EXACTLY... it takes time to memorize the procedure just like in school when we did a lap chole. I can’t tell you how many times I was yelled at because I didn’t know the procedure my first day. Here in CA they yell at you about everything. They sure know how to lower your confidence.
I can attest it is the same in NJ and doesnt matter what type of surgical suite you're in when you're a new tech.... yelled at and getting kicked OUT for absolutely no offense at all was part of what we were trained to "expect" and both happened with certain known professionals. (some are just not in the mood for clinical students and they will just kick you all out when they feel like it)
Easiest way to anticipate is to write down the steps, precise steps. Different surgeons could have different steps even if its the same type of surgery, don't be lazy, just write it down. Then review them Only right before surgery, for 5 mins. Helped me alot.
@@pb4ugo19 No it took me a very long to remember. But looking through the steps put my mind into the right state and prep me for that particular surgery.
So true. I pay attention as with Vascular the patients veins and artery differs greatly and sometimes due to the size of the patient the veins can be so deep it requires so much more. But the process is the same.
@@Ashley-og9ti Hi Ashley, I found niche with vascular a little over a year now. I would like to broaden my skills more as with Vascular you have to consider the radiation exposure during 98% of the cases, though you wear your led and my surgeon is very protective over his team. I honestly enjoy what I do and the team that I work with. It makes it all worthwhile.
When I did my internship at a major hospital many years ago, I was told “see one, do one, teach one” and they weren’t kidding. I scrubbed in surgery for 20 years.🤗
Just wanted to say I’m a med student on my OB rotation, first time in the OR and terrified, and your videos have helped me so much in trying to figure out what’s going on in the OR and maintaining sterile field! Thank you!
Anatomy, procedure, type of tissue and structure of the tissue gives you some idea on anticipation. Delicate tissue requires non crushing and non penetrating instruments. Vessels for examples. You would use non crushing vascular clamps. Debakey forceps for handling. Peritoneum .You use non crushing clamps and forceps. Facia kocher clamps with teeth heavy forceps like bonnie or ferris smith forceps. Orthopedics use heavy forceps heavy clamps like kochers and mayo clamps. Bone cutting use saw or ronguers curettes. Muscle heavy non penetration clamps. Metzembalm scissors for delicate tissues like fellopian tubes bowel subcuticular tissue. Mayo for heavy tissue dissection. If your dealing with procedures like carpal tunnel, use weitlaner, small metz scissors, fine hemostat, sometimes a freer elevator and senn miller hand held retractors. Yes experience is a large part of anticipation however anatomy, know the procedure, type of tissue involved. Oh yes! You must know your instruments!!! That's critical. When you know your instruments you know how to anticipate the Surgeons' needs!! You would not use stevens tenotomy scissors to cut facia? You would not close skin using a debakey forcepts? Epidermis is tough so you would use an adson with teeth. This is universal, and cut with heavy straight mayo scissors and not metz? If your doing vascular such as A V fistula, you'll need vessel loops along with right angle or mixter clamps. Castr vijao needle drivers. Real mosquito clamps with rubber shods for controlling the fine sutures. Tenotomy scissors, halstead clamps for dissection and debakey bulldog clamps.
He seems annoyed that everything he tried to explain ended up as "its really about experience you have to do the work to know" 🤣🤣🤣🤣good effort cutie I'm refreshing myself watching your channel. Thank you!!
I want to thank you for doing these videos I'm a CNA and am thinking about going into this field. There was a lot more involved than I realized thank you.
It depends to the preferences of different surgeons, good anticipation and observed properly that was being a good scrub nurse/tech inside operating theater.
you should make a surgical tips book :o Clincals start next week for me and I'm so nervous. I hope they don't expect for me to know the whole procedure man
interesting comments about instrument passing, I am a mechanics son, and have "assisted" like you do the surgeons, between 5 years old and now 41years!!(I also have Autism)and I do the same, passing sockets, spanners, diagonal cutters, same way, the way DAD uses them, and you forgot ONE thing, above all others- NEVER get between them and their TOOLBOX!!, and they have their tools their way, so replace exactly as you removed them :-) as a saying goes" happy wife.... Happy life". they also appreciate tidying up, tool maintanence, and those small things.
It depends upon the facility and protocols- as a smaller veterinary practice- we don't use stringers at all (because it's considered less aseptic) - the entire instrument set comes in autoclave peel packs.
I love this videos, I’m retired, never worked in the medical field , However I just fine these videos extremely fascinating , & quite interesting , keep up the good work young man, your viewers will definitely appreciate, particularly those in the medical field, God bless!!!!
Ties are getting phased out. If it's a younger doc, they're using more cautery, harmonic and ligasure over ties. I can't even tell you the last time I handed a reel. I don't know when I got so old.
