Being a surgical nurse is very different from other professions because the surgical nurse can handle the sleeping patient. Surgical nurses look at the patient very briefly before surgery and then return them to the operating room where they will go to sleep by an anesthesiologist or registered nurse anesthesiologist [CRNA].
Surgical nurses are very territorial and mysterious. No one really knows what is happening behind these OR gates [no patients or other nurses]. This is a completely different world of surgery, and you can't enter the operating area without proper training.
Surgical nurses do not change dressings; they usually do not take medication [except for local monitoring]. They do not answer the phone lights or deal with the patient's family. So what did they do?
Behind those operating doors are some specially trained nurses who should be recognized and praised, which they rarely get.
They can't see how the patient recovers. These patients are so high in Versed that they suffer from amnesia after completing the entire procedure.
If they are in the day shift, they will arrive at the hospital or hospital around 6am and be ready to start treatment at 7am. This gives them time to change the matte and read their schedule. The timetable is their fate for the next 8-12 hours. They looked at the big board at the front desk to see if they were scrubbing nurses or circulators that day. The main content they look for on the board is which surgeon they will work with. This simple thing can determine their day. There are good and bad surgeons, just like any other population. "Pray for God, don't let it become like this."
Surgeons can be friendly, but their skills can be terrible. Or they can be great surgeons, but real bastards. I hope that you will be assigned to all the surgeons who are friendly and good at what they do that day... but this is unlikely.
If you are assigned as a mobile nurse, then you will grab your scrub technology/nurse and both of you will find your first case car of the day. This may be a mess in other shopping carts, including items for other cases. Well, when you have a large orthopaedic box and half of the instruments are not disinfected and need to be flashed, how happy it is, half of the items on the preference list are missing.
When your scrub nurse opens the sterile area, you must run and find them. "Walk with your scrub teacher when you come back." Not literally, but "dancing with your scrub teacher" actually means that you help the scrub nurse to wear her/his sterile robes. They can't do this on their own, or they won't be able to disinfect and can't reach out.
Then you have to calculate everything, including all instruments, raytec, turns, pins and blades. Remember, it's all done between 6:30 am and 7:00 am. Heaven prohibits you from losing a circle or any of the above items. This is a nightmare when you lose anything. I have been dealing with situations where we are removing knee sponges, needles or instruments; these cases are very interesting. In the case where the surgeon has left a sponge in the patient's body before, you will definitely need a little holly on your mask, otherwise you may vomit your internal organs! [This is an understatement]. In any case, once you have calculated everything, your scrub nurse is very happy, your OR bed is compressed, all the equipment is in the room, it is time to go out to meet the patient.
You can introduce yourself to the patient and evaluate the chart before surgery. God only knows what crazy things you will find there. The laboratory may be closed and surgery may be cancelled. The patient may be allergic to latex, so the entire sterile area must be broken down because you have placed a piece of latex there. You walk into the room and talk to the patient as calmly as possible [try to remember that the patient is afraid of their wisdom] unless they have Versed. Such a great medicine!
Anesthesia usually sees and evaluates the patient before you arrive. The patient has been asked 3 or 4 times if they have anything to eat or drink from midnight. But when you ask the patient the same question, their answer will suddenly change. They told you that the breakfast they had that morning was a donut and coffee! Ok, so now the case is suddenly cancelled, and you are fortunate enough to complete the task of breaking the room and restarting the entire operating room. One of many other scenarios may be that the patient is allergic to shellfish or peanuts [allergies these days]. Everyone and their mother have peanut allergies. Perhaps, the patient is only allergic to his nose!
Today patients do not have these problems. They are not obese or pregnant, so there is no need to pull out the Hercules bed. Long live the hip, the operation will continue. You start bringing her "Margarita in a small bottle" and then bring her back to OR, [Versed], and before she tells everyone each of her secrets in the pre-operational area.
She continued to talk stupidly until the surgical room, and she told you how she would forget how beautiful you are. In your mind, you are thinking, yes, when you wake up, you will not remember your own name, let alone my. After entering the operating room, you transfer the patient to the table and find that she is still wearing underwear [with latex tape], even if she tells you that she has latex allergy... great!
You help CRNA or an anesthesiologist to let her fall asleep [in a hurry, because she makes you crazy], her "hey, hey, he won't shut up." CRNA or an anesthesiologist let her fall asleep, [in a hurry, because she is driving you crazy], her "hey, hey will not shut up."
Hey, she fell asleep, everyone was quiet for a few minutes until the doctor was busy. He had a bad day and his office staff had been playing 54 times, so he was in a good mood and you could have a good day.
Nothing on the preference card is correct. You spend time looking for instruments [dirty, flashing]. This will only make the surgeon more angry and further enhance your day. Bovie didn't work, Rad Tech has been summoned 10 times C-arm, but still MIA.
Once everything has stabilized and all problems have been resolved, you can relax for 5 minutes and sit quietly, hoping it will remain in this state. Finally, the surgeon is shutting down and starting counting. The first is Laps and Raytec, then the instrument, then the needle. Everything is correct [except for a small needle], nowhere to be found. The matte is counted again. "No, still missing." The surgeon is about to knock someone's head and express it freely. You run the magnet on the stick, roll it on the floor, and then find the friggin needle. Finally, you will find it next to the nurse's feet.
The patient started to get sick and you have completed the case. You refer the patient to the postoperative period and report it to the PACU nurse. Yes, this is lunch time, you are exhausted, and there are five cases to go.
This is a day in the life of a surgical nurse. Many nurses in other professions believe that surgical nurses do not do much, or are not "real nurses." Although the role of surgical nurses is unconventional, they work very hard and they are an integral part of the nursing profession. Unfortunately, they did not see the fruits of their labor. Once the surgery is over, they will no longer see the patient and usually do not know how the patient performed during the recovery process. Patients do not remember that they were very careful from all OR staff, and for the sake of the patient, it may be the same.
Surgical nurses are very skilled at their work and truly deserve the respect of surgeons and other nurses. So, next time you meet a surgical nurse and say yes to them, you may be the next person to enter the OR table through the mysterious double doors.
Orignal From: One day in the life of a surgical nurse
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