Should Surgical Technicians Circulate - page 4

Should Surgical Technicians be permitted to circulate in the O.R?... Read More

  1. by   carcha
    Quote from LPN2Be2004
    Just because they're not RNs doesn't make them bad either.
    Poor choice of phrasing. This whole topic has absolutely nothing to do with good or bad. The whole issue has to do with different education, responsibilities, accountabilities. To try and define it as a good or bad issue is simply childish. OR techs do not have the necessary education to lead an OR team. That is a fact. There may be many techs who are brilliant at scrubbing ect however scrubbing is really not the most difficult aspect of OR care and I was always taught that during a AAA for instance the MOST JUNIOR member of the team should scrub. Once you have your instruments in front of your and if your not very experienced an experienced RN to guide you then its just a case of keeping up with the surgeons. Its the circulator who manages everything else from the patient care, the medical team to the staff breaks to the order of the list to the paper work. So good or bad is simply an illogical statement. RN's are the nurses not the techs.
  2. by   Marie_LPN, RN
    No where did i say that a tech was a nurse.
    Last edit by Marie_LPN, RN on May 17, '04 : Reason: clarification
  3. by   Hellllllo Nurse
    Quote from Lonman
    Actually,for those who felt threatened, the Illinois bill that goes in effect in July is not intended to "replace existing RN's". It is actually the 1st attempt to get more regulation in this field that many of you love to phrase, "unlicensed professionals". Isn't it about time that surgical technologist become licensed?? As you the RN's love to say, don't you wnat the best qualified help??

    Actually, unlicensed persons are not considered professionals. They are UAPs- unlicensed assistive personnel.
  4. by   Marie_LPN, RN
    Quote from Hellllllo Nurse
    Actually, unlicensed persons are not considered professionals. They are UAPs- unlicensed assistive personnel.
    Exactly, TY.
  5. by   Chrislynn2003
    I think that it would be a good idea if a tech followed around an RN circulator to see what it would be like. The tech's know what the RN does in a sense, but it's different knowing than doing. Some of the techs act like circulating is a cinch, but it can be difficult at times. Besides that, tech's do not have a license and therefore should never circulate. And like someone said, its' not about fairness.

  6. by   Rnn2003
    I am really glad I posted this thread... I wanted to get a feel for what others thought about CST circulating in the O.R. Many of the CST including the (Surgical Tech Instructors) seem to feel that once tech's become licensed Techs (Following Texas) that they will decrease the need for R.N's only in the circulating mode in the O.R... simply because if nurses are allowed to have several patient on the floor with LPN working under them then certainly this is a possiblity in the O.R...The RN would do the initial assessment, check in on the room from time to time but the Tech would circulate...reason stated cheeper labor....what are your thoughts if any on this.

  7. by   shodobe
    You are definitely opening a can of worms. I would rather retire than let a CST circulate a room. Sorry for the bluntness, but this will never happen as long as the AORN is around. Like I have said in the past, STs have their place but not in the role of being "responsible" for all aspects of patient care. If they want to do this then go to nursing school and get your RN! I still feel an RN trained to do both is worth their weight in gold, STs are so one dimensional. Go ahead, slam me, I am ready. Mike
    Also this follow an RN around to see what they do is a little ridiculous. I can follow a firefighter all day, doesn't mean I can do his or her job at the spur of the moment.
  8. by   carcha
    From my own experience hospitals employ techs, or CSA, ect when there is a shortage of RNs. I really dont think its about money -for a change- but simply manpower. Lets face it one RN can do a multitude of tasks and perform patient care accross the board whereas techs have to be supervised and are limited in what they can do. Therefore it makes sense that the hospital would employ RNs and have total care provided. As RN availability ebbs and flows so does the employment of techs. I have never worried that my job is at risk and if anything hospitals here are cutting down on non nursing staff not increasing them.
  9. by   Marie_LPN, RN
    I really hope i don't encouter too many i'm-better-because-i'm-an-RN attitudes when i start training (nor am i saying that all are or will be like that). I'm well aware of the differences in the education, job responsibilities, but i'll also remember these things when i go back for my RN, and remember where i came from, because i'm sure by then there will at least be one person that will try and treat me as a lesser person because i'm not an RN and here i am in the OR.. Sorry for the bluntness.
  10. by   lindaloo51
    Personally, I don't treat anyone as a lesser person. We are a team and every team member has their job. EVERYONE is important. Where would I be without the processing techs to clean and sterilize my instruments? Where would I be without the purchasing department to deliver my packs and supplies? Where would I be without the anesthetist to keep my patient comfortable and pain free? Where would I be without the OR tech to work shoulder to shoulder with? Or any of the other support staff that I rely on to do their jobs just as I do mine.

    I'll tell you where. Up to my a** in alligators. That's where I'd be. We are a team and we need to think as a team. We need to remember that we all do the best job that we can for the patient.

    I am trained for my job, the tech is trained for their job. They are different jobs in the same room.

    One last thought. A NASCAR race car doesn't get very far with a flat tire. All of the air needs to be contained.
  11. by   Rnn2003
    thanks for the feed back...i agree that we are all a team with one focus in mind the patient and that patient's safety.
  12. by   Marie_LPN, RN
    Thank you for posts #49 and 50, i needed that today.
  13. by   shodobe
    I personally don't think anyone of the above posters is really getting the gist of the question. It is not an issue of who is better or who does what. It is an issue of professionalism and what is in the interest of the patient. Every patient, and I mean every patient deserves an RN as their nurse in the OR, not an LVN or a CST but an RN. It is law in all states and will continue to be one unless the AORN folds up their tents and hits the road! I am NOT better than anyone when it comes to doing cases. All members of a team function well when they know how to anticipate each other's needs, but also know their limitations and job roles. Remember, the question was, "should surgical technicians circulate"? The answer is still no. The state of Texas is going down the wrong path when they think that allowing CSTs to do something they are not qualified to do is the answer to their nursing shortage. Remember every one in the medical field has a scope of practice to ahear to, so everyone should. Mike