• silverwhisper said on Mar 07, 2007....

  nini, are you sure this isn't everything else in your life negatively impacting your perception of this particular event? every time you post about your work, i can feel the pride you take in doing your job well and helping people as best you can.
  
  ed

• ninibud92 said on Mar 07, 2007....

  ed, I'm sure it has something to do with it.  I'm just so frustrated and aggravated.
  
  My dad, my health, the education issue, the teaching job...I just can't seem to make things work.  I have control of nothing and it scares me.  I'm used to being on top of the game and now I just feel like I'm being played!
  

• silverwhisper said on Mar 07, 2007....

  perhaps talking about what precisely happened might help?
  
  ed

• mom said on Mar 09, 2007....

  Nini- I don't think you are a horses ass.

• ninibud92 said on Mar 09, 2007....

  I took a new shift two weeks ago.  I am now the break person so I go into cases at various times to give lunches/breaks. 
  
  Now, I am a thorough tech.  I make sure I have everything I need for the case so that my circulating nurse doesn't have to go running for things all the time.  On this particular day, I was giving breaks in the Ortho rooms (not my strongest specialty).  I asked each time I went in to relieve someone if they had everything we'll need for the case or if I need to get anything before I come in.  They assured me I had what I needed.  That was not true. 
  
  Out of the 6 cases I gave breaks to, only 1 had everything we needed.  The kicker was at the end of the first shift when I took over a room for a hip replacement.  I asked two different people to make sure I had what I needed.  They said I did but I didn't.  We scrambled the whole case.  It was ugly.  The doc was getting angry and I stood there looking like an idiot. 
  
  Like I said in my post, nothing I could have said would have been a valid explanation as to why we were not prepared.  Ultimately, I am the one who is scrubbed in and the doc is waiting on me.
  
  I accept the responsibility.  I know I'm not strong in ortho and that is why I asked a few people to verify my room.  But, in the end, I just wasn't ready.
  
  I would never set up my co-workers that way!  Not only did it create tension for every surgical person in the room but it also put the patient at risk.
  

• silverwhisper said on Mar 09, 2007....

  nini, you aren't accountable for colleagues who don't give you correct information. stupid question as a non-tech: how much equipment do most procedures require?
  
  ed

• ninibud92 said on Mar 09, 2007....

  On a case such as this, the entire room is filled.  In a 500 or 600 square foot room, you might have about 20 feet to move around the entire room. 
  
  But, it isn't the equipment so much as it is the instruments.  On this case I had two tables the size of buffet tables with instruments covering both.  And, I still didn't have everything I needed!
  
  I tried to find a picture but I couldn't.  But imagine about 15 cases of instruments, about 1' x 3',  ranging from scissors and clamps to drills and prosthetic trials for the hip.  It covers two whole table with some of the cases stacked on top of each other.  Then we still have basins for cleaning the instruments.  It is quite crowded!  And somehow, I have to know exactly where everything is and how to use it.  Plus leave a 1' x 1' area to work in.
  
  
  

• silverwhisper said on Mar 10, 2007....

  nini, that's gotta be incredibly frustrating when the stakes are so high. do you guys review things after such incidences to help prevent future such issues?
  
  ed

• ninibud92 said on Mar 10, 2007....

  No, the veterans of the establishment think they do no wrong.  So, mentioning the mishaps never get us anywhere.  I think they do it on purpose so that the docs they regularly scrub with see them as valuable compared to everyone else.  What a way to boost moral!

• silverwhisper said on Mar 12, 2007....

  good grief...can you talk w/ the techs who were prepping the theater at least?
  
  ed

• ninibud92 said on Mar 23, 2007....

  I did not talk to them.  I didn't want to create any friction.  However, one of the docs who was working with us that day took me aside in the hall and said it wasn't my fault what happened.  He said he could tell I was upset and he could see it in my eyes.
  
  That made me feel a little better but the problem still remains.  I now know to watch my back a little more.  It shouldn't have to be this way but if this what I have to do, this is what I have to do.
  

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