ALL ABOUT OPERATING ROOM NURSING! | Caroline Korosec
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- Опубликовано: 26 окт 2019
- ALL ABOUT OPERATING ROOM NURSING! | Caroline Korosec
Hey everyone! This video is about me explaining my daily work routine as a circulating nurse in the operating room. I work at an outpatient surgical center, connected to the main hospital in Atlanta, Georgia. I haven't seen many videos on this field of nursing so I thought I would share some useful info and help some of those who are interested!
I apologize for the quality of the video and for saying "uhm" and "so" about 50000x in the video, I'm still learning to be comfortable in front of the camera! Please reach out with any questions, tips for me and ideas for future videos you'd like to see! I hope to see you again in the next video! :)
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My info:
*instagram: carolinekorosec
*email: carolinekorosec12@gmail.com
Hello everyone! Clarification about the surgeon’s “books”…these were binders of pages typed up by nurses and scrub techs that worked with each surgeon that gave a break down of each procedure. For example for Dr. Smith’s mitral valve repair, it will include every single item, medication and instrumentation you need to pull for the case (suture, dressings, ties, prep type and body area, pump catheter, etc), how many of each, if you “open” it or “hold” until they ask for it, and a step by step of the procedure. This was cardiac surgery and everyone had their own specific order of doing things, so it was very important to read it over as a new employee. They also included if they liked music and the genre they preferred 🤓
For my other job in outpatient surgery, there were also lists of items that were printed out for every case pertaining to that doctor and procedure. Same idea just printed out for each case, and the paper was on top of the cart that we brought in for each new case! It was very helpful and if a surgeon wanted to delete or add onto it, we could also modify it. This was in the computer which made it very simple. Another helpful thing was that it includes if they did/did not want us to call family members, their cell number if they wanted to be texted when we’re ready for them, and specific drug mixtures for certain procedures.
Hope this helps!
Preference cards
Hi Caroline! I’m a new grad nurse 3 months into my OR residency. It was so fun to watch this video and understand everything you’re talking about to see how much I have learned in just a few months! I hated my med/surg clinicals and was starting to wonder if I was cut out for nursing. I knew I was interested in the OR but I agonized a lot about getting my “foundation” on the floor first. Even though that experience would have been helpful, I am so glad I went into the OR. I still do lots of nursing skills like starting IVs, inserting Foleys, advanced line management, charting and time management specific to the OR, etc. Usually anesthesia administers the meds, but I still pull them out and perform my checks. I just love having one patient at a time, taking verbal orders instead of having to call docs all the time, and getting to witness amazing surgeries with cutting edge tech!! I hope anyone reading this will feel empowered to go into to the OR.
Thanks for posting! I’m an operating room nurse too! I’m glad more of us are out here making content for people because when I was in nursing school there was no info out there about O.R. Nursing.
Hey hey! I know I couldn’t believe how little information is on the internet about the OR...hope work is going well for you 😃
I started in 1998! There was barely an internet! I did on the job training. I started scrubbing to learn the instruments and the surgeries. I actually loved scrubbing. It changed things up from circulating.
OMG Yes your quote on realizing you didn't want to do bedside nursing while working as a CNA is what I'm going through right now. and I'm also looking into OR nursing!
I've been going down a OR video rabbit hole and everyone seems so much happier. I work nights on medsurg and it's draining the life out of me 😂. The OR sounds like a great place to be once you get over the initial learning curve
Girl! I worked the medical floor for 18 months when I graduated. I think new grads should work some med surg right after graduation. Do it for a year. You get a good solid base. Then transfer if another area looks appealing. I was on night shift too. I had 2 young children. I had a hard time sleeping. I did home health for 18 months. Then I saw there was an opening for an OR position. Luckily they were willing to train me. I loved it! Every nurse will find their place. It may take a few tries, but you're learning in each position. I loved that I didn't do the same thing every day. I specialized in spine, but that was 3 days a week. I worked in all fields of surgery (we didn't do transplants and major cardiac surgery.) The surgeons were completely different. You don't have the brass walking through. There's always new equipment, inservices,etc. Give it a year. You can always try another area. That's the beauty of nursing. There's so many specialized fields!
