Latest Comments by Amistad

Amistad, BSN, RN 5,458 Views

Joined: May 27, '12; Posts: 130 (52% Liked) ; Likes: 201

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    Thank you for your response! I ended up attaching a letter to my application explaining the classes on my transcript and I also included attachments of the class descriptions. I guess they changed their mind because I got the license!

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    Texan girl, Have Nurse, and 2010rn42 like this.

    Hi Liza,

    I've been an OR nurse for a little over 2 years now. The OR I work at has hired nurses from various backgrounds including new grads and nurses with non-OR experience like myself. They will train you everything you need to know for OR nursing on the job or in a formal training program. I think you should go for it and apply for OR jobs without doing a surgical tech program. I would not work below my license. I was hired with no OR experience and trained to scrub and circulate on the job. That's just my personal opinion.

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    Hi all!

    Is anyone else having trouble getting their license endorsed to CA because of missing educational requirements? I've read that some people have had problems with the Communications requirement. Was anyone successful in proving that their undergrad program was adequate?

    I'm currently in the midst of a nightmare with the California BON.
    I received a letter stating I'm deficient in Psychology and Social Sciences. I found this super odd because I took a psychology class and several classes I would consider social sciences (like anthropology). I called the BON (was on hold for one hour) and was rudely told that my transcript was already reviewed and does not fulfill these requirements... um what??

    I'm not exactly sure hot to proceed because I DID take a psych class and social science classes... I've already been waiting 4 months for this license...

    Also I've been a RN in the workforce for almost 5 years and I went to a great legitimate nursing school for undergrad sooo I'm super frustrated right now.

    Sorry had to vent.

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    That absolutely should not disqualify you from being a nurse.

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    I find it insulting they even make nurses take that physical exam. Do they make doctors do it?

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    Nursekirk, littlemango, sneed1o1, and 1 other like this.

    StringOR;

    I'm sorry you're going through this! Being a new nurse is tough. Being new to the OR is tougher! I've been a nurse for 3 years and recently started in the OR. As a new grad I definitely had days where I "shut down" from stress as you are describing, especially when I needed help and wasn't getting enough support. I cried a lot the first year and my friends and family had a hard time understanding my pain. I don't think any of my non-nursing friends are subjected to such stress at their jobs. Anyway, I am here to tell you that it WILL get better. You will learn to prioritize and multitask like a boss. It took 3 years and 2 changes in specialties but now I actually have fun being a nurse.

    The OR might be challenging to you with an introverted personality. Teamwork is very important and you need to feel comfortable talking to doctors. I do know a few introverted OR nurses who are successful though. They work hard and don't cause drama which is appreciated by other staff. I would say try to stick it out and know that it will get better! Take lots of notes on physician preferences, it will pay off eventually! Best of luck to you!

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    There are NPs at my hospital who first assist in surgery, but they also see patients post op on the floor as well. RNFA sounds like a good option, but I'm not sure how easy it is to get the cert in your area. I've been trying to research RNFA programs online just out of curiousity (I just started working in the OR as an RN) and it seems they are very few and far between. Of course the one closest to me recently closed their program, ugh!

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    Quote from westieluv
    Thanks. I did resign a couple of days ago and have two interviews on Monday, one for the dialysis job that I described and another for another dialysis job, just in case. Life is too short to be miserable, not to mention that I am not willing to risk my nursing license by working somewhere with an unsafe culture where people call off and/or resign constantly.

    Yes, I realize that I also resigned, but it started way before I came along and I was lied to about the working conditions, as were others, probably.
    I agree good for you!! You probably did the right thing. Also, nurses should not have to accept unreasonable working conditions just because "that's the way it is/it's always been". We are professionals and we deserve a professional work environment. If a work environment is unsafe, then it needs to change. Nurse subjecting themselves to unsafe/unreasonable work environments allows employers to continue to exploit us.

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    Jessy_RN, lux libertas, jeckrn, and 2 others like this.

