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- Jun 29, 2016
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some OR questions/randomness..
As a resident, what is the best way to introduce yourself to OR staff? i.e. techs, scrubs, circulators. As Dr so and so? or as first name? To attendings and residents obviously as first name
Or best, after introducing yourself, everyone decides to address you as what you are giving the patient "Anesthesia!"
Is there a way you guys respond or don't when addressed as Anesthesia? I've been tempted to just ignore them and their request or reply back "Yes (Circulator/Scrub Tech/Surgery/surgeon)" but I feel like that would cause hostility, not that I should care since they obviously don't about us. Its hard enough to ask them for help (few instances where they start draping right over my head and trying to push me out of the way while I'm placing the A-line or getting extra PIV's for bigger cases) or start huffing and puffing if we take a bit longer because of a difficult start, but all the hours slotted for the surgery ignores our part. Sometimes for the laparoscopic surgeries they decide to overinflate the belly and I'm fighting high peak pressures and I request them to turn down the insufflation if possible and either no response, or they say yes and the OR nurse doesn't do it, or when I do it, they run over and turn it back up and say how dare anesthesia.
Even intraop if pt bucks/moves sometimes, OH GOD PT IS WAKING UP. or I DEMAND ZERO TWITCHES, 1 IS TOO MUCH! I've had ortho PA's complain that the pt was moving (aka the toes starting to wiggle) when they were wrapping the leg with ace bandage at the end of TKA when the pt's spinal was starting to wear down
. My eyes able to look at the back of my skull hearing that statement hahaha
As a resident, what is the best way to introduce yourself to OR staff? i.e. techs, scrubs, circulators. As Dr so and so? or as first name? To attendings and residents obviously as first name
Or best, after introducing yourself, everyone decides to address you as what you are giving the patient "Anesthesia!"
Is there a way you guys respond or don't when addressed as Anesthesia? I've been tempted to just ignore them and their request or reply back "Yes (Circulator/Scrub Tech/Surgery/surgeon)" but I feel like that would cause hostility, not that I should care since they obviously don't about us. Its hard enough to ask them for help (few instances where they start draping right over my head and trying to push me out of the way while I'm placing the A-line or getting extra PIV's for bigger cases) or start huffing and puffing if we take a bit longer because of a difficult start, but all the hours slotted for the surgery ignores our part. Sometimes for the laparoscopic surgeries they decide to overinflate the belly and I'm fighting high peak pressures and I request them to turn down the insufflation if possible and either no response, or they say yes and the OR nurse doesn't do it, or when I do it, they run over and turn it back up and say how dare anesthesia.
Even intraop if pt bucks/moves sometimes, OH GOD PT IS WAKING UP. or I DEMAND ZERO TWITCHES, 1 IS TOO MUCH! I've had ortho PA's complain that the pt was moving (aka the toes starting to wiggle) when they were wrapping the leg with ace bandage at the end of TKA when the pt's spinal was starting to wear down