Who's Who In The Operating Room?
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- čas přidán 2. 06. 2024
- In this video, Dr. Webb talks about how a successful operation in surgery is dependent on a team approach and everyone from the surgeon to the tech is important.
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I absolutely hate how people underestimate anesthesiologists. They LITERALLY keep you ALIVE!
Exactly, and I feel like they honestly lead the room, not the surgeon, since they are responsible for keeping the patient asleep and alive!
An anaesthesiologist not only provides Anaesthesia and pain relief during surgery... But rather he/she keeps a patient ALIVE while a surgery is going on.
Remember can some body tolerate a surgery without anaesthesia... He or she will die of pain, stress or bleeding within 10-15 mins of knife cutting the body.
So while a surgeon treats a patient... an ANAESTHESIOLOGIST keeps the patient ALIVE
I had a c-section done not too long ago and Im very thankful for the people that perform this job well.
Nurse anesthetist here. Awesome videos
Im a surgical tech and I really love my job. I get to see and participate in some of the most amazing things you could imagine. And I'm sure Dr. Webb knows, spine surgery without a good tech can make the whole case go to hell real quick. I make about 75k a year with overtime (I work anywhere from 40 to 60 hours a week). This is above average for a tech, but I'm also in New York and cost of living is high. It is still on the lower end of the pay scale compared to other positions in the OR like nurses who start at 85k - 100k a year.
Hi, I'm so glad I saw this video I'm starting BPCC in Bossier City, La soon for Surgical Tech. I'm very excited I went to the library to check out books and didn't find any books on Surgical Tech nor Operating Room Assistant, so I just watch Surgical Tech CZcams videos for help.
Keep making videos, they are very helpful ❤❤🙏🙏
Am only 10 years old and one day I want to be a surgeon
Awesome! You CAN do it! Its a long road but worth it in the end! Keep up the good work and let me know if you have any questions along the way!
Also, be sure to subscribe to receive the newest videos posted every Monday, Wednesday, and Friday at 5pm CST
Dr. Webb
www.antoniowebbmd.com
facebook.com/awebbmd
instagram.com/overcomingtheoddsbook
Dr. Webb's new book, Overcoming the Odds (ranked 5 STARS!) is available NOW at: amzn.to/2ydvHwd
Bilal Yusuf good luck! I’m 13, and I want to be a pediatric anesthesiologist
Follow your dreams
Im 4 years old i also want to be doctor:)))))
YOU can become anything if you put your mind to it. Good luck, you might even operate on me one day
This is a very interesting video. Where I am (Australia), it's generally a lot simpler: you're either a doctor or a nurse (aside from sales reps, orderlies etc). There's the surgeon, surgical assistant (who is also a doctor), scrub nurse, scout nurse(s), anaesthetist (called anaesthesiologist in US) and the anaesthetic nurse. I'm amazed the surgical tech as described in this video is paid so little. Here, the scrub nurse is very critical to the surgery and they tend to be the most senior and experienced theatre nurses. It's a highly specialised skill and commands a lot of respect. Sometimes the scrub and scout nurses are interchangeable; within a theatre they may switch roles between cases to help each other out, but generally the more experienced nurse assumes the scrub role, especially for complex cases.
Hey, I’m an OR nurse in the US and I want just to clear up some things. In this video he is speaking mostly in generalities. All surgeries here will have a Surgeon, anesthesia provider (which is usually a be a Doctor or a Nurse Anesthesiologist and sometimes there is a certified assistant helping), and Circulating Nurse. Depending on the location of the hospital (rural? metropolitan? somewhere in between?), particular case, surgeon preference, hospital policy, ect. there may be a different mix of people assisting the doctor in the surgical field.
In many hospitals in my area they seem to be phasing out surgical techs all together in the role mentioned in this video at all and instead hire Physician assistants (PA) who are master's degree prepared medical professionals.
Some hospitals/regions may rely more on First Assists to help which are usually either Nurses (or sometimes Surgical techs) who pursue further training and certification. There are often also Scrub Nurses that performs a similar role as to the ones you mentioned and are familiar with. In my area, a major metropolitan area, Physician Assistants, First Assists, and very experienced scrub and circulating nurses can often make in the 80- 90k range.
