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Operating Room Nursing
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Scrubby has 6 years experience and specializes in Operating Room Nursing.

Scrubby's Latest Activity

  1. Scrubby

    tell me about your brainless moments

    I scrubbed for a fairly routine lap procedure and both myself and the circulating nurse forgot to do a final count until the patient was out of the theatre. Nothing was missing or anything as it was a lap case but it was pretty embarrassing.
  2. Scrubby

    Tired of hearing about the kids.

    I'm also tired of hearing about kids, grandkids from some people all the time. I'm also fed up with one particular person who brings her baby into work and changes them on the tea room table (where we eat!) without disinfecting it and while people are eating! We've told her to stop doing it but she just ignores us or gets affronted. So sorry I don't like the smell of your kids dirty nappy while I'm having my lunch.
  3. Scrubby

    Enrolled nurses!

    I disagree that our roles in the OR is exactly the same. I work alongside EN's and have a huge level of respect for them as I do for all my colleagues. But while our physical tasks in theatre are similar (scrubbing and scouting) the RN has a greater level of responsibility and accountability in the OR because it's our role to supervise and delegate to EN's. For example, if the surgical count is wrong then the greater proportion of blame will be given to the senior RN even if the EN was the scrub nurse. This is the same for anything that can go wrong, specimen mishandled, incorrect consent, injury to the patient etc. RN's in the OR also tend to have to take a leadership role by managing the OR list, delegating to staff, ensuring there is enough equipment and stock for each case and basically being the first point of call for any problems. I have come across RN's that look down on EN's and treat them like dirt which makes me feel ashamed. I have also worked with EN's that are constantly moaning and complaining about their limited scope of practice, yet won't enrol in the RN course. I don't agree with either attitudes.
  4. Scrubby

    Craziest Thing You Saw a Surgeon Do.

    The weirdest thing I saw a surgeon do was during a lap incisional hernia repair. He had trouble getting a large mesh down the port so he took the port out and shoved the mesh through the incision and used the lap graspers to pull it through. Not surprisingly, he ripped the mesh in pieces when it got stuck which cost thousands of dollars.
  5. Scrubby

    Refusing to do a surgery?

    I know this will probably inflame some people but I'm going to say it anyway. It's not about you, it's about the patient. If you can't put aside your personal beliefs and judgements then you probably shouldn't be working in areas where terminations of pregnancy are performed. What if every nurse on that shift refused to assist, do you send the patient home to be rescheduled?
  6. Scrubby

    Feeling undermined by co-worker

    Thanks for the replies. I'm going to attempt to speak to her tomorrow because our management expects us to try to resolve issues first. I'll say to her that I felt uncomfortable with the way she spoke to me in front of others with regards to the Urology equipment that I felt it was undermining and that it's important that we can work together. If we can't work together then that is a problem that will need to be addressed. If she tries to interrupt like she does whenever I try to show her anything with 'I know, I know' I will tell her to please let me speak uninterrupted. If she tries to make excuses to me like "You weren't clear on what equipment to get because you said I think" I will keep going back to her behaviour and remind her that it wasn't a professional way to speak to me. If I get nowhere I will take my complaints to my boss and ask that she is to not always work in that OR because she lacks in clinical skills and is becoming unbearable to work with. I know that I can get other CN's to back me up on this one because they too have noticed she doesn't know how to do things properly and always makes excuses like 'I'm too old for this new stuff' or 'I was just about to do this' when she really wasn't. Anyway wish me luck, I hate having these conversations particularly with people who think they are above everyone else.
  7. Scrubby

    Is becoming an RN still worth it?

    Carol-I don't want to cause offense but you sound like you're burned out and need some R&R. It doesn't help when you've experienced the high levels of stress and bad behaviour that goes on in the system. I felt like this a few years ago, even started a law degree that didn't work out. One of the hardest things I've had to learn is that I can't fix all the problems, I just have to do the best I can with what I have. Being a bit of a perfectionist I find this difficult to do and often find myself getting wound up. As for bullies well the best method I have with dealing with them is to remain calm and rationale and put on my 'I don't give a sh*t' face. Is it worth it? I think that's entirely up to the individual. I think you have to go into nursing with an open mind and realize that it's not all rainbows and lollypops and some days are worse than others.
  8. Scrubby

    Feeling undermined by co-worker

    Hi guys this is a bit of a contuination from an old thread I posted called 'I know I know'. I'm the CN in charge of a clinical specialty in the OR. Recently I've been out of my OR having to do the floor co-ordinators role (not by choice) but I'm still in charge of Gen Surgery. This nurse who I've worked alongside for a few years has had to run the OR for a while but when I have days where I go back she's been constantly undermining me to the point where I'm ready to have her removed from my specialty area. If I'm asked a question by another nurse or a surgeon on something she always has to get in first even though they are directing their questions at me. Half she time she's completely wrong. Yesterday we get an additional Urology case. This isn't' my specialty area but I know my basics. I said 'I think we'll need to order a cystoscopy tray, TURP pack etc'. Her reply to me was 'Well I'm not going to go by what you THINK we need' in front of my colleagues. She must have seen smoke coming out of my ears because she said that she wasn't trying to be rude. I was too angry to reply and being scrubbed at the time didn't want to escalate this to an argument during patient care. She constantly boasts at every opportunity how she's been a DON at this hospital, charge nurse at that hospital, knows every surgeon blah blah blah. She walked up to an intern in the OR an said 'I'll have you know that I've known Dr so and so since 1976'. It's not only me who is fed up with this sort of odd behaviour and to be honest we really don't care anyway. Her clinical skills are really not that fantastic, she doesnt' practice bowel technique during colo-rectal procedures and when this was pointed out to her she said 'I'm too old for this new practice'. If she was actually an expert at Gen Surg I might be happy letting her take charge. But she's not. Her teaching skills are atrocious, she just teaches tasks not the WHY we do things. Despite being in one area for almost two years she still doesn't know the difference between surgical staplers. She puts heavy instruments on top of delicate equipment because her scrub set up is disorganised. When people start at my work they usually rotate through all specialties but she didnt' do them all because she just wanted to do Gen Surg. So if there was a vascular or airway emergency she really woudln't know where the right equipment is, she'd just expect other people to do it all for her. Should I sit her down and tell her she needs to stop the behaviour or take it up the chain and speak to my direct line manager? I'm considering telling them that she needs to rotate through other specialties because her clinical skills need updating. Any advice would be appreciated because I've been really angry and upset about all of this. Thankyou.
  9. Scrubby

