Spent the first day of the week with a nice fellow, fairly new himself. He was able to give me an idea of how things work in the outpatient surgery center. Got to scrub a couple cases (ENT) that I think went well.
Tuesday worked with my preceptor for the first time. She was way behind when I caught up with her, so I stood back and watched until the case was well under way. The surgeon was not the most pleasant individual and I felt really sorry for his resident and intern. After the first case my preceptor and I had a little more time to get to know each other, then she would set up the case and let me fly. The surgeon was still rather unpleasant, but I believe I did a good job.
Spent Wednesday and Friday back in the outpatient setting. Scrubbed independently, set up lots of cases, did lunch reliefs. On my way to making friends with staff, and showing that I know what I am doing as a scrub nurse. I even knew a set better than my preceptor and the surgeon at one point (broken hardware removal case). That, of course, comes from working in SPD and talking to the vendors of orthopedic trauma instrumentation and just being good at figuring out those ortho instruments.
The more I am scrubbing, the more I am thinking about what service I want to eventually be part of. I really like being able to do any surgery. I really like vascular - it's easy to understand that you need to open the vessels, clean them out, close them up... General can be good - cut out the tumor, reconnect it, close it up. Neuro can be good (if you have the nice surgeons), though spine surgery is frustrating because you can't see a darn thing in the tiny deep hole in the back. Cranies are fascinating because you get to see that most important of organs that makes us who we are, the brain. GYN and GU are OK, but they don't excite me. I have had so much of ENT and Eyes that I really don't care for it any more. Besides, pulling snot out of peoples noses just really makes me nauseous. Ortho, on the other hand, is awesome. Complex instrumentation that I get to play with (assemble and disassemble). Immediate results as the plates and screws are placed and the bone fragments are aligned. Power equipment.
I know, it's just carpentry for the human skeletal system...but it makes sense, you have to make a plan, measure out the pieces, make your cuts, place the hardware, check your results and finish it up.
I am glad that I am only working 32 hours a week right now. With school the reading work load is intense. Just wait until we are done with this scrubbing rotation! Then I think I will be overwhelmed with reading, trying to soak it all in so I can be the best OR nurse I can be.
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