Not sure what to think...

Specialties Operating Room

Published

I am a new nurse who has recently just graduated college, and have landed my first nursing job in the Operating Room. I had completed my senior practicum in the OR at another hospital, so I already have a fair amount of knowledge. The hospital I work at is a very large, level 1 trauma center with 28 OR's and has a year long residency program for new OR nurses. However big the OR is, it consists of a very tight knit group of employees, which has proven to be somewhat problematic. I have a couple of questions that I would like to get answered from other nurses or scrubs based on your own experiences.

Having been employed over two months ago, I have only seen the inside of an OR maybe 5 times. All of these times I have been the assistant circulator, however one concern I have is that every time I have been in a room, it was on a different service. I had started out in Neuro, then a week later went to GU, then General, ENT, and Ortho. I have had a lot of difficulty adjusting to this very infrequent exposure to the OR, and even more being shuffled from service to service. It is impossible to learn how a particular service operates in a day, and as soon as you start to feel somewhat comfortable you are no longer with them again, and as we know every service does things differently. I am just getting extremely frustrated. I feel as if we should be placed in a service for at least a couple of days in a row in order to start to feel somewhat comfortable.

Another problem that I have been having is jokes about homosexuality. I am infact a gay male, however you would never know it unless I was to tell you. On each service I have encountered some kind of homophobic remark. One time I was tying up a residents gown, when the scrub tech says "dont goose him, we are not tolerant to that sort of thing." To which the resident replies "No Fags in this OR!" I do not know why they would even think that was acceptable, one to say something like that to a new employee who they know nothing about, and secondly to say it in general. If i was straight I would take offence to that.

One of the distrubing things happened right after I was hired and was being shown to the locker rooms. One of the female employees made a comment about the male nurse that was going to show me the locker room and said "Make sure you watch your a** while you are around him." I couldnt believe it! I am just not sure what to do as I definitely do not want people here knowing about me.

One problem I have been having is how close everyone is to one another. My boss had approached me because another employee told her I had been wearing my Pyjamas to work, and that I had also been coming to work already wearing scrubs. Both of which are totally absurd accusations. I had one day a couple of weeks earlier worn gym shorts and a sweatshirt to work as my dryer had broke but thats it, and when I told my boss that she flew off the handle at me, and gave me a written warning. I just dont understand how it is appropriate for Residents to cycle into work and walk into the hospital extremely sweaty and wearing spandex.

One final question I had for everyone was if they found that more Scrub Techs were being hired and scrubbing in, or if RN's were still doing a fair share. One thing that was never told to me when I signed my contract at this hospital was that nurses do not scrub in, only scrub techs too.

I am sorry if this has sounded like a long complaint, I am just becoming very frustrated and upset over many situations that have kept arising for me at work. Any insight or suggestions?

-Thank you

Specializes in 2 years school nurse, 15 in the OR!.
Do you practice in the South? I only ask due to my experience in the Military where remarks such as these were heard openly.

Im sorry for your dilemma...hope it changes for the best!

OK, you have got to be kidding me with this comment! I work in southern Texas, and these remarks aren't tolerated down here either. We aren't all rednecks you know...

MrNurseOR,

I agree with your last post. I am going to hang in there & make the best of it for the contract timeline, then I'm moving on. Probably back to the ER, which I loved. Only downside to the ER was having to work nights until day shift spot opens. But now I think it's worth it, in order to be in the area (and people) you really enjoy.

It can be very disheartening and disenchanting to see the level of unprofessionalism and immaturity displayed by a "profession." Nurses "eating their own" seems to be worst in the OR. I've worked in a few areas, and OR is by far the worst for all the above. I don't wonder any longer why nurses command so little respect at times.

Hang in there, remember there are lots of areas to work. One of the positive aspects of nursing. Best of luck, whatever you decide.

ok, you have got to be kidding me with this comment! i work in southern texas, and these remarks aren't tolerated down here either. we aren't all rednecks you know...

wow! ok are you serious about yours??? never said anything about rednecks.... :cry: was simply asking geographical location and stating where i personally have heard frequent inappropriate remarks of homosexuality take place more so then other areas.

are you female fracturenurse? (again..asking...dont want to assume ur male) if so you will never experiance the

vernacular that is used by your male counter parts, surgeons, anesthesia, when there a no females with in ear shot. these comments are not tolerated anywhere! but in the right forum, unfortunately they are spoken everywhere including texas. its an unspoken taboo just like racial slurs..(not tolerated but spoken) and im not saying its just men as proven by the original post by mr.rn. not here to launch a long winded debate based on our individual experiences….just stating what iv come across and heard while traveling through the u.s. its ok that we don’t agree….thats what makes them individual experiences.

mrrn…your current choice of action will be the easiest road to travel. unless your willing to take on an arduous battle through red tape and political b.s.to stand up for what you feel is right. there is no shame in “ getting in and getting out” live to fight another day... stay under the radar…get good references, build up that resume and move on sir!

Specializes in 2 years school nurse, 15 in the OR!.

Huh??? Not sure what you are trying to say. All I know is you feel like we are more insensitive in the south than in the north. Having lived both places, I say that is baloney. As far as whether I am male or female, that has nothing to do with it...You are making generalizations, and frankly it's cracking me up. I've said all I'm going to say.

I'm making generalizations and yet you feel you know me well enough from reading only 2 posts that you can tell how I feel?? ? Now that's something to laugh about....

How can I word this in simplest terms as not to cause confusion?

Ok ...here we go...