This video was amazing! It helped me understand certain aspects of what is going on in the labor and delivery operating room at my new job!
Amazing! I am very new to my circulating nurse role in the OR. Your video was very informative. I will definitely utilize your wealth of knowledge in my new role. Thank you so much!
Thank youuu I truly appreciate how specific you made this video. I’ve been looking for details on what an OR nurses role is. As a bedside nurse was really anxious as I am transitioning to the OR field but your video definitely brought back my excitement!
Thank YOU! This is the only video on RUclips I swear, that ACTUALLY talks about what you do in the OR as a nurse. I’m starting in the OR as a new grad soon!
Awesome sauce! The best video I have watched so far about the operating room! Thank you so much for all of the great info.
Santosha Thompson thank you very much!
The best informational video out there! Thank you so much for all the information, im looking in to going into the OR after graduation, but no other videos I’ve watched gave detailed information about OR nursing like yours did, thank you so much!
Thank you Meghan! Best of luck to you with your nursing career! ❤️
This was awesome and super informative! Thank you so much for making this! I'm transitioning to a circulating RN role in the OR, and I'm so glad I found your video, because as others have stated, there really isn't a lot out there for OR nurses that are starting out. Keep up the great work and I hope you're still loving the OR!
Reubs The Dude thank you!! Sorry for the delayed response, I hope you’re liking the OR and are staying safe with all this Covid-19 going on!
Hi Caroline! Thank you for making this video and going so much in depth how your job looks like. I want to become a nurse and work specifically in OR and have to admit that your video so far the best describe this job. Really helps a lot! Take care!
Great Video! Super helpful and detailed! I'm considering becoming an or nurse, so this video helped out a lot. Thanks!!
Very informative. I used to do OR circulate, but have supervised a 200 bed ltc facility for 7 years. Getting ready to travel in OR again, so trying to renew my knowledge.
omg I'n 1 minute in and had to pause because I'm literally in the same place that you were in nursing school! I graduate in December and I'm currently working as a nursing assistant and I have a lot of anxiety towards graduating because I KNOW i don't want to do bedside nursing.
I'm definetly looking into the OR! I just subbed :)
This video is exactly what I have been looking for!!
dreamscometru thats good to hear! I will be making some other videos soon so I hope you like them! :)
Right??? The most comprehensive video ever!
Loved this! Just got a job in the OR fresh out of nursing school with the graduate program they offer!🙌🏻🙌🏻
dixiespice YAAAS! congrats!! You’re gonna love it. There’s so much to learn and experience that you’ll be exhausted coming home from every shift for a while 😂
Hey, thanks Caroline for the video. This makes me wanna switch from ICU (18 months so far - kinda burnt out...) to OR!
Great video. You covered a lot of group. I’m excited to be an OR nurse!
Thank you so much for such a detailed video. It was extremely helpful. I am graduating in December and I’ve been so curious about the OR. When you worked inpatient did you get health insurance benefits? What were your hours and What was your starting pay if you don’t mind me asking?
Hi Caroline ! Thank you for sharing this. I am not a bedside nurse either. I really enjoy the operating room. I don’t like when people say that you have to do med/surg before going to the OR. I personally think that you should go directly in the specialty you are interested into.
Thank you. Really really good insight.
Great video Caroline!
As many have already mentioned in the comments and as you stated, there is almost no education on being an OR nurse in schooling, and I felt that was the part of nursing that I wanted to do but didn't have enough information to proceed with it.
Your video definitely clears a lot up with being a circulating nurse!
Also, does one usually start as circulating and then has a chance on being a scrub nurse, or is that hospital dependent on if there is a tech? I know here in Canada a tech position doesn't exist, and that scrub nurses are needed.
I am started nursing 1.5 years ago in PEDs med/surg and definitely feel that it isn't for me. The more I research OR, it feels like something I would like with 1:1 ratios. Most places want you to already have experience in order to hire you, but I was able to find an entry-level OR position in a smaller town that seems to be interested in me, and should hopefully have an interview with them next week. Hopefully it works out.
