O.R. Orientation - page 2
I am curious about the type and length of orientation any of you have received. I started in the O.R. mid-September, and to date have had about 4 hours of classroom orientation (a mixed group of... Read More
May 20, '03Occupation: surgical services manager Joined: May '03; Posts: 2There is a lot of different opinions when it come to whether a circulating nurse should know how to scrub, so i will give you mines for what it worth, I feel that a nurse who can scrub make a better circulator because you have a better understanding of what going on during the surgery which help you anticipate quicker and can assess the need for extra sutures, instruments, or different retractors before the tech can ask thus helping to shorten the overall surgery time, because when a patient is asleep every minute counts. There is nothing in the surgical services department that I can't do from scrubbing to First assist and from circulating to pacu, endoscopy, or outpatient surgery depart. Here is one rule of thumb that a lady who had been in surgery for 35years share with me when I first went into surgery many years ago, "Don't ask anyone to do something that you can't do yourself."
May 20, '03Occupation: RN, surgery Joined: Jan '01; Posts: 49Hey, OR MAN, thanks for the reply. Everyone has their own opinion and maybe if I scrubbed I would agree with you. But, I don't and it seems even if I wanted to, here in the south that has been pretty much out of the question. In Huntsville, where I learned the OR, the attitude was "any warm body that had an interest could learn to scrub" they weren't about to encourage an Rn into scrubbing. Pretty sad...I don't think that is the case so much anymore...
I do try to be attentive and anticipate needs on the field. I am a firm believer that knowledge is power...you got that hands down...
Jun 7, '03Joined: Jun '03; Posts: 4Having always wanted to work the OR from the first time I was assigned as a student nurse----I gave it a try. My advice is to
try to work with one preceptor as much as possible. at least until you have a feel of the OR and how things work. And if you have problems do not hesitate to talk with your preceptor/manager/educator. I had a not so good experience my first go round.
I never knew who I would be assigned with as a "rookie" and everyone does have their own way/system of doing things. If you can work with one person and get the basics you need it seems to make it a lot easier to then learn with a variety of preceptors. Just my opinion Good luck!
Jun 11, '03Occupation: Cardiology ACNP Specialty: 5 year(s) of experience in Acute Care - Cardiology ; Joined: Jun '03; Posts: 383; Likes: 166
Well, all - This is my first time browsing this website and immediately found the forums. I just graduated May 16th, have not taken my boards (I am a nervous WRECK!) and I will start work next week. AAHHH!!!! I am about to start the job that I am suppose to do for the rest of my life! Ive never had a "career" before. But, I have gotten really good at going to school though. Too bad I cant make money doing that. *hehe* After reading through these forums and messages, at least I feel as though I am not alone in any of this. I will also be working in the OR - that of which I have never done. I think I did about 3-4 rounds in surgery, but that was it. Even then, it wasnt very helpful. There is just SO much to learn. Before I graduated, I was working as a nurse extern in the ER. I worked there for a little over a year - LOVED IT and learned a ton!!! But, I wanted the day job... and the experience, ya know? Also, I wanted to be in the same city as my husband... when I was in the ER, we were travelling in opposite directions, and we're still newlyweds!! SEE? Just a lot of stuff going on at once.... *Any prozac donations graciously accepted* ANYWAY - I look forward to reading more of the postings and hearing back from some of you.
Jun 12, '03Occupation: OR Staff Specialty: O.R., ED, M/S ; From: US ; Joined: Aug '00; Posts: 1,295; Likes: 364Interesting point of view from KarenHalse about "any warm body that had an interest could learn to scrub". I have just the opposite opinion that anyone could learn to circulate but it takes a very special, dedicated body to learn how to circulate. I agree with ORman that the only real OR nurse is one that can go both ways, but this thread has been hashed over before. When I started many, many moons ago, we had the pleasure of taking our time with newbies. I think my orientation lasted about 6 months before I was allowed to take call on my own. I was partnered with a very seasoned nurse, she had about 20 years experienced and most of that was in the military. She was the best thing that could have happened to me and I appreciate everything she taught me. I know most hospitals don't have the good grace to offer this kind of orientation and pretty much want nurses ready to go in 8 weeks or less. My advice hook up with a nurse who has been around the block and act like a sponge and soak up all you can from them. Believe me if you show the desire to learn as much as you can, they won't "eat you"! Good luck, Mike
Jun 12, '03Occupation: OR Staff Specialty: O.R., ED, M/S ; From: US ; Joined: Aug '00; Posts: 1,295; Likes: 364OOPS! I meant to say it takes a very special, dedicated person to learn how to SCRUB. I need to read my stuff sometimes before I insert foot. Long days, long hours, all a blurrrrrrrrrrrrrrrrr. Mike
Oct 11, '03Occupation: perioperative nurse Joined: Jun '03; Posts: 308; Likes: 1As a new grad, i entered a program that lasts 12 months. We start out with classroom and lab experience then introduce clinical time with preceptors. after 11 weeks, we are put through one month of specialities in the OR for a while with a preceptor. I am hoping this helps make a smoother transition, b/c I am totally new to this area and want to learn as much as I can without having too short of an orientation
Oct 11, '03Occupation: RN, surgery Joined: Jan '01; Posts: 49I think there is a little misunderstanding about scrubbing and "my opinion". The hospital that I trained at which was Humana in Huntsville, Al. did little to encourage an RN to scrub. They were just too cheap and it was to easy and "cost effective" to train a non licensed person. I did not say I agree with this. I only feel that you can still be a good if not "great" circulator without scrubbing.
The hospital I am currently at in B'ham, Al., has recently hired several new orientees to the OR. The RN's, (3), and the Tech's (8), were all given about a month of classroom training and the rest is up to the staff of the OR to train them. The RN's had a short couple of weeks learning the basic's of scrubbing and then they are to circulate only...
Oct 15, '03Occupation: Theatre Practitioner Joined: Sep '03; Posts: 11Talk about hot heads! Training in the the Uk may not be the same BUT student nurses can aquire Theatre as part of their 'training'. They may undertake Recovery or Scrub as obserationalist but not practice under any circumtance.
I am sorry to say that theatre requires back bone, being out on a limb its hard very hard.( People within this sphere are either workers or lickers Surgeon or management u take ur choice). Be faithful to yourself and earn reputation as competenant worker, surgeons have no preferance just as long as their list is done.
We in the UK don't have licensesbut there are 'courses' that we can include in our resume. Don't forsake proper practice with a quick trip it will always catch you out. If unsure go higher your line manager, or top of the shop!!!!!
Nov 9, '03Occupation: perioperative nurse Joined: Jun '03; Posts: 308; Likes: 1I just started an OR internship this September as a new grad. It's totally overwhelming to me, learning how to scrub and circulate. Our internship is supposed to be 9 months long rotating through different specialities; ortho, ENT, general, plastics, which are the main specialities. They are trying to change the program and make us choose 2 specialities and become competent in them by scrubbing and circulating. So far, I feel like I have learned a lot, but many people who work in teh OR have told me that it will take a while to feel comfortable there; up to 2 years even. I also find it hard to scrub wtih different people all teh time, cause they have differen tways of doing things. Just hang in there, as that is what I am doing, as things always get better with time. I realize that the good days always make up for the bad ones