I heard these comments made up and down this country since I've lived in every part and have driven to each corner North South East west..Lived in mobile Alabama...New Orleans ..Pensacola FL ...San Diego CA...NYC...Boston Mass..and overseas.. So from MY experience...(key word MY) I Noticed (and that's all it was...a simple note) that I heard more of these comments made during my time spent in the south. Don't know why....nor do I care to want to understand why... I was just simply stating what I "noticed" And I was asking MRRN of his location in hopes to see if we share similar experiences to maybe gain some insight in the matter.... I'm not labeling the south as insensitive ,redneck, hate mongrels.... No no no my dear fracture.... Im just sharing an unbiased observation based on my time on this earth.

Hope you were able to understand my post...if not you may PM me for further clarification. I apologize to MrRN for hijacking his post with this exchange.

Back on Topic: Again, MR RN I do hope your situation makes a turn for the best. Please keep us posted.

Specializes in OR scrub/circulator, hospice crisis care.
Nope, this is a very prestigious New England Medical Center. Thanks for all of the support everyone. I think my best bet at this point is just to finish my training and move on.

I'm with you in thinking that you should hang in there until you can move on.

I work with a great group of people who are not into "eating their young," and as a new nurse and new OR employee, I've been treated very well and I'm very grateful. I'm sorry for the inappropriate treatment you've had.

That business of NOT COUNTING is scary as hell, and I'm glad my chances of winding up in an OR in New England is very remote.

Specializes in Operating Room, Ortho, Neuro, Trauma.
:twocents: The comments have to stop. There are EEOC laws and every institution enforces them. I am sure that their HR department and corporate attorneys would dookey in their drawers if they knew that was being said in front of you. Look into it. You have signed a contract and you are not the one who has violated the terms of it. No one should have to work in an uncomfortable atmosphere and just "live" with what others say! I am sorry that you are having to deal with this. Good luck.:spbox:

I'm rapidly approaching the point where I just want to pay the contract and get out of it, even if it is $2500. It may be worth it to get out and to an area I enjoy. Best of luck in your situation.

This scenario is sickening to me. I went through a 9 month internship 10 years ago and can remember the frustration of feeling like the "village idiot" every day that I went home because information was held. People made you feel like you were the stupidest person on the block. The fortunate thing, was the instructor of our internship threw us back in the same service every day for 3 weeks. Yes, you do have to be a strong person to survive to OR. But you don't have to be abused!

Anyway.... you need to remember that every time your name is on a record you are liable for the care of that patient. I have sat in a room with a judge and a family and can say that when I did it was very nerve racking to defend my nursing practice. Be sure you are doing the "Right thing" all of the time... or you might find yourself defending you and why you fell into the pressure of some idiot in the OR who wanted to bully you. It won't hold up in court. I can promise you that.

I am currently a Director of two surgery centers and would never tolerate this type of behavior. I learned early on, that if my license is at jeopardy and management or HR isn't going to do anything about it GET OUT!

Also, just as someone said before, document, document document.... When you have these conversations with HR or your boss about these issues DOCUMENT! That way, when you challenge the contract you have signed for them to train you, you can prove that improper of lack of training makes the contract VOID!

Good Luck! The OR can be a very rewarding, fun and lucrative career if you can just get through the bull and find a good place to train and work.

Specializes in OR, ER, Med-Surg, ICU, CCU, Home Health.

Oh, how I hate to hear these kinds of things. The OR is such a great place to work, but these people are who gives us a bad name. Ugh!!!!!!! You need to report these comments to HR. This is not where I would want to work. :banghead:

I worked in Oregon, where they didn't count instruments. They took an x-ray on every patient at the end of the case to verify no instruments were left in the patient. I was a travel nurse there. I expressed my concern to the OR supervisor and she told me it was "the accepted practice" in the area. :eek: I didn't extend my contract. This is just a totally unsafe practice. :no:

I work at a hospital now that doesn't count needles. It makes me crazy. I keep expressing my concerns to the OR management. After 2 yrs., they are looking into the issue. I'm not popular with my co-workers over this issue, but they don't provide for my family or maintain my nursing license.

I feel the need to apologize to you for these "situations." Not every OR is like this. I don't know what your contract reads, but I would try to get some advice to see if you can get out of it. If it's monetary, it may be worth the price to find a job where this doesn't happen. It's 2009 for god's sake. They need to enter the 21st century. I could go on and on..........

Best of luck to you.

I don't have any expereince in the OR except for the 2 rotations in clinicals I did in 2 different hospitals--the 1st in a fairly small hospital--these people were brutal--the whole time I was there they would talk about other nurses that they didn't like--and this included the doctors talking about the nurse they didn't like.

1 doc stopped what he was doing after ranting about a nurse he had a run-in with and realized I was in the room and almost accused me of being a spy for her. It was bizarre. After we graduated a friend of mine went to that hosp. in the OR and she told me it was so cliquish that it was really hard for her to stay on there. I'll tell you I saw alot of nasty words, dirty words and bullying going on. Another girl I know worked in the same OR and she said that if you didn't go out after work with those people they blackballed you. Also the doctors there would ask the females if they shaved thier private parts and what kind of underwear they wore. My friend almost died with that one.

At the other hospital (teaching) it was better but the circ nurse they put me with didn't want me with her and acted ****** all day long--but even then I still would have worked there if I could have. As long as I am not forced to hang out with people after work then I am fine.

As far as counting instruments--that is essential--it is your license.

This is a very disturbing post to say the least. It is particularly so because I have a telephone interview scheduled next Tuesday for an OR internship that could very well be this facility. I hope that the original poster will join in. I would hate to make such a huge decision (I live out West) to uproot and go to a situation like this. I would love to learn OR (correctly) and not deal with constant politics. I have 5 years of M/S, Telemetry, PCU and ICU experience, along with travel nursing. Can anyone give me ideas on where the best OR internships are? I applied to one at Baylor, but did not get in. I would appreciate any help you can give me. I am beginning to become very disillusioned with nursing in general due to these types of situations. Thank you!

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