Thank you so much for the video. Could you share some of the interview tips and job searching tips as well? I am a new graduate with no OR experience other than a few shadowing trips. I really want this to be my career path ^^. Thank you so much!
I’m so glad I found your video! I’m currently in nursing school and after graduation I’m looking into getting a position as an OR nurse. I also found out pretty quickly that bedside is not for me. I worked as a phlebotomy tech for a year before getting into nursing school but even with that I am just not liking bedside. I think it’s great but surgery has always been something I’ve been interested in. Also your video definitely gave me more insight into the OR than my program could so thanks!
Natalie Rose girl you got this!! If bedside isn’t for you, don’t stuck around and be miserable. You deserve to enjoy going to work each shift
I am a 20 year RN. My last 16 years working was in a hospital OR. If you're going to be working in the OR, you may be doing local or conscious sedation surgeries. That means no CRNA. A RN sits at the patient's head and monitors the patient. The RN gives the IV meds. First you'll have to be ACLS Certified. You'll need a good understanding of the main disease processes like diabetes, CHF, COPD, etc. You'll need a good understanding of the meds your patient is taking. Are they acting weird suddenly? Do you need to get a fingerstick? Those are decisions you will have to make. The surgeon is busy doing the surgery. True story- I went into a conscious sedation case to give the monitor her lunch break. I knew the patient. She had ESRD and was one of our "frequent flyers." She was the sweetest lady. I got 1 set of vital signs and she crashed! The case turned from a perm cath insertion into a thoracotomy! Thank goodness that's the only time that happened to me!
I just would recommend any new nurse to work for one year on a med/surg floor. That gives you a great base to build on. Then transfer somewhere. Many facilities won't hire a new grad for specialty areas. They will if they're in a crunch. Good luck to you!
Hahahaaaaa 00:58!!! That’s the beauty of nursing, so many different options.
Hii thank you so much for this video. I just accepted an offer to work in the operating room as a new grad nurse. I am really excited and thankful for the opportunity. This video helped me get an idea of what to look forward to. I was curious how many weeks was your orientation? Just want to get an idea of that. Thank you😷❤️
Love this video! I’m an OR nurse as well and it’s definitely hard to find content like this on RUclips. I’ve been trying to make some videos as well. I think it’s just becoming more common for new nurses to be hired into the OR.
Oh my goodness you’re literally describing my job it’s like we work until he same place 😄❤️
hannah ikoso 🤗🤗 how do you like being an OR nurse?!
Thank you!
Great detailed account!
I think that I will love charting too. I love secretary work
Lol I love EPIC charting 😂
Hi Caroline what book are you referring that you said everything you need to know about surgery was there? I may also get it..
Wow this is very detailed! There isn't much information on OR nursing so I really appreciate the video. How do you stay hydrated throughout your day? I've heard you have to watch your water intake because you hardly have time for a restroom break in the OR.
glassgloss thank you!! I try to bring a water bottle with me and start drinking on my drive in lol. And I force myself to drink during my morning break and lunch time! We do have downtime sometimes between cases and I’ll take advantage of that too! I seem to drink more when I drink a water bottle with me
You get breaks during the day.
Nice explained ♥️
Thank you so much for this video! So helpful! When you say surgeon books, was this something you said available in the hospital where you work? I was almost wondering if I can find that online, haha!!
Thank you!! I was referring to their own personal papers which we put together what equipment, supplies, meds and things they do during the cases! It’s really helpful if you’re new, or if you haven’t worked with them in a while!
That was SO thorough and in depth. I’m pretty sure I want to be an OR nurse and that gave me a fantastic idea of the flow of things. Super appreciate this!
Moonlight Serenade and I appreciate you 😆 let me know if you have any other questions if you decide to go into the OR! Best of luck to you and thanks for watching!
I graduate in 10 weeks and absolutely loves this video! The detail was just what I needed. I have been tossing up between OR and ICU. Literally wanted to get out a pen and start taking notes 🤪 thank you so much for posting this! It is so unfortunate that there aren’t any clinical rotations in the OR!
