Oh, had a great day ROFLMAO!!!
Worked with a tech that makes it her practice to run the circulator to death. Had a MRSA isolation case....all the way down to the end of the hall as far as possible from needed supplies, outside circulator was an orderly who knew little and was pulling double by disappearing to turn rooms over as required. Tech asked for another basin...get it and she denies asking for it but someone else in the room backed me up, although she continued to deny it. She asked for an instrument, sent for it and she laughed at me saying that wasn't what she asked for...thankfully, doc backed me up and told her that was exactly what she'd asked for! Ok, so it was a PITA but it was very nice to have someone backing me up, for once...long story with this particular crew but this wasn't the kicker for the day.
Had an add-on lap appy that went bad. Resident hit the descending aorta with the insertion of the initial trocar, bladeless though it be, and proceeded to 'play around' trying to find the source of ALL THAT BLOOD IN HIS GUT! In no time at all we had 700cc in the suction canister and he was still assling around. Attending comes back in the room and chews his backside and tells him to open STAT! Thankfully, there were a few folks between cases and/or waiting on surgeons/patients to arrive to start their next cases so I was able to open the door and scream down the hall for extra supplies...cv major set, vascular clamp set, headlights, etc etc etc GET ME A CV SURGEON IN HERE STAT!!! while I had anesthesia drawing blood for a type and cross, pulled another RN to help with counts while I opened sets, laps, dressed docs, hooked up headlights and plenty of other goodies. It was quite exciting ROFL and I'm happy to say that the repair was made and we managed to bolus fluids and hespan and avoid transfusions (he started with a hemoglobin of 15.8 TG) and he was doing well last I heard in that ICU bed I secured for him
On top of that, my tech who claims to be the best we have yada yada, was floundering significantly, asking for another tech to scrub in with her (nobody available by this point) and the ST student we had saved her backside a few times. Sad when the student is more competent than your experienced tech.
Before all this broke loose, she had been badgering me to fetch a few items she ''forgot'' to get and was already scrubbed in so needed me to get it for her, as usual. We were doing a rapid sequence intubation and she repeatedly was asking for these items with me telling her i heard and would get asap. By the time I was able to safely do any of it, she'd asked me several times and I was livid. I left to get one item and ran into our orderly who immediatly knew i was *there* who begged me to let her help 'fix' whatever she could, what was wrong LOL told her I wanted the super NOW! Gave the tech the one item and went to fetch NS and super was there, went off (appropriately just animated lol) told her i've had it with this tech, i want my techs prepared, in the room and having gathered needed supplies BEFORE scrubbing in for all cases...now, i feel better.
she busted out laughing ROFL then said she would take care of it. She later told me that she'd just had a counselling conversation with this same tech just before that case started and for me to walk out and tell her the same problem occurred right after being given corrective counselling, she was not happy with her. Apparently I'm not the only one fed up with her lack of preparedness and incompetency.
Ok, if you've read all of that I thank you LOL It was quite a special day though could've been much worse. There is at least one day like this per week though and I am not a superstitious person, so I just figure since hte rest of the week went well this was *my day* for the week.:trout: