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skydancer7 BSN, RN

Operating Room, CNOR
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skydancer7 has 12 years experience as a BSN, RN and specializes in Operating Room, CNOR.

skydancer7's Latest Activity

  1. I second the operating room circulator idea. I have been an OR nurse for 10 years. You do a brief patient interview and the rest of the time the patient is usually asleep. You do have to deal with surgeons, though, and they can be major stinkers at times. But once you learn who you are dealing with and how best to work with them, I personally found it to be better suited to me. I also feel overwhelmed with patient interractions. In the OR, you still do a little bit of that but mostly it's very technical and coordination based. Might be work seeing if you can do a shadow day in the OR, see what you think. Don't beat yourself up! It's a hard job. You might also look into the root of your annoyance and see if there is some internal work you can do, since it will bring you peace in your life in general no matter what other jobs you end up doing. Out of necessity for my sanity, I did a lot of personal work and therapy to look into why I was so deeply affected by other people, and ways to improve my reactions to them that helps me cope at work. It's something that can be learned and improved over time but it's kind of like a skill and a muscle that some people need to work on more than others. Things like regular meditation are examples of what might help.
  2. Hi all, eye surgery clinic circulating/scrubbing experiences? I have been an OR nurse for 10 years and have done some ophthalmology scattered in with other main OR cases back in the day, but this job I am about to get an offer for is 3 ORs and one Lasik room, and they mostly do eye surgeries all day with some ENT as well: plastics/blepharoplasty, glaucoma, cataracts, scleral buckles, retina detachment repairs etc. I am sure it is pretty fast paced but from what I can tell it seems they have a good team. This is an outpatient place attached to/part of a major hospital. I haven't scrubbed in YEARS but they want to orient me, and I think I can do it. Sounds like I can eventually cross train to Endoscopy if I want, too, which could be interesting. Have any of you circulated and/or scrubbed in a place that does pretty much eyes all day? What did you/do you like about it? What are some challenges? Any resources you recommend to brush up on my ophthalmology procedure knowledge? I don't want to show up too rusty even though they are going to orient me 🙂 Thanks!
  3. skydancer7

    Anyone having trouble getting hired??

    WOW!. What a mess. Maybe I should not have taken leave from school after all... I have until tomorrow to change my mind 😞
  4. skydancer7

    Anyone having trouble getting hired??

    Thank you, that's really good to know and confirms what I was thinking is happening. It's kind of ironic and too bad; when they need help the most, it's hardest to get folks on-boarded. Put me in coach, I'm ready!
  5. skydancer7

    Anyone having trouble getting hired??

    Hello all, I am an RN with 10 years experience, been applying for 2-3 weeks now. I have had one interview, they checked references. A week later, no reply. Talked with HR at two other places, they say they will get back to me.... Are they just so busy and overwhelmed that they can't get their *** together to hire folks? I have never (not since I was a new grad) had such a hard time getting hired! I have even been talking with agencies. 3 out of 4 haven't even followed up. I have excellent references, tons of experience. Left my last place on good terms. This makes NO *** sense. I took a leave of absence from school to join the covid response, and I am still sitting here on my *** waiting to get to work. I have to assume HR is just drowning right now...??
  6. skydancer7

    Crisis travel assignments for Covid-19?

    I am wondering the same. I haven only seen one ad for Oregon, a company I have never heard of called ALC staffing which has a one-star review on Google and no other web presence besides a shoddy website. Would love to hear which REPUTABLE agencies are staffing Pacific Northwest area.
  7. skydancer7

    Need advise regarding uncomfortable, disrespectful situation

    YES circulators absolutely are supposed to do their own pre-op interview and intake. It is abbreviated compared to the admission intake, but should involve introductions, name and date of birth, allergies, metal in the body, hearing aids/contact lenses, mobility limitations pertinent to surgical positioning etc. Everywhere I have worked, which has been a LOT of places over the 10 years, circulators are expected to do a pre-op interview (abbreviated yes, though it sounds like the RN in this situation didn't even do that) and sometimes clearly it gets missed because people are in a big-*** hurry to keep the conveyer belt cranking along because $$$. Anyway, yes, it is redundant for a reason; if the pre-op nurse or someone forgets to ask about allergies, someone else can catch it. That's why the patient gets asked the same questions several times before surgery. It's so we can all catch each other's misses and mistakes before it causes a safety problem. I can't tell you how many times EVERYONE missed something, and it's in the OR that the circulator finds out the patient still has their contact lenses in, or is allergic to latex, or is still wearing shorts under their gown and we need access. System of checks and balances, and things still get through the cracks. That said, yeah a lot of circulators just show up and wheel the patient back without so much as double checking the wrist band. Doesn't make it good practice.
  8. skydancer7

