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I oriented as a scrub nurse 3 times but I still don't quite have the hang of it. I don't exactly know the general order to hand off the instruments. The doctor was upset with me because he said I was supposed to know which instruments he wanted before he even asked for them. Can someone please help me? Also does anyone know any mnemonics or anything like that for remembering the types of instruments and maybe the order to hand them off in? Any help is greatly appreciated.
I would also appreciate the c/section guide. I did 10 sections in 5 days during orientation, but that was months ago, and now I'm terrified of when I'll have to scrub on my own. Who knows what I'll remember now? Start out with one damp lap and an Allis to test for numbness. A guide to go over would be very helpful.
I was wondering if I might still be able to get that study guide? I'm making the shift to a scrub position.
The person who offered it hasn't logged into the site in 7 years, so I doubt it. However, have you reached out to your coworkers if you're one who is learning to scrub c sections? You may find that they keep notes- I know my coworkers in cardiac surgery do, and they are more than happy to share.
I am halfway through nursing school, but I have been a scrub tech since 1998. I haven't scrubbed a C section since school so I can't help you there. I think it's crazy they let you scrub a C section after only doing it 3 times. There are so many things that can happen and you have to be able to scrub under pressure if it does happen. If they have to do a emergency hysterectomy you will need 2 Kelly clamps, they will clamp, clamp, cut, tie, tie, then cut sutures. Repeat until the uterus is out. Also learning all about the sterile technique can be overwhelming.
Here is what I did if I was sent to scrub a case that I have never done before or was sent to scrub with a doctor that has a temper and expects you to know it all. I would find another scrub tech/nurse that knows the doctors routine. Have them tell you the order of instruments for the procedure and what to have on your mayo stand.....write it down. You will build up a stack of cheat sheets until you gain confidence. If you have time and it's not an emergency, set your cheat sheet where you can see it and set up your mayo stand accordingly. Put you instruments in order of use.
Bleeding = bovie or clamp, depends on where you are.
If they clamp a bleeder most of the time they will tie it off, then you need suture scissors to cut the suture. These are just examples of anticipation. You will pick up on these as you gain experience.
Good luck
misstvlgirl
9 Posts
I do not have it in a form I can send to you. I typed it all up when I did it but didn't save. Sorry.