Can you show me the set up for brain surgery and kind of instruments, the basic instruments like for simple brain surgery. Also laparoscopy instruments . The set up or if possible the actual surgery. I will start working as O.R. Tech. Soon and I'm terrified.
Bayan Rabbo, it depends. You may work in ortho a lot, for instance. You wear your xray apron. You also have a doximeter badge and it's checked monthly. In 16 years, I've never seen an employee benched due to exposure. Think about it, the rad techs work more hours in radiology than OR staff, right?
Great advice Sir. That helps a lot. However, if we wanted to watch surgical procedures that are basic and every tech will encounter more times than they want which ones would you recommend? Thanks in advance.
My daughter wants to become a surgical assistant I'm not sure what tip of schooling she's gonna need... please give me some advice on what shes gonna need to do thank's
Every program is a little different. They are also doing away with the certification programs and requiring students to complete an AAS. Google 'Surgical Technology programs near me' and read up on their prerequisites. Get your daughter enrolled in those classes, and go from there. Best of luck.
If I had the time to do it all over again, I would go for PA, or NP. They are more marketable positions that can request more money for the work you do, and they are nationally recognized. RNFA AND CSFA are not nationally recognized yet so you will have to move to a state that will work with you.
great video. Im a new OR nurse , I mostly will be a circulator but part of the training at the hospital im working at wants us to be able to scrub. and understand the scrub role. we only have a very short time (1 month ) of learning to scrub . Ill be working in ortho. would you suggest watching you tube videos of the procedure to understand what tools to anticipate/ sequences of the surgery. Ive been trying my best to take notes after procedures at work with doc preferences, looking at pick list.. if you can give any tips or suggestions let me know. its been a challenge and your videos have been very helpful. thanks
Melissa Von Der Hofen, just relax. We all have to learn sometime. I'm an RN, too. We had to scrub where I worked, too. I actually enjoyed scrubbing. When I first started in the OR, I had to scrub. Personally, I feel that's the way to learn the job. As a circulator, you can't run go get the table large deavers if you don't know what they are. You'll get it. Good luck!
Melissa Von Der Hofen, I just read over your question again. 1 month is not that much time. Hopefully you have been back there long enough to learn some basic concepts of the OR before you started in ortho. The reps were always a good source, too. They should have some handouts for you about their systems. They were a help to the scrub running the table. You have to watch some of them, though. Some will get too close to your table. Some will try to reach across your table, too. We had to start limiting how many could be in the room, too. A few will try to get you to open too much too soon. I hope things are clicking for you!
The circulator is in charge of everything that’s not sterile, and opening sterile packages and setting up sterile drapes for scopes, and setting up equipment, helping prep the patient, sending specimens, and doing things for the people who are sterile. The scrub tech or scrub nurse is at the sterile field and assists with the surgery. They can’t break sterile field everything they need something so the circulator assists with those things.
Just thought I'd add my two cents worth. I can't say what the absolute best study guide is but I really like what I'm currently using. The NBSTSA CST study app and the Mometrix Flashcard Study System. Mometrix also has a study guide in book format. I've used a Mometrix study guide previously and love their format and content. It really helped me make a top score on the entrance test my school uses as the deciding factor for all of their competitive medical programs. With the NBSTSA app, there is a subscription available but the app itself is free as are some practice questions including a Question Of The Day every day. Hope this helps a little
+Release_da_beast back when I had taken it I used the NBSTSA study guide and all of the notes/ books from class. I did A LOT of group study sessions as well.
so in Nevada, Surgical techs (scrub techs) are allowed to suture in the OR and pass instruments to the surgeon? I thought that was only the job of a surgical assistant or scrub nurse? what am I not understanding? Edit: I just learned by watching an older video from 2017 that you are a surgical assistant no longer a tech I think the layperson like me may assume by your title "surgical tech tips" that you were still a tech it makes the person like me a little nervous assuming that you are a tech with no surgical training and performing suturing and other invasive procedures as a tech...not criticizing just pointing out that it is not just Tech school students that watch your videos, I am soon to be a patient and was researching for an upcoming spinal surgery I have to have and came across your page I was freaking out a little about techs cutting, closing and dissecting patients...maybe update the name or put in a disclaimer that you are not a tech but an assistant??? or not just a thought keep up the great videos
From what I know about back surgery is that you will have the chance to meet the O.R. team that will be in the room with you minus the Surgeon you already know and should have seen before being brought to the O.R. you can ask questions and feel as comfortable as possible before being transferred to the Operating Table and buckled in for Safety. You will know everyone in the room and feel confident that the team in there has your back, man I had to😂. Good luck with your surgery, hope you solve your discomfort. I'm a CRST certified registered surgical technologist
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Man I recently started scrubbing ortho and it’s so insane and fast, I’m still in school but I wanted to scrub in with the “guy” this dude is an ortho tech all he does is ortho which explains why he is so good at it. I tell ya, watching this guy work is fascinating, I’ve never been impressed by anyone however watching him at the speed and anticipation In which he moved was very humbling experience for me. The best I can do is observe him and try to mimic as much as I can, one day I will be at his level.