So tl;dr There is usually 1 or 2 people helping the doctor do surgery and these helpers could be a scrub nurse, PA, surgical tech or first assist. A lot of hospitals near me don't use surgical techs anymore and hire PA instead. So, The people helping with surgery are usually paid very well. We have scrub and scout nurses too and they work the same way. Scout nurses are called circulating nurses here. They get paid very well, too.
@@gratiamop Wow thanks for explaining this! I love learning about how things work in other countries, especially in the US.
Wow! What an amazing video! So much consistency, Thank you!
Enjoyed this, your voice is very soft and well spoken,
I like your videos. In our hospitals Certified Registered Nurse Anesthetists are the ones providing the anesthesia care.
Peace be to you Dr.Webb! This was GREAT!! Personally, I ESCHEW surgery! I just found it's not what I'm interested in and I can't stand standing in one place for HOURS 😫😧! Also, I don't like having gown, hoods, mask, etc. all over my face and body 😷🤕👻; freaks me out for some reason! I'm a Hospitalist PA and really enjoy it. That's the beauty of medicine, there is such a VAST array of opportunities to suit EVERYONE'S unique interest and attributes. I hope you can sign a copy of "Against the Odds" for me when we meet in the future, Lord willing! Peace!
Absolutely! Thank you!
Wow this is a great video explained thanks Dr Webb keep up ur great work
Thank you for making this video. Love it
Thanks for watching! 😁
btw, these salaries widely depend on state/city ! For example, a surgical tech in NYC can make anywhere from 114k - 125k .
I hate to say this, but from my experience it is actually the anesthesiologist that leads the room, once the patient is in it...
Good video but u forgot to mention that to become a first assistant first u need to have 2 or 3 years of experience working as a scrub tech then add the schooling years for first assistant.
thank u.this was helpful
adding that many surgical tech programs are an associate degree program.
Thank you!
Hi I was just wondering what program you used to for this video? Great video though.
What about the Radiographers? Always forgotten
Yeah, unfortunately I forgot to include them but yes they are definitely part of the team.
Here is an interview with one: czcams.com/video/NCJeFPlchD8/video.html
Was also sad to see we were left out
And perfusionist?
i want to be an anestheseologist i am a graduating student in high school and i hope to get more info from you Dr. Webb
Hi Dr Webb, I was wondering if you had any experience or thoughts on CRNA’s? I’m currently studying in college to be a Registered nurse at the moment(BSN) and was looking into becoming a nurse anesthetist. Do you perform many surgery’s with a CRNA present?
Hi,
Thanks for the comment and watching! CRNA is a good route to take. Its no telling what the future holds for CRNAs but def consider it if you are interested. Good lifestyle and pay among other things! Be sure to subscribe also to receive the newest videos posted every Monday, Wednesday, and Friday at 5pm CST
Dr. Webb
www.antoniowebbmd.com
facebook.com/awebbmd
instagram.com/overcomingtheoddsbook
Dr. Webb's new book, Overcoming the Odds (ranked 5 STARS!) is available NOW at: amzn.to/2ydvHwd
Surgery doesn't normally proceed without Radiographers to provide the essential imaging.
mmmmm no depends what type of surgery!
+Elias D Reyes hence 'normally' given especially given he works in Ortho.
Surgery normally doesn’t proceed without the check in staff checking in the patient
I'm a surge tech and gross 67k last year
You said “Without minimal complications”
shhh thats the secret to get more money
what program do you use for your videos!!!!!!!!!!!
I’m an OR nurse and I am the leader of my room! Lol. You’ll be surprised how often they rush you to bring a pt in the room who hasn’t even been properly preop’d. We all work together but the nurse is the final check point. In the end, if something were to happen to the pt, you kno what doctors do, blame the nurse!! 😂 Nothing goes until I say so 😉
Yes! Thanks for all that you do! We couldnt do our job with you!
@@antoniowebbmd nor could they do theirs without you!
mcintoka I am a blood bank technologist and if the circulating nurse is experienced and calm you are so valuable in a case that requires a lot of blood products. There are some RNs I love to work with because the whole process runs smoothly!! Thank you!!
mcintoka absolutely correct from a crna
"Surgeons are the leaders of the room."
