I'm a new nurse (just graduated 06/2005). When I was originally hired in the OR I was told I would have a 12 month orientation, then it was bumped to 9 months. Well, the other day they had a staff meeting without me (I was in ACLS) and they decided a way to solve some of the staffing issues would be to let me start taking rooms on my own and taking call as second scrub. Keep in mind I have been in the OR for just 4 mo. now. I have two issues with this: first, I do not feel comfortable being in a room on my own. I do not know if I could troubleshoot some of the machines and really don't know cases well enough to anticipate my scrub's needs off the field. (I circulate 99% of the time). I know the routine of things, but I'm still not always sure why I'm passing certain things onto the field. I feel you really have to get the "whole" picture of what is going on on the field to be able to anticipate. I know this comes with experience, but I really don't feel comfortable just passing an instrument or suture onto the field without understanding what they are going to use it for. Also, I would like to be able anticipate when a laproscopic case looks like it might go open so I can be prepared. Second, in regards to the second scrub call issue, I have only scrubbed a total of 9 cases (2 of them were as a student, 4 were just observing and 3 I was actually first scrub). Most of the cases I have scrubbed in for were small 20 minute cases that probably aren't the type of cases we're going to be called in for. Plus I have never been second scrub and the only time I've held a retractor is for two minutes during a back case. I addressed this issue with my manager, who first tried to tell me anyone could hold retractors, than agreed to let me scrub as second scrub for a few cases before I have to take call. My question is has anyone else experienced anything like this? I really feel like I'm being cheated out of my orientation. Does anyone have any suggestions?