    pay scales for private hospitals

    I don't know about Melbourne but in Adelaide you paid about 1$ less an hour working in private.
  10. Scrubby

    free training to be EN or go to uni and study RN?

    Again you're making bold statements without knowing the facts. No patient's life is being put in danger with the closure of beds, the ANF have set a certain criteria which takes into account patient acuity. If someone has a condition that is life threatening they get a bed. Do you have some sort of evidence based research to back up your claim that nurses who strike have poor numeracy skills? I would be interested in reading any peer reviewed articles to support this statement. I also don't see anyone on this thread claiming to be out there saving lives and being saintly, you must have been watching to much TV. Most nurses I know including myself just try to do the best we can with what little or no resources we have. As for EBA if you actually do some research rather than mouthing off over the internet you'll find that we fight for more than just pay rises, we fight for safe working conditions for patients to improve the quality of care like increasing staffing levels. With your attitude perhaps you may want to consider hospital administration?
  11. Scrubby

    free training to be EN or go to uni and study RN?

    To the OP I guess if you ever become a nurse you'll refuse a payrise? After all you wouldn't want to be accused of being GREEDY. On a serious note there is a world of difference between being money hungry and wanting to earn a decent wage and have some sort of job security. Right now there does seem to be an influx of new grads unable to gain GNP's. However, looking at the average age of the nurse in Australia, 2009 stats show it's 43.7. I doubt this has changed much in 2 years so there is a need to train younger nurses in Australia. If they suddenly cut our wages or our year pay rises are below inflation then what is the incentive to become a nurse with the responsibility for caring for patients? As for the whole EN having more responsibility than an RN I might get flamed for this but I'm going to say it anyway. I have a huge level of respect for EN's BUT the day when an EN cops as much responsibility/accountability when the **** hits the fan as an RN is when I'll start believing the gap is narrowing. It's not the tasks we do like starting IV's etc that sets us apart, it's the level of accountability when things go pear shaped. You seem to make some pretty bold statements on here like 'money hungry nurses' and 'EN's becoming more like RN's'. I don't know what your background is in healthcare but I strongly advise you keep this attitude to yourself during clinical placements and try and keep an open mind. There's nothing worse than the know it all student who has no idea on what it's like to be a nurse yet thinks they can go around judging us.
  12. Scrubby

    Where to study?

    I recently completed a hospital run preceptorship course and we were pretty much told by the people running the course that the expectations from UniSA students had to be lower because of how the nursing program is run. I think it's very unfair to these poor students who are paying good money for a nursing degree and are not getting the hands on experience they need. And yes carol they will be completely overwhelmed when they graduate and will require more support.
  13. Scrubby

    Going green makes me red in the face

    My department is trying to get us to recycle in the OR. I wouldn't have a problem with this but the recycling company the hospital uses has stipulated that plastic and paper have to be separated. I don't have to separate paper from plastic at home when I'm recycling and until this is changed most of us are refusing to do it. The annoying this is most of our sterile items come in packing which has a plastic front and paper back. We're supposed to rip the plastic from the paper which is time consuming and one nurse has already had a shoulder strain injury from doing it.
  14. Scrubby

    I am a Scrub Nurse. I badly need your help.

    Give it time. You're lucky that you're in a supportive environment so go with it and if you still don't like it after a few months then reassess. :)
  15. Scrubby

    Where to study?

    Looks like you have to do first year on campus at UNE and then the last two years can be done externally.
  16. Scrubby

    Where to study?

    looks like you can work as an en after completing two years at une. http://www.une.edu.au/courses/courses/bnurs "students can apply to graduate with the advanced diploma in nursing upon successful completion of 96 credit points and be eligible to apply for endorsed enrolled nurse status with the nursing and midwifery board of australia (nmba). this enables them to seek employment as an endorsed enrolled nurse to assist them to cope financially with their final year of study if they opt to complete the bachelor of nursing. students can then continue with the bachelor of nursing subject to completing within their period of candidature. une has been at the forefront of nurse education longer than any other university in australia. une was the first tertiary education provider in australia to offer distance education for nurses.une nurse graduates are well respected within the profession, they are critical thinkers, and well prepared educationally for the professional challenges they will face. the 29-35 weeks of supervised clinical practice over 3 years ensures that students are well prepared for their roles as professional nurses when they complete their course" i wish they had this option at my uni.