    I'm glad to hear that your work environment is not toxic. I have to respectfully disagree with your point that nurses are not vital to an operating room. Nurses use evidence based practice to promote patient safety in the operating room. We coordinate the administration of blood products. We pass medications off onto the sterile field. We interview the patient and note concerns for the patient such as PT/INR for patients on blood thinners. We prevent injury from improper positioning, electrical sources, or burns. We are the ones who say "hey doc, lets wait another minute for the prep to dry prior to draping to prevent an OR fire". We oversee the room with patient safety in mind and with background knowledge as a nurse. I would say our position is vital and not replaceable.

    Just my two cents!

  • 8
    midlife_nurse, ICUman, 4_Sq, and 5 others like this.

    Whoa. It sounds like you've had a very bad experience. Ive had a good experience so far. I just started in the OR 3 months ago and one of my favorite parts of the job is that I feel like I am an equal among the team. It takes the orchestration of every single team member from pre-op holding, through surgery, and in post-op to take a patient safely through surgery. That includes environmental services and sterile processing technicians too! I feel that everyone in my workplace is respected. I would highly recommend to anyone to work in the OR... I love it.

    I do agree with you OR dude that scrubbing is important. I think learning to scrub has made me a better circulator as far as learning to anticipate what the surgeon needs. I would be disappointed if they stopped using RNs in my workplace to scrub.

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    Yureai, kakamegamama, Newbie_1, and 1 other like this.

    Hmm it's not a bad idea to drop to part time or even to 80% employment depending on what u can do financially. The extra day off could really help.

    You should probably stick around for the full year if you can and try to transfer internally. Maybe step down or ICU with fewer patients but higher acuity? You could do clinic work but the pay is less and some NP programs require current acute care experience. I personally work in the operating room now and I love it, I feel like I finally found my niche.

    Good luck! And hang in there... A lot of us have felt your pain [emoji14]

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    sneed1o1, Newbie_1, PaulBaxter, and 4 others like this.

    I have to disagree with jeckrn (although I worked on the floor before going into the OR). About half of the nurses I work with in the OR started there and loved it so never left. You don't necessarily have to have med surge experience to be successful there.

    I would take a look at the Operating Room specialty section of allnurses as there are several articles on what OR nurses do.

    I would ask the nurse manager about what your orientation will consist of, how long it will be. Will you be scrubbing and circulating or just circulating. How much call will you take. You could also ask her what made her interested in OR nursing or what is her favorite part of OR nursing.

    Good luck!!

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    littlemango likes this.

    Quote from ehil007
    I'm doing my scrub rotation now and I feel like I suck!!! I want to just circulate at this point but I know I need to learn this skill.. So many rules and so much pressure! I'm feeling defeated
    I am learning how to scrub right now too and I TOTALLY feel your pain! I feel so dumb. I can barely figure out how to hand instruments the correct way. I wish I could practice in a simulation environment because there is so much pressure to perform well during real surgeries. I also don't want to slow everyone down.

    Anyway... I'm only 2 weeks in so I'm sure it will get easier with time. We just have to keep on learning and trying our best!

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    Don't resign! Every nurse makes mistakes, especially when in a hurry. Go to the meeting with the manager and talk it out. Discuss how you could prevent this in the future. Clarify which drips need a double check (and when in doubt for any drip, double check if you're unsure of the setup).

    Do you scan your meds? If so, why did the computer did not prompt you to have another nurse double sign off if that is required? I would ask if a safety measure such as this could be put in place.

    What do you do to cope with stress and relax? Maybe read a book, take a bubble bath? Take a deep breath and try to relax.

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    JustMe54, Davey Do, and Rose_Queen like this.

    I am so sorry Rose_Queen. I'm sorry you had to go through this, and I'm sorry that human lives can end so quickly and unfairly. You and your team did what you could and the rest was out of your control.

    I completely agree that team debriefings should be done after traumatic events.


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