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.

I have threatened on more than one occasion to autoclave the pager.

I love it!!

My scrub takes almost 90 minutes to prepare for a shoulder scope and states she is ready and set up then when the case starts she doesn't have pump tubing!!! Another case we have scheduled and it's an I&D of perirectal abscess and my scrub asks me if she should open a tray or have leggings for the stirrups!!! (20 yrs of supposed experience) I say yes you need to get instruments before I come into the room with the patient. I arrive with the patient and do what needs to be done...pt is prepped and draped and surgeon is ready to operate and there are no INSTRUMENTS on her back table just the basic pack!!! Are you kidding me??? Then has the audacity to tell me the suction is not hooked up and there is a minor tray outside the room??? Really??? Where exactly is the rectal tray and how is this surgeon supposed to operate on this case???? Is she supposed to work with invisible instruments today??? Grrrrrrr!!!!

She needs to be fired.

Apparently she messed with too many nurses and pulled the same shenanigan she was asked to leave. I just wonder how she can continue to function in that way for all these years. Registry or not we all have to maintain a professional work ethic.

Specializes in OR.

Can't top any of these, been there done that and feel your pain all too well. I'm in a really good place now but.....1) surgeon's phone rings and a certain cardiologist always gives a 20 min dissertation about a consult she wants said surgeon to see. Are you serious? I'm circulating a CABG and I don't have the time or inclination to listen to this non urgent blather that can be summed up in a few words like "please have Dr so and so contact my office about a consult" Better yet, tell his appt secretary at his office---geez!2) staff who never clock in on time and still others who don't mind letting the rest of us rush around to set the OR up while they stop at Starbucks to get coffee and breakfast because they overslept--again--"and it was quicker that eating at home" Seriously? The only way that's going to fly is if you're buying all of us breakfast and serve it with profuse apologies and this cannot happen routinely.3) the nurse manager who gets a wild hair and rearranges the instrument room--AGAIN-- with a new and improved way of arranging things. New and improved? Not when I come flying in on call and can't quickly find something because it's been moved 3 times in 6 months from its usual place4) Having to now spend so much time on the computer doing data entry for inventory control that I feel more like a checker at the local market than an RN who is supposed to be focused on advocating for my patient and patient care than data processing But ya know, despite my whining, I wouldn't trade places with anyone else because I am exactly where I should be, doing what I love to do. We all need to vent once in awhile and I have enjoyed this thread and found myself nodding my head in agreement with nearly every post!

i have a lot of little peeves, most of them so petty that i feel silly about bringing them up, but they make me so cross!

*med students/junior doctors who, while scrubbed, try to take instruments from me to pass to the surgeon. i know they're trying to help and feel involved, but i'm keeping track of what goes up and comes back, and also am handing the instrument properly, so that the surgeon doesn't have to look at it or turn it around to use it.

*people who undo the back of my gown as soon as i push my trolley away from the table at the end of the case. i know you'e trying to help, but I'd like to keep it on to protect my clothes and my skin while i'm tidying my trays and throwing out gross stuff, but now its falling off my shoulders in a most annoying way and i'm tripping over the hem.

*people who come and start throwing thing out off my trolley at the end of the case. i know you're trying to help, but i've got mess everywhere, still have sharps on the table, and am trying to put my trays back together and do a final check with myself that everything's back where it belongs.

*med students/junior doctors/assistant surgeons/scout nurses who repeat everything the consultant asks for. i know he wants a forcep, i heard him ask for it too, which is why I’m holding it right now, and don’t you worry, just as soon as he puts his hand out, I’ll give it to him.

*scout nurses who pick and choose what they think I’ll need out of the pile of stuff I’ve put out to be opened at the start of a case. I’m trying to make it easy for them, I’ve asked the surgeon what they want, and have selected the stuff I’d like to have opened and put it all in one place, ready for my scout to just go ‘bam, bam, bam’, but no, they’d rather pick and choose what they think I’ll want, so that at the start of the case I’m still standing there looking disorganised asking for things.

*scout nurses who think that the most important thing to open at the start of a crash caesarean is the surgeon’s gloves so that they don’t have to go through the trauma of putting on their gown, when turning 90degrees to their left to take their gloves from the scout. Sure, its nice to have everything ready for the surgeon, but I’m sure they’d prefer I had the caesarean tray and a blade.

*surgeons who ask for something they want in 5 minutes time. We have a surgeon who does this all the time. He’ll say ‘prepare the 3/0 vicryl’, then a minute later will put out his hand. So you give him the 3/0 vicryl, and he looks at you like you’re an idiot because what he wants is a scissor, then a haemostat, then a tie, then a suture scissor, THEN a 3/0 vicryl.

*people who tell people what I want without asking me. ‘oh no, goats doesn’t like doing craniotomies’ (news to me. actually I really enjoy them. Even the scary ones). ‘no, goats won’t want to work with that surgeon, he’s rude and mean’ (he’s rude and mean to YOU because you don’t know what you’re doing and you insist on calling him ‘sir’. He’s perfectly civil to me and I’d much rather work with him that one of his whingey colleagues, who refuse to acknowledge my presence because I refuse to pander to their whining). this one goes for real life too.

*people who confuse me wanting to do things the right/safe/legal way with being a control freak.

*people who try to perform a surgical count without referring to the count sheet. I know you trust your memory, but I don’t trust it! I know I’ve been guilty of it once or twice in speedy little cases, but at the end of a four hour laparotomy where multiple staff have opened extra items for me, I just think it’d be a nice idea for you to peek at the count sheet as we go. I try to explain that it’s best practice – I’m just being stubborn. I try to refer to the ACORN standards – I’m just being difficult. I try to explain that I’ve done a case before where the scout counted everything without referring to the count sheet, then went back to the bench and wrote all the numbers in as correct according to the count sheet, only for me to find another hypodermic on my trolley that we hadn’t counted in our second count.. but don’t worry, despite not counting it, my scout had written it in as present J

*people who don’t use professional language/legible penmanship/correct spelling on paperwork. I should not have to tell an experienced colleague not to scribble things out, nor should I have to explain that in the event that a laparoscopic bowel resection goes open, the procedure should be stated as ‘laparoscopic bowel resection converted to open procedure’. And for Pete’s sake, its ‘Lower uterine segment caesarean section, live female infant delivered @.....’ not ‘LUCS, baby girl born @....’ the diathermy plate is not on the patient’s bottom, and that labial abrasion you noticed when you put the catheter in is not a ‘reddened lady parts’.

*people who take extra-long breaks when we’re running a really fast-paced list. Sure, there are times when I won’t mind if you take an extra couple of minutes, have one more biscuit, tell one last bit of gossip, but when you know you’ve left me running my tail off with a narky surgeon, I mind.

*people who flat-out refuse to work in a specialty. I do a bit of everything, and I really don’t see why you cant too.

Wow.. what a debrief! There’s probably more too!

Ha ha, i remembered another one..

Peekers. our theatre doors have little windows in them, and i get so so cross when i'm in the middle of a stressful emergency case and i look up at the door to see three or four faces peeking through. not trying to be nosy about the case, just checking up on me. on more than one occasion i've had to pull dagger eyes and wave in an unmistakable 'eff off' manner, and once, when that didn't work i had to call them into the room to ask 'is there a problem? no? then GO AWAY, I'M TRYING TO CONCENTRATE ON CLIPPING A FRIGGING ANEURYSM!'

i used to work with a lovely german lady who, if someone tried to take something off her trolley, would slap their hand and say 'this is not tesco'. i'm often tempted to shoo people away with a brisk, german accented 'this is not cinema'

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