Planning a better experience for nursing students in the OR

Specialties Operating Room

Published

Yesterday was my first day back from a 3 day mini-vacation. I recently changes services in the OR, and although I love my new service, I still need a few days to get to a "comfort level" in how each doc does things, where the supplies are and what the preferences of the docs/staff are. While I was scrambling to get my feet grounded in my first procedure, the nurse educator walks into the room with a nursing student. He said, "This is Canes. She will look after you and answer all the questions you have about this procedure. She will tell you all about what is going on and what the roles of each person is during surgery." Totally dropped this poor student in my lap. I felt so badly for this student because the case was a complicated one, and I had A TON of stuff to do. She immediately starts asking questions while I am trying to chart. I told her that I have to concentrate on my chart first (which is laborious), and then I will answer her questions. Well, there was never a lull in the case. Things started to go south, and I had to in effect, push her to the side.

I am such a strong advocate of teaching, but the position I was put in was difficult. I had ZERO time to teach her, and I am afraid that her first impression of the OR was horrible as a result.

Can you guys tell me how I could have handled this better?

You could send her a note explaining/apologizing that there wasn't time to teach her, etc. That would most likely make her feel a bit better. I know my circulating nurse felt sorry for me after the stuff the surgeon was asking me (that he should have been asking his resident). He belittled the circulating nurse as well when she was doing the time-out. He definitely was trying to make an example of me. The only thing is, everyone in the OR laughed at one of the answers I gave (can you imagine how mortified I was? It was everything I could do not to just walk out). I honestly didn't know WHY it was so funny, so the first thing I did when I got home at midnight was look it up. Lo and behold I was NOT wrong. I'm now trying to determine whether I should print out the research I found and drop it off to him just to prove a point.

I think its a good idea to figure out when you're going to have students. Atleast you would be able to give them a quick rundown of what to do/not to do in the OR and explain that you'd be more than happy to answer thier questions when you have time, and let them know that might not be until after the procedure.

I would have spoken up and told the educator that it probably wouldn't be a great case for the student to observe. I am an educator and often put students in certain areas to observe. The staff will let me know if it's a good idea or not for the student to be there. 9 times out of 10 they are ok with having a student.

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