OR Student Experience - page 2
Hi everyone. I am so excited. Our school provides us with a 3 day OR experience. Tomorrow I am going to be shadowing a Circulating Nurse during a Colostomy takedown. Not sure what Friday holds... Read More
May 22, '02HELLO THIS IS ALL VERY INTERESTING IM A LPN ENTERING THE RN PROGRAM STARTING IN JUNE .I AM ALSO INTERESTED IN OR AND WILL TAKE EVERY BIT OF INFO HERE INTO CONSIDERATION THANKS
May 22, '02I went into the OR right out of school and never regretted it. Stayed with it for years and then went into a critical care area. Never felt like I missed a beat or lost any nursing skills while in the OR. We can't over generalize situations or people. Many will say that going into the OR first is wrong, but follow your heart and your own instincts. Best wishes to you.
Jul 5, '02While I was in nursing school I was a secretary for a med surg floor and decided that the staffing issue alone on the floors was dangerous why take care of 7 to 10 patients when you can take care of just one. I think that floor nurses are very hard workers but it was not for me. I did not want to be that liable.
I went right into an OR nurse internship program and never looked back. YOU DO NOT NEED FLOOR EXPERIENCE TO BECOME AN OR NURSE!!!
The only reason to be on the floor is to make sure that is not where you want to be.
Jul 6, '02Before going to the OR I worked 4 years in the ER. The ER just happened to be avaliable at graduation time as the OR required 2 years of experience. The ER experience prepared me for most any event that can happen, it also helped me learn how to deal with demanding docs. I knew upon graduation that I wanted to work in the OR, hearts if possible as I had observed a cabg at a competing hospital. Well, when my hospital started talking about puting in a new heart program I quickly put in for a transfer to the OR. That was over a year ago and things are going great in the OR and I now wonder why I waited so long.
Re: the depate about losing skills, It's really two totally different kinds of nursing. If you feel certain that the OR is your niche, then don't worry about it. You can always go back and work at & learn med surg nursing. The only real advantage I have been able to determine is that given the current shortage of staff, our hospital is paying double time for any nurse willing to work an extra shift on the floor or in the unit, er, etc. Without some experience on the floor you may feel uncomfortable working in a different environemnt. The more versatile (sp) you are the greater your opportunities. Get comfortable where you are and then cross train with another department. Trust me, If you offer to help them with their work, they will be more than happy to share their knowledge of patient care and assessment with you.
Good Luck, Nursing is a wonderful career and remember its all about attitude.
Jul 22, '02Dear Anne--(KC Chick)
I liked your dog quotes!!
Her's another dog quote some elderly lady told me: "Dog" is "God" spelled backwards."
She said that dogs were special messengers of God, maybe even angels. It never occurred to me before!
She might be right. Our dog, (now deceased) literally saved us from a house fire over 20 years ago. He whined and whined at our bed when our children were babies one night when we were trying to sleep. We kept telling him to go away and go to sleep. He would NOT let up.
Finally we got up and went downstairs with him--the living room and hall were FILLED with smoke from the fireplace; it had somehow backed up into the rooms.
We had thought the fireplace fire had been extinguished before we went to bed. This was back in the days before smoke alarms.
He saved our lives then, and, while our children were growing up, he never let them out of his sight.
Dogs really are very special .
The gift which I am sending you is called a dog and is in fact the most valuable possession of mankind."
"There is an Indian legend which says when a human dies there is a bridge they must cross to enter into heaven. At the head of that bridge waits every animal that human encountered during their lifetime. The animals, based upon what they know of this person, decide which humans may cross the bridge.... and which are turned away....." AnonymousLast edit by stevierae on Jul 22, '02
Jul 30, '02Originally posted by stevierae
DO INSIST that they let you learn how to scrub, and scrub all areas, not just get stuck in one.
I was a corpsman in several areas before I went to OR tech school in the Navy, then went to nursing school and went straight back to the OR in 1981. Med surg in the Navy and in nursing school was enough, thank you very much.