Ahhh thank you so much for this, it was so informative! I'm a new grad and have an interview on Wednesday for the OR :) Super nervous for it, do you have any interview tips??
Have you worked anywhere? Going straight from school to OR can be done, but it will de difficult. For example, we did conscious sedation surgeries. There's no CRNA. I, the RN, monitored the patient and gave the IV meds. If you're going to do that in time, you need a good understanding of disease processes and medications. It would be down the road before they assigned you to be the monitor.
Tell them why you're applying for the job. It's a field that's always evolving. You're always learning. You don't do the same thing every day. I loved scrubbing and assisting too. Good luck!
How do you deal with death in the OR?
I just got a job offer at an OR! Super excited! Thanks for the video🙃
Alexandra Jenkins YAY! Welcome to the club and good luck to you!
@@carolinekorosec thank you! I start Monday!
Congrats! Just wondering, did you go into the OR as a new grad or transfer from another floor?
@@kimnicole8350 I worked in MedSurg for literally 2 months and a friend got me into the OR at a different hospital but they know I am technically a new grad. They also hired a bunch of new grads!
Do you hang IVs? Do you give bunch of medications like med/surg unit? What common skills are required (ex: foley catheter, feeding tube)?
Hi. What are the books?
Have you worked with RNFAs? That is what I'm interested in pursuing.
Don't you also insert a foley?
Do you by chance know the name of the book you mentioned that specified which supplies are needed for different procedures?
Are u only a circulating nurse or do u scrub nurse too
I work as evs in a hospital & I love cleaning the OR side ❤️
You are so appreciated! We couldn’t do our jobs without you all! 💕
they hate EVS workers at the hospital I work at…..nurses and doctors avoid them at all costs
what is your job in the operating room?
I hope I don't have to tell you to turn on the suction and plug in the bovie when we're ready to start. Being a circulator is a good way to not do nursing. Think about it: what nursing skills do you have to use? Maybe put a Foley in once in awhile though the assistant or resident usually does. As a surgeons assistant I often helped the circulator. When they get stuck on their crossword puzzle we come to their rescue giving them the answers. BTW, there's a failsafe way to get any ring off a finger. I see you don't know it.
Goooo Dayton Flyers!
I'm a nursing instructor in NY but a grad of Sinclair Community College and met my hubby at a UD party!
Dear colleague,
Great video, thank you so much.
I have been working in surgeries for 18 years and have many specialist courses in this field
My question to you are what are the requirements for practicing the profession of OR nurse in USA.
I searched a lot and found nothing specific about this topic.
Is there a specific exam to practice this profession?
Hello! Thank you so much for your hospital service. 18 years? WOW! That’s amazing and I’m sure you have got some great stories.
I got my bachelors degree in nursing, took the NCLEX (nursing exam to get RN license), and was able to get right in to a new grad operating room program at my hospital. Some hospitals require 1-2 years prior experience, but others accept new grads and put them through an entrance program!
@@carolinekorosec
Thank you so much and very happy to hear from you.
I graduated from the university in nursing with a bachelor’s degree, then i took a training course in surgical operations as an operating room nurse in the Royal Medical Services, after that I got approval to take advance courses in Germany specializing in specific operations.
I have been practicing this profession for 18 years.
During that period, I moved in several fields, starting with general surgery, gynecology, ENT, Urology and kidney transplant, oncology, Laparoscopic surgery and orthopedic.
I am now studying for the profession exam (NCLEX) in addition to my work in the hospital.
It is most likely that the date of the exam will be the end of this year.
Best regards Caroline 👍
Hi,
I have a 45 minute virtual interview for an OR New nurse residency program. What kind of questions will be asked and how can I prepare for the interview?
Did you end up having the interview? How did it go and what questions were asked? :-)
Thank you! How much time do you spend on your feet vs sitting and charting as an OR Nurse?
YES !!!
There's not much sitting in the OR.
After graduating nursing school, did you go straight into OR and did training/orientation? Or did you have to do some sort of residency program or certification class before you applied?