[Laughs in OR Nurse]
Dogs taste like poop
Anaesthesia guys seems the leader of the room
everyone in the OR is essential, surgeons are the leaders. Lemme see an OR nurse talking back to a surgeon lmfao
@@gustavgurke3389 You're more than welcome to. The OR where I work at is a blast and we DO talk back to surgeons, anesthesiologist. We're just a big, green, disfunctional family.
Can you do a video on PA like surgical PA by chance?
I am 13 I really want to be a anesthesiologist or a pilot I would prefer being a anesthesiologist but I am afraid of the long and stress full schooling
Hello Dr. Webb my name's David I plan to join the military next year and I know I won't make much but that's alright with me because I want to serve but after the military I want to go to college and I know I probably won't have money left for med school and
I wondering is it possible for someone like me to achieve my dream and is the big debt worth it?
The tech and nurse salaries are insanely wrong
Ethan Shiffler Nope, pretty accurate
thank you Dr.Webb. I am a registered nurse and have a passion for the OR. i find surgery fascinating and so meticulous. Take care Doc, thanks for sharing
Awesome! Thanks for all that you do! We couldnt do our job without you!
Tan, I absolutely loved it. RNs scrubbed too where I worked. It's hard to get into the department. They always want to hire people with experience. Just keep applying if you really want it.
@@antoniowebbmd you are one extremely well educated and very informative doctor... Simply amazing and informative doctor... I wish most doctors can be as informative as you...
Might be just me, but seems like FA's, scrub techs and circulator nurses should make a tad bit more in salary..closer to 6 figures at least 90k range..I know alot depends on state/region and hospital budget etc but median salary seems like these positions are underpaid in general..I have aspirations of scrub tech right now working in OR supply chain and now I'm wondering if it's worth pursuing such a career not to mention the competition to boot.
My dream is to be come an anesthesiologist! 😊😊
"solid, concrete info for me to try and get pass the ghouls running the front part of the E.D.'s; and I guess it's that sooner or later I'm going to get treated properly with the antibiotics or simply die trying..." (I'm a Chlamydial victim and patient of 9 years and 6 months because of unbundling and fragmentation issues...)
Dont forget the eyes for the surgeon aka xray tech. In today's modern surgery cases. Normally they try to do as much minimally invasive cases as possible and that's only possibly by a running carm or aka fluoroscopy:)
Where would a PA fit in all of that?
karieltheone: PA normal would perform the role of the First Assist. He or she's primary responsibility would be to assist during the surgery and then they would suture and close the patient afterwards.
New video idea. Financing medical school for non military students.
Good points! Thanks for suggestion. Be on the look out tomorrow. 😃 There may or may not be a video about that very topic! If it dosent answer all your questions, I have a followup video in the works!
Not a bad video except for one thing- in modern day OR medicine, the surgeon is not considered “the leader of the room”. I would say there is 50/50 leadership between anesthesia and surgery. At least at a healthy modern institution. Historically the “captain of the ship” mentality led to poor communication and mistakes that led to patient death and other morbidity. Which is why this practice was abandoned.
Also, the anesthesiologists first and foremost job is to keep you alive during your surgery. A large proportion of patients who need surgery are very sick to begin with. They often have heart and kung diseases which need to be acutely managed in the OR during surgery. While we as anesthesiologists do “keep you asleep and comfortable”, this is just one aspect of anesthesia practice, and probably not the most important one.
those are very broad statements and not necessarily true. there are many types of surgeries and many times of surgeons. Not everyone is in a life threatening situation and many times when people are very sick they do not do surgery because of the risk of complications or death.
I agree with you.
That’s not really true. In the OR, the surgeon is the one who is leading the bulk of the people in the room The Anesthesia team is there and the surgeon doesn’t exactly have the knowledge that the anesthesiologist has. So they work in conjunction but the surgeon is considered the head.
The thing is .. if something goes wrong, the majority of the blame falls on the S1, not anyone else. Again, the "majority of the blame", I said. So yeah, everyone gangsta until a lawsuit is filed.
