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  1. lockheart678

    Do doctors and nurses hate each other?

    Most of the doctors I work with actually realize that we do so much for them, and they appreciate all of the hard work that we do. We do occasionally get new residents who have a cocky attitude and talk to us like we're a bunch of idiots, but they always get put in their place pretty quickly, and from then on, they learn to respect everyone. I remember one day when I had a very new resident (I had never seen him before, I thought he was a medical student) working with a more experienced one and I asked him to write his name down for me. He actually laughed and mocked me to the other guy. Since when was it beneath someone to introduce themselves to other members of their team when they're obviously new to the scene?
  2. lockheart678

    OR Specialty With Most Call

    Your best bet will be to ask people who work in that OR now. Every hospital is going to be different, and then you'll have your busy times and your slow times. Where I'm located, we're getting into trauma season, and when that happens, we're almost guaranteed to get called in, and we've got 2 in house teams 24/7. You won't have any issues taking all the call you want though because there are always people who want to give away their call.
  3. lockheart678

    how do new nurses survive in the OR?

    I found it really helpful to make a checklist of everything that needs to be done when first setting up the room in the morning and also from the time the patient gets to the room until the procedure has started. When you have the basics for every procedure down, it can be easier to focus on the things that are different about every case. Also, when you are in the more confusing surgeries, take the preference cards home where you can spend more time looking over them without any distractions. You sound like you're doing great. I remember when I was just starting, I thought my preceptor was going to kill me because I felt like I was so stupid. It turns out though that she and everyone else I worked with saw my potential way before I did, and things really weren't as bad as I felt they were. Remember, there's a reason why orientation is so long in the OR. It can be very overwhelming at times, but keep asking those questions when something doesn't make sense and don't give up. Like it was said before, it probably does take around a year before you really feel comfortable with what you're doing. Stick with it and it'll get better and better every day.
  4. That is really sad that the surgeon couldn't just admit her mistake and instead had to put the blame on the nurse. Even if the mark did get covered up, which I don't believe was done by the nurse, that surgeon clearly was not paying attention during the time out. If she can't figure out left from right, she needs to quit operating. Also, considering the time out is a team effort, what was the scrub tech doing during all of this?
  5. lockheart678

    Following up with patients?

    I usually work with the same surgeons all the time, so I occasionally have the same patient for multiple surgeries. It's really interesting when the patient comes back a year later. Even though we see so many patients throughout that time, I always remember the patients that I've previously taken care of. The only other way for me to find out how they're doing is to ask the surgeons.
  6. lockheart678

    Breaking In

    I started in the OR as a student, but my hospital is a teaching hospital and they are willing to hire new grads and nurses with no OR experience. If you live near any teaching hospitals, maybe you should check that out. All of our new nurses have to go through periop 101, which I found to be a huge help even though I had already been exposed to the OR before I became a nurse. Hopefully something pops up for you soon. Good luck!
  7. lockheart678

    Got to see whats it's like for the patient!

    I wish healthcare professionals would become more aware of this kind of stuff. I can't even think about how many times I've seen this happen. They need to realize, just because they do this stuff multiple times every single day does not mean the patient on that table has any idea what they're doing. In my OR, it seems like most of the CRNAs do a wonderful job of talking the patient through everything that they're doing before they do it. I see a lot of epidurals put in, and it's pretty obvious whenever the pain team changes. Most of those residents do a very poor job of talking the patient through the procedure, and the attendings don't do anything about it even though they're in the room for it! I didn't realize it was that complicated to tell your patient what you're doing.
  8. lockheart678

    OR manager working a room

    The people in my OR think the same exact thing. How can you be a manager of a unit and not know how to the job that the staff members do? We used to be so short staffed that our manager at the time had to frequently circulate a room. He never complained about it, and he actually thought it was a good thing so that he knew what was going on in the OR. The manager we have now thinks it is beneath her to circulate. She always says she's too busy with all of the other work she has to do, yet it seems like she never gets anything done, and this is without circulating. She recently had to be put in a room due to staffing issues, and it was not a good thing. One of our scrub techs had to be in the room with her practically all morning because she couldn't handle it, and this is a woman who has years of experience. That is really sad.
  9. lockheart678


    If she is so concerned about staff not applying it correctly, why not just have an inservice on it? In my OR, almost every surgeon uses Chloraprep. We have been inserviced on it countless times so that the new people can learn the proper technique. With all of the information about Chloraprep that is out there, it seems crazy not to use it.
  10. lockheart678

    Asking someone to leave your room during a case...

    I once had to make an announcement in a trauma for anyone who was not needed in the case to leave the room because there were probably 20 people in there (most of them standing around getting in the way) and this guy was in very bad shape. I know they all paid attention to me when I said it, but then they just turned their heads and went back to what they were doing. It's so irritating! They were not only disrespecting me, but my attending anesthesiologist and one of my residents who was scrubbed in chimed in and agreed with me! After a few minutes they left, but they should have just done what I said, considering it was my room and I needed space to work.
  11. lockheart678

    do you prefer long or short surgeries?

    I usually prefer long cases because I do more of the big, long surgeries, so that is what I am better at. Occasionally I like getting a day where I'm doing a bunch of short cases instead though so I can mix it up and not get bored doing the same thing all the time.
  12. lockheart678

    OR Pet peeves

    I've got a few more as well. How about when a medical student walks into the room and asks what they should do with their gown and gloves. Well, what do you think you should do with them? When a resident drops a vessel loop on the floor and decides not to let anyone know it's there. When you've got an incorrect count and the surgeons just keep on closing, acting like nothing is wrong. When the surgeons are closing, you've just finished hanging all the sponges and taken off your gloves, and the tech throws another sponge into the kick bucket. When the tech doesn't pull suture for any of the cases throughout the day. When you're about to do a whipple, and discover when interviewing the patient that the surgeons did not even order a type and screen, and the nurse checking the patient in never even thought to call the surgeons and get a verbal order. When people complain because they get put in a specialty they don't like for one case. You're getting paid regardless of what you are doing, so shut up and get over it. When your relief shows up 45 minutes late because they knew that the case was almost finished and thought that you should just finish it yourself, even though they just clocked in and you've been working 10 hours. My favorite one has to be when anesthesia sticks their head in the door and asks me if I am ready to bring the patient back. When I am in the middle of counting an instrument set, does it look like I'm ready?