Monday, October 8, 2012

A day in the life of surgery

I was all set to work hard, turning the room over multiple times and getting through 5 quick cases. Well, the best laid plans...
First case went well, started just about as early as is possible. Except our OR lights quit working on us and I had to call engineering to come try to fix them. Called my facilitator to send for the next patient and come to find out s/he is not in the hospital. Can we get a hold of them? No, tried 4 times. Maybe they are on their way in? Finally we get the correct number and they didn't even know they were having surgery today, and they didn't have a ride to the hospital. Well, then let's start calling the next patient in early. Again, no pick up. We're done with the first case now and no next patient. The day is looking like it's getting longer.
Finally as we roll the patient to recovery we find out the 3rd patient is on their way in, will be here at the time they were supposed to check (in an hour) and the rest of the patients have been called moving their check-in time up. 2nd case is cancelled (so sorry, try again some other day when you have a ride and know you are having surgery).
I get a little break even after taking a copy of my degree to HR.
I go interview our next patient, who has been rushed through check-in and who has yet to talk to the pre-op nurse. I take my 2-3 minutes and go get the room ready. For some reason the pre-op nurse took quite a while to get our patient ready. Maybe the patient was chatty, s/he did seem to want to talk to me a bit.
Finally we are moving along again but in a different room because engineering is going to need at least 2 hours to fix the lights, it's not just a burnt out bulb apparently. Finish this case and go to lunch while another team, in another room is supposed to do our now 3rd case. Again, long delay in getting the patient into the room. I finished lunch and relieved the circulator so he could get lunch right before his relief arrived.
As the surgeon came in, I asked if I could send for the next patient. Yes. Went to the induction room and saw that patient. Nice quick interview, get my local and go open the room. Room is completely set up except for scrubbing in to set up the instruments. The facilitator scrubs and we finish getting the room ready. Surgeon walks in and about 3 minutes later our patient is in the room. Like a dream, like it's supposed to be done. Took all day, but we finally had a case go smoothly. For our part.
Still got done more than 2 hours before original schedule said we would, but it sure was a struggle.
As I said, the best laid plans...
Everyone was in a good mood, so no scalpel throwing - not that I could ever see this surgeon doing so, he's a real nice guy. Other surgeons, though, might have been having a bit of an issue with rising blood pressure. I just tried to make sure my part of the whole circus was done, left it up to everyone else to do the same. In the end, it was a nice easy day, long breaks and only 3 cases instead of 5.

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