Im 15 and i want to become a pediatric surgeon and tips ? (Have it be for school, staying on track, payment, etc)
Hi,
Good question and that's awesome that you are interested in becoming a surgeon. It's a great field! But, what I think that you should do is focus on your current studies and make sure you make good grades and do well on the MCAT. Most people don't decide on a specialty until 3rd/4th year of medical school so you def have time and most people even change their mind a few times. I would say focus on your school (which is most important) and if you have spare time or just dying to read something about Orthopedics, check out articles online or there is a intro book to Ortho that I really like. It's called Orthopedics Made Ridiculously Simple: amzn.to/2fpZdaf
Good luck and let me know if you have any other questions!
Dr. Webb's new book, Overcoming the Odds (ranked 5 STARS!) is available NOW at: www.amazon.com/Antonio-J.-Webb/e/B00OYN1LRA I talk alot about my path from all the way from growing up, high school, college and getting into medical school! You should def check it out! Very inspiring book!
And if you haven't already checked please subscribe! I post videos every Monday, Wednesday, and Friday at 5pm CST!
A. Webb
www.antoniowebbmd.com
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Would an Orthopedic Specialist/Technician fall into the category of Surgical Tech or First Assist?
Yes, it can fall into it
I ask because I recently joined as a MOS Orthopedic Specialist in the military, and there is little/no information about these types of specialists, so I wanted to reach out to you to get an idea. Thank you for your response!
Great video
Hi,
I'm glad you found the video to be helpful! Be sure to subscribe to receive the newest videos posted every Monday, Wednesday, and Friday at 5pm CST
Dr. Webb
www.antoniowebbmd.com
facebook.com/awebbmd
instagram.com/overcomingtheoddsbook
Dr. Webb's new book, Overcoming the Odds (ranked 5 STARS!) is available NOW at: amzn.to/2ydvHwd
One day i will be a surgeon.
Which surgical residencies are 3 years other than podiatry?
None
Pediatrics and some Emergency medicine, Internal medicine programs are 3 years
we study this in the university of medicine in tabuk Saudi Arabia.
Awesome!
What about perfusionist?
Wonder what it's like for here in Ireland
Sales Tech in the OR? Why, and what is their pay?
Some surgeries use certain tools/products and implants that are not every case. They are the representative of the company that makes them to ensure they are being used properly. They really know the product inside and out and what can and cant be done with it. They are vital in spine surgery and especially joint replacements. Depending on what company they work for and what they sell then can make hundreds of thousands a year.
I'm in 7th grade. Would a neurosurgeon be a good choice for a doctor?
GameControl21 Roblox yes. But focus on your high school first
Balla Jallow OK thanks. I work very hard. I have 5 A's and 2 A pluses
GameControl21 Roblox Keep it up.
Lol you should take an high school AP biology class and see if your mind changes. Just know, it gets MUCHH harder
Get into medical school first and find out for yourself on your neurosurgery placement. Truth is your final decision on choice of specialities is often led by your experience as a medical student. I wanted to be a cardiologist when I first entered medical school and now ended up being a general surgeon! Talking about a change in direction.
How many years do you go to school to be a heart surgeon??
Hi,
4 years college
4 years medical school
5-7 years general surgery
3 years CT surgery
You can check out this video here: czcams.com/video/UtFLbW6anUM/video.html
About 1/4 of your life, or 20-25 years.
How can a Medical Laboratory Scientist be in OR?
Im sure they can but not very common
Dr. Webb, are patients informed of any non-medical personnel present before undergoing anesthesia?
How does this effect patient's right to privacy and how does this get around HIPPA rules? Salesman in the OR would make me uncomfortable. I don't understand how HIPPA can allow non-essential, non-medical personnel to be present without authorization of the patient. This really bothers me.
ledzepgirlnmful good point
Patrick Shaw
Thank you, I thought so!
To answer your first question unfortunately not. You'd be surprised who can be in an OR. But it's mostly everyone he's listed in the video. But every person in the OR is properly attired to prevent spreads of infection.
From my experience as a student in the cath lab, the sales rep is pretty educated on the items and tools used in the room that were purchased by the hospital from that manufacturer and can provide recommendations and answers to newer technological devices during surgery. This position is essential for the patient's safety during surgery.
www.verywell.com/medical-device-sales-jobs-1736209
"Depending on the type of medical device you sell, you may be required to spend time in the operating room, advising physicians during surgery on the proper use or installation of your product. This is the case for some orthopedic devices and cardiac products, for example."
