Who Runs Your Operating Room?

Posted
by msn10 msn10 Member Educator Nurse

Specializes in cardiac, ICU, education. Has 18 years experience.

To all you OR nurses and CRNA's; There has been a bit of a debate in some of our hospitals in town as to who should be running the show. As you know, the OR can be the busiest place in the hospital and I was hoping to get some advice/suggestions from my fellow nurses as to how their OR's are run and if it works for them. Specifically my question is - Who runs the board - MD or CRNA? Do the board runner responsibilities rotate between providers or are just a few people in charge? What would you change if you could? Thanks in advance for your input.

schnookimz

schnookimz

983 Posts

Anesthesiologist--md.

ORoxyO

ORoxyO

267 Posts

Everywhere I have worked it has been an RN. Often though anesthesia has a CRNA in charge too.

Rose_Queen, BSN, MSN, RN

Specializes in OR, Nursing Professional Development. Has 17 years experience. 5 Articles; 11,205 Posts

It's a combination: we have a charge RN, a charge anesthesiologist, and a charge CRNA. It's a collaborative effort between the three to get resources where they need to go and get add on cases into rooms.

samswim4

samswim4

Specializes in Operating Room. Has 5 years experience. 53 Posts

We have just implemented the charge triad team which includes the nurse-in-charge, anesthesia-in-charge, and the surgeon-in-charge. The nurse and anesthesiologist are the primary board runners with back up from the surgeon in the event there is a major issue that may arise. It is a collaborative team effort and no decisions are made without the AIC and NIC both being in agreement. It has been a very welcomed change.

Foggy14

Foggy14

Specializes in OR. Has 7 years experience. 8 Posts

The charge nurse and anesthesia float do ours.

TraumaORnurse

TraumaORnurse

76 Posts

Charge nurses runs ours..m If there are issues we call our Trauma Anesthesiologist to triage...(s)he has to be the bad guy sometimes, but it's more helpful for doctor to doctor discuss when bumping a case.

RNOTODAY, BSN, RN

Specializes in NICU, ER, OR. Has 18 years experience. 1,116 Posts

It's an unspoken truth-- ANESTHESIA runs * most* ORs, especially mine

birdie22

birdie22

Has 6 years experience. 231 Posts

Nursing makes everyday decisions but anesthesia has the final call if there is a dispute.