perfect timing. going over this in med term now. I know when I had an ortho operation, I was in a or designated specifically for ortho procedures. I can definetly talk about arm placement. I had an injury to my right index finger in which both my tendons were sliced and needed to be repaired. It was like a two-hour procedure in which both my arms were extended. my right arm obviously because that was the arm they were working one and my left arm because of the iv placement.My first iv actually had to be replaced because it came out due to poor placement. I came out of surgery with a huge cast, two bruises from the ivs and a large scar that extends my whole finger. luckily she decided not to do exploratory surgery to locate the second tendon and just ket it die off or I would have a scar extending my whole palm.
Thanks for another great video. Been on those beds conscious and unconscious. (Have had a lot of skin biopsies.) You're right, those beds are really comfy. Last one I had, I was in the lateral position, pillows tucked all around, waiting for frozen sections done on my arm and back. I almost fell asleep. Well a couple months ago, comes time to get a new mattress.....being really picky, told the hubby and salesperson that I wanted something like the bed in the OR. The looks they gave me....oy!
I've spent more time on an OR table as a patient than I care to discuss (34 procedures over 54 years). Thanks for making these informative and really interesting videos, Shane.
I just want to let you know that you're a great help to my education, I've yet to experience being on the field due to the pandemic but your videos give me a sneak peek at what it's like. So thank you! Edit: I just found out my professors use your videos as a reference as well, so congrats! expect more views from students from my university this semester. lol
Im currently finishing my prereq courses for my surg tech program and i have to write a paper in my psychology class asking current surg tech questions about the job. If you could please take some time to answer these few questions id greatly appreciate your input. 1. What was the most stressful or challenging surgery in which you participated? How did you cope with the stress? -How do you manage your stress -Does having routines help with stress? -Do you have any type of routine before or after a case? 1. If you have a disagreement with a surgeon or another staff member, how do you handle it? -Have you ever been in a situation where because you were 'lower' then someone, that you didn’t feel like you were being heard? If so how did you resolve it. 1. How do you deal with people from other cultures or who shared different values/ views then you? -Have you ever dealt with or experienced prejudice in your workplace, whether that be with a coworker or patient.
Thanks for sharing. I am CST about 1 year now but I can’t find a job. Most places are looking for experience. Anyway I watch your videos to keep myself up to date
Thank you for making these videos!! They are so helpful. Could you possibly make a video on how to put on the OR table arms, setting up the egg armshell pads, etc? I know they are pretty basic tasks, but I find that I am always confused about this. I just started my surgery rotation, and would like to be better oriented with proper OR positioning! Thanks!
Great Job. For the lithotomy position, i believe it’s more convenient to remove the head piece of the bed and put it at the feet. So that when you put them in stirrups or in position, you have their 'butt' exactly where you want it at the edge of the bed. This helps the surgeon with easy access and same for anesthesiologist (so they don’t have to stretch their circuit to secure their airway). Thank you 👍🏾
I was very happy during my surgery that I got TIVA in supine position BEFORE I was put into lithotomy position. For the girls you do now that position very well. For me as a male it feels VERY awkward and degrading. I had been way more afraid about being put into this position while being conscious than I was afraid about the surgery itself. So now I do know it's not nice for you, too.
So my surgical tech classmates and I have a huge request for you! We LOVE your videos and are all feeling very overwhelmed right now learning all the different things we have to do before we even get into the surgery (we’re not quite half way through our 2 year program). Do you have a video of the ENTIRE process of scrubbing, setting up, and prepping the patient? If not, would you consider making one for all us students? It’s hard to learn the pieces of the process but not see it all put together yet so it flows and makes sense to us. Oh and thank you for making such great content!