A very valid point with regard to sales reps in the OR, however they are very much needed and are a valuable resource. First of all, an OR rep is much much different and and much more knowledgeable than you average pharma rep. Secondly, OR reps are extremely knowledgeable about placement of their products/implants/prosthesis and can be called upon by the surgeon for technical advice or specifications of devices. Lastly, if it's elective surgery performed in an outpatient surgery center, they may not want to tie up capital and have $100k+ in inventory on certain medical devices that have different sizes so an alternative is to have a rep present with that inventory so once the surgeon has determined what size, model, etc. they can pull from the reps inventory and be billed for just that singular device without stocking all sizes as alot of implantables you don't know what size or specification you need until after incision/dissection. A prime example would be stents. Hundreds of sizes and would cost the facility a ton of money to keep all sizes in stock.
What about a scrub nurce
In the US, a scrub nurse is an old name for a surgical technologist. A nurse can learn to scrub and do that role, but now that role is performed by a tech in most places.
Great information thank you. I have a concern that if I bust my ass in undergrad *second time around* and achieve all of the prerequisites I could get denied to medical school because of ineligibility for private loans due to bad credit. So my question is, Is credit something that matters when financing medical school?
YES credit does matter for medical school BUT it can be repaired over time and also there are many schools that offer students partial or full scholarships if you have a great GPA and good MCAT scores (515 or higher). You can do anything you want to just don't give up!
FYI This is how a surgeon sees the roles. Reality is different.
Please inform us of this reality
@@antoniowebbmd The Surgeon is in charge of the surgical procedure. The Anesthesiologist is responsible for the medical management of the patient and can cancel the (elective) surgery (i.e. tell the surgeon they can't operate).
you forgot housekeeping
What about xray?
I find it mind-boggling that doctors and surgeons are under paid compared to the entertainment and sports industry....who would want to be a surgeon for 800,000 a year when u could be a basketball player and start making millions not to mention paid endorsements! America is sooo backwards
Good point! Ha
Bout Dat You obviously don’t understand how that works
Arachnofondler U didn’t have to comment Obviously
Bout Dat I’m just saying that you obviously don’t understand how our capitalist economy works.
Arachnofondler we’ll explain it to me! Thanks 😘
Fix your sound please. Your voice is too silent, especially with the background music.
I thought the anesthesiologists was the leader of the operatiing room
Nope
The RN Circulator is the leader of the room. The surgeon is the leader of surgery but it is rns who get room assignments its RNs who say it is safe to start
Ya anesthesiologist lead the room. They can cancel the surgery if it is unsafe and they stop the surgery if the patients vitals decline. Rn is not the leader of the room. Putting the case in a room doesn’t take a lot of work and they do not determine if the surgery is safe at all. They simply help with the flow in the room. Anesthesiologist lead the case. Surgery does the case. Case cannot start unless there is an anesthesiologist.
@@jestina1292 RNs dont do shit dude lol.Never heard a surgery not starting bcs the RN said its dangerous or sth..I appreciate their work a lot but they definitely dont make the decisions
@@Hfoster3 anesthesiologists lost much of their importance bcs now CRNAs commonly do their job so..
Wth what about the evs team !!
I beg to differ. The surgeon is not the leader of the operating room. Anaesthetists are the ones that are supposed to take over when things go bad or rather see to it that such a situation doesn't arise in the first place. When the anaesthetist panics the entire room panics. As someone said there is no single leader in current practice of modern medicine.it is a team game and the O.R is the foremost place where this dictum should be followed. But overall when everyone has screwed up one person in the O.R is expected to take over and that is an anaesthetist.
Came here to say this.
What’s that
I want to thank Doctors, Med Pros for their dedication and fortitude for the betterment of humanity!! 😇🎖🎖🏆🏆🏅🏅🥇🥇🥇🥇🥇👍
How many years does it take to be a PA?
Beach? B#tch? 6 years ( 4 years undergrad ,2 years PA school )
Anesthesia is captain of the ship during surgery
My name is rasool
One day I become a surgeon
Awesome! You CAN do it! Its a long road but worth it in the end! Keep up the good work and let me know if you have any questions along the way!
