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Perioperative Nursing - ENT, CTC, Vasc.
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LAM2010 has 7 years experience and specializes in Perioperative Nursing - ENT, CTC, Vasc..

BSN 2009. RN/OR circulator and scrub nurse. I also have a paralegal degree (Associate's) I got in 1994, but never went on to be a paralegal - I was just going on to get a BA or BS somewhere and ended up a BSN! I have 2 awesome kids, a fabulous husband, and a sweet old cat. I worked for Comcast for 10 years before becoming an RN. I love being a nurse.

LAM2010's Latest Activity

  1. LAM2010

    Newbie OR Nurse

    It will get better. 12 weeks is not enough time to feel 100% proficient. If you know your way around the O.R. and everyone's names, you're set! (Sort of, haha. You know where to go for help). The rest comes with time. Even 6 to 9 months isn't long enough to feel like you got this. It took me over a year. They SAID I'd get 6 to 9 months orientation but really, they threw me to the wolves after 6 weeks. Sometimes I still feel like a baby nurse and I've been doing it for 8 years. You get to a point where you can wing anything and if you don't know what an instrument is, they'll just have to deal with a 12-second delay, the poor babies....
  2. Becoming an OR nurse (circulator, anyway) DOES have to be considered carefully. It's not easy and after orientation is over, you either love it or you hate it. I know how the OP feels; in my career there have been a handful of scrubs that gave me crap (I was a new grad BSN). But overall everyone was allright. Docs in private hospitals are a bit on the more entitled side than docs who work in teaching facilities or public or charity hospitals. I don't recall any nurses giving me crap. I don't ever recall an RN who was scrubbing refusing to count when I wanted to count (as if counting is difficult) (just an example), but plenty of techs have griped when I want to count and they don't feel that we need to. Not ONE RN who was scrubbing has ever even batted an eye about counting whatever the other one wants to count. Anyway... I've just been the type of person that can eventually get along with most people and I cut techs some slack with their chips on their shoulders; it's almost always a matter of them seeing that I know what I'm doing, I am a team player, I'm not out to get anyone, etc. PS I have also seen firsthand that OR RNs are better nurses with their educations under their belts (whether they started in the OR or started as floor nurses), when that knowledge is needed, and are needed for more than just being a go-fer. Disease processes, for one thing... Anyway, I hear you, OP. :)
  3. LAM2010

    Where do OR nurses go?

    Clinical Nurse Leaders or whatever they're called - My O.R. has one of those. She was a Clinical Facilitator until she got her degree, and now she is a CNL. I don't know if my brain could handle that right now, I'm going through a little burn-out ... Right now I also feel like a CNL is a person who is constantly having to find new ways to make our jobs more difficult, LOL. ...
  4. LAM2010

    Bair Hugger and Safety Belt

    You know, we always have this debate where I work, and I've been putting the belt under the Bair blanket and then I just keep my eye on the Bair blanket to see if it's slipping (it never does). We do have metal belt clips, and I've never felt one get hot. -- However, last week I noticed that when the belt was placed over the Bair blanket (directly on it), all the channels were filled with the warm air, above and below where the belt was. The belt did not appear to be impeding that air flow.
  5. LAM2010

    Can't get my foot in the OR door, help!

    Can you ask to observe in the O.R. where you work? Everywhere I've worked will let a nurse observe in the O.R. If not on your own scheduled shifts (if you ever have slow days, lol...), maybe on an off day? Then, you will have your face in there. Ask questions while you're observing, if the nurse is up for it - a lot of times even the surgeons are happy to explain what they're doing. :) You could maybe shadow a circulator. I got my first job in the O.R. right out of nursing school because in my last semester of nursing school, I followed an O.R. assistant director around for my Leadership class. And she happened to believe in training fresh nurses who weren't already trained elsewhere who had "habits" that would be hard to break -- because OR nursing is a different "flow" than floor nursing. It may be a "process" to get into the O.R. but that is a start...Good luck :)
  6. LAM2010

    OR sabotage? Or Not....

    Sometimes people think "throwing you to the wolves" helps you learn. Looking back, it helped me, LOL. Although I would never do it to anyone I was in charge of... When I first started in the O.R. I was also just out of nursing school, and for the first 6 weeks they led me through orientation and told me I was doing well, then suddenly they told me I should be more advanced than I was, then the next day I was circulating arthroscopic surgeries by myself that I was never oriented through (I was orienting through the inpatient stuff - ortho scopes were outpatient!). I was out of my mind! But after a few days I was at least comfortable enough in the department to wing it... I wouldn't recommend it and hopefully you can go to your manager and tell him/her your concerns. And the anesthesiologist is not your boss -- ignore him. I've had some be snotty to me in the past -- I always got backed up by MY bosses if there was an issue... Anyway.... I was thrown to the wolves in my first weeks and while it was chaos... personally for me, I appreciated it much later. You WILL learn your job one day. I know it seems like you won't. BUT - with them throwing you in like this and not having anyone to at least be a "point" person to help you, I believe you should address that with them. Good luck! :)
  7. I just applied for this type of position in my own facility. I haven't been able to get a hold of the people in the department to ask them about it (I am really busy as an O.R. nurse), no one's answering my emails, but I went ahead and applied for it anyway. What could they expect out of an applicant who does not have "informaticist" experience? I have the ability, I just haven't worked in informatics nor do I have a degree. But I've worked on the charting and information systems every day. It's been a field of interest for me, but I haven't tried to go back to school for it because I am not ready to go back to school (I graduated with a BSN almost 7 years ago and I still get nauseated by the thought of any type of school! - unless I know it will immediately benefit me). Was hoping for some insight, maybe someone here will answer me faster than the week I've waited for anyone to email or call me back at work. :) Sounds like a busy job, since no one has time to answer me there, LOL. That's OK with me!
  8. LAM2010

