New Grad Nurse in OR

Specialties Operating Room

Published

Hi all! I came here seeking any and all advice.

I graduated school in December, passed my NCLEX in March, and Immediately took a job in the OR. during school, I never had an OR rotation so I had 0 clue what I was getting into. The reason I chose this position is because I never enjoyed med surg during my clinical rotations, I did not get the initial job I wanted on a pediatric ICU, and my ultimate goal is to end up in Psych; which doesn’t usually hire grad nurses so I needed a job to get me started. I had heard nothing but good things from the OR nurses about how much they enjoyed their job. They seemed genuinely happy, and as a grad nurse, that’s always a plus! (The floor’s culture was very important to me when searching for a job). Another main reason I chose this position is because of the 6-month long orientation, which included rotating through the services (neuro, vascular, cardiac) as well as pre-op, PACU, and other areas to familiarize yourself with the environment, while doing the Peri-Op 101 course. After four months, we would be able to choose a speciality and spend the next two months orienting in that specific area. That seemed like a sweet set-up to me so I didn’t hesitate to accept the job.

I am currently in week 3 of my orientation. Due to COVID, our orientation was cut in half, they already put us in our services (I hadn’t even been in a room when they did), and they want us to be ready to circulate our own rooms by end of June, beginning of July, because they believe a surge will be coming around that time and they want all hands on deck. As a new nurse, completely foreign to the OR, I’m already beyond overwhelmed. Now to know I have to be prepared in 3 months vs 6.... it has my anxiety through the roof. On top of this, the job itself isn’t what I expected. At one point I thought the lack of hands-on patient care would be better for me, but now I find myself missing it and enjoying the peri-op assessment the most out of the entire case. I don’t feel like the circulating nurses role is something I’d want to do long term, which makes it even harder to want to continue with this path.

For me, the transition is hard from nursing school because it’s nothing like what I was taught. It’s like starting entirely over in my nursing education. I feel like I lack the confidence that being a floor or ICU nurse to start would have given me, as far as dealing with doctors, whereas the other nurses I started with all came from floors/units and they seem to have more confidence. This is my first job in general, aside from waitressing through school, so confidence in the hospital in general is lacking for me. It’s something I’ve struggled with throughout school and something I knew would be hard in whatever first job I chose.

I feel like I may have made the wrong choice, but I can’t tell if this is due to just being an overwhelmed new grad, or because this really isn’t the right fit for me. My question to you all is: How do I know the difference between the two? What made y’all know the OR was a good fit? I’m at the point where I could still get a transfer waiver and be able to relocate to a unit or a floor, but I don’t want to give up on this job if it is just fear and anxiety that is causing the dislike for the OR. (Yes, I’m an over thinker) The other new nurses seem to be enjoying their roles and the job itself, so I’m not sure how I’m supposed to feel right now. If y’all have any similar stories or advice that could help me in any way, feel free to share! I’m just very confused and overwhelmed right now and anything would help.

Specializes in orthopedics, traumatology and ophthalmology.

hi, I have been working in the operating room for about 20 years. It is a job that I love and will always love. however it is not a job that must be improvised but to be automomas one must be prepared through a stepwise training. what I can advise you is this: if you want to work in the operating room you will have to study again and rely on expert colleagues who will follow you in your path. the operating room is not an easy environment because you will be in contact for many hours a day with colleagues, surgeons and sometimes they will not be nice. however if you like this job you will overcome all obstacles.
good adventure
Giordano

1 Votes
On 4/22/2020 at 9:30 PM, skydancer7 said:

CONGRATS, so glad you will be able to transfer! Sounds like that might work out best for you. Wishing you the best! Wish I would have gotten out of the OR sooner, but it got me to where I am today, so there's that ?

Hello,

I just accepted a nurse residency position in the OR but I haven't started yet. Do you mind sharing why you wished you had gotten out earlier? Thank you.

On 4/22/2020 at 9:30 AM, 1m9s9s8 said:

Hi there! Thanks so much for taking the time to respond.

Although we were put into a specific specialty, we were still having to do the peri-op 101 program. So even though we were focusing on one area, we weren’t getting a lot of OR time. I had been in a room a total of 4 times since starting a month ago... on top of trying to incorporate peri-op, due to the amount of orientees we had and decline in surgeries due to COVID, not all of us were able to get in on our services. Many of us were being made as “extras” or given other busy work. So after 1 month there, I couldn’t imagine having been prepared in the next few months.

As for the culture, I wouldn’t say it’s entirely toxic. The nurses that had been there for 10+ years were very comfortable with the surgeons and knew how to not piss them off. As for us newcomers, it was as if we didn’t exist. And any little thing we did wrong, it was like the end of the world. a lot of people addressed this saying “oh in time they’ll want to get to know you.” And that bothered me. I did transition in the ICU as a STUDENT nurse and doctors gave me more respect than the surgeons did as a registered nurse. On top of this, the nurses I had precepted with all had negative things to say about management. Which I’m sure can happen on any floor, but these nurses clearly felt they weren’t being heard. I had a good experience with the manager and they listened to me, heard me, and helped me find a solution. But I could see why others felt the way they did. It was just a lot to go into as a graduate nurse, the weirdest time to start, and I felt like the training program was inadequate and did not suite my needs. I’m sure others will thrive but it was not what I needed and I felt strongly about that.

I went and spoke with my manager, advocated for myself, and said I didn’t feel as though this was the right “fit” for me as a graduate nurse with no experience or confidence. She understood and granted me a waiver, so I was able to transfer into another position in which I think will be much more beneficial for me in the long term of my career! Thankfully it all worked out.

Thank you for the advice — it’s so appreciated!

Hello,

Please, if you don't mind sharing, on what grounds did the manager agree to recommend a waiver? Did you find any skills/knowledge/experience you learnt in Peri-Op transferable to your new position? Do you mind sharing the position? Thank you

Specializes in Operating Room x 38 years.

The idea that your manager is okay with putting a brand new nurse into an OR without a complete orientation tells me they will NOT have your back when mistakes are made. If your manager had a spine, she/he would be putting their foot down to that nonsense. I would have a meeting with them and discuss a transfer OUT of that department since the ground rules have changed. You signed on, given that they were going to give you a proper training and orientation period. Their comeback will be predictable: some *** about being 'flexible'....yeah right. The OR is not a place to learn by trial and error. I had a long 9 months, that was that long because they kept bouncing me around from GI, to PACU, preop, etc., then back into the OR. Some of the surgeon's were slimy bastards, too-I grabbed one Iranian dude by the gown, after he fondled my boobs putting his gown on and informed him if he tried THAT again he'd be putting his teeth in a glass at nite! 

Hospital admin is putting pressure on OR management to crank up the case count to generate revenue for the hospital. I've seen a sleazebag mgr. roll a patient into a brand new OR RN's room from preop WITHOUT interviewing the patient, checking the chart...NADA! And who takes the fall for mistakes made? The nurse in the room. Get OUT while you can....and don't stop until you find a nursing job that will train you properly for the responsibility you will assume.

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