I just wanted to comment on your suggestion that says the new OR Nurse should stay in one OR. The theory being that by working with the same surgeons, & always/often doing the same types of surgery, you only have to learn those particular surgeons & what they like & do. I'm not sure where you work, but in both medical centers I've worked in, we had to take call, even with routine night shift staffing; & we had to take weekend call even with a dedicated weekend staff. Emergencies happen, often while the regular staff is already operating. With that in mind, the potential exists that you may be required to do many different types of surgery, with many different types of surgeons!!! Therefore I would discourage anyone from simply staying in one room because it's easier to learn a few procedures done by the same surgeons repeatedly. If you'll be taking call, you need to be familiar with many, many types of surgeries, services, & surgeons, as well as a lot of instruments & equipment (or as you said above, many machines & utensils). I've been an OR Nurse for 33 years. I specialize in Neurosurgery, however, having worked in an Orthopedic surgery center for 7 years, I also do a day or two in Ortho. I've done practically everything except open heart. I can circulate & scrub just about anything, & was evening shift charge nurse in a busy medical center for 10 years, so dealing with emergencies helped me hone my organizational skills, plus learn to prioritize, gather any instruments & equipment which will be used as all as those that may potentially be used. I always keep a cart outside of the sterile core door into my OR with all of the possible instrument sets/equipment "just in case...." So don't try to limit yourself just because it's less to learn; instead, tell your charge nurse (or OR Nurse educator who may be orienting you) that you need to get into as many types of cases as you can, in order to be able to perform your job in the highest standard. You'll feel more confident & in control when on call or working an "off" shift. Plus, in the long haul, if you relocate & need to apply for a new job, having a diverse knowledge of all types of procedures & keeping up with new equipment will make you more marketable (especially having an edge over less experience nurses). Good luck to you!!! Great advice!! I am a new RN, working in my first Nursing job and am in a 6 month Periop program. My first rotation is as a Scrub, then I will be trained in Circulating. I have been in many different types of cases, and it is truly overwhelming! SOOOOO much to learn! But I am loving it!! I want to be able to do any and every type of case, but I admit, being in a room that is 'familiar' is somewhat reassuring at this early stage!! I will be placed into a Circulating role once I am sent to one of the 3 facilities that is a part of this hospital. Being able to do any case, either role, will make me a better OR Nurse and more marketable, if I ever decide to travel. Rose Queen, Spiker, and anyone else that contributes to these pages... thank you for the input and advice. It is excellent information!!