mask a little to hear them and the CRNA starts screaming like you just ripped out an art line or something. Chill OUT!! There's more than one way to wash a pot. "


    OMG you must work with the same boys I do! This just happened to me last week, I don't know why but the CRNA's tend to get on my nerves often. What do they learn in their extra training that gives them this "I'm holier than God complex". Seriously YOU'RE A NURSE, get your own paperwork, your own old records, attach the patient to the monitor yourself and oh..DO NOT wave the leads in my face cause I will just tell you "Those are EKG leads, they go on the patient". Aye aye aye
    I recently worked with a very...um...unusual CRNA. She is over-the-top controlling and if the surgeons ask her how the pt is doing, she will actually turn the monitor so they can't see the VS. One day after the case was done and we were emerging, the anesthesiologist was teaching me about neck anatomy. He lectured and then asked me to feel certain muscles on the right side of the neck. He and I were standing on the left side of the pt. When I reached over to palpate the muscle, the CRNA *SWATTED* my hand away and said that the pt could accuse me of sexual harrassment because I could possibly bump her breast as I was leaning over. The -ologist and I looked at each other dumbfounded, and I told the CRNA that she was WAAAYY out of line and that we would discuss this with the medical director. I saw the -ologist speaking to her in the recovery area and he was not happy. When we were starting the next case, she pulled me out in the hall and apologized profusely. I think that she had forgotten to take her meds that day. Weird.
    Trinigal03 likes this.
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  3. Visit  Rose_Queen} profile page
    0
    Just need to vent a little after tonight.

    Pet peeve #1 today: People who expect you to say yes to every request. If you ask me to switch call with you for tonight, and I say no, sorry, the conversation should end there. It is rude to then ask "Well, why not?" You signed up for the call (I checked- it wasn't assigned to you because no one else signed up for it.) A failure to plan on your end does not constitute an emergency on my end, and I am under no obligation whatsoever to cover your call because you don't want it. My personal life is also just that- personal and therefore absolutely none of your business. Just because I'm young, single, and childless doesn't mean I don't have a personal life.

    Pet peeve #2: People who just log you off the computer instead of asking if you're done. My relief has done this constantly ever since they took the third shift position. Just because my butt isn't in the chair doesn't mean I wasn't doing something work related, such as trying to run the shift report and got interrupted by a call from the floor needing something.

    Pet peeve #3: Main supply room personnel who probably couldn't find their own backside with a flashlight and a map, let alone the supplies a nursing unit is calling you for. When they call us for it, we know you have it- because we call you for said supplies when we run out.

    Pet peeve #4: People who don't clean up after themselves. I know that thyroid was the first case of the day in your room, because we set it up for you. Then you had a nice big gap while your surgeon did a longer case in another room. Why in the world was the thyroid rest not returned to where it belongs during that time?

    Whew, I feel better now! Hoping for a better day tomorrow.
  4. Visit  nursenitnit} profile page
    1
    Lazy medical students who stand there and watch the nurse do everything.... um your here to learn so you should help me! Even doctors who just leave the room and expect me to put this 300 lbs lady legs up in stirr ups by myself! REALLY!!
    Trinigal03 likes this.
  5. Visit  RNPinkShoes} profile page
    0
    Yes, my #1 pet peeve is a couple scrubs that I work with who think they are God.
    I am a nurse who everytime we set up and before I get the patient, I ask anesthesia if they are ready, and I ask the scrub if I can get them anything before I go.
    There is one in particular who EVERYTIME it doesn't matter if it is a simple ear tube case or a big ortho case, there is something she needs me to open the minute I walk in the door with my patient. The other day I brought in a screaming child.. and the minute I got the child onto the bed, holding her down while trying to put on monitors while anesthesia gassed, she asked me in a demeaning tone to get her three items from the case cart.... AAAARRRRGHHHHHHH!!!!!! AND IT GET'S BETTER.... I told her that I would get them for her when I could.... and a minute later when I was trying to get the patient situated and positioned and warmed up..... she goes... "ummm, can you please get the stuff I asked for?" AAAAAAAARRRRRRRRRRRRRRGGGGGGGGGGHHHHHHHHHHH!!!!!!! !!!! PLEASE PLEASE PLEASE don't ask me during this time... and for God's sake I've got my priorities sorry you are not one of them right now!
    I am also one of those nurses who will make sure the scrub has things like local medication on the table and saline.... ect. before we start the case. There are those couple of scrubs... I will be working with them one day on five cases and each and every time they tell me they need saline and local when I come into the room... like I am stupid or something argh.