    Need advise regarding uncomfortable, disrespectful situation

    He wasn't doing his job. He did not introduce himself. He did not do an appropriate pre-op interview and assessment. Sounds like he wore an outdoor jacket into an OR. Regardless of gender, this RN did not behave in a professional manner. I have "been there" if you know what I mean. I just wanted to validate your experience and try to shed some light for those who clearly aren't getting it. Sorry you had the experience, but hopefully some folks can learn from it. I have been a circulating nurse for 10 years. I have also witnessed unprofessional behavior from supposed "professionals" in the operating room. It happens. It's not unrealistic for patients to pick up on the FACT that some RNs, doctors, etc are more "professional" than others and thereby feel unsafe. Patients who feel unsafe should be able to voice that.
  9. skydancer7

    Need advise regarding uncomfortable, disrespectful situation

    Male or female, I would also have been uncomfortable with a circulator who did not establish some base level of rapport, check my wrist band, and ask me all the questions that have already been asked 3 times by everyone else. There is more to being a circulator than showing up and wheeling the patient back, and charting and running for supplies. We are still responsible for our own pre-op checks, which includes talking to the patient, asking questions, going over any concerns BEFORE SEDATION HAPPENS. It sounds like this nurse did not do those things. It's not about the male being a NURSE. Note how the OP stated the other two professionals INTRODUCED THEMSELVES. The nurse failed to act professionally by establishing rapport and doing a thorough intake during a sensitive time, and that is the problem. Now onto the gender thing and the trauma response, since some of ya'll don't seem be able to put 2 and 2 together here: Given the sensitive nature of GYN procedures and the FACT that 1 in 6 women are survivors of sexual violence ( which is largely perpetrated by men... cue the #notallmen response, or better yet, spare me...), and likely have some level of PTSD around that, it is understandable that in a vulnerable situation, especially where the RN failed to establish trust and rapport, that the patient's amygdala would take over. As nurses we should know that the sympathetic nervous system response can hijack our rational brains. Yes a patient can logically "know" that nurses are professionals, regardless of gender. Yet their nervous system will still scream "UNSAFE!" at them, which is why our JOBS as NURSES include establishing trust and rapport whenever possible, to the best of our ability, regardless of genders involved. Most people have had some level of trauma in their lives. Surgery is a time when folks are already nervous, so these buttons can be pushed more easily, and an experienced circulating RN should know that and try to reassure the patient. The least we can do as circulators is make some eye contact, make some conversation, and put our patients at ease. This nurse, whatever their gender, FAILED to do that and the patient felt unsafe, full-stop. OP, you have every right to feel as you did. Don't let fragile egos of the #NotAllMen crowd make you feel otherwise. If the circulator did not even do the basic pre-op interview and couldn't be bothered to introduce himself, as a patient I would be wondering what else that RN is not good at. Surgical site cleansing? Sterile field monitoring? Yes nurses are "all professionals" hopefully, but we still need to reassure nervous patients by actually presenting ourselves as professionals. This includes introducing yourself instead of hovering awkwardly. It includes asking pre-op questions even though the admitting nurse has already asked the same questions. It includes asking the patient if they have any concerns before sedation starts. This nurse did not act professionally, so the patient should not be expected to trust blindly.
  10. I disagree with requiring med/surg first; they are too different. I started immediately in the operating room. However, the place I started had an AORN periop 101 training program that lasted 6 months. That is what's most important, in my experience and opinion after 10 years as an OR circulator. I actually went back to med surg for a year, to get that "well rounded" experience. I would say it did NOT make me a better OR circulator. It just made me burn out and nearly loose my health and sanity while working med/surg. There is NO good reason to put someone through that in order to make them a good circulator. The skill set is so extremely different. However, having new grads in the OR WITHOUT a solid periop 101 program for 6 months is a recipe for frustration and failure. I am of the opinion that this definitely should not be done without a designated training program in place. NOT just throwing them to preceptors.
  11. Glad you have received such wonderful support here! I have had preceptors like that and at a certain point I confronted one. I said "it seems like you are pretty upset that you are stuck precepting me today. How about I go talk to the manager about having someone else?" She backtracked really quick-like and was a bit kinder the rest of the day. I know it's hard and terrifying to stand up to these nurses but if you do it in a kind and respectful way, gently pointing out that they seem "upset", "angry", "Frustrated"... it holds a mirror up to their behavior and puts THEM on the defense, and they might ease up a bit. I simply got fed up with being treated like sh*t by cranky preceptors and KNEW that it was possible to have a different experience. As far as the rest of your lifestyle: Something has to give. You DO NOT need a 4.0 to be an awesome nurse. No one is going to ask or care about your GPA when you land that first job. You DO, however, need a functioning and well-rested brain. Sleep is absolutely paramount and should be prioritized over perfect grades. Maybe allow yourself a 3.6, and get closer to 7 hours of sleep a night. Hope things are looking brighter for you!!
  12. skydancer7