Hey Shane! I love you videos! Do you have any tips for building a resume and what types of things you should put on it? I’m not sure if I’m putting the right stuff on mine, thanks and hope to hear back from you! (:
I will be graduating the 19th Dec. Not sure I'm going to find a job as ST right off. If I take a job doing something else, how will I remember procedures and sterile technique in the OR? Your videos are awesome and I have watched almost all of them. Thank you
Typical in the medical profession, whether it’s doctors or nurses, they all lie he just lied to all of us saying he would go through (the controller) that anesthesiologist use to position a patient not one word about it what I wanna know and no one will say it out loud is why do they wait until after you’re out and before surgery to position a patient well, let me enlighten you they don’t want you to know this it’s because once you are out you are immediately stripped buck naked and every inch of your body is examined so everyone in the operating room can see your naked ass they take your dignity which is totally unnecessary for most surgeries. So the next time you have surgery be aware knowledge is power they are federal and state laws that require a patient’s dignity to be maintained at all times, but in the real world that goes out the window as soon as you’re unconscious. deplorable that’s why I’ll never have another surgery.
I agree with everything you said. It's been 11 weeks since I had my first surgery ever and no one told me a damn thing about what was going to happen. I was scared and overwhelmed by everything going on all around me. I never met the anesthesiologist or anyone else in the OR. I never even saw the OR. They must have heavily drugged me before I got there because I don't remember anything at all. I don't like being vulnerable or lose control like that and it will never never happen again because I will never have surgery again ever. I am still bothered by the fact that I think I may have been violated in the OR. How would I know, I was completely unconscious under anesthesia. Damn them to hell.😡😡😡👺👺👺
Hi Bro ! I am a medical student and your videos effective and Awesome. Please continue and post videos soon .. Also make a video about sutures Thank you .. 🌸
I am a Nurse Educator, and I have been using your videos for our new Nurses in the OR. I just want to say your videos are so helpful and informative; better than the AORN videos. Certainly, not boring! I have watched a lot of videos, many are quite far from standard practice but your videos are pretty much the standard practice and straight forward. Thank you so much.
@@Phoenixhunter157 I see, thank you. Here where I'm studying they're a bit different. They're padded, but pretty firm and hard. Maybe it's a different type we use or just the video showing them softer than they are
Supine, but there are special attachments to the bed that secure your head. The attachments depend on the type of brain surgery and the surgeon's preference. The two main bed attachments used for brain surgery are the Mayfield/Gardner skull clamp or the horseshoe headrest. Sometimes they just use a gel donut as a pillow.
Hi Shane. I just started my clinicals for Surgical Tech at USC Keck in California. I'm considering moving to Henderson, NV after I graduate which will be in January. I was wondering if you knew the approximate starting pay rate for a newly graduated Surgical Tech over there. Also hoping you can give me a few pointers in places to apply for a job over there. Thank you!
I love your videos! we watch them all the time in the surgical tech program I just started. Could you please do a video on pharmacology and intraoperative drugs?
That's why the preference cards should be detailed and kept updated. You should be able to read that card and know where the anesthesia equipment, boom, bed, tables etc need to be.
c coop With the advent of computerized preference cards, that is easier said than done. In my workplace, only the charge nurses can get into the program to make edits, and they don’t always get the job done, or get it right, even if you give them written, detailed instructions.
@@rapunzel39 That's how it was done where I worked. Any of us could make changes or corrections to the card. Then it was turned in to be formally changed. It's amazing the number of people that never bothered to make any changes to the cards. I mean the group that does, say, totals mostly. Then a couple of people out of that group go on vacation and all Hell breaks loose!
c coop Do you remember the old “recipe cards” we used before computers changed everything? They were always written in pencil, and anyone could edit them. I once took a blank one, and, just for fun, made a preference card for myself. A few years ago, I found it, and had one of the gals in the office recreate it on her computer. She made me a stack of prints, which I use to make my own notes for big cases. I also give them out to the young students I precept...they love it!
Just got accepted into the program at my alma mater!! Thanks for making these vids. I'm sure they will be of great importance this coming fall. What really pushed me was seeing a wrench that was cut from around a man's penis. The surgery nurse who dropped it off to me in the lab was just as shocked as I was. I was more than shocked though, I was inspired.
