Circulators - page 7

i started out looking for first assistant info and ran across this info, the part i questioned i put in bold. i always thought circulators had to be rn's or does the rn requirement only come into... Read More

  1. by   GadgetRN71
    Quote from Y2KRN

    As a former CST graduating from an approved Surgical Technology program in the eighties. I definately do not agree that a CST should be placed in the role of a circulator. My program at that time did not entail assessment of the patient prior to surgery, did not explain lab values, did not talk about different fluid replacement, it focused on the surgical procedure the anatomy, phisiology, the steps of the procedure, sterile technique, and maintaining a sterile field and last but not least instrumentation. At the time I thought I could circulate didn't seem to be much to it. Then I went to nursing school fully thinking that I would be an OR nurse.

    I learned about assessing the patient, learned about disease process, more in depth understanding of lab values and why they are important. I also understand that now some surgical technology programs are two years long. However they are still only geared for the operating room. It is a different area of nursing unique to itself, but as stated previously every patient deserves a registered nurse!

    CST's are very valuable to the surgical team, they do bring expertise to the table every day, I don't think that their jobs will ever be in jeaparody. I think with proper training they can be first assisants and excel at it. There is room for both professions in the OR! Just my two cents.
    I agree 100% with your post..I too was a surgical technologist before I was a nurse. My program was similar to yours-we had in depth training on instrumentation, and surgical procedures but did not receive the training that allows a n RN to get the "big picture" regarding a patient. I also thought I was going to have it made when I graduated..I found out that,done correctly, circulating is a challenging job with ridiculous amounts of responsibility. I also still scrub on occasion and view it as a break, because the scrub pretty much just focuses on the field and the surgeon. The circulator focuses on the field, the surgeon, the tech,anesthesia and most important, the patient as a whole. Throw in the fact that I run the board on my shift and I'm worrying about what goes on in other rooms as well.

    I know at least in my state, the circulator must be an RN and this shows no signs of changing anytime soon.
  2. by   BethCNOR
    How on earth did we get off on this tangent? The problem seems to lie in the fact that not all techs are educated the same, just as all RN's don't receive the same level of education. Not all states require techs to be certified. Not all RN's are certified, either. This is what needs to be addressed and with the same fervor as this discussion. We can argue or discuss all day long between ourselves and get no results or we can get involved in the Grassroots movements involving these issues. How many of you have contacted your representatives at either the state or federal level? There is legislation being considered.