The Operating Room

In training, I spend four months in the Operating Room, that wonderful, scary, fascinating, educational place. Nurses Announcements Archive Article

The O.R. always evoked strong emotions for me. I loved the O.R., I hated the O.R., I was enamored by the O.R. and terrified by the O.R. all at the same time. The educational aspects of seeing the human body from the inside thrilled me to the core. The thought of not getting everything right for the surgeon caused me anxiety and gave me diarrhea before I even got to work. I enjoyed the snappy fast-paced work of scrubbing and circulating but found it stressful at the same time. What a mixture of emotions this particular rotation brought to me! When I graduated I decided to work elsewhere, even though the O.R. held a strong fascination for me.

Years later when I worked in Labor and Delivery we regularly went to the O.R. for C. Sections. One such Section happened the day before my own son was to have his surgery in that very O.R. It was like a new level of sensory acuity struck me that day. I noticed everything in that room with a heightened sense of awareness- the smells, the sound of the anesthetic machine filling the patient's lungs with just the right mixture of oxygen and gas, the rapidly dripping IV, the beeping monitors and the hiss of the wall

suction, the smell of the cautery, the surgeon's eyes, the color green, the brightness of the overhead lights and the subtle interactions between the surgeon and the scrub nurse as she handed him the tools of his trade one by one.

My son would be on that table at 8 a.m. tomorrow morning. I told the anesthetist. He said, "Oh No, why did you tell me that!!" I kind of knew how he felt but I wanted him to give my son extra good care and keep him alive for me. I know how dangerous anesthetics can be. Even though I've seen so many, many successful surgeries over the years, still the fear of anesthesia haunts me.

A family friend, who was an anesthetist, told of a young mother who suffered severe brain damage at his hand when something went terribly wrong. A high school buddy died during surgery from oxygen deprivation due to a problem with the anesthetic machine. Being in the O.R. that day filled me with awe and respect for the people who work here and the great responsibility for people's lives that they carry in their hands every single working day.

When they wheeled my son safely out of the O.R. the next morning, I felt overwhelming gratitude to the amazing staff who work here behind the scenes. Most patients get to see them only briefly just before they fall asleep. They may never know whose eyes those are peering out between that cap and mask and who it is that watches over them and advocates for them even while they are unconscious.

Thank you to all you amazing O.R. nurses out there who do this every day!

Specializes in cardiac cath lab, operating room.

I worked in the operating room at a small town hospital for two years and was recently laid off. Not a day goes by that I dont wish I could go back. I had time to connect with patients and hold thier hands while they went to sleep. I would request repeat patients to ensure continuity of care and they realy liked having someone they knew with them and I was glad to be there for them. I cried the first few times I was in a C-section -what a wonderful thing!

Oh well, I'll be going back to the Cath Lab for now but I think I'll pull some call to keep my hand in.

i worked about 8 years in a general theatre now in an obstetric theatre. I love them all and feel that joy when patients are in recovery and all the never ending thanks are flowing. Yes three were scary and touch and go moments, but knowing the best was done is pleasing. I guess this applies to nursing in general.

Wow, thanks so much for the post. I have been an OR nurse since I graduated 2 years ago. I knew since my first semester of nursing school, while following my med-surg patient to surgery, that it was the type of nursing I want to practice...

During that first surgery, the room looked like chaos...but as I observed more closely, I realized that the "chaos" was more like a dance where every person in the room had a job and knew what had to be done and when.

When my friends from school joke with me that my patients are asleep and that I am not doing "real" nursing, I laugh and let it roll off my back, but I also retort that "Yes, my patients are asleep, but I am advocating and taking care of them at their most vunerable". Then I smile and say, if there was a massive disaster in our city and floor nurses were needed, I could dig into my brain and work the floor...then I ask my friends, if help was needed in the OR, could you just walk in and start working? (all with a sweet smile on my face, of course)

I know that 90% + of the time, the surgery intervention allows my patients to leave the room in a better state than when they came in, that they are most likely on their way to recovery.

FYI: some surgeries can be done WITHOUT GA, when I had tubal, my gyn said I could have epi,

while filling out pre forms saw a guy who was so very nervous, needed hernia surgery and was so afraid of GA, who isn't? I told him to ask his doctor,womenhving c/s's most of the time do no require GA and that surgery is a complicated one. My gyn is fantastic, she says too many quick surgeries (not all gyns) do not need GA. I was very lucky to have found such an educated & open minded gyn.

