Introduction to the Operating Room, 1st Edition
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From Amalia:
To my Mom for teaching me how to be a teacher and for fostering my
curiosity.
To Danny Custer for showing me how to be a kind, successful, and happy
surgeon.
To my learners for inspiring me every time you have a “Gee Whiz”
moment.
From Ruth:
To my husband Michael, who encouraged me to go to nursing school
(despite my fear of blood) and supported me through everything that
followed it.
For Brandon, Mindy, and Nick for reminding me that life is precious.
To everyone who continues to take a chance on me—thank you.
Contents
Our OR Team
Preface
SECTION 1: Pre-Op (Before the OR)
A. Know Before You Go
1. The Operating Room as a Study in Cultural Anthropology
Amalia Cochran, MD, FACS, FCCM
2. From Start to Finish: Understanding How We Get Here
Ruth Braga, MSN, RN
3. The Myth of the Kind Surgeon
Thomas K. Varghese Jr., MD, MS, FACS
4. Who Are These People?
4A. The Anesthesiologist
Christopher J. Behrens, MD
4B. The Nurse Anesthetist
Clive Thirkill, MSN, CRNA
4C. From Medical Student to Surgeon
Brian J. Gavitt, MD, MPH
4D. The Role of the Resident in the Operating Room
Lara Senekjian, MD, MAT
4E. How to Be a Superstar Medical Student in the Operating
Room
Madeline B. Torres, MD
4F. The Operating Room: View from a Physician Assistant
Crystal D. Webb, PA-C37
4G. The OR Staff
Karen Porter, BSN, RN
4H. The Perfusionist
Jennie O’Shea, BS, CCP
5. Teamwork and Communication in the Operating Room
Louise Hull, PhD and Nick Sevdalis, PhD
B. And Now For Something Completely Different
6. The OR and Humor
Ruth Braga, MSN, RN
7. Personalities in the Operating Room
Ross M. Blagg, MD
8. 2015 Grammy Awards Category: Music in the Operating Room
Winner: Marie Crandall, MD, MPH, FACS
SECTION 2: Intraop (In the OR)
9. Welcome to the Jungle: The Five Senses of the Operating Room
Elizabeth Hanes, BSN, RN
10. Robots and Ring Stands
10A. Operating Room Equipment From A To Z
Diane Tyler, MSN, RN and Ruth Braga, MSN, RN
10B. Robot Basics: The Nurse’s Perspective
Sebrena Banecker, RN, BSN, CNOR
10C. My Robot Experience, or How Surgeons Learn New
Techniques
Walter Medlin, MD, FACS
11. Dancing Around the Room
Ruth Braga, MSN, RN
12. The OR and The Surgical Field
Karen Porter, BSN, RN
13. Lines and Tubes: What Are All of Those Things Sticking Out of
the Patient’s Body?
Halle Kogan BSN, RN, CCRN and Thaona D. Garber, RN
14. Positioning the Patient
Karen Porter, BSN, RN
15. Patient Safety in the OR
Jon Worthen, MSN, RN, CNOR
16. Distractions and Interruptions in the Operating Room
Nick Sevdalis, PhD and Louise Hull, PhD
17. A View into the Operating Room
Ruth Braga, MSN, RN
And Now For More Entertainment…
18. Notes from Your Attending
Lawrence A. Shirley, MD and Christian Jones, MD, FACS
19. Tomfoolery, Shenanigans, and Hazing in Surgery
Luke V. Selby, MD
SECTION 3: Post-Op (After the OR)
20. Privacy—Keep It To Yourself
Ruth Braga, MSN, RN
21. Keep Calm and Trust the Count
Cynthia Howard, RN, CNC, PhD
22. A Brief Post-Op Note
Amalia Cochran, MD, FACS, FCCM
APPENDIX
Quick Guide—Answers to the “What Ifs of the OR”…. in 100
Words or Less
Amalia Cochran, MD, FACS, FCCM; Ruth Braga, MSN, RN;
Karen Porter, BSN, RN; and Jon Worthen, MSN, RN, CNOR
Index
Our OR Team
Editors
Ruth Braga, MSN, RN
Department of Surgery
University of Utah
Salt Lake City, Utah
@RuthBragaMSN
Amalia Cochran, MD, FACS, FCCM
Department of Surgery
University of Utah
Salt Lake City, Utah
@AmaliaCochranMD
Contributors
Sebrena Banecker, RN, BSN, CNOR
Clinical Nurse Coordinator—Operating Room
Huntsman Cancer Institute
Salt Lake City, Utah
Christopher J. Behrens, MD
Department of Anesthesiology
University of Utah
Salt Lake City, Utah
Ross M. Blagg, MD
Division of Plastic Surgery
University of Utah
Salt Lake City, Utah
Marie Crandall, MD, MPH, FACS
Department of Surgery
University of Florida
Jacksonville, Florida
@vegansurgeon
Thaona D. Garber, RN
Burn Trauma Intensive Care Unit
University of Utah
Salt Lake City, Utah
Brian J. Gavitt, MD, MPH
Division of Trauma Surgery
LA County + USC Medical Center
Los Angeles, California
Elizabeth Hanes, BSN, RN
Inkslinger Communications, LLC
Houston, Texas
@EHanesRN
Cynthia Howard, RN, CNC, PhD
Vibrant Radiant Health, LLC
Santa Barbara, California
@masterwellbeing
Louise Hull, PhD
Center for Implementation Science
Kings College
London, UK
Christian Jones, MD, FACS
Division of Acute Care Surgery
Johns Hopkins University School of Medicine
Baltimore, Maryland
@jonesssurgery
Halle Kogan, BSN, RN, CCRN
Burn Trauma Intensive Care Unit
University of Utah
Salt Lake City, Utah
Walter Medlin, MD, FACS
Bariatric Medicine Institute
Salt Lake City, Utah
@bonuslife
Jennie O’Shea, BS, CCP
Department of Surgery
University of Utah
Salt Lake City, Utah
Karen Porter, BSN, RN
Department of Clinical Education
University of Utah
Salt Lake City, Utah
Luke V. Selby, MD
Department of Surgery
Memorial Sloan Kettering Cancer Center
New York, New York
Department of General Surgery
University of Colorado
Denver, Colorado
@lvselbs
Lara Senekjian, MD, MAT
Department of Surgery
University of Utah
Salt Lake City, Utah
Nick Sevdalis, PhD
Center for Implementation Science
Kings College
London, United Kingdom
Lawrence A. Shirley, MD
Division of Surgical Oncology
The Ohio State University College of Medicine
Columbus, Ohio
@drewshirleymd
Clive (CJ) Thirkill, MSN, CRNA