    VA-BC exam study guides?

    Hello all, I want to get my vascular access certification. I am looking at their website, vacert.org but not finding anything in the way of study materials. Just an outline of test content. Can any of you help point me in the direction of some good continuing education that will help me prepare for the VA-BC test? What did you use and what did you find most helpful? Thanks so much in advance!! Really want to join the vascular access team at a local hospital and this would absolutely help me be a stronger candidate. Ready to get studying!
  13. Hello all, I would love some perspective! I am looking at two potential jobs: assuming I get an offer for each, which do you think might be better? One is an outpatient IV infusion/transfusion clinic attached to a major area hospital. It would be 0.6 FTE with benefits, with weekend hours available, which is good for my schedule. The other is a resource/per diem position on the vascular access team at a major level 1 trauma center in the area (that pays better, btw). I am not clear on the call situation or too many other details yet; I was interviewing with the same nurse manager for an apheresis RN position, and we both agreed the VAT might be a better fit for me, but the position hasn't been posted yet (darn holidays). I have done a bit of IV therapy in an oncology setting for a few months, and in a naturopathic/integrative clinic for a few months, plus many IV starts throughout my 9 years as an RN, and 3 years as a phlebotomist. I can access ports but have never started central lines, PICCs, etc, though I am very interested. I enjoy hyper-focused detailed tasks that require my full attention, rather than the multi-tasking flurry of med-surg or operating room. I am in full time grad school and need something flexible and with relatively little stress compared to the operating room (my current "specialty"). Honestly I am not certain I can manage a 0.6 FTE with school, but, health insurance.... I am less familiar with the VAT nursing vibe but I think I would LOVE going from room to room and helping people get the vascular access they need. Can you tell me about this kind of job, especially in a major hospital? High stress? I imagine you get plenty of miles on the ol' FitBit. Do you think a nurse with 9 years experience, mostly OR with some IV therepy and a phlebotomy background, could rock a VAT nurse position, or do I need some other experience first? I like the outpatient infusion/transfusion option as well; possibly less stress? This one would give me health insurance as well, so I have to consider that. It might also be better experience for a VAT position in the future. Any thoughts on comparing the two types of jobs would be much appreciated! I love doing IVs and have been wanting something like this for years, but not sure which would be a better fit for being in school the next 3.5 years.
  14. skydancer7

    Get to shadow a hospice nurse, advice?

    Thank you Katillac, I agree. I have been working on my energetic and emotional boundaries for years, but I think I am too much of an empath to have this be my specialty. It's not for everyone, I guess, even though my heart's in the right place.
  15. skydancer7

    ER nurse or OR nurse?

    I have been an OR nurse for most of the last 10 years. I started in the OR from day one. I was still able to branch out and try med-surg and clinic float pool and some other things, 7 years later, after having only OR experience. It sounds like you might love the OR and if you do, you won't have to worry about losing other skills. You can do OR until you retire, or you can branch out again later. Try finding a periop 101 program where they train you in the OR for 6 solid months. It's an excellent foundation. Having OR under your belt will mean you can always always find a job. I can't speak to ER; haven't worked there.
  16. skydancer7

    Apheresis nursing, interview soon, help?

    Thank you so much for your responses! It turns out the manager is also in charge of the vascular access team, and we both decided I would be a better fit there after all, instead of apheresis. So it all is working out for the best!