Thought I'd post this for a fun response. What was your first day/days in the OR like as an RNAI. The only way we get through these instances is to laugh, otherwise we'd burst from embarrassment. It is such a hard thing for us smooth type A's to screw up in front of others, but humor me with your screw ups so I'm not hopefully the only one. Here's my screw ups:
1) Bumped into the sterile field very first case :uhoh21: even though had been drilled in lecture to STAY AWAY :angryfire from it at all costs. Surgeon yelled at me , CRNA yelled at surgeon and made me feel better :) (the sterile field was right next to the door)
2) Couldn't and really still can't mask a patient to save my life!! All the air comes out the left side of my hand. I was told I have small hands and would have to learn how to adapt. Stood there fumbling with the mask fit, pt apneic, no air in rebreather, and APL closed all the way just to try to get some flow ( jeez, what an idiot I am), while the MDA and CRNA laughed and joked with me.
3) Every intubation I have tried I have had some former surgical resident colleague/friend right there making fun of my technique, especially when I goosed the patient.
4) I actually cut my patient's lip the first time I tried to intubate.
5) Stupid lidocaine for IV starts!!!!!! My hand shook and it's like all of a sudden I don't even know what intravenous means. All of these stupid patient's veins have disappeared on me. What do you mean I have to put a 16 gauge needle in !?!
6) I was practicing intubating on the mannequeins, their heads are like the weight of watermelons! So I tried this like twenty times and the next morning I couldn't lift my arm to shoulder level, my shoulder was like cement. I thinkk I need to do some one-armed push ups.
7) It's been two months now and I can at least bag and mask, managed to get the tube in some tracheas, transport without hitting the walls, find my way to the ORs, squeak out my goals for the day to the CRNA, do the preop assmnt without looking like a nursing student, give report to PACU RNs without getting my head bit off, and chart without too many mistakes on those tiny tiny tiny boxes for vitals every five minutes.
It's amazing how much you learn in a short time, much at the expense of looking like an idiot :chuckle.
Any SRNA's been chewed out by a Surgeon, or in competition with residents for the airway or other anesthesia cases?
First of all, to your first question, the reasons for my bad day are irrelevant at this time. i was simply venting. as for whether competition occurs between residents and SRNAs for cases...um, YEAH!! Is the sky blu!!! Most of the crap that goes on at our fvacility that makes people have a bad occurs because of the competitiveness between residents and SRNAs. As for surgeons yellling at me, generally no.
wow, didn't mean to offend your sensibility. Just thought maybe, possibly, or periodically one could learn from the troubling experience you had, or that you would benefit from telling us more. No irritable, mean intentions made, I swear!
Not only that, the post was intended to illicit a discussion between residents and srna's. Many of the people on this board will become srna's sooner or later, and it is beneficial to them to know what they're getting into, and how they can deal with it. Hopefully someone will have something constructive to say.
Maybe I'm desperate for input, but that is probably because crna school is nearing.
, CRNA yelled at surgeon and made me feel better :) (the sterile field was right next to the door)
sonessrna
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