Stand your ground - page 2

i just want to encourage all or circulators to stand your ground in that or suite! you know what is right and what is wrong! you have the authority to execute in your judgement, if a corner can be... Read More

  1. by   nurseontheloose
    i wish i had your back bone, i am a wimpy jellyfish that lets EVERYONE walk all over me. i am not a stupid person, i am an intelligent person, but also do not know everything. any suggestions in helping me develop a spine?
  2. by   valifay
    Well, thats how it is where I am. Our techs and nurses don't battle and share the responsibilities of the OR when the surgeon is not there. Any questions are directed to the surgeon if we are not sure and the cut isn't made unless we are all on the same page. Maybe I'm just lucky enough to be part of such a great OR team...Idk? All our techs are certified too, so that might be the difference. But that wasn't really my point, sorry if I ticked anyone off. But, if your tech is not doing there job correctly, you really need to report them. You are putting patients at risk if they continue with poor technique. And if your hospital is holding you responsible for the tech, then you really need to speak up since its your butt on the line.
  3. by   Marie_LPN, RN
    But that wasn't really my point, sorry if I ticked anyone off.
    It's not a matter of ticking people off, it was the matter that you were stating/implying that the nurse (RN circulator) isn't soley responsible for what goes on in the room, and that is higly false.
  4. by   Marie_LPN, RN
    Any questions are directed to the surgeon if we are not sure and the cut isn't made unless we are all on the same page.

    Our cuts aren't made until the circulator "times out", and the anesthesiologist says "go ahead" after the surgeon says "ready?" to them.
  5. by   ortess1971
    Quote from valifay
    Well, thats how it is where I am. Our techs and nurses don't battle and share the responsibilities of the OR when the surgeon is not there. Any questions are directed to the surgeon if we are not sure and the cut isn't made unless we are all on the same page. Maybe I'm just lucky enough to be part of such a great OR team...Idk? All our techs are certified too, so that might be the difference. But that wasn't really my point, sorry if I ticked anyone off. But, if your tech is not doing there job correctly, you really need to report them. You are putting patients at risk if they continue with poor technique. And if your hospital is holding you responsible for the tech, then you really need to speak up since its your butt on the line.
    By and large, the nurses and techs don't battle in my OR either because most us realize that we all have a job to do and we are all valuable. No one here is trying to attack you, but you are failing to realize that the RN being responsible for the room is not the exception, it's the rule and is in the circulator's job description in most, if not all, facilities. She can report the tech for not counting all she wants, but that count HAS to be done, no questions. If that means she has to be very firm about it, than so be it. Certification, by the way, looks nice on paper but it's not the same as a license and I certainly didn't get recognized for it, financially or otherwise. Trust me, if most surgeons had their way, they wouldn't do a time out. You should see how our docs whined at first at having to mark the correct surgical site. It took circulators putting their foot down and telling them that the patient doesn't leave the holding area with out the site being marked. Sure, that made a lot of circulators look b#@chy and mouthy but that's the kind of nurse I would want advocating for me, not one who's going to worry that she's going to offend someone's pride.

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