Quote from poopsiebear
How do you guys deal with pagers/cell phones in the OR? Our residents/fellows used to have pagers and it's in our unwritten policy manual to answer their pagers for them. Fine, I can deal with that. Recently, our hospital converted the pagers to cell phones instead. So instead of hearing the annoying beeping, the cell phones are going off constantly throughout the case. With the pagers, at least I can turn them off and have the option to answer the page when I have a minute. Now, with the cell phones, I have to stop what I am doing to answer their cells. And every time you answer the phone, the calling party is ALWAYS surprised that so and so is scrubbed. HELLO????? That's what surgeons do! Sorry .... I just have to vent.
I am going to get some flak from younger nurses for this, but here you go:
THE CIRCULATING NURSE IS IN CHARGE OF THE ROOM.
In my rooms, the residents know better than to bring a beeper or cell phone into the room. They leave it at the front desk, or they don't scrub in.
If they want to whine about it before they have gotten used to the routine, they can take it up with the attending.
He will back ME, or any other circulator, not some resident whose time there is brief.
He will likely validate what I have already told them by saying, "She is right, you know. You need to delegate whatever unfinished duties you have, or potential ones, to one of the medical students under you, or to another resident.
If you cannot give this patient your undivided attention, then perhaps you should not scrub in until you can."
My responsibility in that room is to advocate for that patient--not to answer phone calls about other patients. Docs cannot simultaneously operate and tend to floor patients or ER patients, trauma or no trauma. Those duties need to be delegated, or they should not scrub in. Period.
You should not even have to take this issue to OR management.
YOU, not management, are in charge of your room.
People will abuse you only as long as you allow yourself to be abused. Expecting you to answer their beepers or cell phones is an abuse of what they perceive to be their power, and it is inappropriate and also disrespectful of the patient on the table. You notice that attendings rarely, if EVER, do this--they respect us too much.
Shodobe, let's hear your thoughts.