I just finished with my two months of surgery rotations. I am starting a month of psychiatry today. I am looking forward to it.
I am happy to say that I really enjoyed my surgery rotations. I thought I was going to be intimidated by the OR, but I found it fascinating. I am relieved, since surgery is a big part of ob/gyn.
Here are a few thing I learned on my surgery rotation:
Scrub in before the surgeon but after the OR nurse.
Before you scrub in, introduce yourself to the OR staff and give them your glove size.
The OR is really cold. At our location, they keep warmed blankets in a room right off the OR. Great for the patients, and great if you are observing to procedure. Can’t use them if you’re scrubbed in, of course.
You can use the suction to suck the smoke coming off the Bovey (electrocautering tool).
Getting the gown on and tied is the hardest part of the scrubbing in procedure.
When you cut surgical knots, pronate! Pronate! (OK, that was just with my surgeon. Every one has their own particularities).
If a nurse offers you a standing stool, say yes. But then don’t trip over it.
Don’t say “whoa!” really loudly with surprise if a blood vessel starts spurting into the air. If you can help it.
Ask if you can close, don’t wait for them to offer.
Ethicon has free knot tying practice boards, available on their website.
Urine output is important. Bowel movements are important. You will have to notice and talk about both, a lot, especially post op.
Hmmm, I can’t think of anything else, but I’ll add more if I think of more. Wish me luck in psych!