I graduated from a Operating Room Program that teach the basics of safety in the operating room (clinical was inpatient). The course was a semester. I Accepted a outpatient surgery position which is like night and day. My training has been watch a case then the next time circulate with help of tech. Two weeks ago it changed to throwing me in random cases with no notice which is overwhelming and I can't think or focus. Everyone tell me I'm doing well but a couple of anesthesiologist got frustrated. Is this Sabatoge?
Will I become a strong Competent nurse with no real training? I've always been a respected competent nurse. How much training should you have in outpatient surgery? Any Tips.
Please advise. Really appreciate your time and advice.
You have not received adequate training. Find a hospital that has an OR nurse residency program or the AORN Periop 101 course. Most places I have been ( travel to many hospitals in my current job) have a minimum 6 months training program that advances you as you learn, eventually becoming fully competent. (Note Benner's Novice to Expert). You are setting yourself up for failure if you stay in that environment.
Sometimes people think "throwing you to the wolves" helps you learn. Looking back, it helped me, LOL. Although I would never do it to anyone I was in charge of... When I first started in the O.R. I was also just out of nursing school, and for the first 6 weeks they led me through orientation and told me I was doing well, then suddenly they told me I should be more advanced than I was, then the next day I was circulating arthroscopic surgeries by myself that I was never oriented through (I was orienting through the inpatient stuff - ortho scopes were outpatient!). I was out of my mind! But after a few days I was at least comfortable enough in the department to wing it... I wouldn't recommend it and hopefully you can go to your manager and tell him/her your concerns. And the anesthesiologist is not your boss -- ignore him. I've had some be snotty to me in the past -- I always got backed up by MY bosses if there was an issue... Anyway.... I was thrown to the wolves in my first weeks and while it was chaos... personally for me, I appreciated it much later. You WILL learn your job one day. I know it seems like you won't. BUT - with them throwing you in like this and not having anyone to at least be a "point" person to help you, I believe you should address that with them. Good luck!
RobTheOrNurse Thank you so much I will take advice. I prefer to find an environment that train. I will be proactive and look into taking the Periop 101 course on my own. @ Lam2010 my supervisor is the contact person but shes not in room during critical times. I had 2 days of true orientation. Feeling incompetent.
Last edit by strive on Feb 4
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