Big Mistakes to avoid while circulating...?

[deebaxster]

Hello All - I'm in the middle of orienting as an OR circulator. I'm a new grad RN. In addition to circulating, I'm training to scrub however, I anticipate scrubbing only occasionally once off orientation.

What are the bid mistakes I need to avoid in my practice? I've been told to be meticulous about the surgical consents (rt patient, rt procedure, signatures etc.) And of course, don't let a pt fall off the OR table.

Can you help me out with some others?

[DysrhythmiaRN11]

Hi,

I have also just recently finished training as a RN. I started 2011 and have still been receiving training. Its a forever process. What I would say to do is to make sure your patient's consent is signed first and foremost before being transferred over to the OR table. Next, verify allergies, correct patient, if correct site is needed, make sure site is marked, ask if they have eaten or drank anything as this can be a contraindication for anesthesia ( risk for aspiration if they vomit). Check lab work for things such as potassium, hemoglobin, etc, pertinent information related to surgery.

Being a skilled circulator comes with time and you will always find yourself nervous. Just take a deep breath, remember, there are always others in the room to help. Don't be afraid to ask the surgeon what he needs and if there is anything particular for the case. You have the scrub tech who is always always a good source of information, especially if its a RN as scrub for the day.

You will find the OR to be stressful, in nursing we don't always have each others back in general and you have to deal with rude people in any setting. Just be strong and learn as much as possible. You won't know much until you are actually on your own doing things yourself, you own way. Good luck.

[brownbook]

I could easily list 20 - 30 things. Trust your OR check list. You have to be efficient (quick) but don't let the surgeon or anesthesiologist rush you, go slowly and carefully over the check list. Bring a check list home and get familiar with it. It should cover the key things to watch for.

[deebaxster]

Thanks guys. Yes, I guess it boils down to following the checklist precisely & never assume anything.

[Rose_Queen, BSN, MSN, RN]

Hi,What I would say to do is to make sure your patient's consent is signed first and foremost before being transferred over to the OR table.

If your patient has made it into the OR itself without ensuring consents are signed, you've made a mistake. I've actually had a fellow nurse who was terminated for bringing a patient into the OR without a signed anesthesia consent.

[Sezza83, BSN, RN]

Never open implants (or anything expensive for that matter)without showing the surgeon first. Do not rely on the rep that the joint implant is the right one or size because once they're open there is no way the company will take them back so someone has to pay for them!

[springchick1, ADN, RN]

Treat your scrub tech and nursing assistance with respect. You aren't better than they are because you are a nurse. They can be your best friends or make life real difficult for you. Especially your first year.

[Libitina]

Never be afraid to ask if you don't know, if you try to blag it, you will get caught out. And as stated above, treat your colleagues with respect. They may be lower down the 'totem pole' but do have experience, so listen to their advice too.

[PureLifeRN]

Always watch out for those stupid electrical cords. I swear one of these days I am going to EAT it big time!

Also, triple check your consents!

[Rose_Queen, BSN, MSN, RN]

Always watch out for those stupid electrical cords. I swear one of these days I am going to EAT it big time!

And those soapy wet spots by the scrub sinks! We have a big problem with people not scrubbing over the sinks and leaving a big mess on the floor- running out for more supplies during an emergency where we'd used everything in the room, I slipped on one of these spots and nearly dislocated my shoulder when I grabbed the edge of the sink!