Because the surgical nurse is very different from other specialties as surgical nurses deal with patients who are asleep. Surgical nurses to see patients in a very short pre-op and then return to the operating room, where they will be put to sleep as an anesthesiologist or Certified Registered Nurse Anesthetist (CRNA).
Surgical nurses are very territorial and secretive. No one knows what goes on behind the doors, (neither the patients, nurses and other). It's a completely different world of surgery and without the proper training, you can not participate in the surgical area.
Surgical nurses not change dressings; not usually be given medications (except for local monitoring). They do not answer call lights or care much about patients' families. So what the hell are they doing?
Well, surgical behind these doors some exceptionally skilled nurses who deserve recognition and praise, rarely get.
they do not see how the patient recovers. Patients Versed so high that the whole amnesia after their surgical experience.
day shift If they arrive at the hospital or facility around 6:00 to be ready to set up an incident at 7:00 am. This gives them time to change into scrubs and read the schedule. The fate of the agenda of the next 8-12 hours. I look at the big board at the front desk to find out if they are the scrub nurse on the day or the pump. The most important thing you look for a sign as to which surgeon will work. This simple thing can make or break your day. There are good and bad surgeons than any other slice of the population. "Please God, do not be such and such."
Doctors were friendly, but their skills can be terrible. Or it could be a good surgeons, but the real jerks. Hopefully that day will get all the surgeons, all of which are friendly and good at what they do … but this is unlikely.
When added to the circulating nurse, you can grab a scrub tech / nurse, and you can also go to look for the first time into the day. This can be anywhere from a mess of other cars that have been filled with items needed in other cases. Hmmm, what a joy it is when there is a great deal of ortho and half of non-sterile instruments, and should be flashed Better yet, you are missing half the items on the preferences page.
You run and find them as a scrub nurse opens the sterile field. When you return to "dance with the scrub nurse." Not literally, but the "dance of the scrub nurse" really means to help the scrub nurse tie his / her sterile gown. They can not do this on your own, or make them sterile, reaching behind them.
Next, you need to count everything, including all the tools, RAYTEC, loops, needles and blades. Remember all this happened 06: 30-07: 00th God forbid, you lose a round or above items. It's a nightmare when you lose nothing. Already in those cases where we remove lap sponges, a needle or device; In these cases, so much fun. While the cases where the surgeon has already left a sponge inside the patient, it is absolutely necessary to mask a dab of wintergreen, or you're likely to vomit up the gut! (And that's putting it lightly). Besides, if all the matter in the scrub nurse happy stretch, the OR bed and all the equipment in the room, it's time to go out and greet the patient.
You go to the pre-op of sight to the patient, and evaluates the chart. God knows what crap are there. The labs may be far away, and surgery may be canceled. The patient may be allergic to latex, so to be broken across the sterile field, because there has been placed a latex Foley. You go in the room and deal with the patient in a cool way, you can (try to remember that these patients have lost their wits scared), unless you are already familiar with. Such a wonderful drug!
Sleep has normally seen and evaluated the patients before they arrive, and the patient has been asked 3 or 4 times that I've had something to eat or drink since midnight. But if you ask the patient the same question, the answer suddenly changes. They say all I had a donut and coffee for breakfast that morning! Okay, now the case is suddenly interrupted, and lucky enough to have the task of breaking down the entire operating room to room down and start all over again. A number of other scenarios may be that the patient is allergic to shellfish and peanuts, (which is the allergy de Jour these days). Everyone mother of a peanut allergy. Or, perhaps, only the patient is allergic to his own snot!
Today the patient has no such problems. They are not obese or pregnant, so there will not be pulled out of the Hercules bed. Hip hip hooray involves the surgery. You begin to penetrate the back post and he was "margarita glass" (Versed), and everyone says before the pre-op area all his secret.
He goes on to talk your head all the way to the operating room to be silly, and he tells you that he'll never forget how wonderful you are. Your mind thinks Yes, that's right, you will not remember your own name when you wake up, let alone mine. After entering or transfer the patient to the table and find that he is still wearing underwear, (full latex banding), though I told you that was a latex allergy … Awesome!
You Anesthesiologist or CRNA help him put to sleep, (hurry, because his leadership, walnuts), her "jabber jabber not shut up." Anesthesiologist or CRNA put him to bed (hurry, because his leadership, walnuts), her "jabber jabber not shut up."
Unfortunately, he fell asleep, and all is quiet for a few minutes, until the explosions doctor friendly. He had a bad day doing rounds, and she has been paged 54 times with his office staff, so he's a nice atmosphere and you're a nice day.
There is no right of preference cards, and spend your time running around looking devices (dirty also, which need to be flashed). It just pisses off the surgeon improves more and more of the day. The Bovi does not work and the Rad Tech named the C-arm 10 times, but still MIA.
When everything starts to settle all the issues have been resolved and you can relax and sit 5 minutes, hoping to stay that way. Finally, the surgeon closes and begins counting. Circles and RAYTEC first, and then the instruments and needles. All right, (and except for a small needle), which is nowhere to be found. The scrub matter again. "No, we are still missing." The surgeon knock someone's head, and freely verbalizes it. You run the magnetic roll a stick in the ground and find the damn needle. Finally, you find that the scrub nurse right leg.
The patient begins to shake, and finished on the matter. After you pass and give the report to the Pacu nurse patient surgery. Hooray, it's lunch time and you're exhausted, only five cases go.
This is a day in the life of a surgical nurse. Many nurses in other specialties believe that surgical nurses really not much or no "real sisters." While the role of surgical nurses are very non-traditional, working very hard, and they are an integral part of the nursing profession. Unfortunately, it did not get to see the fruits of your labor. Once the surgery is over, you never see the patient again, and generally have no idea how well the patient has made a recovery. The patient does not remember receiving great care, or for the sake of all the staff and the patients, it's probably better this way.
surgical nurses are highly skilled at what they do, and really deserves more respect to both surgeons and other caregivers. So, the next time you encounter a surgical nurse to treat them right, you may be the next to come through the mysterious double doors and onto that or table.