    Precepting Experienced Nurse

    I leave the room. I go do something else. I can also speak from experience, I was a new nurse (never worked anywhere but an O.R.), and after about 6 weeks of "you're doing great" they decided to tell me, "Oh, we're extending your 90-day probationary period another 30 days because you're not taking enough initiative", etc. I cried the whole 30-minute drive home after that day. However... when I came back they immediately threw me into arthroscopic cases (I didn't have a lot of experience in there because the regular ortho nurses liked to have them all the time) in outpatient surgery by myself, because we suddenly got so short-handed they had no one to pair me up with. And that instant I was like "these people are yanking my chain...". I was never paired with anyone again, either. I thought, "If I'm so terrible, why are they OK leaving me alone suddenly?" And I knew even if I didn't know everything about circulating a certain kind of case, I could at least fake it til I made it. :) I hate to throw people to the wolves, as they say, but that's my M.O. when I precept. It's how I learned best. You take some time being embarrassed, hearing comments, seeing people roll their eyes, etc. But I'm still alive and kicking.
  9. LAM2010

    WHY do so many people hate nursing? Sigh.

    I didn't read the rest of the replies, and you'll see why here in a second, but... Being a nurse is what you make it. I still love my job after 6 years. I went straight into the O.R. out of nursing school (4-year degree) when everyone said I wouldn't be able to or "shouldn't" for whatever reason. I've known plenty of people who got into the ER right out of nursing school (usually did externships while in school, etc.) I never worked nurse externships or as a tech during college or ever before that - I kept my $20/hr call center job part time. If you aspire to go to ICU they'll try to sell you nurse residency programs that you're stuck in for two years, or, you can enter at some other job and work your OWN path to the ICU (for example). ---- The point is, there ARE nurses out there who love their jobs. There are times people will complain about their jobs... And I have definitely heard nurses in the real world that I live in every day complain about nursing. Don't let anyone else's attitude steer you wrong. There are actually a lot of things to hate about being "employed" as a nurse, but I can't think of any other job I'd rather do, I love my career, and I actually like what I do because I maintain a decent attitude and focusing on my patients keeps me positive. When you maintain a good attitude, it's a little contagious - people will want to work with you, help you, have you on their team, etc. and it doesn't matter if you are the "most" skilled or experienced nurse who has everything memorized and has been doing it for 20 years, etc. And being positive in your work day will carry over into your patient care, too. Anyway.... if you love nursing, that's all that matters. You are allowed to love it, and it is possible to love it. And when you get some experience under your belt, you can get out of a nasty job and find another one. Because your confidence will get you through interviews, your attitude will be more important than you think, etc. (p.s. I stopped reading this message board on a regular basis a few years ago, LOL... there's a lot of negativity here.... There's a real world out there where people's advice on here doesn't apply, most of the time.)
  10. LAM2010

    OR RN for 5 yrs: Do I qualify for UM?...

    I did apply. Haven't heard back, however... I just learned that I have to be employed here 90 days before I can apply for another position in the system. :/ So... I will have to wait.
  11. LAM2010

    OR RN for 5 yrs: Do I qualify for UM?...

    Thanks everyone :)
  12. LAM2010

    OR RN for 5 yrs: Do I qualify for UM?...

    Hmm. Maybe I can job-shadow... What you describe sounds like the job description they gave me. Thanks turningred, very helpful. :)
  13. LAM2010

    OR RN for 5 yrs: Do I qualify for UM?...

    Yes. I did take that post as her personal perspective, thanks :) Sometimes MY job is boring - and I get to run around and do different things. But even that is getting monotonous. My patients are asleep most of the time. Sometimes I feel like anyone could do MY job, although I know some specific things that need a nurse's skills. The techs think we just do "data entry" when we're charting a case... sometimes it seems that way but in every chart there is something I have to critically think about. Anyway.... thanks... this feedback is great.
  14. LAM2010

    OR RN for 5 yrs: Do I qualify for UM?...

    Thanks for the responses. I am just sort of burned out. I don't want to take call anymore because we want to move more than 30 minutes away from work, and I don't know what other area of nursing I could stand besides OR nursing. I am OK with boring things, lol.
  15. LAM2010


    It is worth it to hang in there a little while longer! There will be a time when over night one day it will be like 'Aha!' I guess I can't 100% guarantee you will feel that way, but I would feel up-and-down for awhile, and then one day I felt like, "I am fiiine." :) It is realistic to expect that to take a year. List all the PROS of working in the OR, and the CONS.... That might help :)
  16. LAM2010


    It is worth it to hang in there a little while longer! There will be a time when over night one day it will be like 'Aha!' I guess I can't 100% guarantee you will feel that way, but I would feel up-and-down for awhile, and then one day I felt like, "I am fiiine." :) It is realistic to expect that to take a year. List all the PROS of working in the OR, and the CONS.... That might help :)

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