Well, well, well! I see where you, Jeff, are in "health care" sales???? Hmmmmmmmmmm...You sell health care? Anyway, moving on...I have been an OR nurse for 21 years. I am not a gofer, never have been AND I have continued to deliver first rate, first hand care. I have never stepped back from direct patient care. As far as what an OR nurse does...yes we scrub..and we circulate. Most patients who have surgery are NOT coming from the floor..they are coming in from home AND I am the last person in line to make sure that everything is correct prior to OR entrance. You are making a mistake in Assuming that everything is "ready" when I go to see the patient. The anesthesia and operative consents are often wrong...or not there at all....the labwork is missing or out of date....I could go on but won't. If a pre-op nurse or floor nurse knows an OR nurse is going to check behind them...do you think that everything is always done? WRONG again. In addition to making sure everything is on the chart to proceed. I have done everything in the OR to get ready for the scheduled case. Now, keep in mind that in the OR I don't do the same rote thing everyday...I may work NEUROSURGERY doing complex craniotomies or spine fusions. So, in addition to patient care I have to adjust/balance the microscope, set up the navigation system, AND the system used for recording the procedure at some places oh, and yea I forgot to mention that I am responsible for making sure that all the equipment/instrumentation is ready as well. Of course this is in addition to getting the TEDS/SCD's on and getting the foley in and getting the Bair hugger on, oh and padding the patient so there is no injury to the patient during the procedure. Oh and lets not forget about the documentation and the specimen/specimens, right? I may be doing UROLOGY, ORTHOPEDICS, PLASTICS, VASCULAR, CARDIAC, GYN, ENT, TRAUMA, GENERAL, TRANSPLANTS...well you get the idea. Consider all the different procedures under just one service? how the setup is different for each AND consider that if your are circulating you are the ONLY person in the room to TROBLESHOOT/FIX the problem...like a monitor stops working or something happens to the equipment. What you gonna do then? You have a nasty neruosurgeon in the middle of someone's brain and the CUSA stops functioning? How about starting an IV on a baby who is being masked down by anesthesia? Well, lets refocus now.... I forgot to mention all the mistakes I have caught in the OR...here are a few examples: I found out that the neurosurgeons at one hospital were using intrathecal gent. and the pharmacy was diluting with water instead of saline...WOW Hypotonic solution on the brain. Gotta hate that.. Or how about the time I went to check my patient in to go back to the OR and the H&P stated that the patient had Von Willebrands disease and NOBODY set up factor VIII for the patient??? WOW crisis averted there OR lets see....how about the time that an orthopod was having trouble with a case and the resident asked for an implant that was stainless steel and were were using titanium implants??? Don't want to mix those alloys. Stainless steel and titanium...well they just dont go together. OR lets see.....How about the time that I was going to be circulating on a liver transplant and there was ABO compatibility BUT NOT HLA compatibility..That just slipped by everyone elses eyes. Or how about the time the SALES REP was trying to get me to open up an implant that was for the right tibia instead of the left? you have to watch the laterality there, man. Or how about the time I took care of a patient with a mitochondrial disorder and anesthesia was hanging Lactated Ringers instead of Saline? Wow...don't want to give LR (end product of metabolism ) to those patients.. Or how about the time the surgeron was about to inject too much marcaine on a baby..... I would continue but have made my point.... after taking care of actual patients for 21 years in the OR...I know my OR nursing... I don't agree with some types of nursing BUT I don't insult them either..