Quote from shodobe
stevierae, I was just about to state exactly what you stated, a seasoned OR RN does not need to define what circulating is. This subject has been brought up to many times to let it linger. If there are states out there that "allow" STs to circulate in any manner, they are the ones I would avoid as a parient. The statement to say that, "we do what is needed to give our patient the best care" is obviouly from an individual that hasn't been in the game long enough and wants to do more than what is "legally" allowed. All ORs that are worth their salt go by AORN standards and as stevierae stated, do not condone the use of NON_LICENSED personel to circulate. It all goes back to the issue of who is responsible for the running of an OR room. It is the RN and not an ST who is in charge and "delegates" what responsibilities are appropriate. The patient is my responsibility, not an ST and believe me when the s**t hits the fan who is going to get raked over the coals, the RN! This also goes back to the question of need, are STs really needed in the OR. Well, if they are going to go beyond their scope of practice in my room, the answer is a resounding NO! I really don't care if an ST knows what I am doing or not, if I think it is important I will tell them other than that they should just do what they are told to do. I am really grouchy today because of very long hours and this subject just irks the bejeebers out of me. mike
I originally had a pretty sharp response to the attitude displayed by Mike...until I read the link posted above (Should ST's circulate?). Now I'm just simply curious....what exactly has spawned such an intense (and I do mean intense, from some of the posts I've read) hatred of ST's? I mean, some of the people got downright nasty! I would think that with the amount of condescending comments RN's receive from doctors because the rn's didn't attend four years of medical school, they would think twice before passing the s**t down a level. (Overheard from a doctor once: "There's no way I could have been JUST an RN. I had to be something more than that." I'm not an RN (yet!) but that comment pissed me off just the same.)
As a cst myself, I take a lot of pride in knowing my scope of practice and doing my job in a safe, proficient manner. Do I believe that st's should be the primary and sole circulator in an OR? No, we are neither licensed nor trained to do so (ie: pt assessment, dispensing of medications, etc.). I also agree with the posters that every patient should have an rn to help oversee their care. However, I do believe our skills can be valuable in a secondary position, working WITH the rn if we are not scrubbed in (ie: opening a room, helping with pt positioning and padding-- which we ARE taught in our 2-yr schooling--running for supplies so the rn doesn't have to leave the room, answering docs beepers, etc.). And as for when the s**t hits the fan...it happens quite often in L&D. Just because I'm a cst does not mean that I lose my head and start whimpering in a corner everytime there's an emergency section or a code on the table (neonatal or adult). I follow my scope (which is usually running during codes unless I'm scrubbed in) and do what I can to help in a quick and efficient manner. I fully realize that there are techs (as well as rn's) that are lazy, incompetent, and pretty much useless. I think every profession has a few of those, I believe it's due to one's work ethic, not whether you spent 2 years getting a st degree vs. 2 years getting an rn.
And I don't know about where all of the negative posters work, but here the rn's, techs, and doctors all work together to....****, IMAGINE THIS....give the patient the best possible care, and make them as comfortable as we can while they are in the hospital.
A lot of the posters should be ashamed of the comments they wrote. I think we all (techs, rn's, doctors, lpn's...even housekeeping) have our specific role in the hospital...our little niche to work from. And I think it says a lot about one's character to belittle someone who isn't on your *perceived* level.
I can't remember who said it, but I believe this rough paraphrase fits this thread well:
"Judge a man not by how he treats his equals, but by how he treats those beneath him."