But anyway--when I went back to the OR as a nurse, we were an almost all RN staff, and we could all fulfill both roles, and very well. If you did not know how to scrub a case, you spoke up, and backscrubbed with someone until you were proficient. This was a trauma hospital and you could NOT take call until you were proficient in all areas, both scrubbing and circulating.
These days, I see a trend toward charge nurses who are in charge of ENTIRE SPECIALTIES, yet have never scrubbed a case in that specialty, or in ANY area, for that matter--AND THEY HAVE NO INTENTION OF LEARNING TO DO SO. I have always felt that, unless you scrub yourself, you will not be able to anticipate the needs of your scrub. The circulator should be the most experienced person in the room, in both areas.
If you confine yourself to circulating ONLY, this is what happens:
You won't be able to help out a new scrub, or registry scrub, who is unfamiliar with the instrument trays in your O.R.
You will be clueless as to his or her need for a break, although you will make sure that someone gives YOU one.
If an instrument is missing, you will not be able to suggest something else that would do in a pinch.
Another bad trend: nurses who confine themselves to ONE SPECIALTY, and never learn anything else, so they panic when they get an emergency or another type of case in their room. Then everybody has to play "musical chairs" that is, rearrange their room assignments, to accomodate them. Don't let them stick you into, say, "eyes" or "urology," then wake up one day, 3 years down the road, and realize you've never done a crani or an orthopedic case.
Good luck to you!
Jul 30, '02stevierae, I'm so glad to hear your story. Thanks for sharing. It's incredible what animals are capable of. When I was a single gal living on my own, I depended on my cat to let me know if she heard any "strange" noises. My hubby and I now have a 3 month old Vizsla pup. I hope we develop as strong of a bond as you and your dog apparantly did.
Back to the subject at hand......
I recently transferred from the OR at my hospital to the medical/telemetry unit. It is a stepping stone to ICU for experience that will one day get me accepted into anesthesia school. (fingers crossed!!!) As far as the issue about med/surg prepping one for surgery....I can tell you that I've experienced the opposite effect. The OR has prepared me for the med/surg floor. In the past year of surgical experience, I have gotten to know what exactly happens behind those closed doors. I have also become acquainted with the surgeons.....working on a one on one basis....in the OR for hours at a time. I can now also explain to a pre-surgical patient almost exactly what is going to happen to them when they get to the OR for their procedure. I also know what kind of surgical wound to look for in a post-surgical patient....and what kind of dressing or drains a particular surgeon may have used. I can also do a pre-surgical prep with ease.....it's second nature to me now.
The OR experience is a GREAT asset. You wouldn't believe the difference between what goes on in the OR and what the floor nurses think goes on in the OR. Some don't have a clue what happens during surgery. I CAN TELL THEM!
Also, a few days ago, one of our medical docs decided she wanted to place a chest tube in one of our floor patients. I went in to watch with the other orientees.......and ended up putting on sterile gloves myself to assist her w/the procedure. The floor nurses in the room couldn't do it.....cause they rarely place chest tubes on our floor. I have the experience in placing a blade on a knife handle and taking care of sharps afterward...even taking the instruments to CS for processing. I also noticed that some of the orientees didn't really have the 'sterile/surgical conscience' that you develop in the OR. "Don't walk between me and my sterile field please."
Also, if I hadn't gone to the OR straight out of school....I may never have gotten the intense interest in anesthesia that I now have. One road may definately lead to another. That's the great thing about nursing....the possibilities are endless.
AnneLast edit by KC CHICK on Jul 30, '02
Aug 5, '02damn it damn it and double damn it ..... im new here and posted this fabulously long reply only to find i wasnt logged in !! so im not impressed and i wont be rewriting ...... anyway was just really having a sticky beak as im new ...... trying to figure this all out yet ..... seems a tad huge this site ..... should be something i can manage to stuff up quite well ....
might post again later ..... toodles
Aug 6, '02Bummer! Love to hear from you. Get it a rest and try again later! Sometimes you just have to regroup! Take care - Carrie