First Time in the Operating Room & What to Expect

What’s up, you guys? Hey, thanks for watching this video.

In this video, I’m gonna talk about what it’s like to be in the operating room for the first time. If you’re a college student or a medical student; you’re looking forward to going into the operating room. Give you some tips on what you might experience, what not to do, what to do. Especially what not to do so you don’t piss anybody off, and you’re good in your rotations. If you wanna go into surgery, you can get a good letter of recommendation.

I wanna tell you guys a little story. Not my first time in the operating room but one of my first times as a resident. What happened was I went out late the night before, if you know what I’m saying.

Here’s the deal. As a resident, you work a lot. If you never just bite the bullet and go out and have fun, then you’ll never do it because you’re always…It’s like you’re always on, and you never have that time where you’re like, “Oh yeah, this is a weekend. I’m gonna…I’ve got, like, two days, three days off. I’m gonna go blow it out and have fun and blah blah blah.” What I would do is just bite the bullet, go out, stay out till 2:00, 3:00 in the morning, wake up at 5:00, get to work at 6:00. You’d be hosed for the next 24 hours or 48 hours sometimes and then eventually you just catch up your sleep and sleep 15 hours or whatever. That’s what I did every once in a while. When I wanna go out, and there’s a big party. I was still on the next day. I’d be like, “Okay, I’m gonna go. But I’m gonna just sleep. I just know that I’m gonna be totally tired and a disaster the next day.” This is usually when you’re a first and second-year resident, so you don’t have real responsibility for patients. It’s a bad idea to do that if you have actual…You’re caring for patients, and you actually have responsibility for them. I don’t recommend you do this, but I did.

I was not feeling good the next morning, let’s put it this way. If you catch my drift. We had a GSW to the belly at, like, 6:00 or 6:30 a.m. I think it was, like, a Saturday or a Sunday. People go out drinking at night and then on the way home, they get in fights and all that stuff. This guy came in, and he was drinking. By the way, the rule is that before you get shot, you have to go to McDonald’s and stuff your face with hamburger and french fries and a milkshake and, obviously, that’s after you’ve drank a 40 or five of malt liquor. That way, when you get shot, it’s not only…When you open everybody up, it’s not only blood. It’s blood that smells like alcohol, and on top of that are fries and ground hamburger all mixed with the blood and (bleep) and piss and everything that the bullets destroyed.

As you can imagine, when you’re not feeling well, you’re feeling a tad under the weather. You look at this disaster of halfway ground hamburger, halfway eaten french fries, booze, blood, and vomit essentially. Oh yeah, and poop because when the bullet holes go through, they go through everything. They go through the stomach, they go through the small bowel, they go through the colon. This was everywhere, and so I’m holding retractors as attending and senior resident to operate on this guy. I’m like…I look at that, and I wasn’t feeling good. I had a moment. I had a moment. It was this much. I almost barfed. I almost barfed during surgery.

This is the number one thing you do not wanna do when you’re an intern in surgery for one of the first times is barf in your mask because it’s just…It looks bad. It’s poor form. That’s the number one thing you wanna avoid. That’s my little story there.

Anyway, the first time you go into surgery, what you need to know is first, all the blue stuff is sterile. You don’t wanna touch any of those things unless you’re sterile. You wanna keep your hands, basically, between your nipples and waist. You don’t wanna drop your hands low. You don’t wanna bring them up high because if you do that, you’re considered not sterile anymore. You contaminated the field if you touch anything after that, so you wanna keep your hands…That’s why you see the surgeon go like this or go like this when they’re not doing…when they’re not operating.

When you go to operate or when you come to the table, you just put your hands on the table, on the patient, under the drape. That way, you don’t accidentally touch anything else. You won’t get it contaminated.

Those are two big ones and then finally is if you feel nauseous or you feel lightheaded, what you wanna do is step away from the table.

Seeing blood and guts and stuff like that all for the first time, sometimes people pass out. You don’t wanna fall forward ’cause you’ll then contaminate the field with your face, so you’ll fall forward into the patient. Boom. You’ll contaminate everything and then you have another problem because then the surgeon has to say to the patient after, “Everything went fine except we had this little problem with your surgery that we contaminated the (bleep) out of everything because the med student passed out into the field.”

If you feel lightheaded, you wanna take a step back and then take a seat actually. Sit down, find a seat. Or even if you have…If there’s no seat, you wanna sit down on the floor is fine because you also don’t want to pass out backwards, hit your head, and then become a trauma. Then you have to get a CAT scan. You go to the ER to get a CAT scan. This (bleep) happens, okay?

That’s my quick tips on first time you go to the operating room. You don’t wanna screw things up, so those will save your life! Remember those things. All right?

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