    And those in CSPD.... I know they work hard but when we don't have stuff we need for cases it becomes a patient safety issue. We constantly have instruments missing from our trays, wrong instruments, ect. Also our case carts aren't completed many times..... and they don't even bother letting us know

    The other day we had 12 cataract cases. They go by super fast. Our first three cases went by smoothly like usual. When setting up for the fourth patient we noticed our Phaco tubing kit was missing from the case cart (ummm... it's impossible to do a cataract without it) We called CSPD and who said that they did not have anymore because they weren't ordered. Okay stop right there..... NO ONE EVEN BOTHERED to inform us... now there are eight patients admitted already ready to go with IV's in.... and you didn't bother to tell us that the most important piece of equipment was not ordered like it was no big deal. Luckily, we were able to scramble and call several other surgery centers to see if they had any we could buy from them.... and ONE did.... lucky.

    Other than that.... I love being a surgical nurse!!!!
  6. Visit  nitenite} profile page
    0
    Surgeons with big egos who think everyone worships the ground they walk on. ****.
  7. Visit  canesdukegirl} profile page
    3
    Glad this thread got re-vitalized. I have some things to add:

    1. You are relieving the circulator for shift change. The case has been going for 4-5 hours, the kickbucket is so full that sponges are running over the top, specimens have been released by the surgeon to take off the field, yet there they sit on the backtable, nothing charted, labeled, no path slip filled out, no dressings have been pulled, family hasn't been updated in 3 hours and the circulator is on the computer shopping for shoes.

    2. Staff who walk into your room and completely disregard the big sign on the door that reads "Total Joint Case in Progress. Do not enter." to steal suction tubing because the sterile core was 4 steps too far for them to walk, and then without looking up, the surgeon yells at YOU because you weren't monitoring traffic, not realizing that you were in the midst of changing out the bag of irrigation so he wouldn't yell at you for not paying attention to the quickly decreasing level of current irrigation fluid.

    3. Reps that try to make small talk with you while you are concentrating on charting.

    4. Being assured by your manager that the new implant the surgeon needs for the next case should be in the Surgical Office because he faxed the order yesterday, but when you call the office, nobody knows what in the heck you are talking about, and your manager has been at lunch for the last hour. You can't bring the pt back without laying eyes on the implant, so the surgeon rants, anesthesia rolls their eyes and sighs, and the scrub tech rips his gown off and throws his gloves on the floor, muttering about how LATE he is going to be for his golf game this afternoon. The pre-op nurse calls you again asking why the pt is still in holding because the pt is getting antsy. You try for the 5th time to get in touch with your manager, he finally barges into the room, out of breath, casts a disgusted look at you and says in the snottiest tone he can muster, "I made it a point to tell you that the implant is in the office. Why didn't you call them? I figured you'd be able to do that without my assistance." Then everyone looks at you like you are the Elephant Man on crack while the disgusted manager picks up the phone, calls the office and turns white when the office manager says that he should have waited for the fax to actually go through before leaving early the previous day. Thanks for that, jackwagon.
    Trinigal03, em61520, and ORoxyO like this.
  8. Visit  occrn21} profile page
    0
    * Being asked is the room and pt ready by anesthesia, when walking back from PACU.

    * Answering the surgeons phone throughout the entire case.
  9. Visit  ChristineAdrianaRN} profile page
    1
    Oh, these are all spot-on!
    My list:

    1) Surgeons not listening during time-outs. Huge pet peeve. There is one in particular. I’m not one to shout, “TIME OUT” and interrupt conversations, I make sure the anesthesia team finishes their debriefing about medication doses, but there is one doc that purposefully STARTS a conversation with his resident when I start the time out. The next time he does it, I’m doing the ORIF thing – he’s a neurosurgeon, too. I’m sick to death of it.

    2) Surgeons that argue with me about marking a surgical site. If it’s a right vs. left, MARK IT. I don’t care if you’re doing an EUA of both ears, you’re actually making an incision in only one of them, SO MARK IT. It takes two seconds of your time! What kills me is that I’m covering THEIR ass, too. You should be thanking me, because otherwise my manager is going to come and tell me to write an occurrence report on your ass if we did a right vs. left surgery without marking. MARK THE DAMN SITE.

