Nurses; ORs; Poor; Pre-op; acceptance; actual; address; age-old; amiss; anesthesia; aneurysm; anticipate; aortic; argue; atmosphere; awareness; basic; briefing; briefings; buy; care; case; cases; challenge; chats; checking; circulating; circulators; collected; comfortable; communication; complexity; components; confirmed; covered; created; culture; data; definitively; depending; detail; deteriorated; direct; discusses; discussing; disgruntled; dissenting; encourage; entire; environment; equipment; exchanged; expand; feels; fostered; front; gathers; grab; great; greater; group; hard; hernia; he... show all keywordsNurses; ORs; Poor; Pre-op; acceptance; actual; address; age-old; amiss; anesthesia; aneurysm; anticipate; aortic; argue; atmosphere; awareness; basic; briefing; briefings; buy; care; case; cases; challenge; chats; checking; circulating; circulators; collected; comfortable; communication; complexity; components; confirmed; covered; created; culture; data; definitively; depending; detail; deteriorated; direct; discusses; discussing; disgruntled; dissenting; encourage; entire; environment; equipment; exchanged; expand; feels; fostered; front; gathers; grab; great; greater; group; hard; hernia; hesitate; hospital; immediately; important; improved; improvements; including; increased; information; intensive; internal; intraoperative; invested; involve; items; key; lead; leave; left; length; lines; lose; member; mid-case; miss; missing; needed; notice; number; nurse; observers; obvious; onboard; open; operating; ordinary; patient; patients; performed; physicians; place; plaguing; pre-op; pressed; priorities; problem; procedure; pushback; questions; quick; receive; redefine; reduced; refusing; repair; required; requires; response; resulted; room; sabotage; safety-first; search; showed; situational; slow; solution; speak; speaking; special; staff; stationed; straightforward; study; surgeon; surgeon-led; surgeons; surgical; takes; team; techs; thought; time; tools; topics; toxic; tracked; working; wrong-site
| 
Nurses and techs often hesitate to challenge surgeons, even if they notice problems that could lead to direct patient harm. The solution to this age-old problem plaguing ORs is communication. For us, the communication takes place immediately after the time out when the entire surgical team gathers for a quick briefing.
