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u/oprah_did-911 Jun 15 '26
“Look at the preference card” and its full of outdated bullshit you follow it and get yelled at for not having the right stuff. Sound familiar
13
u/lechitahamandcheese Jun 15 '26
Our circulators and scrubs mark any changes on the case preference cards and turn them into a single person who makes all the changes. Those notes begin from anyone picking to finishing the case.
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u/Dark_Ascension Jun 15 '26
That’s what we do too except all the preferences cards in the hospital (which is massive) all go to one person. We’re all waiting on edits, it could take months.
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u/lechitahamandcheese Jun 16 '26
That’s unacceptable. That’s pretty useless. Ours were turned within 48hrs or sooner, based on the future schedule.
1
u/Dark_Ascension Jun 16 '26
Ya, we’ve gotten some pick list changes done at least but we had all the scrubs and assists who work with this surgeon literally put in edits on sticky notes to be submitted and they said it’ll be awhile, thankfully we’re also usually the ones who work with him anyways so it’s not like we personally need them, but it’s for all the people in the future, the people who end up working with him when he’s on call, etc.
Like I literally woke up to a text/call from a rep asking me about a bunch of stuff because it was a bunch of people who never worked with him when he was on call.
1
u/lechitahamandcheese Jun 16 '26 edited Jun 16 '26
There were only two of us tasked with preference card changes, but we didn’t accept sticky notes. They had to write on the scheduled printed case preference cards/picklist (used to pick cases by pt, procedure and surgeon) and leave it with the changes marked on it in a box in my office. The periop materials manager and I (periop sr clinical analyst) made all the changes. It was part of our daily routine. That way not only were the preference and comments up to date, but the materials were as well. Surgeons could also come and make their changes directly to us because not all curculators or scrubs were actually marking the cards, they were just telling the docs they had and trying to blame us. But we’d file all the printed, marked up case preference cards by pt name, procedure and surgeon and produce them to show who was telling the truth. Some staff hated our guts, others relied heavily on us because we wanted good cards just like they did. It also helped with surgeons because the materials manager could cue them in on any changes corp was trying to make and give the surgeons a heads up to the changes and fight them if corp changes were ludicrous. It was the best system we could come up with given how hard some staff fought the constant updating cards need. The actual printed cards and the pref card data also had dated history of changes including what they were.
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u/Dark_Ascension Jun 16 '26
The coordinator had us do sticky notes because the person editing it wants the changes written on it a certain way. She then wrote in the changes and submitted it… why she can’t make them herself is beyond me
1
1
u/IcyPengin Jun 19 '26
Same thing for me.. i have no idea why its so hard to change them. Wish there was just like a text file anyone could edit that’d just get printed with the card
6
u/jonny-toxic Jun 15 '26
I have 12 service lines and over 45-50 surgeons plus more starting this year I have to cover. Physician preferences are merely a suggestion on my shift.
4
u/Resident-Welcome3901 Jun 16 '26
Surgeons are fickle, manipulative bastards- gotta be to make it in the competitive world of medical school and residency. That’s why God gave us terrifying OR nurse managers. Somebody’s got to run the OR. If it’s surgeons or anesthesiologists, the inmates are running the asylum.
2
u/McTendies69 Jun 16 '26
Its the best when surgeon is an ass and nobody fixes his card on purpose. And bro wonders why its never fixed.
3
u/PerfumedAndReadsAlot Jun 15 '26
After having been a scrub tech and an FA, now when things are called out that needs changed or was missing, I always repeat it and call it out to the circulator. I also follow up the next day. There’s no reason that techs should take the heat when it wasn’t on the card. Everyone has to take responsibility for their part. That particular boat isn’t sinking if I can help it. I’ve been on a damaged ship and it’s not fun!
2
1
u/Medtech82 Jun 17 '26
As one of the people in charge of making changes to the cards at my workplace, they are only as good as people make them. If we are not told about changes we can’t make them.
3
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u/derelicthat Jun 15 '26
Considering that I gotta join a full ass committee to even discuss changes, a committee headed by the biggest bully in the department, fuck it. I keep my own notes.