Also, be sure to subscribe to receive the newest videos posted every Monday, Wednesday, and Friday at 5pm CST
Dr. Webb
www.antoniowebbmd.com
facebook.com/awebbmd
instagram.com/overcomingtheoddsbook
Dr. Webb's new book, Overcoming the Odds (ranked 5 STARS!) is available NOW at: amzn.to/2ydvHwd
I am inside my mom's Womb and I want to be a surgeon 🤗🤗.
Shouldn't the surgeon close the incisions and not a first assist??? I mean plastic surgeons study a long time to close them correctly, no? I would hope a trained surgeon would close an incision to leave a minimal scar.
these are technical skills. you don't necessarily need a attending surgeon to close. often times it is done by the surgical resident, medical student, or first assist.
I’m only 13 but i want to become a orthodonist
Awesome! You can do it!!
What nonsense, the anaesthesiologist is in charge.
Don’t quite understand the role of the sales tech
For medical device companies, there is a role called Field Clinical Engineer. They are employees of medical device companies and this role requires a deep understanding the functionality of the devices. Field Clinical Engineers are considered part of the sales force in many companies, but they also have engineering backgrounds. Having a degree in biomedical engineering is common.
just a random gal thanks! I see I understand what they do now, but why do they need to be in the operating room?
fam9230 For technical know how and specifications. Also, new medical devices go through a clinical trial process like drugs do. Engineers are there for that because they have to be for the trial.
just a random gal Oh I see, thanks for answering!
Most anesthesia in OR's is provided by CRNA's, NOT Anesthesiologists. It would be more appropriate to have labeled anesthesia as being provided by an "Anesthetist" which is a more broad term to include anyone who provides anesthesia, including Anesthesiologists, CRNA's, and even the rare Anesthesiologist Assistant. Vast majority though is CRNA's. Give credit to where it's due.
CRNA’s and Anesthesiologists are not on the same level. Anesthesiologists are M.D doctors who went to medical school and residency. They have way more extensive training than CRNA’s and the scope of practice is nowhere near the same. Don’t try to make the 2 equal… they aren’t and never will be.
@@alexisdior90 I bet you're a real treat to work with.
Nurse anesthetists? X ray techs? Vendors? Also, as a nurse I believe surgical techs are severely underpaid.
Awesome video, u forgot the x-ray techs. They make sure the surgeon did not leave any instruments in the body😊
That really is not our primary job.
Chris S You are right, I was just summarizing job description for space and time
That's what surgical counts are for. You don't zap every patient needlessly.
You forgot CRNAs
Sure did! Certified Registered Nurse Anesthetist provide 80% of anesthetics in the United Sates.
Yes, you are more likely to have a CRNA than Dr. GAS.
Thank you! Lol
So basically everyone in the room is poor and broke making less than 100k/yr except for the surgeon and anesthesiologist.
right loool
i earn roughly 18k as a doctor. Id wish i earn 75k, not even dreaming about 700k
@@Gragon what is your specialty and is that after taxes ?
Lol if 75K a year is broke i must be super duper broke
Do u use nurse anesthetist
How rich are you?
Millionaire
Antonio J. Webb, M.D. your actually a millionaire? Wow. How long have you been in medicine?
he has a book remember
icon that’s funny asf
@@antoniowebbmd Love you
Hmmm I read somewhere that anesthesiologists earn around $200-300,000 a year. I’m not sure which one is more accurate, this information or the one in the video.
They make 400,000 a year- for where I live at least... and thats just starting
What surgeon makes $800k? Please reply anyone
Likely only a very experienced and business-savvy one in a field such as orthopedics.
Neurosurgeons
asim nazir neurosurgeon is hard you kill 1 guy doing a easy surgery you are out!
Oral and maxillofacial surgeon
Cardiac.
Jeez, nurses are criminally underpaid compared to doctors.
True, but we only go to school for 2-4 years vs a doc and we don't owe over $200,000 when we're finished.
In the SF Bay Area, many RN Circulators make >160K/ year. This is because of the opportunity for Call and OT.
.
Lack of transparency & full disclosure.
Half of this video is wrong
So no mention of CRNAs? Come on man!
Irrelevant
Your knowledge is not correct it is anaesthetist not a surgeon who ensures smooth running of OR.
He isn’t a real doctor
I just pretend to be
😜