    3) Anesthesia personnel that feel they are above making phone calls. Even though they have their own phone by their machine. Apparently we are their personal secretaries. Not much we can do about it, because their argument is that they can’t take their eyes off the monitor to call their anesthesia tech for equipment, or call their attending into the room to start waking up (ya know, while I’m charting dressings, stop times, helping clean betadine off, getting an O2 mask and monitor, pulling the bed in, and they haven’t started actually waking up yet), yet they can sit there and text the whole time during the case.

    4) SPD technicians that tell me they “don’t have” something, when the tray is actually on case carts for the next day. Newsflash – the patient on the table needs it more than the patient scheduled for tomorrow.

    5) +1 to the medical students barging in, flying past you without introducing themselves or writing their name up on the board, introduce themselves to the surgeon only (Just call me Chopped Liver, RN), and then go scrub in without getting their gloves. Then they get the hand-on-the-hip, “Son, let me tell you an m’f’n thing about life” look from me. If they seem truly sorry and sheepish about it, I’ll get them their gloves and tell them firmly how to do it next time. If they have a bratty air about them, I make them get their own gloves, write their names out, and go scrub a second time.

    6) Finding the consent says something ENTIRELY different than what the schedule prepared you for (the laparoscopic vs open is a big one) and then the doc is peeved that we weren’t better prepared. I just say, “Talk to your scheduler. She’s the one that screwed you here, not me.

    7) Herding sheep. There is one CRNA that, if she’s ready before we are, even if we are 2 minutes from finishing, will DISAPPEAR on a break. You know we’re ready to bring the kid back ANY SECOND now (and they are required by policy to come with me). Don’t effing LEAVE because I’m not searching all over creation in every break room and lounge area to fetch your ass.

    8) When I scrub, I get supremely annoyed when the circulator and anesthesia person leave without asking me if I’m ready (or, hell, using their damn brains and LOOKING at the back table to see where I am) and all I’ve done is open. Uh, I can’t exactly tie up my own gown!

    9) Working with a second circulator in your room when the two of you don’t exactly jive. One is working on charting, the other (usually me, because I’m the “young, fit” one) does the running around. The last time we had this set up, I had been using my Ascom phone to call the PACU when we’re ready to come over. All of a sudden in the middle of the day, when a procedure had JUST finished, even though I had been handling calling them all day, she says, “Have you called PACU yet?!” I said, “No, I call them when the patient is extubated.” And she goes, “I’ll call them” as if I’m doing something wrong. Surprise – 20 minute wake-up! Then we have to call again anyway to make sure they still have a bed available. There is a REASON I do things the way I do it. If you say you want to “focus on charting” then do so, and let me handle what I say I’m going to handle!

    Okay, that’s all I got for now.
    Last edit by ChristineAdrianaRN on Jun 13, '12
    Trinigal03 likes this.
  10. Visit  CIRQL8} profile page
    1
    Quote from ChristineAdrianaRN
    Oh, these are all spot-on!
    My list:

    1) Surgeons not listening during time-outs. Huge pet peeve. There is one in particular. I’m not one to shout, “TIME OUT” and interrupt conversations, I make sure the anesthesia team finishes their debriefing about medication doses, but there is one doc that purposefully STARTS a conversation with his resident when I start the time out. The next time he does it, I’m doing the ORIF thing – he’s a neurosurgeon, too. I’m sick to death of it.

    2) Surgeons that argue with me about marking a surgical site. If it’s a right vs. left, MARK IT. I don’t care if you’re doing an EUA of both ears, you’re actually making an incision in only one of them, SO MARK IT. It takes two seconds of your time! What kills me is that I’m covering THEIR ass, too. You should be thanking me, because otherwise my manager is going to come and tell me to write an occurrence report on your ass if we did a right vs. left surgery without marking. MARK THE DAMN SITE.

    3) Anesthesia personnel that feel they are above making phone calls. Even though they have their own phone by their machine. Apparently we are their personal secretaries. Not much we can do about it, because their argument is that they can’t take their eyes off the monitor to call their anesthesia tech for equipment, or call their attending into the room to start waking up (ya know, while I’m charting dressings, stop times, helping clean betadine off, getting an O2 mask and monitor, pulling the bed in, and they haven’t started actually waking up yet), yet they can sit there and text the whole time during the case.

