Just recently moved to a new state and new hospital. I've been in the OR for over 15 years and just have a few questions. They do quite a few things different in this hospital and it just seems wrong, so I'm looking for some input.
1. The nurse doesn't prep the patient. The doctor or the scrub does when they are scrubbed in. If they use betadine, they just paint it on and don't even do a scrub! If they use Chloraprep they don't follow the manufacturer instructions of going back in forth a the incision line and then going out. I have never seen this before and when I brought it up they thought I was crazy. Said they never have heard of the nurse prepping a patient?
2. Saw a nurse drop a peel pack of hemostats off of a case cart. She opened it up, when I mentioned it was contaminated because of strike thru she didn't understand that. Said they don't do that here? Is that not the case anymore, did I miss something?
3. When putting a patient in lithotomy, they don't move the head of the bed to the foot. They just put the stirrups on.
4. When tucking arms to the side, they tuck under the mattress. I was always taught to tuck under the patient because if you tuck under the mattress it can pull the arms back and compress nerves.
There are other things as well, but these are the things that I could immediately think of. I don't know anymore, I'm beginning to think it's me. Would love some input from everyone. I've only been working here a few days and hate to be "that" person but seriously????