My first job out of school was in the OR, and yes I had to compete a residency program! That program is 1 year and your training in the OR is 6 months, scrubbing and circulating
@@carolinekorosec thank you!
I appreciate this video! Do you have to insert foleys or IVs as a circulating or scrub nurse ? I’m considering becoming an OR nurse but I don’t have med surg/bedside experience. I only have background in Dialysis, Psych and substance abuse
Hey! So the only times we inserted foleys were for our special needs dental patients (those were like 6-7hrs too) or if a procedure would be over 4 hours long. As for IV insertion, we did those on all the pediatric patients, which was usually everyone 17 and under. However, if an adult’s IV became troublesome we would redo those during surgery too. We had lots of help if needed (anesthesia, other RNs, etc) 😊
good luck to you!
Thank you for this info. Do you think its helpful to take an Iv cert class prior to doing an OR residency? (During the residency program will they assist with this or do they expect you to know how to insert them already) Also, how long did it take you to feel comfortable
in this setting ? Btw sorry for all the questions lol , unfortunately I don’t know any OR nurses. Thank you so much in advance
@@mixedshortyy no I did not take a separate class. We didn’t do them that often, but if you feel more comfortable taking a class go for it! And just be honest with them if you do not know how to perform something
You should do a video explaining how the safety strap works
Robert Holman nothing much to it, we have disposable ones which we throw out at the end of cases or larger ones that we wash and reuse! For cases they’re on their back, we put one around their thighs and if they are prone (on their stomach) we put 2-3 on depending on their size 😃
@@carolinekorosec I like the black rubber ones with the buckles
@@robertholman235 yeah they’re definitely more secure and durable. We also deal with pediatrics and have other quick cases so we use the disposable ones. Cardiac and the main hospital also uses the black rubber ones!
22:18 best part
Ahahaha when I saw this is when it happened
What was the surgeon book called?
The Book of Shadows
I live in L'ville, Georgia and will be done with nursing school August 2020. What hospital system do you work for? This sounds exactly like what I want to do! Thank you for creating this video.
Alejandra Lopez awesome, Good luck to you!! You’re going to learn so much and you’ll be exhausted but it’s amazing. And I work for WellStar health system 😊
@@carolinekorosec Hey thanks so much, Caroline. I am actually interviewing tomorrow for OR position at WellStar Kennestone. Do you have any tips or something I should know before my interview?:)
What a coincidence, I live in Lawrenceville Georgia too 😂😂 and planning on doing OR. How's OR going for you?
@@carolinekorosec OMG I want to work there! Any advice for the OR residency interview?
@@AlejandraLopez-cd6ig did you end up taking the job? If so, do you think wellstar is a good choice?
I went to a hiring event today but it’s gonna be for a north Fulton because kennestone is close to an hour away from me so it isn’t ideal. But I should hear something back from their OR manager sometime next week.
I accepted my first nursing job in september of this year on a stepdown floor and I am regretting it every single day I go into work. I should have went into the OR right out of school, med surg nursing is not for me at all. Thank you for the video.
Hi Daniel, I’m so sorry you’re not happy at your job 😞 med surg is not for everyone but even though it’s not everyone’s cup of tea, you learn SO much that will help you in the future. Especially with Covid, some surgery centers closed down and elective surgeries were cancelled. We had to be deployed throughout the hospital and your experience will come in handy one day if it were to happen again. Best of luck to you, and I hope you join the OR as soon as an opportunity comes along! Happy new year!
@@carolinekorosec Good advice. Many specialty fields will not hire new grads without that year of med/surg base. The only time our hospital took new grads was when it was one of our CSTs that were graduating as a RN. They were halfway oriented, right? lol! I had to retire early 7 years ago, so I don't know how staffing is now. I miss the surgeries so much. That's why I watch these videos. Take care!
I see you DAYTON STAND UP =)
Do you get paid OT if one of the surgeries goes over your 10 hour shift or if you have to catch up on charting? Or does your time and pay stop right at 10 hours?
Such a good, detailed video! Thanks so much!