    4) SPD technicians that tell me they “don’t have” something, when the tray is actually on case carts for the next day. Newsflash – the patient on the table needs it more than the patient scheduled for tomorrow.

    5) +1 to the medical students barging in, flying past you without introducing themselves or writing their name up on the board, introduce themselves to the surgeon only (Just call me Chopped Liver, RN), and then go scrub in without getting their gloves. Then they get the hand-on-the-hip, “Son, let me tell you an m’f’n thing about life” look from me. If they seem truly sorry and sheepish about it, I’ll get them their gloves and tell them firmly how to do it next time. If they have a bratty air about them, I make them get their own gloves, write their names out, and go scrub a second time.

    6) Finding the consent says something ENTIRELY different than what the schedule prepared you for (the laparoscopic vs open is a big one) and then the doc is peeved that we weren’t better prepared. I just say, “Talk to your scheduler. She’s the one that screwed you here, not me.

    7) Herding sheep. There is one CRNA that, if she’s ready before we are, even if we are 2 minutes from finishing, will DISAPPEAR on a break. You know we’re ready to bring the kid back ANY SECOND now (and they are required by policy to come with me). Don’t effing LEAVE because I’m not searching all over creation in every break room and lounge area to fetch your ass.

    8) When I scrub, I get supremely annoyed when the circulator and anesthesia person leave without asking me if I’m ready (or, hell, using their damn brains and LOOKING at the back table to see where I am) and all I’ve done is open. Uh, I can’t exactly tie up my own gown!

    9) Working with a second circulator in your room when the two of you don’t exactly jive. One is working on charting, the other (usually me, because I’m the “young, fit” one) does the running around. The last time we had this set up, I had been using my Ascom phone to call the PACU when we’re ready to come over. All of a sudden in the middle of the day, when a procedure had JUST finished, even though I had been handling calling them all day, she says, “Have you called PACU yet?!” I said, “No, I call them when the patient is extubated.” And she goes, “I’ll call them” as if I’m doing something wrong. Surprise – 20 minute wake-up! Then we have to call again anyway to make sure they still have a bed available. There is a REASON I do things the way I do it. If you say you want to “focus on charting” then do so, and let me handle what I say I’m going to handle!

    Okay, that’s all I got for now.
    Love it all!! Well said.

    Sent from my iPad (so excuse any typos and autocorrects!!) using allnurses.com
    Trinigal03 likes this.
  11. Visit  trinsia} profile page
    0
    I am really amazed at how OT nurse used as cleaner and ordly.
  12. Visit  aliciaRNBSN} profile page
    0
    My biggest pet peeve in the OR is when a surgeon sends you running for something, you quickly get it, open it, and then it just sits there on the field. They never use it!! That drives me BONKERS!!!
  13. Visit  LovedRN} profile page
    0
    I have one Anes who wants pulse ox (and other things) on pt before he is in the room. One time I didn't do it. He came out of the surgery room, looked for me in the pre-op, and had me go beck to the OR to put the pulse ox on.


    One time he wanted BP. We told him to push the button on the monitor. He said he knows how to do it and he knows WE know how to do it. He wanted US to do it.
  14. Visit  canesdukegirl} profile page
    1
    Oh, I have a good one.

    You set up your room for a complicated case that is blocked for 8 hours. You get the microscope in the room, get the special chairs, call the rep, make sure implants are ready to go, alert the 2nd surgeon (joint case) that the pt has arrived in pre-op, and open everything you need for the case. You have all of your paperwork in order, have already filled out pathology slips, blood gas slips, and ensure that the pt has 2 units PRBC waiting in the blood bank.

    You go interview your pt in pre-op. Everything is copacetic, but the pt seems to be squirming too much, and won't look you in the eye when answering questions. The anesthesiologist then interviews the pt only to learn that he had a Bojangles biscuit on the way to the hospital because his wife really wanted breakfast, and her sadistic butt went through the drive through, and he just couldn't help himself. He was STARVING!

    So now the case is cancelled, all of the specialty supplies go to waste, the surgeons are mad, and then you get all the butt-pus add on cases in your room for the rest of the day. *sigh
    Trinigal03 likes this.


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