On my first day I was given the chance by my nurse preceptor, Amy, to observe on one of the last cases in the OR. It is for a Laparoscopy Cystectomy. Prior to entering the OR, I observed as she went over all the blood work results taking notes on the discrepancies on the levels, I listened as she interviewed the patient with set questions, and helped out a little with setting the OR, counting of pre-op supplies to be used, reconciling medications, and positioning and prepping the patient. It was a long and tedious process that require so much more attention than anything else. As soon as the Dr came, the procedure started in about 10 minutes.

Aside from the surgeon and nurse/s, there were two OR Techs who were actively assisting the doctor with instruments and with the actual procedure, and the CRNA. I have to say it was a warm atmosphere. I had the opportunity to observe such a great doctor – minus the horrors you read about how they can be jerks. Maybe I will, in time, and i will be ready for that special Dr. In less than an hour, we were done. Patient was stable although still groggy from the anesthesia. We cleaned her up, transferred her to gurney and straight to PACU.

In the Philippines, there are no OR Techs so nurses do everything. The nurses responsibility is concentrated concentrated on patient – not so much on equipments or on instruments. It is a new look on the difference on Nursing Care here in the US and in the Philippines…

Looking forward for tomorrow’s cases…

Image Attached, Credits to http://dronuma.com.au