Great question! I only get PTO if I go over 40 hrs in a work week! So I can work 12 hrs one day then 8 hrs the next, but they basically even each other out! It’s a lot easier to get OT when you work five 8hr days a week because of how busy it got though 🙂
Oops I meant OT haha
@@carolinekorosec ok I see! So are they strict about trying to keep you right at 40 hours? Like if you work 12 hours on Monday, do they dismiss you Tuesday (or another day of the week) after working 8 hours?
@@cocoreo89 so actually before covid, they didn’t really care but now they don’t want us getting much OT! because it’s outpatient and there’s 10hr shifts, people don’t really go over their hours. So if someone’s shift is 7-3, they will get sent home and the 5 o clock people will take over
I got time and 1/2 if I went over an 8 hour day. I got double time if I was not on call, but a surgeon was requesting another crew come in. That was good money for a quickee c section, lap appy, etc. Most surgery centers don't have OT. Where I worked, we could switch our call. As long as there was at least one RN. We scrubbed too. Like, if you wanted my call, I could give it to you without getting it approved.
Did you start in outpatient OR or inpatient OR? Graduating soon, loved the video!!
Hello 😃 I started in inpatient surgery! You want the basic experience with large open cases, emergencies and transplants first so you have a better understanding and can basically go anywhere after that. For me, I actually preferred outpatient surgery though!
@@carolinekorosec I feel like I would enjoy outpatient surgery a lot more as well. Thank you!
hi mam, may i know your area in o.r?
Can an OR nurse also be a travel nurse?
Not unless the OR travels with her!
What if your in the middle of a surgery and you have to use the bathroom. Like can’t hold it ?? lol Considering this position but was wondering about this lol
LOL. we usually would have at least 1 extra person to come give us a quick break! Sometimes we just have to hold it…I will usually hold off on drinking or eating too much if I know we’re short staffed and most likely will be stuck in a room for hours at a time
And not every procedure is long so we can get a quick break in between cases 😊
@@carolinekorosec omg thanks for responding sooooo fast!! Good to know ghanks
I was worried about this as well 😖
Great video I really want to find!^^*♡♡ Thank you so much!!. I am 40's newbie RN wanting to be OR nurse in S. Korea. a little difference between US and Korean OR nurse jod details. Korean OR has all of nurse get the train for a scrubbing. No exception. I am really worried about what I would be supposed to do in OR as a newbie scrub nurse. I am afraid of younger senior Or nurse @@ Thier scolding on me. b
Steven Ko congrats on your nursing journey so far! I’m not going to lie, I was scared about scrubbing at first but we had great nurses who were willing to teach! You will catch on more than you think and may even prefer to scrub vs circulate! You’re going to have nurses everywhere who are not happy with new nurses but we have to learn somehow 🤷🏻♀️ listen to what they have to say and take their advice. good luck and let me know how you like it in a few weeks!
@@carolinekorosec Ok!!^^* I really hope so. Thanks you Caroline!
Uuuu
Very informative, thank you so much! Do you have call?
Joy no I do not! That’s the beauty of outpatient centers. No weekends, on call, nights, or holidays 🤓
Caroline Korosec that’s so awesome! Is it hard to get an outpatient job as a new grad?
Joy I think it would be more difficult for outpatient because most want at least 1-2 years experience. I got into a new grad perioperative program at a hospital for my first job. So some places do offer those! Which was a great intro and I also met some great people!
@@carolinekorosec Awesome! Thank you so much for the info! It is hard to find info online about the OR. I really appreciate your input!
MY WIFE... MAMI... CAROLINE KOROSEC.... MISS YOU.... MAHATMA GANDHI......
What are the chances of getting sued and losing your license in this field?
google RaDonda Vaught
Hi Carrilyn , this is Joseph Collen Shaw from Buffalo, NY. I have a major crush on you..
Very detailed but you sound so annoyed I really hope I enjoy this roll
😂 it’s my first video and I was so awkward in front of the camera lol
MY WIFE... MAMI.... CAROLINE KOROSEC.... MISS YOU.... MAHATMA GANDHI......