What Do Operating Room Nurses Do? - page 11
I'm here to set the record straight. I am as much a RN as the next nurse and I do patient care. Operating Room Nurses assess, diagnose, plan, intervene, and evaluate their patients just like every... Read More
0Mar 9 by dlwoodjr, BSN, RNQuote from subeeDifferent places have different ways of doing things.. At my hospital, the only time I'm NOT touching the patient is during the surgery, and even then, there are times I have to, but that's when I forgot to do something, like attach the grounding electrode or secure the arms to the armboards (doh!). As a circulator, I'm hands on from Pre-Op to PACU... administering meds, positioning, assessing sites, providing extra hands to anesthesia during induction, etc. I've worked in both a pediatric OR and now a transplant hospital. I haven't had many opportunity to start IV's, but there are times.Sounds like MikeZ6868 is doing a lot of chores anesthesia should be doing. There is rarely a reason for a circulator in my room to even touch a patient except at the end of the case when they are moving back to the stretcher. They don't start IV's on anyone and if they are, they're doing anesthesia's job, especially in the case of children. ARGHHH.
1Mar 9 by Rose_Queen, MSN, RN GuideQuote from subeeReally? Starting IVs is well within the scope of the RN. Many of the anesthesia providers I work with are quite happy if I'm starting a second IV site on one arm while they're starting an arterial line in the other. It's all about teamwork.Sounds like MikeZ6868 is doing a lot of chores anesthesia should be doing. There is rarely a reason for a circulator in my room to even touch a patient except at the end of the case when they are moving back to the stretcher. They don't start IV's on anyone and if they are, they're doing anesthesia's job, especially in the case of children. ARGHHH.
2Mar 10 by cdsga, BSN, RNOR nursing is about more than skills. Someone asked me one day about patient advocacy in the OR while the patient has no recall of the nurse(s) who cared for them while they were anesthetized. Being a patient advocate in the OR is about ensuring that you do your job well. What does that mean? Think about putting on a play. You can't have a good play without a script or props or actors can you? That's what nurses do. They make sure that your properly safely working props are in order, you make sure that the actors in the room are credentialed, assigned correctly, if not you ensure that extra safeguards are there to make it work for the case and the patient, you communicate, collaborate, inspect, safeguard, then do the patient care skills that are required for you to do.
You keep a little bit of stage fright for every case, so that you do your best-expecting and anticipating that things can and will go wrong. There is no complacency.
When you meet the patient-their loved ones, you allay fears, you explain what's going to happen, what you will be doing, know the case, what's going to happen, quickly study the diagnostic or elective choice reasoning behind the procedure, review the diagnostic results, know the pertinent drugs, what the patient takes, how to mix and administrate them, you defend the rights of the patient that you have come to know in a very short period of time. You monitor aseptic technique. and on and on it goes.
I cannot imagine when the conscience of a room goes to solely non-nursing personnel-the respect and care for the patient declines and all goes to saving money, time and disregarding proper guidelines.
Fortunately or unfortunately-we are also scribe who document correctly and concisely about the procedure, personnel, supplies, drugs and solutions used. Why? We are the ones legally required to do so--why?? because the document and the patient are the only ones who will recall the outcomes. Anesthesia documentation has it's own set of guidelines. We help them remember too.
Nursing is the most trusted profession year after year because nurses care. They care without judgement of the person. They care about their contribution to the surgical outcome of the patient as well as personal pride in their quality of skill-sets.
God help us all when the conscience of the care goes away. It takes more than properly putting in an IV or foley-or if a nurse is judged on how quickly they can turn a room over. But only one who embraces the art and science of nursing and works to bring the two together to know how challenging and rewarding that can be. That takes time and commitment to the craft.Last edit by cdsga on Mar 10
0Mar 15 by Btormon.RN, ASNThank you for the original post! This thread has been very helpful. I'm a graduate nurse and I have an interview on Tuesday for a position in the OR. I'm very excited and working in the OR seems like it would be a great experience.
I'm surprised that some nurses are downplaying the duties of an OR nurse.