Also, please don't LOVE c/s the parents are nervous and too many are still being done in the States,

too many women have trouble afterwards with adhesions....you should see some of the chatter on-line regarding "not feeling right after c/s's - some done YEARS AGO. Also, sadly, there is still quite a number of women who've had HORRIBLE c/s's , happy about baby being born healthy but LOUSY DOCTORS, hmmmmm, look @ their posts, heartbreaking.

Also, in NYC, TOO MANY GYN OR NURSES DO NOT AND I REPEAT DO NOT advocate for women while they are asleep. A friend of mine had total hys a few months back, I warned her about signing that damn vague consent form & told her about pelvic exams under anesthesia, & that she can refuse to have them ALL TOGETHER and in fact cross out "interns & med. students may be part of your health care team & may participate with tests and exams (pelvic), poor girl was so upset & scared morning of surgery (uterine cancer) was in OR things happening so fast & then mask coming over her face & then BOOM she remembered what I told her...tried to protest but out she went. She has been so devastated by it, still won't tell her husband . Hopefully she'll talk to her gyn soon or get a new gyn but I've urged her to send off a letter to him. Too many NYC teaching hospitals are tricking & taking advantage of women having to have emergency gyn surgery or scheduled surgery. It is premeditated rape as far as I am concerned. It is orchestrated actually. That's where my friend DID NOT HAVE A NURSE ADVOCATING FOR HER. Also nurse knew shehad no gown on, told her she was taking off the blanket now & then walked away & took her sweet old time coming back with OR blanket. Friend was so embarrased but too scared to say anything, that nurse sound creepy to me & then probably was the one who put her legs in stirrups and spread her NICE & WIDE for all to see. Poor girl. If surgeons/residents/med. students, anesthetist, or nurses think there is NOTHING WRONG with this & that patient signed consent WHY OR WHY ISN'T IT MADE KNOWN TO ALL WOMEN from the start? I've warned so many of my relatives & friends & asked them to do the same. Glad some hospitals are paying women to be gyno teachers. But.........still too many women being tricked, in city hospitals so many black & spanish women have NO IDEA and NO ONE IS TELLING THEM. Yes it is so much better if women are under GA, no guarding, etc. (What is going to happen to women who've been raped/date raped/abusive relationship rape, find out that any women need gyn surgery & is put under GA before being prepped has most likely been used as a teaching tool. And everyone watches this????? SICK SICK SICK, ALSO PLEASE REPORT NURSERS TO DO NOT KNOW OR JUST DON'T GIVE A DAMN ABOUT PATIENT MODESTY!!!! NYC is unbelievable.

Thanks to all, know it was a bit wordy!!!

I am a nursing student right now and I aspire to be a nurse anesthetist. I love the operating room, everything about it fascinates me. I am very pleased to hear all stories about the operating room.

Hopefully the *** is dead by now. But it still goes on. Just visit Shasta Medical Center in Redding.

Posted by: judybsn

Original Content:

There was one surgeon back in the 70's who use to throw things (even bloody sponges) when things got tense in the OR. I'm sure he'd be reprimanded now if he tried such a thing (or does such behavior still go on??)

I Loved working in the OR, almost as much as the PACU

Specializes in ORTHOPAEDICS-CERTIFIED SINCE 89.

judy my 40+ y/o daughter had surgery 6 weeks ago and *i* felt just as apprehensive as you.

in nursing news brian (the founder here) has just posted an article about or lateral bullying. read it; because it's still going on.

and oh are nurse i love your phrasing:

during that first surgery, the room looked like chaos...but as i observed more closely, i realized that the "chaos" was more like a dance where every person in the room had a job and knew what had to be done and when.
Specializes in OR, ICU, Home Health.

I began my career as a OR nurse, back in 1996 I was a circulator and then back in 2000 I began as a travel nurse in the OR, I can tell you that in 2002 I had a neurosurgeon from a large famous medical center threw a scapel across the room, I was circulating and always worked in a level I trauma center OR and I was taught that the circulator was responsible and ran the room, well let me tell you when he threw that and the profanity that came out I jumped him in front of the entire OR team and put him in his place. I also refused to ever circulate in his room again. I hope this type of thing no longer occurs, this type of behavior is a law suite just waiting.