Can you make a video on showing each instrument closely and how they use(or hold) it. May be on a fake dummy so we can have an idea . Also if you can show for some common surgeries. Or can try to mock surgery by you pretending to be surgeon and bring a friend to be surgical tech.
Love this video. Im in my final months of clinicals and this makes so much sense thank you. Ive been watching your videos since i started my pre requisites and you have helped so much through my 2 year associate degree program in the field of CST. Now i just need to pass my national exam in July 2019
Can you possibly do videos for csection? L&D is csection and d&c etc simple but the anticipation is the question again bc every MD is different in how they go in and come back out once baby is out! Anyway you can do a csection video? Even a set up?
helpful videos for students.....let's do a slight alteration> 0. Overhead light for visual, 1. Marking pen (maybe), 2. knife/skin forceps, 3. sponge (raytec or lap) 4. bovie/suction, 5. small retractor, etc....and good luck
WOW!!! I am so amazed at these videos. I’m not in medicine but have kicked my butt every day for not going into it upon high school graduation. Instead I was a finance major. I retain medical info very easily and have been asked what field of medicine I was in. Most people are shocked when I tell them I’m a finance person. Keep up the excellent videos. I love them!!!
This is surgery,not medicine and its also just assisting.I worked for a whule as an orthopaedic PA and found many of the surgeons very arrogant, abusive and openly hostile at times.I left after 6 months.
I started watching these videos because I'm doing research for a story I'm writing (Urban Fantasy meets medical drama, the protagonist ends up undergoing surgery after she's injured), and I'm honestly finding all these videos about OR procedures fascinating in their own right. I might also be needing surgery in the near future myself, so in a way, these are kind of reassuring too, seeing just how many people are involved in making sure that even a routine surgery goes smoothly.
Loved the hulk clip!! My wife and I LOL'd and watched it 2x. My wife said "yep that's you." I do tend to lean towards the hulk example with life in general. I'll have to keep that in mind when passing instruments to surgeons!
Love your videos man! 3 months into my clinical rotation at a level 1 trauma hospital and this video has worked great for me. Will you release a draping video soon?
the steps are pretty much the same, except once they get down to the muscle they usually rip it with thier hands, ones the baby is out they might need penningtons to stop the uterus from bleeding, 2 peans and scissors to cut the cord, sponge sticks to remove placenta, bucket to hold it, then you close.
Norhea Cando, can you scrub some? I found that was the best for me to learn . These are quick cases. Many times I have had to chart after the patient has been rolled to PACU.
For my surgeon the first thing is the “local” - B/Caine to numb the area then the following steps mentioned. It truly does depend on the surgery. Vascular is similar just smaller instruments etc. Thank you for this.
Do you have any tips on differentiating instruments? Certain things are obvious, I know. For example, I know what scissors are, but there are different types of scissors. The same with clamps and retractors, etc. Some instruments have only subtle differences. I've already picked up the instrument textbook I need for next semester as well as a set of flashcards. Is it just a matter of memorization?
+DJ Nick Black true that. My phone camera is currently broken though. So once I get that fixed I'll upload the pictures to the Facebook group. You follow the FB group?
They pick up the patient from pre-op, set them up on the OR bed and assist the anesthesiologist with intubation. Insert foley catheter's, possibly insert an IV. Most important;y and what takes up most of there time is charting everything we do in the OR, and putting down times in the system as to when everything happens in the room. Also like Jackson said, they can grab supplies for the tech if needed.
Surgical Tech Tips, before rolling the patient back, we have to quickly review that chart. Are the appropriate labs ordered? What are the results? Many times the preoperative nurse misses this. Certain procedures require certain labs. You have to review the H&P. Does it match the procedure? Same for the permit. Then interview the patient. Again just make sure everything matches. Make sure the surgeon has marked the site if appropriate. Then after the patient is anesthetized, there may be positioning and padding required. If so, you have to position correctly. I have seen nerve damage (not by me) from a slack RN that did not position, pad and secure safely and correctly.
I know that now some hospitals depending on the situation use a surgical robot? ...with the robot is it a simpler surgury? I always wondered how would a surgeon need training for that and how it may change a job like yours ...in terms of preparation ect
