no RN in the OR just techs

  1. tell me if this is right...the SURGICAL TEAM: OR techs circulating in the OR for abdominoplasty, liposuction, and breast augmentation..is there something missing in the picture?
  2. Visit gooch951 profile page

    About gooch951

    Joined: Jul '06; Posts: 25; Likes: 1
    RN
    Specialty: 4 year(s) of experience in Telemetry

    20 Comments

  3. by   elcue
    is this in a surgeon's private office-based OR? i didn't think any ORs outside the military or offices function like this these days.
  4. by   gooch951
    it is a plastic surgical institute here in southern california.
  5. by   Corvette Guy
    Quote from elcue
    is this in a surgeon's private office-based OR? i didn't think any ORs outside the military or offices function like this these days.
    BTW, in the Army Nurse Corps the OR Team includes the Operating Room Nurse, which is an RN [66E].
  6. by   RNOTODAY
    I believe, but I could be wrong , dont quote me, that if they are not funded by medicare in anyway (as a plastic surgery center wouldnt be) than they dont need an RN in the room
  7. by   Marie_LPN, RN
    Boy 'bad idea' would be an understatement for that situation.
  8. by   suzanne4
    Definitely bad idea, and against every standard, and especially AORN. If a case ever goes to court form that office, the surgeon can kiss his practice good-bye. The patient will own it.
  9. by   suzanne4
    Every private office that I worked in the OR always have had an RN there in the room. There is no way that I would ever go for a procedure that requires an RN be there, and then none is there.

    What happens if there is an emergency? Sorry, but CSTs are not ACLS certified, and most do not read monitors unless they have experience in open heart rooms. And having only the anesthesia person there as qualified, not a good sign.

    And they are even using anesthesia personnel, or is he doing the anesthesia and the surgery himself? I do not know of one anesthesia provider that would want to be in a private setting and not have at least an RN there.

    What about recovery of the patient? Is the physician cutting corners there as well?
  10. by   CaseManager1947
    I believe RN circulators are JCAHO standard. Nursing assessments are required in the OR, as they are everywhere else. I think this is very dangerous, economical, but dangerous practice!!. And if this is plastic surgery freestanding OR clinic, even if it is physician-owned, he still probably wants JACHO cert.
  11. by   gooch951
    I'm just glad to be out of there and back with normal people that follow standards at a hospital!
    Last edit by gooch951 on Aug 31, '06 : Reason: too drama
  12. by   sunnyjohn
    Why are you risking your license and your future??


    QUIT!!!!

    You're and RN! In 95% of the country you can find another job two weeks and not even miss a pay period.


    (This post was not meant to be rude. I am just scared for you and your patients.)
  13. by   gooch951
    I DID! and didn't get paid!!!!!!! what a nightmare!RRRRRRRRRRR!!!
  14. by   sunnyjohn
    Quote from gooch951
    I DID! and didn't get paid!!!!!!! what a nightmare!RRRRRRRRRRR!!!
    PLEASE tell me you called up your lawyer to get your paycheck!!!!

    I'm a CST, but would not work in a private clinic without an RN.


    Whose gonna take up arms with me and turn back to bacck when they start shooting.

    Or if worse comes to worse and he/she backstabs me, who am I gonna blame when I KNOW I did nothing wrong and the crap hits the fan??? (just kidding)

    I glad you quit. That surgeon sounded like a wolf in sheep's clothing. I've known a few like that who have the office staff snowed with their charm, big bonuses, trips and star struck by all the big wigs that come in the office. Not me. I've seen him work in the hospital and heard him talk to his wife and kids in the parking lot when he thought no one was around. JERK!!!

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