Very nice demonstration! Do your doctors ever use chest rolls for prone cases? I’m surprised they don’t use vac pacs, aka bean bags, for lateral position cases. Do they also utilize axillary rolls for lateral position? That’s a nice OR table! What brand is it, and what is the weight limit?
Chest rolls are used. There are gel ones, foam ones, blankets, etc. It often depends on your crew on what you use. You learn the anesthesiologists and what each one prefers, same for the surgeon. Some docs don't want to be called back until it's time to cut and some are there to assist in positioning. We had a small chart in each OR suite stating each bed and their weight limit. I have had to push 2 beds together with a stirrup on each side for a patient. Oh, the bean bags. They're still used. It depends on the procedure. Sometimes the bean bag doesn't work and you have to use pillows, fowm and tape.
c coop I understand. It is the same where I work now, and at every hospital I have worked in before. I’m just surprised bolsters and vac pacs weren’t included in this positioning overview. As for wanting to know the brand of table, our OR tends to replace tables every few years. They just replaced most of ours with a table that has huge wheels, and it’s nearly impossible to position the feet of the mayo stand under it to a point where you aren’t too close or too far away. It is also difficult to change out the table attachments.
chest rolls or gel pads on the chest for all prone cases. The main thoracic Dr I work with stopped using bean bags b/c he felt they did more damage then good, we haven't had any issues with taping. We usually use silk tape . 2 strips across the hip between the ASIS and greater trochanter, 1 strip across the calf, and 1 strip across the shoulder going down the arm to the armboard. Wish I could snap a pic of it. He doesn't use a axe roll for his thoracic stuff, but will for hearts. I know our bed is Steris, the weight I believe is 600lbs max when the table is slid caudad all the way, and 1200lbs when centered...ill have to double check that though.
IM DISABLED DUE TO THE POSTIONING I HAD IN PRONE POSITION. YOUR LIFE CAN BE 4EVER CHANGED. WE PUT TRUST IN OTHERS NOT KNOWING WHAT THE OUTCOME CAN BE. I LIVE IN PAIN 24/7. COST ME MY CAREER AND MORE. I WOULDN'T WISH THIS PAIN ON ANYONE OR THE STIGMA THAT FOLLOWED, WHICH LEAD TO A PERMANENT DISABILITY. I NEEDED SURGERY FROM HAVING SURGERY
I had a TT and neck dissection last month. Read the surgical notes after. They set me up then rotated the table 180 degrees. Didn't understand why they just didn't start that way.
The padding on OR beds is not as soft as they look and very firm. The closest thing I can compare them to are the kicking bags they use in martial arts. We've done plenty of successful CPR on OR tables.
I see you havent been around much lately, but i had a video idea for you.. I think a video on draping a microscope, Carm, and ultrasound and/or other probs would be very helpful!
Hello! Can you do a video on working with trauma/what exactly do they do. My professor mentioned working for trauma as a CST and it confused me. Can a CST work on certain specialties?
Hi there. Another great video. I was wondering if you could do a video on cardiac pans/procedures and setup. I’m interested in joining a heart team and would like to see what the set up looks like. Thank you.
Hi iam new to your channel and would like your opinion on people who have been scrub tech and want to return to scrubbing after being out of the game for years.. I myself havnt scrubbed in almost 14 yrs but have continued to be part of a surgical setting for about 10 yrs currently iam a core tech but have been in spd and supplies as well. I very nervous about returning to scrubbing. I have never scrubbed in a hospital setting only surgery center. So its alot more intense sence we are a level 1 trauma center. Please help me with any advice you have thanks.
It is comfortable, but then again, I was awake and aware I was in the room and within five minutes the anathesiologist magic liquid kicked in...once I asked to wrap my feet, well, lights out....
interesting! I go in for ulnar nerve transposition on the 19th of this month...am scared to death, surgery doesn't scare me, but getting into the or sets off a panic attack, and when they put the mask on my face it triggers a anxiety attack so bad my bp goes haywire
I’m emergency surgeon resident , mostly I ask the nurse or anesthesiologists to help me positioning when ever I need a different position during the operation.
