Published Feb 21, 2009
lilla_fjaril
49 Posts
Hi everyone-
I'm a new RN starting in the OR. I'm a really smart and driven person but I'm not naturally coordinated. Being left-handed is throwing me out of whack for loading knife blades and passing instruments. I seem to want to pass everything with my hand on top instead of underneath the instrument. Also, I keep getting conflicting info on whether I should pass with my left hand, right hand, both etc. And when the mayo bolus is on the right I feel like I should use my right hand but I've been told I can use my left even though it feels awkward.
I've gotten the hang of loading scalpel blades right-handed, but I'm still fumbling and awkward when it comes to passing anything. Any lefties out there that can give me an easy system to follow? I expected to have trouble learning the instruments but I figured passing them would be pretty straightforward. I feel so inept :/
Thanks
maeyken
174 Posts
I'm right-handed, but I tend to pass things with either hand- depends on the situation, like where I'm standing in relation to the surgeon, what type of case it is, what retractors I am holding at the moment, etc.
Sorry I can't be more help :) I'm sure it'll get easier for you!
linda2097
375 Posts
You'll get good at it with practice. Uncomfortable will become comfortable.
Thanks for the support. I just seem to be struggling worse than the rest of the orientees (who are right-handed.) I usually pick up things quickly but I feel almost like I have a learning disability when it comes to loading and passing things.
I keep hearing horror stories about surgeons kicking new nurses off their service for being weak scrubs and I really want to make a decent first impression.
ewattsjt
448 Posts
It simply takes practice. I am right handed but pass with either hand depending on where I am standing and the where the doctor/assistant is standing. In fact on many occasion, I will be taking one instrument back with one hand while passing to the surgeon with the other.
Hand on top is simply a bad habit and you will get used to passing with hand underneath in time. I know that we are supposed to use neutral zones but not everyone does nor is it always possible. If hand is on top while passing suture, you run a huge risk of getting stuck.
There's different things that everyone struggles with. When I first started, one of my big issues was loading a suture on a curved driver. Straight drivers I was ok with, but for some reason I just could not wrap my head around it (with curved driver). And no matter how much I practiced it still didn't feel right or look right. Then one day it just sort of "clicked" and I didn't have issues with it anymore.
Everyone adapts at different rates- and some things that you find easy someone else might find difficult. One of the girls I started with had huge issues getting gowned and gloved at first. You'll get there! :)
scotsnurse72
3 Posts
Hi
I agree with the rest of your replies. I'm right handed and pass most of my instruments over with my left hand, especially as I'm usually standing beside the surgeon and I was taught not to pass my arm over in front of the surgeon unless it is totally avoidable. Once you find what is comforable for you then it will be like you never had any problems. The other danger with loading scalpel handles with your non dominant hand is that you could slip and injure yourself on the blade, so just be careful, especially with contaminated blades. It just takes practice, practice, practice.... GOOD LUCK :)
KayceeCA
67 Posts
I'm left handed, and I agree with the other responses. You will pass with both hands, depending on the situation and the best angle to get the instrument to the surgeon. Passing under versus over will become more natural with time. The thing I struggled most with, and still struggle with, is cutting. Scissors were made for right-handed people, and even after years of experience, it's still difficult for me to cut suture. I do the best I can, use my left hand because I simply cannot cut with my right hand, and angle the scissors in the way that I've found to work best (although not great).
Don't worry...your motivation, determination to do the best job possible, and overall skills will make up for any minor glitches your lefthandedness may cause.