Bearzrul

Hi Just thinking, during the procedure, pt patient may have been leaned on and no one realized it. I've seen patient's with lower extremity bruises from resident's holding retraction and using the body for leverage.

thank you this information will be very useful and hope that it passes - we need support and understanding in this area of nursing

I would be very interested in knowing more about the JACHO standard. Is there a link you could send regarding this new policy plan? When does it become effective? I've taken the Kaplan course in both LNC and FN and just completed our local SANE course (still have clinical requirements). Thank you for any help you can offer.

While it is considered patient abandonment for the circulator to leave the room, the techs have the same standard - they should not leave before the patient. With the shortages in OR personnel, I have also notice this trend and they/we need to be reminded that we are all there for the patient. Anesthesia does not have the authority to dismiss the tech or any one else in the OR that is not a member of their department. It is a long day scrubbed in (I just came home from an 8 hour case I was scrubbed from the start to the finish and at no time was there any chance to have been relieved due to the critical nature of the case, nor would I have left), I can certainly understand the need to find a drink and/or empty a bladder, but not at the risk to a patient.

AORN offers a review book for CNOR exam it has review of nursing process and multiple sections for test. CCI (type this in and you'll get their website) has a tutorial also. I have a older copy of the book and just keep up to date with changes from AORN standards and passed CNOR.

I've been in the OR for 12 years and there are days when I still wonder why. Then, there are other days that I get very involved with my patients and realize that they are really the reason I'm there. You are their voice. I have always put myself into new situations whether scrubbing or circ-ing, it helps to take any downtime (and believe me I know there isn't much) and go into a room and observe the scrub and ask questions, ask your charge nurse to let you double scrub in areas where there maybe a need for you. There are OR nurses that as they say "eat their young" I feel sorry for the cannibals. Don't they realize that the new people in the OR will make it easier on them. Whether it's getting that summer vacation off, or someone else to do a service they themselves aren't comfortable in, or having another person in a trauma who can help. I have yet to understand why this happens and I have also found that discussing the issue with them goes nowhere. As you can see there will always be frustration. Growing a tough-skin isn't the answer. But then, I'm not sure what is. I hate to see newbies leave the OR because they have been abused, it really can be good. Just not every day. Unfortunately, having traveled as well as worked as staff, it is similar in every OR. JACHO is passing a new law that violence (employee related) is not to be tolerated. I am searching for my link to that article I will forward it if I can find it. I think the hospitals are becoming aware of the lateral violence amongst nurses, one can only hope that there will be changes made in our favor. I'm not trying to discourage you. I have worked with many peri-op students and have always been honest with them. Thankfully, the majority of them have stayed. It's a tough environment. I would recommend the book "What Color is Your Parachute" it is about finding the job that you want. It uses self exploration to help you find your self. You just might realize, you're where you really want to be. :typing

It all depends on the OR, some are very willing to accept new grads. While others are old school and believe you have to have med-surg. I love surgery!!!!!! It's was what I wanted to do before nursing school and I started putting myself out there. I worked in the hospital and every chance I got, I let anyone I met from the OR know I was interested. GOOD LUCK to you

I an effort to clarify this issues, nurses should unite and find out from the candidates just what they are truly trying to acheive with their reform to healthcare. A group email or letter to the candidates from a group of nurses (perhaps through this website so all can see the answers) would show unity and express our concerns. Rather that reacting to what is being rumored, being active.

I've been an OR nurse for 12 years and I started from nursing school knowing that OR was what I wanted to do. Now, after never having any med-surg experience I am finding it difficult to transfer out of the OR. So, while it is possible (if you had good clinical experience), I would strongly recommend that you spend some time in med-surg, even just a year. The future is hard to predict.